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: [email protected]. 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.

From Pollution to Prevention: Combating Lung Cancer in India

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.

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 hand smoke.

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 diagnosed in 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.

Global Movement Sparks Change for Healthcare Worker Safety After Tragic Kolkata Incident

The tragic August 2024 incident at RG Kar Medical College in Kolkata, where a young female doctor was raped and murdered, exposed the serious dangers faced by healthcare professionals in India, especially women. This heartbreaking event ignited widespread protests across the country, highlighting the need for systemic changes in hospital security and the safety of healthcare workers. The Physicians of Indian Origin United for Wellbeing and Safety of Healthcare Workers (PIUWSH), an advocacy group formed in the wake of this tragedy, emerged as a key voice in pushing for reforms and safeguarding the well-being of healthcare workers, not just in India but globally.

On the night of August 9, 2024, a young resident doctor, referred to as “Abhaya” to protect her identity, was working late when she was violently attacked and murdered. This heinous crime occurred within the supposed safety of a major medical institution, sending shockwaves through the medical community. Doctors and healthcare workers in West Bengal and across India expressed outrage and frustration, demanding better protection and justice for the victim. The horrific attack highlighted the vulnerabilities healthcare workers face, particularly female professionals, and sparked a nationwide call for significant reforms.

In response to the crime, protests erupted in Kolkata, with junior doctors leading the charge. While they took to the streets, senior doctors provided support by covering their shifts, ensuring medical services continued. However, peaceful protests soon faced violent opposition as mobs, believed to have been hired to disrupt the movement, attacked demonstrators and vandalized hospital property. Despite police presence, law enforcement failed to act decisively, further infuriating the medical community. The protests were no longer just about justice for Abhaya; they became a broader outcry against the systemic issues endangering healthcare workers.

As the protests gained momentum, the movement expanded beyond the medical community. Many non-medical citizens, seeing Abhaya as a daughter or sister, joined the demonstrations, lending broader public support to the doctors’ demands. The tragedy struck a chord with people from all walks of life, transforming the protests into a powerful societal movement.

Simultaneously, Indian doctors abroad felt compelled to support their colleagues back home. A group of alumni from various Indian medical colleges and associations of Indian-origin physicians formed PIUWSH, initially starting as a WhatsApp group. The group quickly mobilized to send letters to elected representatives in multiple countries, including India, advocating for better protection and systemic changes to ensure the safety of healthcare workers. Over the following months, these letters were sent in waves, demonstrating a unified call for reform.

The Supreme Court of India responded to the outcry, issuing a firm directive that justice for Abhaya must be pursued. In response to the national protests and increasing demand for change, the Court ordered the formation of a National Task Force (NTF) to investigate the incident and evaluate the safety protocols in hospitals across the country. The task force was charged with developing recommendations to improve working conditions and security measures for healthcare professionals.

PIUWSH, although a young organization, quickly became involved in the national effort. Representatives from PIUWSH engaged in discussions with the leadership of the Indian Medical Association (IMA) and a key member of the NTF to explore how best they could contribute to the reform process. Drawing on a detailed analysis of the RG Kar incident, PIUWSH provided the NTF with comprehensive recommendations, including regulating duty hours to prevent exhaustion, enhancing hospital security, and implementing legal protections for healthcare workers.

The advocacy of PIUWSH extended beyond Indian borders. In September 2024, one of its members met with the Prime Minister of India during his visit to the United States to discuss the safety concerns of healthcare workers and deliver the group’s recommendations for reform. Additionally, PIUWSH members engaged with consular officials in various cities, ensuring that the voices of Indian-origin doctors in the U.S. and other countries were heard at the highest levels of government.

Media played a crucial role in keeping the RG Kar tragedy in the public eye. PIUWSH collaborated with both national and international media outlets to maintain focus on the issue. Major Indian news outlets such as the Tribune, Indian Express, and Times of India, along with global media like BBC and The New York Times, provided extensive coverage of the protests and the doctors’ demands. This widespread media attention helped sustain public interest and pressure for change.

Social media platforms also became key tools for PIUWSH to share updates on the protests, mobilize global support, and spread awareness. Hashtags like #JusticeForDoctors and #WorkplaceSafety gained traction, ensuring the issue reached a wide audience across different regions.

Beyond raising awareness, PIUWSH and its allies organized solidarity events, candlelight vigils, and demonstrations in several countries, including the United States. These events drew attention to the challenges healthcare workers face in India and underscored the need for urgent reforms. PIUWSH members participated in major gatherings, such as the New York City India Day Parade and the Global Citizens’ Festival, amplifying their message on a global stage. In hundreds of cities, people gathered with posters calling for justice for Abhaya and advocating for healthcare worker safety, emphasizing the international scope of the issue.

As the movement continues, PIUWSH remains committed to advocating for the safety and well-being of healthcare workers in India and around the world. The RG Kar tragedy exposed deep-rooted issues in India’s healthcare system, from inadequate infrastructure to hostile working conditions. However, these problems are not unique to India. Healthcare workers globally face similar challenges, and PIUWSH aims to address these issues through advocacy and collaboration.

The goals of the ongoing protests in India will only be achieved when concrete measures for justice for Abhaya are implemented, and substantial reforms to prevent future tragedies are executed on the ground. As of the time of writing, doctors in India are entering their second week of a hunger strike, with four already hospitalized in intensive care. The protests, which have lasted over two months, continue as the medical community waits for promises of reform to be translated into real action. PIUWSH’s immediate goal is to ensure that healthcare workers in India feel supported and heard, and that the international spotlight remains on this critical issue.

Looking ahead, PIUWSH aims to build trust with its key stakeholders by collaborating with international medical organizations, continuing to support medical trainees, and contributing to the safety and security of healthcare workers. Through these efforts, PIUWSH hopes to create a safer and more supportive environment for healthcare professionals, both in India and beyond.

Will India permit Euthanasia?

An easy or painless death, or the intentional termination of life at the request of a person suffering from an incurable or painful disease is called euthanasia or mercy killing. In other words the act of killing someone who is very sick or very old so that they do not suffer more, comes under euthanasia.

 So far, euthanasia is a crime in India. Section 309 of the Indian Penal Code (IPC) deals with attempted suicide and Section 306 of the IPC deals with abetment of suicide – both acts are punishable. Only those who are brain dead can escape their lives with the consent of family members.

Euthanasia laws differ in different countries. The British House of Lords Select Committee on Medical Ethics defines euthanasia as “deliberate intervention carried out with the express purpose of ending a life to relieve intractable suffering”. Euthanasia is classified into different methods which include voluntary, non-voluntary and voluntary.[6] Voluntary euthanasia is where a person wishes to end their own life and is legal in developing countries. Non-voluntary euthanasia occurs when a patient’s consent is not available and is legal in some countries under certain limited conditions, both active and passive forms. Voluntary euthanasia, performed without consent or against the patient’s will, is illegal in all countries and is usually considered murder.

While there is a move in the British Parliament to introduce a bill to legalize doctor-assisted euthanasia, many people, including UK Malayalis, are fighting for their lives. The bill, which will be introduced by MP Kim Leadbeater on October 16 to give terminally ill people the opportunity to “choose” the end of life, is being criticized on social media. Parliamentarians will discuss the issue. The reason for the concern is that if the law comes into force, euthanasia will be fully legalized in England and Wales.

As the Constitution Bench had done earlier in the Gian Kaur case, the court reaffirmed that the right to die with dignity is a fundamental right and held that an adult man with the mental capacity to make an informed decision has the right to refuse medical treatment. Treatment including termination of life. On 19 May 2023 The Supreme Court’s consideration of revised draft guidelines for the practice of euthanasia in India is a welcome move. This includes patients who do not recover from brain death after 72 hours.

Advocates of mercy killing argue that for patients who are in vegetative states with no prospect of recovery, letting them die prevents future needless and futile treatment efforts. If they are suffering then killing them prevents further suffering

In 2018 the Supreme Court recognised the right to die with dignity as a fundamental right and prescribed guidelines for terminally ill patients to enforce the right. In 2023 the Supreme Court modified the guidelines to make the right to die with dignity more accessible.

The Supreme Court has also raised this issue in the recent judgement3. ‘Mercy killing’ should not lead to ‘killing mercy’ in the hands of noble medical professionals.

The main reason cited against mercy death is the potential for abuse, where individuals could be coerced or manipulated into choosing death.

If there is no hope and the person suffers with every breath, why do we let them suffer it? Isn’t that cruel? When hospice is called in they medicate you into almost a coma till you pass.

Euthanasia, even if it is at the request of the patient, is suicidal and a violation of the Ten commandment “Thou shalt not kill”. Against this, the call for Malayalis who always uphold moral values ​​to sign the online campaign is getting stronger.

Biden’s Balancing Act: US Diplomacy Faces Hurdles in Israel-Gaza Conflict

A year after Hamas launched its deadly attack on Israel, sparking a brutal war in Gaza, US President Joe Biden finds himself navigating a precarious path between support for Israel and efforts to broker a ceasefire. On October 7, 2023, after Hamas attacked, killing more than 1,200 people and kidnapping 250, including US citizens, Biden became the first sitting US president to visit Israel during a time of war. During his visit, he assured Israeli leaders, including Prime Minister Benjamin Netanyahu, that “You are not alone,” but he also warned them not to repeat the mistakes made by the US in the aftermath of 9/11.

A year later, Biden’s efforts to restrain the escalation of violence while supporting Israel appear to be faltering. In September 2024, Biden led calls for de-escalation between Israel and Hezbollah at the United Nations, only for Israeli airstrikes to kill Hezbollah leader Hassan Nasrallah shortly after. This assassination, carried out with US-supplied bunker buster bombs, marked a significant turning point in the conflict, and Biden’s diplomacy seemed buried beneath the ruins of Beirut.

The US has made multiple attempts to broker a ceasefire and negotiate the release of hostages taken by Hamas. Secretary of State Antony Blinken has traveled to the Middle East ten times since the October 7 attacks, seeking to mediate between Israel and Hamas. Despite these efforts, US diplomacy has struggled to gain traction, and Blinken’s mission to secure a ceasefire has been repeatedly thwarted. On his ninth visit to the region in August 2024, optimism that a deal might be close evaporated when the Emir of Qatar, a key player in talks with Hamas, became unavailable, and Netanyahu insisted on keeping Israeli troops along Gaza’s border with Egypt. This condition was a deal breaker for both Hamas and Egypt, and the negotiations collapsed.

The situation on the ground in Gaza has deteriorated rapidly. Israel’s retaliatory offensive has killed nearly 42,000 Palestinians, according to figures from the Hamas-run health ministry. Thousands more remain missing, and the United Nations has reported record numbers of aid workers killed in Israeli strikes. Humanitarian groups accuse Israel of blocking essential aid, though the Israeli government denies these claims. The conflict has also spread beyond Gaza, with violence erupting in the occupied West Bank and Lebanon, and Iran firing missiles at Israel in retaliation for Nasrallah’s death.

Despite Biden’s administration claiming some success in moderating Israeli military actions, particularly in Gaza’s southern city of Rafah, where the invasion was reportedly less extensive due to US pressure, the overall goal of achieving a ceasefire remains elusive. Biden temporarily suspended a shipment of bombs to Israel in an attempt to restrain the military’s escalation, but this move was met with backlash from Netanyahu and US Republicans, leading the administration to partially lift the suspension soon after.

In Gaza, the humanitarian crisis continues to deepen, with famine-like conditions reported earlier in 2024. US officials, however, claim that their intervention has led to increased aid deliveries to the region. “It’s through the intervention and the involvement and the hard work of the United States that we’ve been able to get humanitarian assistance into those in Gaza, which is not to say that this is… mission accomplished,” says Matthew Miller, a State Department spokesman. “It is very much not. It is an ongoing process.”

Critics argue that US diplomacy has been superficial, given the billions in military aid sent to Israel. Some former officials claim that the US has failed to use its leverage over Israel to halt the violence. “To say [the administration] conducted diplomacy is true in the most superficial sense in that they conducted a lot of meetings. But they never made any reasonable effort to change the behavior of one of the main actors—Israel,” says Harrison J. Mann, a former US Army Major who worked in the Middle East and Africa section of the Defense Intelligence Agency. Mann resigned earlier this year, in protest of US support for Israel’s military operations, citing the high civilian death toll caused by American-supplied weapons.

However, Biden’s allies staunchly reject this criticism, pointing to the diplomatic success of last November’s truce, which resulted in the release of over 100 hostages in exchange for 300 Palestinian prisoners. The administration also claims credit for preventing an Israeli invasion of Lebanon earlier in the conflict, despite cross-border rocket fire between Hezbollah and Israel. Senator Chris Coons, a Biden ally, argues that the president has managed to prevent the war from spiraling even further, despite provocations from Iran-backed militias and other regional actors. “He has been successful in preventing an escalation—despite repeated and aggressive provocation by the Houthis, by Hezbollah, by the Shia militias in Iraq—and has brought in a number of our regional partners,” Coons says.

Former Israeli Prime Minister Ehud Olmert attributes Biden’s efforts to an unprecedented level of support for Israel, pointing to the extensive US military deployments in the region following the October 7 attacks, including aircraft carriers and a nuclear submarine. However, Olmert also believes that Netanyahu’s resistance has hindered Biden’s diplomacy. He suggests that Netanyahu’s reliance on far-right, ultranationalist cabinet members has prevented him from agreeing to a ceasefire. “Ending the war as part of an agreement for the release of hostages means a major threat to Netanyahu, and he’s not prepared to accept it,” Olmert says.

Netanyahu has consistently denied that he is blocking a ceasefire deal, asserting that he supports US-backed plans but has sought clarifications, while accusing Hamas of shifting its demands. The relationship between Netanyahu and Biden, shaped over decades, has been a key factor in the dynamics of US-Israel diplomacy. Though Biden has long been a staunch supporter of Israel, critics argue that his unyielding support has become a liability. As Gaza’s death toll rises, protesters in the US, many of them Democrats, have taken to the streets, denouncing Biden’s policies and accusing him of facilitating war crimes.

Rashid Khalidi, Professor Emeritus of Modern Arab Studies at Columbia University, believes Biden’s diplomacy is rooted in an outdated view of the region, one that fails to account for the decades of Palestinian suffering under occupation. “I think that Biden is stuck in a much longer-term time warp. He just cannot see things such as… 57 years of occupation, the slaughter in Gaza, except through an Israeli lens,” Khalidi says.

As the conflict drags on, Biden faces increasing pressure to shift his approach, both from within his own party and from a new generation of Americans who view the Gaza conflict through the lens of social media, witnessing the devastation firsthand. Vice President Kamala Harris, Biden’s successor as the Democratic candidate in the upcoming election, represents a break from this generational mindset, though she, like her Republican rival Donald Trump, has yet to outline any concrete plans for ending the conflict. How the US election may influence the course of the Israel-Gaza war remains to be seen.

Research Links ‘Forever Chemicals’ to Disrupted Sleep in Young Adults

New research reveals that exposure to certain “forever chemicals” may be disrupting the sleep quality of young adults, contributing to not only tiredness but also potential health risks. A study from the University of Southern California, recently published in *Environmental Advances*, found that individuals with elevated levels of four specific per- and polyfluoroalkyl substances (PFAS) in their blood experienced poorer sleep quality.

PFAS, often referred to as “forever chemicals” because they persist in the body and environment, may interfere with the function of a key gene involved in producing the hormone cortisol. Cortisol plays a crucial role in regulating sleep and wakefulness patterns, and disruptions to this hormone can affect sleep, the study authors noted.

“Because the body needs sleep every day, if PFAS might be interfering with your sleep, that may affect you more immediately than other chronic health issues,” said Shiwen (Sherlock) Li, lead author of the study and a postdoctoral researcher at USC’s Keck School of Medicine, in a statement.

There are thousands of types of PFAS, some of which are linked to illnesses like kidney cancer, testicular cancer, and thyroid disease. These chemicals are commonly found in firefighting foams, industrial waste, household products, cosmetics, and waterproof apparel.

Building upon previous knowledge that PFAS can disrupt hormones and the immune system, the USC researchers collected blood samples and sleep data from 144 participants aged 19 to 24. These young adults were part of the USC Children’s Health Study, a long-term research project studying the effects of pollutants on children.

The study was conducted in two phases. The first phase involved data collection from 136 participants between 2014 and 2018. The second phase, which took place between 2020 and 2022, reassessed 76 of these participants, while also including an additional eight individuals.

The researchers measured blood concentrations of seven PFAS compounds: PFOS, PFOA, PFHxS, PFHpS, PFPeS, PFNA, and PFDA. They then assessed the participants’ sleep duration based on self-reports and used validated tools to track sleep disturbances.

Of these seven chemicals, four—PFDA, PFHxS, PFOA, and PFOS—were significantly associated with poor sleep quality or shorter sleep duration, according to the findings.

Even though PFOA and PFOS are considered “legacy PFAS” and have largely been phased out of production, they remain widely present in the environment.

“It could be a matter of cumulative exposure over time,” Li explained. “What we measured in the blood is likely driven by exposure since birth, or even prenatal exposures.”

The study found that individuals with higher blood levels of PFDA, PFOA, and PFHxS had notably shorter sleep duration. Specifically, those with the highest levels of these compounds slept an average of 80 minutes less each night compared to those with the lowest levels.

Meanwhile, PFOS was linked to increased sleep disturbances and sleep-related impairments. Affected participants reported difficulty falling or staying asleep, trouble waking up, and feeling tired during the day.

The research team delved deeper to understand why these chemicals might be impacting sleep quality. They examined potential connections between PFAS exposure and genes associated with sleep disorders by utilizing toxicology databases that map relationships between chemicals, diseases, and changes in gene expression.

They identified more than 600 possible candidate genes and narrowed down their focus to seven that appeared to be activated by PFAS exposure and were also associated with sleep regulation.

One of the genes, HSD11B1, is involved in producing cortisol. The hormone plays an essential role in controlling sleep and wakefulness rhythms. Disruptions to the expression of the protein encoded by this gene could lead to altered cortisol levels, which, in turn, could affect sleep, according to the study.

“If the expression of the protein encoded by HSD11B1 is disrupted, that means that cortisol levels could also be disrupted,” Li said. “That, in turn, affects sleep.”

Another gene of interest was cathepsin B, which produces enzymes that are precursors to amyloid beta proteins. These proteins are commonly found in the brains of Alzheimer’s patients. High levels of cathepsin B have previously been linked to cognitive decline in Alzheimer’s disease, which itself has been associated with sleep deficits, the researchers explained.

The findings are significant because they suggest that PFAS exposure may contribute to broader health consequences through its impact on sleep. The team plans to continue exploring the effects of forever chemicals on children’s sleep as part of a larger National Institutes of Health initiative.

“Sleep quality is an issue that affects almost everybody, so the impact of PFAS on sleep may have policy implications,” Li added.

This research underscores the potential public health concern related to PFAS exposure and its effects on sleep, especially in young adults. As these chemicals continue to persist in the environment, the findings highlight the need for further studies and possibly regulatory changes to address the presence of PFAS in everyday products.

Indian-American Covid Czar Jay Varma’s Reputation Shattered After Boasts of Hosting Secret Sex Party During Lockdown

Jay Varma, an Indian-American doctor who played a crucial role in guiding New York City through the Covid-19 pandemic, has seen his reputation plummet after boasting about hosting a sex party during the city’s lockdown. Varma, once hailed as the “Covid Czar,” became infamous after a video surfaced in which he bragged about attending a sex party with his wife while the city was under his guidance, enforcing strict lockdown measures.

The damning revelation came when Varma was secretly recorded by a woman working for a conservative podcaster. In the recording, Varma is heard discussing attending a sex party with his wife, also a doctor, at a hotel. He also mentioned being part of a 200-person underground party at a Wall Street bank building, all while the city was under his directives to socially distance and avoid large gatherings.

In the same video, Varma admitted to using an illegal psychedelic drug known as MDMA, commonly referred to as ecstasy. The use of this drug can lead to a prison sentence for those caught in possession of it. His admission of drug use, alongside the sex party revelations, has sparked widespread outrage among politicians and citizens alike, particularly after the videos were made public earlier this month by podcaster Steven Crowder.

This turn of events starkly contrasts Varma’s previous image as a public health leader. During the height of the pandemic, he regularly appeared on television alongside then-Mayor Bill de Blasio to offer updates on the pandemic and advise New Yorkers on measures to curb the virus’s spread. However, the recent scandal has cost him his post-pandemic role as the chief medical officer and executive vice president of a pharmaceutical company, from which he was recently fired.

The media, political figures, and activists have harshly criticized Varma for his actions. His downfall has been met with particular satisfaction by those who opposed the city’s Covid policies, especially the mandatory vaccination programs. These mandates faced opposition from both the far-right and the left, and Varma has now become a prime target for critics of the vaccine and mask mandates—similar to the way Dr. Anthony Fauci, the federal Covid czar, has been attacked by pandemic skeptics.

A group of about 100 city workers who lost their jobs for refusing to comply with the city’s vaccination mandate held a protest outside City Hall in response to the scandal. Inside, Republican councilwoman Joann Ariola accused Varma of perjury, claiming that his support for mandatory vaccinations, expressed in legal affidavits, was now in question.

While Varma has not denied the core facts presented in the video, he did release a statement attempting to explain his behavior. “I take responsibility for not using the best judgment at the time,” his statement read, implying that the footage was taken out of context and spliced together to misrepresent the situation. Nevertheless, the damage to his public image appears irreversible.

Steven Crowder, the conservative podcaster who released the video, was initially attempting to discredit Varma over his Covid policies, particularly those surrounding vaccine and mask mandates, as well as the decision to keep schools closed. However, the undercover reporter working for Crowder stumbled upon Varma’s shocking personal revelations, adding a whole new layer to the controversy.

In the video, Varma brazenly admits, “I did all this deviant, sexual stuff while I was on TV (as city health official) and people were like, ‘Aren’t you afraid? Aren’t you embarrassed?’ And I was like, no, I really like being my authentic self.” The footage captures Varma dropping various salacious details, such as, “Sometimes it isn’t so much about, like, penetrative sexual stuff,” and “being naked with friends.”

Varma had once been considered a hero of the pandemic. In April 2020, when New York City was struggling to cope with the virus, Varma, an epidemiologist with an international reputation, was brought in to assist. A graduate of Harvard University, he had previously worked for the Centers for Disease Control (CDC) and had built a solid reputation as an expert in managing epidemics worldwide. Varma had been posted to various global hotspots, including China, Thailand, and Ethiopia, which added to his credibility during the crisis.

Alongside another Indian-American doctor, Dave Chokshi, who was appointed the city’s health commissioner, Varma was credited with helping the city navigate the pandemic. The two were seen as essential figures in New York’s response after the previous health commissioner was fired. Notably, Chokshi has remained unscathed by any scandal, and his successor, another Indian-American, Ashwin Vasan, has also avoided any controversy. Vasan recently announced his resignation, although his departure appears to be unrelated to Varma’s scandal or any other significant issue.

Since the beginning of the pandemic, 6.7 million New Yorkers have contracted Covid-19, and the virus has claimed the lives of 77,423 residents. Despite the enormous toll of the pandemic, the scandal surrounding Varma has shifted the focus from his work as a public health official to his questionable personal behavior.

It is worth noting that while the mainstream U.S. media typically refrains from using secret recordings, they are frequently employed by activist journalists, even against the mainstream media itself. In cases like Varma’s, a common tactic is for an undercover reporter to gain the target’s trust by playing to their ego, as happened with Varma.

Varma’s situation has drawn comparisons to other high-profile figures who have been caught flouting their own pandemic restrictions. For instance, British Prime Minister Boris Johnson faced backlash after it was revealed he attended a birthday party at his official residence during the lockdown. Similarly, California Governor Gavin Newsom was criticized for attending a dinner party at a high-end restaurant while urging residents to follow strict lockdown rules.

The scandal surrounding Varma highlights the risks public figures face when their private actions contradict the very policies they champion. While Varma’s medical expertise helped guide New York City through one of its darkest periods, his personal choices have led to a dramatic fall from grace, leaving his once-stellar reputation in tatters.

Surge in Whooping Cough Cases, New Flu Vaccine, and the Alcohol-Cancer Link: Key Health Updates

The AMA Update covers a wide range of health-related topics that affect physicians, residents, medical students, and patients. These topics span issues like COVID-19, burnout, vaccines, and more, with insights from experts in healthcare, from private practice leaders to public health officials.

Some pressing questions recently discussed include the effectiveness of the whooping cough vaccine, the possible link between alcohol and cancer, the name of the new flu vaccine, and what a challenge study for vaccine development entails.

In a recent AMA Update, Todd Unger, AMA’s Chief Experience Officer, discussed some of these crucial health issues with Andrea Garcia, JD, MPH, the Vice President of Science, Medicine, and Public Health at the AMA. Garcia provided detailed insights on the recent surge in whooping cough cases, the approval of a new flu vaccine, and the growing body of research connecting alcohol to cancer.

The Surge in Whooping Cough Cases

Unger started by addressing the topic of whooping cough, or pertussis, for the first time this year. Garcia noted that cases of whooping cough are on the rise. “The CDC reported on Friday that, according to preliminary data, cases of pertussis or whooping cough have more than quadrupled what they were at this point last year, with more than 14,000 infections to date. This is the highest number of whooping cough infections we’ve seen since 2014,” she stated.

One key concern is that the increase in cases shows no sign of slowing down. Whooping cough cases had significantly declined during the pandemic, likely due to COVID-19 mitigation measures. However, before the pandemic, pertussis cases had been on an upward trend.

Why Pertussis is Dangerous

Pertussis is a respiratory illness caused by bacteria that leads to severe, painful coughing fits. The illness gets its common name, whooping cough, because of the “whoop” sound patients make while trying to catch their breath after coughing. Garcia explained the severity of the condition, noting that in some cases, the coughing is so intense that it can cause vomiting or even broken ribs.

Although antibiotics can treat pertussis in its early stages, early diagnosis can be tricky because initial symptoms are similar to a common cold, such as a runny nose, sneezing, and low-grade fever. As Garcia pointed out, “By the time that deep cough develops, it’s too late, and the only treatment is comfort care with rest and fluids while the infection runs its course.”

The Importance of Vaccination Against Whooping Cough

Pertussis vaccines provide effective protection against the disease, but immunity wanes over time. Children receive five doses of the DTaP vaccine by age six, with a booster at age 11 to 12, and adults should get boosters every ten years. Pregnant individuals are recommended to get vaccinated between 27 and 36 weeks of pregnancy, which allows antibodies to pass to the newborn, protecting them before they’re eligible for their own vaccines.

Garcia mentioned that researchers are exploring new vaccines that could offer longer-lasting protection and reduce transmission. “On Friday, we saw the FDA’s Vaccines and Related Biological Products Advisory Committee convene to hear from labs in Canada and the UK, as they presented their models for human challenge trials for pertussis,” she explained. These trials would involve intentionally exposing subjects to the infection, which could help test new vaccines. However, ethical concerns and doubts about the model’s ability to measure protection against severe disease were raised.

New Flu Vaccine Approved for Self-Administration

The conversation then shifted to the flu vaccine, with Unger asking about the latest developments. Garcia shared the news of the FDA’s approval of the first-ever flu vaccine that can be self-administered at home. “The vaccine itself, FluMist, isn’t new. It’s a nasal spray manufactured by AstraZeneca that has been used to protect against the flu in the U.S. for more than 20 years,” Garcia said. What’s new is that adults will now be able to administer the vaccine themselves at home, while children can receive it with the help of a caregiver. However, the self-administered version won’t be available until the next flu season.

When asked about the potential impact on flu vaccination rates, Garcia expressed cautious optimism. “Some physicians welcome more accessible options but don’t expect self-administration to significantly change vaccination rates. That said, Dr. Peter Marks from the FDA said it will provide greater convenience, flexibility, and accessibility for individuals and families.”

Despite the ease of access, flu vaccination rates in the U.S. have been declining, with only about half of adults and children receiving the vaccine last season. Garcia emphasized the importance of making vaccination more accessible to counteract this trend.

Alcohol and Cancer: A Growing Concern

Unger next brought up a recent report linking alcohol consumption to cancer, which made several headlines. Garcia explained that the report, released by the American Association for Cancer Research, highlights the risks associated with excessive alcohol consumption. “This new report says that alcohol may be one of the factors driving the trend of increasing cancer rates among adults under 50,” she said.

The report found that excessive alcohol consumption increases the risk of six types of cancer, including head and neck cancers, breast cancer, colorectal cancer, liver cancer, and stomach cancer. “We know that about 5.4% of cancers in the U.S., or just over one in 20 cancer diagnoses, were attributed to alcohol consumption in 2019,” Garcia noted.

She added that around 40% of cancer cases are associated with modifiable risk factors, including alcohol consumption, tobacco use, and diet. Reducing alcohol consumption, maintaining a healthy weight, and exercising can lower cancer risk.

Confusion Around Alcohol and Heart Health

There’s been confusion in recent years regarding the relationship between alcohol consumption and heart health. For years, moderate alcohol consumption was thought to have protective effects on heart health, but recent studies challenge that belief. Garcia pointed to a large study that followed 135,000 older British adults for more than a decade, which found that moderate drinkers did not experience a reduction in heart disease risk compared to occasional drinkers.

In fact, moderate and light drinkers showed higher rates of cancer deaths. Garcia noted that while many still believe in the benefits of moderate alcohol consumption, these potential benefits may not outweigh the cancer risks. “There are many ways to keep your heart healthy, and these potential benefits don’t really outweigh your cancer risks,” Garcia added.

Raising Awareness About the Risks

Addressing what can be done about these rising concerns, Garcia emphasized the need for public awareness campaigns and cancer-specific warning labels on alcohol. Studies show that many people, especially younger women, are unaware of the link between alcohol and cancer. Fewer than one-third of women aged 18 to 25, for example, knew that alcohol increases their risk of breast cancer.

While more research is needed to understand all the factors behind rising cancer rates, especially colorectal cancer, there’s a growing consensus that reducing alcohol consumption is a critical step in cancer prevention. “We need to raise awareness through public messaging campaigns and adding cancer-specific warning labels to alcoholic beverages,” Garcia concluded.

With the flu season approaching and concerns about cancer and whooping cough on the rise, staying informed about these health issues is essential.

“World Heart Day” Celebrated at the National India Hub, Schaumburg, Illinois

The first ever “World Heart Day” was celebrated in Chicagoland at The National India Hub in Schaumburg, Illinois on September 28th, 2024, with a community-involved workshop on Heart Health. The event was inaugurated by the Consul General of Chicago Indian Consulate Honorable Somnath Ghosh, who lauded the efforts of the National India Hub leaders in serving communities. He commended the Founder of the National India Hub, Mr. Harish Kolasani for his dedication to the community service at the Hub and offered full support on behalf of the Chicago Indian Consulate.

Mr. Ghosh applauded the significant Indo-US contributions of the Founder of the National India Hub Community Health and CPR Training Center, Dr. Vemuri S Murthy, a renowned Indo-US expert in the field of Resuscitation, hailed as “Pioneer of Resuscitation Medicine in India” and “Global Champion of Resuscitation”.

The World Heart Day historic event was endorsed by the Chicago Medical Society, American Association of Physicians of Indian Origin (AAPI) and Indian American Medical Association, Illinois. Dr. Satheesh Kathula, President of AAPI, the largest ethnic physician organization in the USA, extended the full support of AAPI for the National India Hub Healthcare programs.

The National India Hub with its comprehensive community support services has established recently a state-of-the art “Community Health and CPR Training Center” offering bystander CPR and AED training to members of community and High School Students to promote outcomes in heart emergencies with the guidance of Dr. Vemuri S Murthy.

World Heart Day is an annual event that raises awareness about cardiovascular disease (CVD) and on ways to prevent it. Established in 1999 by the World Health Organization (WHO) and the World Heart Federation (WHF), World Heart Day is celebrated on September 29th every year.
The 2024 theme of “Use Heart for Action” is supporting individuals to care for their hearts and empowering them to urge leaders to take cardiovascular health seriously by providing a global platform for action.

Cardiovascular Diseases (CVD) are the leading cause of death and disability among people of Indian origin. The CVD epidemic in Indians is characterized by a higher relative risk burden, an earlier age of onset, higher case fatality and higher premature deaths.

Heart Attack, Stroke, and Heart Failure result in the deaths of about 20.5 million people annually in the world. Studies have shown that 80% of these deaths are preventable. For decades, researchers have been trying to understand the reason for this increased burden and propensity of CVD among Indians.

According to the Cardiological Society of India (CSI), 36% of deaths in India are due to heart disease. The incidence of heart disease among Indians is 50-400% higher than other ethnic groups. About 50% of heart attacks occur in Indian men under the age of 50 years. 25% occur under 40 years. Indians and Indian diaspora (as South Asian Ethnic group) are more susceptible to heart disease than any other ethnic counterparts. More than 4200 sudden cardiac arrests occur per one lakh of the population in India annually, heart disease being the major contributor. 30-40% of these deaths occur between 35-64 years of age.

In his address, Dr. Vemuri Murthy thanked the Consul General for the ongoing support by the Chicago Indian Consulate to various community programs. Dr. Bharat Barai, the distinguished guest at the event, applauded the National India Hub’s contributions to Indo-US community healthcare programs. The Guest of Honor Mr. Ravi Baichwal, an eminent Emmy-Awardee and ABC News Anchor was recognized on this occasion for “his outstanding contributions to the broadcast journalism and ongoing support to community healthcare programs”. Mr. Baichwal released a video urging all to take care of their heart health seriously.
Link: https://wetransfer.com/downloads/1472ddab968db3a328ed1efcf7ba425f20240928023045/9aee196dda5712641b367400220e327e20240928023110/765bff

Healthy-Heart initiatives involving Indian diaspora in the USA. “Awareness, Early Detection, and Timely Interventions” are the keys to enhancing cardiac health and quality of life. The basics are stopping tobacco use, regular physical activity, healthy diet, maintaining an average weight, controlling blood pressure, cholesterol, and blood glucose, adequate sleep, and stress control through meditation/yoga. They should be tailored to the individual needs as advised by their Physicians, Dr. Murthy said.

A community-interactive two-hour workshop involving distinguished speakers Drs.Samir Shah, Meher Medvaram, Radhika Chimata, Gopika SenthilKumar and Deepali Aul on topics such as Cardiac disease among South Asians and Prevention, Heart disease among women and Heart-healthy diet was the highlight of the event. The program also provided EKG screenings and CPR Training for the attendees. Mrs. Smita Shah, the emcee for the program, thanked all the dignitaries and participants who attended the event.

Harvard Medical Student Consumes 720 Eggs in a Month for Cholesterol Study, Sees Surprising Results

In an unconventional self-experiment, Harvard medical student Dr. Nick Norwitz set out to study the effects of consuming a massive quantity of eggs on cholesterol levels. Over the course of a month, Norwitz ate an astounding 720 eggs – averaging 24 eggs per day – to test how such a diet would impact his cholesterol, particularly his LDL (low-density lipoprotein), commonly referred to as “bad” cholesterol. Surprisingly, instead of seeing an increase, Norwitz observed that his LDL levels dropped by nearly 20 percent by the end of the month.

Before beginning his egg-heavy experiment, Norwitz hypothesized that consuming 60 dozen eggs would not elevate his LDL cholesterol levels. His normal diet was a mixed, standard American-style one, during which his LDL levels hovered around 90 mg per deciliter. Norwitz had since switched to a ketogenic diet, a high-fat, low-carb eating style. The primary goal of his experiment was to observe how drastically increasing dietary cholesterol intake would affect his cholesterol markers.

Norwitz detailed his findings in a video on YouTube, explaining that his dietary cholesterol intake skyrocketed during the month. He estimated his total cholesterol intake at around 133,200 milligrams, with his intake of dietary cholesterol increasing more than fivefold. Despite this, Norwitz noted a 2 percent drop in his LDL levels after the first week of consuming 24 eggs a day. By the end of the experiment, his LDL levels had fallen by a total of 18 percent.

For those unfamiliar with cholesterol metrics, LDL cholesterol is often seen as a marker for heart disease risk. However, some studies suggest that the relationship between dietary cholesterol and blood cholesterol levels may not be as direct as once believed. For instance, according to Healthline, research has shown that consuming eggs – up to two per day or half a cup – does not appear to raise cholesterol levels in healthy individuals. Furthermore, even individuals with health conditions like diabetes who consume six to twelve eggs per week do not seem to experience adverse effects on their cholesterol levels or heart disease risk factors. Instead, egg consumption is linked to an increase in HDL (high-density lipoprotein) or “good” cholesterol.

Norwitz’s self-study contributes to the ongoing debate about cholesterol and diet, particularly in the context of low-carb and ketogenic diets. “In lean, insulin-sensitive people who go on low carbohydrate diets, especially ketogenic diets, it’s common for LDL levels to rise as part of a lipid triad,” Norwitz explained. The lipid triad consists of elevated LDL cholesterol, elevated HDL cholesterol, and low triglycerides, forming what he called “a metabolic signature of an extreme shift from carb-burning to fat-burning.” This shift is particularly notable in people on ketogenic diets, which prioritize fat as the primary energy source over carbohydrates.

Despite Norwitz’s massive intake of cholesterol over the month, his cholesterol levels defied conventional expectations. In addition to his LDL decrease, Norwitz mentioned that adding carbohydrates back into his diet during the final two weeks led to further dramatic changes. As a “lean, mass hyper-responder,” Norwitz’s body showed extreme sensitivity to his diet. Adding carbs, including fruits like blueberries, bananas, and strawberries, helped lower his LDL further. Although he didn’t fully reverse his metabolic response, Norwitz said the addition of carbs “dominated over the insane amounts of cholesterol I was consuming,” leading to a noticeable shift in his cholesterol markers.

Norwitz consumed around 60 grams of net carbohydrates per day in the final two weeks. This wasn’t enough to fully negate his ketogenic state, but it was sufficient to bring him in and out of ketosis – the metabolic state in which the body burns fat instead of carbohydrates for energy. Despite this ebb and flow in ketosis, Norwitz continued to consume high levels of dietary cholesterol. His daily intake of saturated fats reached about 75 grams, which amounts to roughly 100 calories, and he consumed about 5,000 milligrams of dietary cholesterol per day. This is far beyond the American Heart Association’s recommendation that no more than 6 percent of daily calories should come from saturated fat.

The outcome of Norwitz’s extreme experiment raises questions about conventional advice on cholesterol and diet. Typically, people are warned to limit dietary cholesterol and saturated fat to prevent heart disease. However, Norwitz’s experience suggests that the relationship between cholesterol intake and blood cholesterol levels may be more complex, particularly in people following specific diets like keto.

Norwitz acknowledged that his month-long egg diet was “crazy,” but he was motivated by more than curiosity about his own cholesterol. He hoped that his experiment would spark “intellectual provocation” regarding extreme dietary messaging often seen on social media. Referring to his experiment as “legit-bait,” Norwitz admitted that the bizarre nature of his diet was designed to attract attention. By sharing his experience, Norwitz aimed to encourage more researchers to investigate the nuances of metabolic health and cholesterol.

Beyond the eye-catching nature of his experiment, Norwitz emphasized that the results shed light on the importance of context in dietary studies. While some people may be able to handle large amounts of dietary cholesterol without negative consequences, others may not react in the same way. His findings suggest that individual factors, such as body composition and metabolic state, play a significant role in how dietary cholesterol is processed.

Ultimately, Norwitz’s self-experiment is a reminder that dietary science is constantly evolving. What works for one person may not work for another, and extreme dietary changes can lead to unexpected results. While eating 24 eggs a day may not be advisable for most people, Norwitz’s findings contribute to the ongoing dialogue about cholesterol, diet, and health.

Norwitz’s egg-centric experiment serves as an example of how unconventional methods can provoke deeper conversations about nutrition and health. By challenging the assumptions about dietary cholesterol, his experiment may pave the way for further research on how different diets affect metabolic markers. In a field where nutrition advice can often be contradictory, Norwitz’s experiment underscores the need for more nuanced understanding and study of the relationship between diet and cholesterol.

Though Norwitz’s findings are unlikely to result in widespread recommendations to consume 24 eggs a day, his experiment adds another layer of complexity to our understanding of dietary cholesterol and its role in overall health.

Doctors Rally Behind Kamala Harris, Citing Health Concerns for a Second Trump Term

Doctors across the U.S. are increasingly aligning with Democrats, with many backing Kamala Harris’ presidential campaign and using social media to warn of the potential dangers of another Trump administration. This shift is part of a broader trend that has seen a political reorientation among medical professionals over the past two decades. While some doctors fear this trend could undermine trust in public health, Harris’ supporters see their involvement in politics as a moral obligation.

“Elections do matter for your health,” said Dr. Suhas Gondi, an internal medicine resident at Brigham and Women’s Hospital in Boston, who is actively involved in organizing for Harris. He explained to POLITICO, “It’s hard for me to not be engaged in politics.”

Historically, doctors favored Republican candidates in every election cycle since the 1990s, except for 2008. However, growing concerns about patients’ rights, healthcare policies, and the rise of Donald Trump in 2016 spurred many educated professionals, including doctors, to support the Democratic Party.

Some doctors worry that their colleagues’ growing partisanship might affect patient trust. Conservative patients, in particular, may lose faith in their doctors if they see them as politically biased. This could have serious consequences for public health, leading to lower vaccination rates and missed cancer screenings.

Dr. John Mandrola, a cardiologist from Kentucky, is among those who believe doctors should avoid overt political activism. “What matters in the clinic is that I build a rapport with the patient, learn their problem and preferences, and find a therapy that fits with their preferences,” he wrote on his Substack site. “You can’t do that if they don’t trust you. Or if they view you as a biased partisan.”

Mandrola’s call for doctors to remain apolitical sparked backlash on social media, with many physicians arguing that the stakes are too high to stay silent. They believe advocating for science-based policies and ensuring the freedom to practice medicine is more critical than trying to appease all political factions.

Harris has encouraged physicians to use their trusted status to spread her message. Nearly 1,600 people attended a recent virtual event for Health Care Providers for Harris, where over $100,000 was raised for her campaign.

However, the trust that Harris is counting on has been declining. A July survey showed that trust in doctors and hospitals dropped from over 70 percent at the start of the pandemic to just above 40 percent, with declines across all demographic groups.

Despite this, many doctors who have long advocated for progressive policies appreciate the increased support for their cause. “American medicine has changed profoundly,” said Dr. Ed Weisbart, national board secretary of Physicians for a National Health Program. He believes that doctors are beginning to realize that their responsibility to advocate for their patients extends beyond the exam room and into the political sphere.

Democrats have seized on this shift, appealing to doctors’ sense of responsibility to their patients. California Rep. Raul Ruiz, a physician and Democrat, emphasized this on the Health Care Providers for Harris call. “You put that love for your patient into action by advocating for them day-in and day-out,” Ruiz said. “That is the type of dedication and effort that Kamala Harris will have for the American people.”

The COVID-19 pandemic was a turning point for many doctors, as the Trump administration’s response left many feeling that public health was being sidelined in favor of political priorities. This sentiment translated into a record amount of individual campaign contributions from doctors in the 2020 election cycle, with nearly $129 million donated to Democrats and $62 million to Republicans, according to OpenSecrets, which tracks political donations.

In 2022, the Supreme Court’s decision to overturn Roe v. Wade further galvanized doctors into political action. The ruling allowed states to limit or ban abortions, causing many healthcare providers to advocate more vocally for Democrats, whom they see as defenders of reproductive rights.

“We need to ensure that Democrats are elected up and down the ballot,” said Dr. Anna Igler, an obstetrician-gynecologist from Wisconsin, during the Harris campaign event. “Our message should be clear: Reproductive rights and access are all on the line. The stakes in this election could not be higher.”

The political battle over gender-affirming care has had a similar effect, with many doctors pushing back against Republican-led states that have restricted such treatments, despite endorsements from major medical organizations.

However, Republicans still have considerable support among physicians, particularly those opposed to abortion and gender-affirming care. Several GOP doctors serve in Congress, including Rep. Greg Murphy, a urologist and co-chair of the GOP Doctors Caucus. He has warned his colleagues about the dangers of politicizing medicine, saying that doctors “must be careful not to undermine the integrity of our profession by infusing politics into the sacrosanct doctor-patient relationship.”

The Trump campaign has also hit back at doctors supporting Harris, accusing her of being the real threat to public health. Karoline Leavitt, the campaign’s national press secretary, cited Harris’ support for abortion rights and her economic policies, which she claims have driven up healthcare costs for Americans.

Despite the political divide, there is evidence that doctors, like other highly educated professionals, are increasingly aligning with the Democratic Party. A Pew Research Center report from April found that 61 percent of voters with a postgraduate degree now lean Democratic.

Most doctors interviewed by POLITICO agreed that political views should be kept out of the exam room. However, many also feel a responsibility to publicly oppose policies they believe harm their patients.

“Trust is something that creates an enormous responsibility but also lends some political power and power that I’m pleased we’re trying to start using,” said Gondi, the Boston-based resident.

Nevertheless, some doctors caution that engaging in political activism could erode trust in the medical profession. Dr. Mary Braun Bates, an internist from New Hampshire, believes it is better for doctors to keep their political views private. “It’s better for patients if doctors keep their political views to themselves,” she said, adding that her stance on policies such as abortion legislation is “irrelevant for whether or not I can treat heart failure.”

Bates has seen firsthand how patients’ political sensitivities can affect the doctor-patient relationship. After casually mentioning a conversation with the governor of New Hampshire, one patient remarked, “That’s not my governor.” The patient never returned.

Other doctors, like Dr. Adam Cifu, an internist from Chicago, believe there is a middle ground. He thinks it’s reasonable for doctors to speak out on issues where they have specialized knowledge or that directly affect their practices. However, he warns that even these comments could strain the doctor-patient relationship, which he considers his “greatest responsibility.”

Cifu also highlighted how precarious trust in the medical profession has become, saying, “Physicians take for granted, a little bit, the respect that we’re still held in. That’s on shakier and shakier ground.”

This internal debate within the medical community reflects the broader polarization of American society. Even the American Medical Association (AMA), once a conservative bastion, has shifted leftward, calling for peace in Palestine and Israel, decriminalizing drug use, and ending the death penalty.

As the political divide within the medical community grows, doctors must navigate the tension between advocating for their patients and maintaining trust in an increasingly polarized country. As Dr. Luis Seija, chair of the AMA’s Minority Affairs Section, put it: “We are committed to doing what’s right. You’re either with us or you’re not.”

FDA Approves First At-Home Flu Vaccine, But Availability Delayed Until Next Season

On Friday, the U.S. Food and Drug Administration (FDA) approved the first flu vaccine that can be administered at home, eliminating the need for a healthcare professional to administer it. However, this new optionwon’t be available in time for the current flu season.

FluMist, a nasal spray manufactured by AstraZeneca, has been protecting Americans from influenza since its introduction in 2003. Traditionally, FluMist is available in pharmacies and healthcare settings for individuals between the ages of 2 and 49, provided they have a prescription.

With the FDA’s latest decision, a second option has been added for those eligible to receive FluMist: it can now be administered at home. Adults can self-administer the vaccine, and caregivers can assist children in receiving it.

AstraZeneca plans to make this at-home vaccine available through a third-party online pharmacy. The pharmacy will prescribe and ship the vaccine after reviewing a screening and eligibility assessment. The company expects this option to be ready in time for the start of next year’s flu season.

In a statement, Dr. Peter Marks, director of the FDA’s Center for Biologics Evaluation and Research, praised the development, stating, “Today’s approval of the first influenza vaccine for self- or caregiver-administration provides a new option for receiving a safe and effective seasonal influenza vaccine, potentially with greater convenience, flexibility, and accessibility for individuals and families.”

He continued by emphasizing the importance of vaccination, saying, “Getting vaccinated each year is the best way to prevent influenza, which causes illness in a substantial proportion of the U.S. population every year and may result in serious complications, including hospitalization and death. This approval adds another option for vaccination against influenza disease and demonstrates the FDA’s commitment to advancing public health.”

Influenza remains a significant public health concern in the U.S. During the 2023-24 flu season, the virus caused an estimated 35 million illnesses, 400,000 hospitalizations, and 25,000 deaths, according to the U.S. Centers for Disease Control and Prevention (CDC). To combat these numbers, the CDC recommends that everyone aged 6 months and older receive a flu vaccine annually. However, flu vaccination rates have been dropping in recent years. During the last flu season, only about half of eligible adults and children received their annual flu shot.

FluMist offers the only needle-free flu vaccination option in the U.S. Unlike injectable flu vaccines, which use killed viruses or proteins to help the immune system develop defenses against the flu, FluMist uses a live, weakened version of the virus to provide protection. AstraZeneca reports that FluMist is as effective as traditional flu vaccines.

When the FDA first announced last year that it was considering the possibility of approving a self-administered flu vaccine, several physicians welcomed the potential for making vaccines more accessible, although some expressed doubts about whether it would significantly increase vaccination rates.

Dr. Ashish Jha, dean of the Brown University School of Public Health and former White House Covid-19 response coordinator, shared his thoughts at the time. He remarked that while a self-administered flu vaccine would be more accessible, especially if it could eventually be bought directly off pharmacy shelves, rather than through an online pharmacy that acts as a gatekeeper, he wasn’t convinced that it would make a significant impact on vaccination numbers.

Jha acknowledged, however, that the needle-free aspect of FluMist could help overcome vaccine hesitancy among those who have a fear of needles. “As many as 10% to 15% of people may be needle-phobic and hesitant to get vaccines, so increasing ways to access a needle-free version could boost uptake,” he said.

He tempered his expectations, predicting that the impact of a self-administered vaccine option would likely be modest. “I think the impact is going to be modest,” Jha said. However, he added that he hoped this development would increase awareness of flu vaccines, possibly through greater marketing efforts by AstraZeneca or more research into other intranasal vaccines that are easier to obtain.

“I see this as a relatively positive step,” Jha commented, noting that while the change might not revolutionize flu vaccination rates, it could still be a step in the right direction toward making vaccines more accessible and convenient.

Despite this FDA approval being a milestone, the timing of its availability will limit its impact on the current respiratory virus season. With plans to launch the at-home vaccine in time for next year’s flu season, the potential for its influence on vaccination rates remains to be seen. For now, those seeking flu protection will need to rely on existing methods, such as visiting a healthcare provider or pharmacy.

As flu season continues to pose a threat, health authorities urge everyone to get vaccinated and protect themselves from the potentially severe complications of the flu. The CDC, in particular, stresses the importance of vaccination not just for individual health but also for the protection of communities, especially the most vulnerable, such as young children, the elderly, and those with weakened immune systems.

FluMist’s needle-free technology offers an alternative for those uncomfortable with traditional injections, and with the added convenience of at-home administration, it is hoped that more people will choose to vaccinate themselves and their families. However, until the new self-administered option becomes widely available, the public must continue relying on the flu vaccines currently available in pharmacies and healthcare settings.

In the meantime, experts will watch closely to see whether this new option can help reverse the decline in flu vaccination rates in the U.S., where millions still fall ill from the flu each year despite the widespread availability of vaccines. For now, the push to increase awareness and accessibility continues, as public health officials emphasize that annual flu vaccination remains the best defense against a virus that continues to affect a significant portion of the population each season.

US Healthcare System Falls Short Despite High Spending

The United States spends more on health care than any other high-income nation, yet Americans face higher rates of illness and premature death while struggling to afford essential medical services, according to a new report from The Commonwealth Fund. The independent research group’s report, released on Thursday, underscores that despite the high financial investment in health care, Americans have poorer health outcomes compared to their peers in other high-income countries.

In comparison with nine other wealthy nations, the U.S. ranked last overall, marked by lower life expectancy and higher rates of disease and death. This stark reality stands despite the fact that the country outspends all others on health care. Australia, the Netherlands, and the United Kingdom emerged as the top three performing countries in the report.

“This report reveals that our health system is continuing to lag far behind other nations when it comes to meeting our citizens’ basic health care needs. The US spends more on health care than any other country, and Americans are sicker, die younger and struggle to afford essential health care. We spend the most and get the least for our investment,” said Dr. Joseph Betancourt, president of The Commonwealth Fund, during a news briefing.

Betancourt, a primary care physician, emphasized the personal impact of these system failings. “As a primary care doctor, I see the human toll of these shortcomings in our system on a daily basis. I have patients who need medications they can’t afford. I spend time going back and forth with insurance companies who have denied care I know my patients need, and I see older patients who arrive sicker than they should because they’ve spent the majority of their lives uninsured,” he added.

According to Betancourt, the report provides a valuable “blueprint for health leaders and policymakers on how the US can achieve more equitable, affordable care for all Americans.”

Top Performers and Struggles of US Healthcare

The Commonwealth Fund’s analysis compared the health systems of ten countries: Australia, Canada, France, Germany, the Netherlands, New Zealand, Sweden, Switzerland, the United Kingdom, and the United States. These countries were evaluated across five key areas: access to care, the health care process, administrative efficiency, equity, and health outcomes, using data from the World Health Organization, OECD, Our World in Data, and other international surveys.

The highest-ranking nations in these five areas were Australia, the Netherlands, and the United Kingdom, with Australia taking the top spot. On the other hand, the U.S. ranked last in multiple domains, including access to care and health outcomes, reflecting significant issues in the system’s ability to provide timely and affordable health services.

The U.S. was highlighted as having the shortest life expectancy and the highest rates of avoidable deaths among the ten nations analyzed. The study also found that the U.S. recorded the most excess deaths related to the Covid-19 pandemic for individuals under the age of 75.

Equity was another area where the U.S. struggled, ranking ninth. This indicates that disparities based on income and background continue to be a major issue in accessing and receiving health care services. The country also ranked ninth in administrative efficiency, with numerous complaints about problems related to insurance approvals and billing processes.

“Administrative requirements can cost time and money for patients and doctors,” noted Reginald Williams II, vice president of international health policy at The Commonwealth Fund. He explained that many countries have simplified their health insurance systems through standardization and regulation. “For example, other countries apply standardized payments to all physicians for services, and do that on a regional basis, so that doctors know what they’ll be paid, and patients know what portion they’ll be responsible for,” he said. This makes their systems “much simpler.”

While the U.S. ranked poorly in several domains, the report did find that the country performed well in the care process domain, indicating that the quality of care delivered in some aspects is high. However, these gains were not enough to counterbalance the overall poor performance in other critical areas.

A Clear Outlier in Health System Performance

The U.S. stood as an outlier in the analysis, with researchers emphasizing that while all countries had areas where they could learn from one another, the gap between the U.S. and the other nations was particularly stark. The other nine countries shared universal health coverage systems, where copayments for services are minimal, which enhances both accessibility and affordability.

“A lot of the lagging performance of the United States’ health care system has to do with access to care and equity of care, both of which are heavily influenced by the availability and quality of insurance,” said Dr. David Blumenthal, former president of The Commonwealth Fund.

Blumenthal highlighted that, despite historic lows, approximately 20 million Americans remain uninsured, around 7-8% of the population. “It also lacks in terms of the ability of lower-income people to get access to basic services,” he said, reflecting the broader issue of access disparity.

Another key issue noted in the report was that despite similar health care spending levels in the other countries studied, the U.S. spends far more but delivers worse results. This inefficiency in spending, alongside the inequities in access, marks the U.S. as unique among its peers.

Improving US Health Care

The report calls for several reforms to improve the state of the U.S. health care system. These include expanding insurance coverage, reducing disparities in care, and simplifying the insurance system to minimize the administrative burden on both patients and providers.

Additionally, researchers argue that the U.S. must invest in addressing the social determinants of health, such as poverty, homelessness, and substance abuse, all of which contribute to poor health outcomes. “It’s important for the United States to invest in interventions outside of health care to address the social drivers of health: poverty, homelessness, hunger, discrimination, gun violence, substance use,” said Williams.

A stronger primary care system could also be key to improving health outcomes in the U.S. In the Netherlands, for instance, primary care physicians are required to offer after-hours coverage, ensuring that patients can access their doctor 24/7. Blumenthal noted that this system could significantly reduce the reliance on emergency rooms for after-hours care in the U.S., which is currently a major contributor to high health care costs and administrative complexity.

Impact of Political Choices on Healthcare

The future direction of U.S. health care is likely to be influenced by the upcoming presidential election, according to Blumenthal. “The American electorate makes choices about which direction to move in, and that is very much an issue in this election,” he said. Policies aimed at expanding insurance coverage could move the country closer to the standards seen in other high-income nations.

A similar report from The Commonwealth Fund last year revealed that the U.S. had the highest rates of avoidable deaths, maternal and infant mortality, while also spending the most on health care.

Dr. Georges Benjamin, executive director of the American Public Health Association, who was not involved in the reports, remarked last year, “We’re not getting the best value for our health care dollar.”

Benjamin outlined three areas for improvement: expanding universal access, increasing focus on primary care prevention, and investing in societal support systems. “They spend their money on providing upfront support for their citizens. We spend our money on sick care,” Benjamin said.

Dr. Satheesh Kathula, President of AAPI, Honored with the President’s Lifetime Achievement Award, Presented by Sen. Joe Manchin

Dr. Satheesh Kathula, President of the American Association of Physicians of Indian Origin (AAPI) was honored with the prestigious President’s Lifetime Achievement Award during a solemn ceremony at the Hart Senate Building in Washington DC on September 19, 2024. United States Senator Joe Manchin of West Virginia presented the award to Dr. Kathula for his community services, contributions to the country, particularly in the field of healthcare, and his dedication to his patients and the larger society.

Senator Manchin said, “I just want to thank and congratulate Dr. Kathula for all he has done,” while commending Dr. Kathula’s contributions to the country, particularly in the field of healthcare, and his dedication to his patients and the broader community.

According to Elisha Pulivarti, President of the US-India SME Council, “Dr. Kathula has been a tremendous asset to the Indian American community, and he highly deserves this honor”

In his response upon receiving the award, Dr. Kathula said, “It’s an honor and a privilege to receive this award from Senator Joe Manchin. This award truly inspires not only me but the people, who are serving the community and their society at large.”

Dr. Kathula, a 29-year resident of Ohio, has dedicated his career to treating patients and actively supporting various nonprofit organizations including Leukemia Lymphoma Society. He was names Man of the Year of LLS in 2018. 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.

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). 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 and “Hind Rattan” in 2010.

Dr. Kathula is organizing AAPI Global Health Summit in New Delhi from October 19-20, 2025 and initiated programs in AAPI such as Stem Cell/Bone Marrow Drive for Indian Americans, and Million Miles of Gratitude to honor the service and sacrifices of our veterans. Under his leadership AAPI is also embarking on Preventive Strategies for Heart Attacks for Indian Americans.

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Senator Joe Manchin, an Independent from West Virginia, presenting the President’s Lifetime Achievement Award to Dr. Satheesh Kathula on September 19, 2024, at the Hart Senate Building in Washington DC. PHOTO: T. Vishnudatta Jayaraman, News India Times
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From left, Senator Joe Manchin, Elisha Pulivarti (in the middle) presenting the Gold Medallion to Dr. Satheesh Kathula on September 19, 2024, at the Hart Senate Building in Washington DC. PHOTO: T. Vishnudatta Jayaraman, News India Times

Study Reveals Video Games Hinder Children’s Vocabulary Development

Children whose families frequently use screens tend to have weaker vocabulary skills, with video games having the most detrimental effect on brain development, according to a recent study. The research, conducted by scientists from Estonia, underscores the negative influence of screen time on children’s language abilities.

In the study, more than 400 parents were surveyed regarding their own screen habits, their children’s screen use, and the children’s language development. The results, published in *Frontiers in Developmental Psychology*, highlight a clear correlation between high screen use by both parents and children and poorer language skills among the children.

Dr. Tiia Tulviste, the lead researcher from the University of Tartu, Estonia, emphasized the importance of face-to-face verbal interaction between parents and children, particularly during the early years of life. “The research shows that during the first years of life, the most influential factor is everyday dyadic face-to-face parent-child verbal interaction,” said Tulviste. The study involved surveying 421 children between the ages of two and a half and four years old. Parents were asked to estimate how much time family members spent using different types of screen devices daily. In addition, parents were required to complete a questionnaire that assessed their children’s language abilities, including vocabulary and grammar.

The researchers divided both the children and their parents into three groups based on their level of screen use: high, moderate, and low. The results showed that parents who spent a lot of time using screens had children who mirrored this behavior, indicating a strong influence of parental screen habits on children’s screen usage. Those children who used screens more frequently had lower scores in both grammar and vocabulary compared to those with less screen exposure.

One key takeaway from the study is that no form of screen time appeared to have a positive effect on children’s language skills. This was the case across the board, whether the screen time was spent on video games, watching videos, or any other screen-based activity.

However, Tulviste did point out that some types of screen use, such as reading ebooks or engaging in educational games, could provide valuable learning opportunities, particularly for older children. These activities, while not necessarily contributing to better language skills in younger children, may offer some potential for language development in later years. Still, the overall finding was clear: excessive screen time, especially in early childhood, is linked to weaker language abilities.

The most significant negative impact on children’s vocabulary development was found to come from video games. This was true regardless of whether it was the parents or the children themselves who were playing the games. “Using screens for video games had a notable negative effect on children’s language skills,” said Tulviste. This finding suggests that video gaming, in particular, might be a screen-based activity that warrants concern among parents and educators.

These findings contribute to the growing body of research that highlights the importance of limiting screen time for young children, particularly when it comes to activities that do not engage them in direct language-based interaction. Excessive screen time, especially in the form of video games, may hinder children’s opportunities for language learning during a critical period in their brain development.

Parents, researchers, and educators alike have been concerned for some time about the potential effects of rising screen use among children. With more children having access to devices such as smartphones, tablets, and gaming consoles, questions about how these technologies impact brain development have become more pressing. This study provides valuable insights into the relationship between screen time and language skills, a vital aspect of children’s cognitive development.

Although video games have often been marketed as a form of entertainment or even educational tool, this research underscores that they may not be beneficial for young children when it comes to language acquisition. Games, even those intended to be educational, often lack the direct interaction and rich language exposure needed for strong vocabulary development.

Moreover, the study raises broader questions about the role of screen-based activities in children’s overall learning and development. While there is growing awareness of the potential downsides of excessive screen use, especially in terms of language and social skills, many parents and educators continue to struggle with balancing technology’s role in children’s lives.

The screen habits of parents were also found to be highly influential in determining their children’s screen usage. In households where parents spent a significant amount of time on screens, children were more likely to do the same. This reinforces the idea that children’s screen habits are often modeled on the behavior of the adults around them.

The importance of face-to-face verbal interaction cannot be overstated, particularly during early childhood. Language development during this critical period is highly dependent on social interaction, including listening to and engaging in conversations with caregivers. These interactions provide children with the vocabulary, grammar, and communication skills necessary for later success in school and life.

While educational content on screens, such as ebooks or language-learning apps, may have some positive effects, they cannot replace the value of human interaction. This is why experts recommend that screen time, particularly for young children, be limited, and that parents focus instead on spending time talking, reading, and playing with their children.

Tulviste’s research contributes to a growing understanding of the potential risks associated with excessive screen time during early childhood. Her findings highlight the importance of parents being mindful of their own screen use, as well as their children’s, in order to support healthy language development.

This study serves as a reminder that while technology is a powerful tool, it is essential to manage its use carefully, particularly for young children. The early years of life are a critical period for brain development, and parents can play a crucial role in fostering their children’s language skills by prioritizing face-to-face interaction over screen-based activities.

The World Health Organization Admits Chinese Laboratory Origin of COVID “Cannot Be Ruled Out”

None other than WHO Secretary General Tedros, widely criticized during the pandemic for protecting China, now admits the hypothesis cannot be excluded.

Massimo Introvigne (ZENIT News – Bitter Winter / Rome, 09.12.2024).- On September 4, with the support of the Scientific Advisory Group for the Origins of Novel Pathogens (SAGO), the World Health Organization (WHO) published a global framework to help Member States comprehensively investigate the origins of new and re-emerging pathogens. During the press conference introducing the new document, Tedros Adhanom Ghebreyesus, WHO Director-General, stated that had the new protocol been in place when COVID-19 erupted, it might have helped understanding where it originated from. However, he also implied that the protocol can only work if Member States cooperates, and noted this was not and is not the case with China for COVID-19. Tedros, an Ethiopian who was elected with the support of China and was accused of trying to protect Chinese interests during the pandemic, said: “We still don’t know how the COVID-19 pandemic began, and unfortunately, the work to understand its origins remains unfinished… As I have said many times, including to senior Chinese leaders, China’s cooperation is absolutely critical to that process. That includes information on the Huanan Seafood Market, the earliest known and suspected cases of COVID-19, and the work done at laboratories in Wuhan. Without this information, none of us are able to rule any hypothesis out. Until or unless China shares this data, the origins of COVID-19 will largely remain unknown.” Let me make it clear: Tedros “did not” say that the hypothesis that the “work done at laboratories in Wuhan” was at the origins of COVID-19 is confirmed. He said that the hypothesis, like others, cannot be “ruled out.” The reason it cannot be ruled out is China’s lack of transparency and unwillingness to share crucial information. It seems that these fellow travelers of Chinese propaganda that continue to proclaim that the Chinese laboratory hypothesis is a conspiracy theory that has been definitely “ruled out” do not have the support of the WHO. Curiously, these fellow travelers include critics of the “cults” connected with the notorious European anti-cult federation FECRIS. The reason they support Chinese propaganda on COVID is that FECRIS has worked together with China in fighting groups stigmatized as “cults.” After all, you try to protect your friends just as your friends may support you in several ways. Anti-cultists also use the argument that anybody regarding the laboratory origin thesis as a possibility (not a certainty) is dabbling in paranoid conspiracy theories to attack “Bitter Winter.” Now, Tedros’ public statement give them the lie and confirms that on this subject, like on many others, they may be occasionally funny but are not bright.

Study Links Insulin Resistance to Early Death in Women and 31 Other Diseases

Insulin resistance, a condition previously linked to numerous health issues, has now been associated with an increased risk of early death in women, as well as 31 different diseases, according to a new study. While the precise causes of insulin resistance remain unclear, experts believe that factors such as excessive weight and lack of physical activity play a significant role.

The study was led by Jing Wu and colleagues from the Department of Endocrinology at Shandong Provincial Hospital in China, who sought to investigate the wider impacts of insulin resistance. To do this, they turned to the UK Biobank, a large-scale health resource containing genetic, medical, and lifestyle data from over 500,000 individuals in the UK. This data provided a broad base for understanding how insulin resistance affects overall health.

One of the key elements used to measure insulin resistance in the study was the TyG index, which is based on participants’ blood sugar and fat levels, including cholesterol. The index offers a reliable way to estimate insulin resistance levels. According to the findings, the TyG index scores among participants ranged from 5.87 to 12.46 units, with an average score of 8.71 units.

The researchers observed a notable pattern: participants with higher TyG index scores tended to be men, older, less physically active, smokers, and more likely to be living with obesity. This group, with higher levels of insulin resistance at the start of the study, was linked to more adverse health outcomes. The findings were published in the journal *Diabetologia*.

By monitoring the health of participants over a median follow-up period of 13 years, the researchers discovered that insulin resistance was linked to a heightened risk of developing 31 different diseases. Of these, insulin resistance was directly associated with an increased likelihood of developing 26 conditions, including sleep disorders, bacterial infections, and pancreatitis. The researchers also found that the greater the degree of insulin resistance, the higher the risk of these diseases.

In terms of gender-specific findings, the study revealed a significant association between insulin resistance and all-cause mortality in women. The data showed that for every one-unit increase in insulin resistance, women had an 11% higher risk of dying during the study period. This was a striking finding, as no such link was observed for men.

The research also highlighted some of the specific diseases related to insulin resistance. For example, every one-unit increase in insulin resistance was associated with an 18% higher risk of developing sleep disorders. Additionally, the risk of bacterial infections rose by 8%, and the likelihood of developing pancreatitis increased by a significant 31% with each unit increase in insulin resistance.

One of the most important aspects of this study is its potential implications for public health. Insulin resistance, which was previously understood primarily as a precursor to conditions like diabetes and cardiovascular disease, may have far-reaching effects on a person’s overall health. The study’s findings suggest that individuals with insulin resistance are more likely to develop a wide range of conditions, many of which may not have been previously linked to insulin dysfunction.

“We have shown that by assessing the degree of insulin resistance, it is possible to identify individuals who are at risk of developing obesity, hypertension, heart disease, gout, sciatica, and some other diseases,” said Jing Wu, the lead researcher. This insight could prove crucial for early detection and intervention, potentially improving outcomes for individuals with high insulin resistance.

The connection between insulin resistance and early death in women also raises important questions about why this link exists for women but not for men. While the study did not delve into the reasons for this gender difference, it opens the door for further research to explore the biological or lifestyle factors that may influence this disparity.

The study’s findings also emphasize the importance of addressing insulin resistance through lifestyle changes, such as increasing physical activity and maintaining a healthy weight. Although the study did not specifically investigate interventions for reducing insulin resistance, it reinforces the idea that these factors could play a critical role in mitigating the risks associated with insulin resistance.

This new research highlights the extensive impact of insulin resistance on health, linking it not only to a wide range of diseases but also to an increased risk of early death in women. The findings underline the importance of monitoring insulin resistance as part of routine health assessments and suggest that greater attention should be paid to the condition, particularly in women, to prevent or delay the onset of related health issues. With further research and a focus on lifestyle interventions, there may be opportunities to reduce the burden of insulin resistance and improve health outcomes for many individuals.

Frequent Mobile Phone Use Linked to Increased Risk of Cardiovascular Disease

A recent study has revealed a significant link between frequent mobile phone use and a higher risk of cardiovascular diseases, particularly in individuals who are smokers or have diabetes. This risk is compounded by additional factors such as poor sleep, psychological distress, and neuroticism, according to research findings published in the Canadian Journal of Cardiology on Wednesday.

The researchers emphasized that modern-day mobile phone use is a widespread habit, and its impact on public health requires careful consideration. “Mobile phone use is a ubiquitous exposure in modern society, so exploring its impact on health has significant public health value. However, whether mobile phone use is associated with the risk of cardiovascular diseases remains uncertain,” stated Dr. Yanjun Zhang, a researcher from the Division of Nephrology at Nanfang Hospital, Southern Medical University in Guangzhou, China.

The study utilized data from the UK Biobank, a large-scale prospective cohort study that included 444,027 participants. These individuals self-reported their mobile phone usage between 2006 and 2010 and had no prior history of cardiovascular diseases at the start of the study. Researchers defined regular mobile phone use as making or receiving at least one call per week. The goal of the study was to assess the potential connection between mobile phone usage and cardiovascular issues, which included acute stroke, coronary heart disease, atrial fibrillation, and heart failure.

Over the median follow-up period of 12.3 years, researchers tracked hospital admissions and mortality data to assess the occurrence of cardiovascular diseases. In addition to mobile phone use, the study examined lifestyle factors such as sleep patterns, psychological distress, and neuroticism, all of which could influence heart health.

The findings revealed a noteworthy association between frequent mobile phone use and a higher risk of developing cardiovascular conditions. More specifically, individuals who reported using their phones regularly showed an increased likelihood of suffering from heart-related problems. However, this risk was found to be even higher in people who smoked or had diabetes.

The study suggested that the chronic exposure to electromagnetic radiation emitted by mobile phones might play a role in this increased cardiovascular risk. “We found that sleep patterns, psychological distress, and neuroticism may be potential mechanisms of the association between mobile phone use and cardiovascular diseases. In addition, chronic exposure to radiation emitted from mobile phones could lead to oxidative stress and inflammatory response,” explained Xianhui Qin, a researcher also from Nanfang Hospital.

Oxidative stress occurs when there is an imbalance between free radicals and antioxidants in the body, leading to cellular damage. Prolonged exposure to mobile phone radiation has been proposed as a potential trigger for this imbalance, which in turn may contribute to cardiovascular problems. The inflammatory response caused by this stress could further exacerbate conditions such as heart disease, stroke, and atrial fibrillation.

The study also explored the impact of psychological and behavioral factors. Poor sleep quality, for instance, is known to negatively affect heart health by increasing the risk of high blood pressure, obesity, and type 2 diabetes—factors that are already established contributors to cardiovascular disease. The researchers found that individuals with disrupted sleep patterns were more likely to be frequent mobile phone users, suggesting a possible link between poor sleep and increased phone usage. Additionally, mobile phone usage, particularly late at night, could contribute to sleep disturbances, further heightening the risk of heart-related complications.

Psychological distress was another significant factor examined in the study. People experiencing high levels of stress or anxiety often engage in behaviors that may harm their heart health, such as smoking, overeating, or physical inactivity. The researchers noted that individuals who frequently use their phones for social media or communication may be more prone to psychological distress due to the constant connectivity and pressure to respond to messages or updates.

Neuroticism, a personality trait characterized by emotional instability and high levels of anxiety, was also found to be associated with frequent mobile phone use. The study highlighted that neurotic individuals might use their phones more often as a coping mechanism for stress or emotional distress. However, this constant phone use could inadvertently increase their risk of cardiovascular diseases by exacerbating their underlying psychological conditions.

The combination of these psychological and behavioral factors with chronic mobile phone use could create a dangerous cycle, increasing the overall risk of cardiovascular diseases. For individuals who already have pre-existing risk factors, such as smoking or diabetes, the situation becomes even more concerning.

Smoking, in particular, is a well-known contributor to cardiovascular disease, and the study found that smokers who regularly used mobile phones were at an even higher risk. Smoking causes damage to blood vessels, increases the risk of blood clots, and raises blood pressure, all of which contribute to heart disease. When combined with the potential oxidative stress from mobile phone radiation, the risk of heart problems becomes significantly amplified.

Diabetes was also identified as a risk-enhancing factor. People with diabetes are already at a higher risk for cardiovascular diseases due to complications such as high blood sugar levels and damage to blood vessels. The study found that frequent mobile phone users with diabetes had a higher likelihood of developing heart-related conditions compared to non-users.

The research team emphasized the need for further studies to fully understand the relationship between mobile phone use and cardiovascular disease risk. While the current study provides valuable insights, it does not conclusively prove a direct cause-and-effect relationship. Rather, it highlights the importance of considering multiple factors, such as lifestyle, psychological well-being, and pre-existing health conditions, when assessing cardiovascular health.

Future studies could focus on examining the long-term effects of mobile phone radiation exposure in greater detail, particularly with advancements in mobile technology and the increasing use of smartphones. Additionally, more research is needed to understand how sleep patterns, stress levels, and personality traits like neuroticism may interact with mobile phone use to influence heart health.

As mobile phone use continues to grow globally, public health officials and researchers must consider the potential implications for cardiovascular health. Educating individuals on the importance of moderating phone use, improving sleep quality, managing stress, and addressing smoking and diabetes as key health priorities could help reduce the risk of heart disease.

This study serves as an important step in exploring the potential health risks associated with mobile phone use. The findings suggest that regular mobile phone use, particularly among smokers and people with diabetes, may be linked to an increased risk of cardiovascular diseases. While more research is needed to provide definitive evidence, the study highlights the importance of considering multiple factors—such as poor sleep, psychological distress, and neuroticism—that may contribute to the connection between mobile phone use and heart health.

AAPI’s Global Health Summit 2024Planned tobe Held in New Delhi, India

GHS will focus on: Prevention Strategies for Cancer and Heart Attacks, Role of Lifestyle Changes, and the Integration of Technology into Healthcare

(Chicago, IL: September 3rd, 2024) The growing influence of physicians of Indian heritage is evident, as they are increasingly recognized and hold critical positions in healthcare, academic, research, and administrative positions across the United States. Their hard work, dedication, compassion, and skills have carved out an enviable niche in the American medical community.

Not satisfied with their professional growth and the service they provide to their patients around the world, they are at the forefront, sharing their knowledge and expertise with others, especially those physicians and leaders in the medical field from India.

The 18th edition of the annual Global Healthcare Summit (GHS) 2024, organized by the Association of American Physicians of Indian Origin (AAPI) in New Delhi India from October 18-20, 2024, offers a unique forum for them 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.

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“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. “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. This international health care summit is a progressive transformation from the first Indo-US Healthcare Summit launched by AAPI USA in 2007.”

Honorable Prime Minister of India Shri Narendra Modi has been invited to deliver the Keynote Address at the Inaugural Ceremony on October 19th. Honorable Health Minister of India, Shri Jagat Prakash Nadda is expected to be the Chief Guest at the GHS and deliver an address on national prevention strategies.

For the first time ever, visits to the new Parliament House in New Delhi, visits to the offices and meetings with the Prime Minister and Health Minister as well as a visit to the Rashtra Pati Bhavan are also planned for the AAPI delegates, who will be part of this historic event in the nation’s Capital.

GHS will have the highest caliber of internationally acclaimed faculty and will develop a very robust agenda in collaboration with leading experts from India. CME sessions with academicians from India and the USwill offer unique opportunities for local medical staff and healthcare professionals to advance leanings and provide the best possible care for the people of India.

The scientific program and workshops of GHS are being developed by leading experts with contributions by the Scientific Advisory Board and the International Scientific Committee. The workshops will be led by world famous physicians on topics relevant to the needs of the time.

According to Dr. Sunil Kaza, Chairman of AAPI’s Borad of Trustees, “AAPI will work collaboratively with leading academic medical colleges in New Delhi benefitingMedical Students, Residents, Fellows and Junior Doctors.With the objective of enabling people in India to access high quality, affordable, and cost-effective world class health services, the Summit being organized in collaboration with the Indian Medical Association (IMA), the Ministry of Health, and several prominent Medical Colleges in India, will have participation from some of the world’s most well-known physicians and industry leaders.”

Describing the message and theme for the Summit, 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 GHS2024, AAPI would like to make a positive meaningful impact on the healthcare in India,” Dr. Kathula says. “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. To help accomplish this mission, join us at the GHS 2024 in New Delhi.” For more information on Global Health Summit 2024, please visit https://aapisummit.org

Need For Legislation To Protect Healthcare Workers’ Rights By Dr. Jaya Daptardar

The brutal and inhumane rape and murder of a doctor on duty in Kolkata has shaken the world. Doctors in India and around the world have protested and urged various government officials in India to intervene and take immediate action to provide justice to the victim, as well as to ensure the safety and security of doctors in government hospitals. They have expressed disappointment that the matter was not immediately and properly handled by local police, CBI, and local government authorities, or failing that, the central government.

The public protests should not be necessary to provide justice for such criminal acts and now everyone is calling for immediate action to prevent similar incidents from happening again. People are concerned about the lack of progress in the investigation and the need for major justice system reform, including strict workplace safety policies and protocols.

A representation submitted to the Prime Minister, the President of India, and the Chief Justice of India by the doctor’s communities has emphasized the urgent need for comprehensive reforms to ensure the safety and security of doctors, especially women in healthcare.

They have highlighted the increasing incidents of violence, including sexual violence, against medical professionals, which have created an environment of fear and insecurity among doctors. The representation also points out the need for labor law reforms, particularly regarding safe and human work hours. It mentions that the doctor who was killed was working a 36-hour shift, which is against the rules and norms, and questions whether there are laws in place to address bullying and harassment in the workplace.

The various medical associations have requested authorities to put in place measures to ensure the safety of healthcare workers and workplace safety and to penalize severely those who commit such crimes. They are also calling for the protection of healthcare workers’ rights through appropriate legislation to prevent similar incidents from happening in the future. The horrific and inhumane rape and murder of a doctor on duty in Kolkata has sent shockwaves across the world.

Doctors in India and around the globe have voiced their concerns and urged various government officials to take immediate action to deliver justice for the victim and to ensure the safety and security of healthcare workers in government hospitals. They have expressed dismay that local authorities did not promptly address the matter and have emphasized the need for urgent interventions to prevent such tragedies from recurring. There is a call for major justice system reforms, particularly concerning workplace safety protocols and policies.

The associations have urged authorities to implement measures to ensure the safety of healthcare workers and workplace safety and to impose severe penalties on those who commit such crimes. They are also advocating for legislation to protect healthcare workers’ rights and prevent similar incidents from happening in the future.

U.S. Surgeon General Warns Parenting Can Harm Mental Health, Calls for Greater Support for Parents

The U.S. Surgeon General, Dr. Vivek Murthy, issued a warning on Wednesday about the mental health impacts of parenting, highlighting that the role of being a parent can be both immensely rewarding and incredibly challenging. Dr. Murthy, who is a father himself, shared in a recent advisory that while he feels fortunate to experience the joys of parenthood, it remains the “toughest and most rewarding” job he has ever undertaken.

“The stresses parents and caregivers have today are being passed to children in direct and indirect ways, impacting families and communities across America,” Murthy stated in his advisory. He pointed out that many parents are feeling overwhelmed by the pressures they face, with a significant percentage admitting to feeling overburdened by stress. According to the advisory, 41 percent of parents confess to being so stressed on most days that they find it difficult to function, while 48 percent describe their stress levels as completely overwhelming.

Dr. Murthy emphasized that today’s parents are navigating a different set of challenges than those faced by previous generations. These challenges include the pervasive influence of social media, the rising youth mental health crisis, and what Murthy referred to as the “epidemic of loneliness,” which affects not only younger Americans but their parents as well. The surgeon general stressed that these modern-day challenges are having a profound impact on the mental well-being of both parents and children, contributing to a cycle of stress and anxiety within families.

To help alleviate these stresses, Murthy called for policy changes and the implementation of community programs designed to provide greater support to parents. Such measures could include making child care more affordable and ensuring that parents have the flexibility to take time off work to care for their sick children without financial strain. These changes, Murthy suggested, would help parents manage the various pressures they face, thereby improving the overall well-being of families.

Earlier in the year, Murthy also advocated for regulations requiring social media platforms to include warning labels about the potential mental health risks their content poses to children and young adults. This call to action is part of a broader effort to protect young people from the negative effects of social media, which has been linked to increased rates of anxiety, depression, and other mental health issues among youth.

“In my conversations with parents and caregivers across America, I have found guilt and shame have become pervasive, often leading them to hide their struggles, which perpetuates a vicious cycle where stress leads to guilt which leads to more stress,” Murthy explained. He noted that this cycle of stress and guilt can prevent parents from seeking the help and support they need, further exacerbating their mental health challenges.

Murthy also called for a shift in cultural norms around parenting to better support moms and dads in coping with the demands of raising children. He suggested that society needs to recognize the significant role that parenting plays in shaping future generations and to place a higher value on the health and well-being of parents.

“Raising children is sacred work. It should matter to all of us,” Murthy said. “And the health and well-being of those who are caring for our children should matter to us as well.”

By raising awareness about the mental health challenges associated with parenting, Dr. Murthy hopes to spark a national conversation about how best to support parents and caregivers. This includes not only policy changes and community programs but also a cultural shift in how society views and values the role of parents. The ultimate goal, according to Murthy, is to create a more supportive environment that recognizes the unique challenges of parenting and provides the resources and support parents need to thrive.

In his advisory, Dr. Murthy highlighted the importance of acknowledging the difficulties faced by parents and caregivers and the need for a more compassionate and supportive approach. He called on policymakers, community leaders, and society as a whole to take action to better support parents and to ensure that they have the tools and resources necessary to raise healthy, happy, and well-adjusted children.

The surgeon general’s advisory serves as a stark reminder of the mental health challenges faced by parents today and the need for a collective effort to address these issues. By recognizing the importance of supporting parents and caregivers, Dr. Murthy hopes to foster a more supportive and understanding environment for families across the United States.

Murthy’s message is clear: Parenting is not just a personal endeavor but a collective responsibility that requires the support and understanding of the entire community. By working together to address the challenges faced by parents and caregivers, society can help ensure that all children have the opportunity to grow up in a healthy, nurturing environment.The health and well-being of parents and caregivers, as Murthy emphasized, should be a priority for everyone, as it ultimately affects the future of society as a whole.

WHO Declares Mpox a Global Health Emergency Amid Rising Cases and New Deadlier Strain

The World Health Organization (WHO) has declared mpox a global public health emergency for the second time in two years due to an outbreak that originated in the Democratic Republic of Congo (DRC) and has since spread to neighboring countries and beyond.

New cases of the virus have now been identified outside of Africa, in countries such as Thailand, the Philippines, Sweden, and Pakistan. Health authorities are raising alarms as many new cases in Africa involve a recently discovered, more lethal strain of the virus, known as clade 1b, which has also been confirmed in Thailand.

Mpox is a viral infection that spreads through close contact, including sexual contact. It presents with flu-like symptoms such as fever, chills, and muscle aches, along with pus-filled lesions. While the disease is generally mild, it can be fatal in some cases.

Two main types of mpox are identified by clades, with the current outbreak being attributed to clade 1. This strain seems to spread more easily and has a higher fatality rate compared to the clade 2 strain, which was prevalent in 2022. Clade 1 appears to disproportionately affect young people, with most fatalities occurring among children.

The rise in cases is primarily attributed to a new variant of clade 1, known as clade 1b, which is believed to be the main cause of the recent increase in cases, according to WHO. The organization noted that clade 1b is primarily transmitted from person to person, often through sexual contact. Although first identified in 2024, it likely emerged in the DRC around 2023.

“The outbreak associated with clade Ib in the DRC primarily affects adults and is spreading rapidly, sustained largely, but not exclusively, through transmission linked to sexual contact and amplified in networks associated with commercial sex and sex workers,” the WHO stated on August 19.

Aside from the DRC, clade 1b cases have been reported in Burundi, Kenya, Rwanda, Uganda, and Thailand. Clade 1 cases have also been found in the Central African Republic, the Republic of Congo, and Sweden. Meanwhile, the milder clade 2 has been identified in countries such as Cameroon, Côte d’Ivoire, Liberia, Nigeria, South Africa, the Philippines, and Pakistan.

The WHO’s declaration of a “public health emergency of international concern” is its highest level of alert and is aimed at speeding up international cooperation and public health measures to contain the disease.

“It’s clear that a coordinated international response is essential to stop these outbreaks and save lives,” said WHO Director-General Tedros Adhanom Ghebreyesus when the declaration was made on August 14. He further expressed concern over “the detection and rapid spread of a new clade of mpox in eastern DRC, its detection in neighboring countries that had not previously reported mpox, and the potential for further spread within Africa and beyond.”

Despite these concerns, Dr. Hans Kluge, the WHO’s regional director for Europe, emphasized last week that mpox should not be compared to Covid-19. In a statement released on Tuesday, Kluge dismissed parallels with the coronavirus pandemic and reassured that the risk to the general population remains low. “We can, and must, tackle mpox together — across regions and continents,” he stated.

In response to the outbreak, authorities are focusing on increasing vaccine availability, although access remains a significant challenge. The WHO is collaborating with countries and vaccine manufacturers to improve access for the nations most affected.

To date, the U.N. health agency has released $1.45 million in emergency funds and may release more in the near future. It has outlined an immediate funding requirement of $15 million for its response plan.

The Africa Centres for Disease Control and Prevention (Africa CDC) has partnered with the vaccine maker Bavarian Nordic to deliver vaccines. This partnership aims to provide 2 million doses this year and an additional 10 million doses by the end of 2025. Bavarian Nordic is also supplying vaccines to countries outside Africa and is seeking approval from the European Union’s drug regulator to extend the use of its mpox vaccine to teenagers.

The WHO’s efforts to contain the spread of mpox are focused on surveillance, public awareness, and enhancing the capacity of healthcare systems in affected regions. The agency urges countries to remain vigilant, ensure proper surveillance, and maintain strong collaboration with international health bodies to curb the further spread of the disease.

Dr. Satheesh Kathula, President of AAPI Discusses Policy Priorities During a Meeting with Varun Jeph, Deputy Consul General of India in New York

(New York, NY: August 25, 2024) “On behalf of AAPI, I had an opportunity to meet with Deputy Consul General Hon. Varun Jeph to discuss various collaborative initiatives between AAPI and the Government of India,” said Dr. Satheesh Kathula, President of the American Association of Physicians of Indian Origin (AAPI).

Dr. Kathula along with dozens of physicians of Indian origin, who flew in from many parts of the United States to join in and participate at the 78th India’s Independence Day celebrations and the Inda Day Parade in New York City, met with the officials at the Indian Consulate in New York on Sunday, August 18th.

Hon. Jeph and the Indian Consulate in New York tweeted on X after the meeting: “Deputy Consul General Hon. Varun Jeph and AAPI President Dr. Satheesh Kathula met in New York today. Had constructive discussions on the role of Indian physicians in the US in strengthening Indo-US healthcare collaborations and empowering the vibrant Diaspora community. Wished him the best for his tenure as AAPI President.”

Dr. Kathula described the meeting as very productive. While elaborating on the discussions he had with Hon. Jeph, he said, “The discussions highlighted key projects that AAPI will be undertaking in India, including programs focused on the prevention of cancer and heart attacks, as well as widespread CPR training initiatives aimed at improving emergency response capabilities across the country.”

Dr. Kathula pointed to the next edition of the Global Health Summit, planned to be held in New Delhi from October 18-20, 2024. This summit is expected to bring together healthcare professionals and experts from around the world to share knowledge, explore innovative healthcare solutions, and strengthen global health partnerships.

The flagship annual event of AAPI, the Global Healthcare Summit has contributed to ushering in new ways of providing healthcare to India’s 1.4 Billion people, who live in the congested urban centers and in the rural/remote regions of the country. The 18th annual GHS will build on past initiatives and add several new programs, Dr. Kathula added.

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. In his inaugural note, Dr. Kathula assured all AAPI members and all physicians of Indian origin that “I will sincerely work for the betterment of our beloved organization, AAPI.”

New COVID-19 Vaccines Target Evolving Virus Strains, Urged for Vulnerable Populations

New COVID-19 vaccines have been developed to target the KP.2 strain of the SARS-CoV-2 virus, reflecting the virus’s ongoing evolution. In June, the Food and Drug Administration (FDA) initially directed vaccine manufacturers to focus on the JN.1 variant. However, they later advised shifting focus to the KP.2 strain, considering the virus’s rapid changes.

The updated vaccine has been approved for individuals aged 12 and older. For children between the ages of 6 months and 4 years, the vaccine is available under emergency use authorization. The urgency of updating vaccines comes in response to the diminishing immunity seen in the population. Immunity has been waning due to both natural virus exposure and the effects of previous vaccinations wearing off. To combat this, health authorities are encouraging those eligible to receive the latest vaccine version to better guard against currently circulating variants. “Given waning immunity of the population from previous exposure to the virus and from prior vaccination, we strongly encourage those who are eligible to consider receiving an updated COVID-19 vaccine to provide better protection against currently circulating variants,” said Peter Marks, director of the FDA’s Center for Biologics Evaluation and Research, in a statement.

The current data from the Centers for Disease Control and Prevention (CDC) shows the highest viral activity in the western United States. However, almost every state reports “high” or “very high” levels of COVID-19 virus in wastewater. This indicates a significant spread of the virus across the country. Notably, the nationwide viral levels are higher than they were at this time last year, and the increase started earlier in the summer. According to federal wastewater data, viral activity has been on the rise since mid-May, suggesting a steady upward trend in cases.

The vaccine manufacturers are preparing for rapid distribution. Moderna has announced that its updated vaccine is expected to be available in the “coming days.” Pfizer has similarly stated that it will “begin shipping immediately.” The prompt availability of these new vaccines aims to offer an additional protective layer for the American public, especially those most vulnerable to severe infections.

While a large portion of the American population has acquired some immunity through previous vaccinations, natural infections, or both, not all groups have the same level of protection. Older adults and those who are immunocompromised often cannot mount as robust an immune response and thus remain at a heightened risk for severe outcomes if infected. The new vaccines are particularly important for these groups to help mitigate that risk.

Despite the availability of vaccines, there has been a notable gap between supply and uptake. For instance, only about 20 percent of Americans received last year’s updated COVID-19 shot, highlighting a disconnect between vaccine availability and public willingness to get vaccinated. This lower-than-expected uptake poses a challenge for public health officials who are striving to increase vaccination rates, especially among high-risk groups.

In summary, as the SARS-CoV-2 virus continues to evolve, updated vaccines targeting newer strains like KP.2 are crucial for maintaining public health. Health officials emphasize the importance of these vaccines, especially for older and immunocompromised individuals who are at higher risk. With vaccines becoming available soon, there is a renewed push to encourage eligible individuals to get vaccinated to protect themselves and others from the ongoing threat of COVID-19.

Epic Systems Unveils New AI Tools to Transform Healthcare at Annual User Meeting

At a packed underground auditorium filled with thousands of healthcare executives this week, Judy Faulkner, the CEO of Epic Systems, made a memorable entrance. Dressed in a full swan costume, complete with feathers, Faulkner delivered her keynote speech at Epic’s annual Users Group Meeting (UGM). While some first-time attendees might have been surprised by her attire, for many seasoned healthcare industry professionals and Epic employees, it was a familiar sight signaling the start of the much-anticipated event. This year, the central theme at Epic’s gathering was clear: the integration of artificial intelligence (AI) to enhance the experiences of both doctors and patients.

Epic Systems is a prominent healthcare software company whose technology is used by thousands of hospitals and clinics across the United States. The company’s platform houses medical records for over 280 million individuals in the country, although it is common for patient data to be spread across multiple vendors.

A Unique Conference Setting

Each year, Epic’s headquarters in Verona, Wisconsin, becomes a focal point for thousands who come to learn about the company’s latest products and innovations. UGM is one of Epic’s largest annual on-campus events, and on Tuesday, CNBC was there to cover it. The sprawling 1,670-acre campus is adorned with whimsical features, including farm animals, wizard statues, and buildings themed after stories like “Alice in Wonderland” and “The Wizard of Oz.” Appropriately, this year’s conference embraced a “storytime” theme. Faulkner, along with other Epic executives, took to the stage dressed as characters inspired by various children’s books.

Throughout the event, there were numerous skits and jingles as executives provided updates on Epic’s major products, including MyChart, an application that allows patients to access their medical records, and Cosmos, a de-identified patient dataset used by clinicians for research.

Focus on Artificial Intelligence

A significant portion of the announcements at the conference revolved around how Epic is incorporating AI into its products. Faulkner revealed that Epic has over 100 AI features in development, although many are still in the early stages. For example, by the end of the year, Epic plans to introduce generative AI that will assist doctors in rewriting message responses, letters, and instructions into simpler language that patients can easily understand. The AI will also help physicians by automatically preparing orders for prescriptions and laboratory tests.

Recognizing that many physicians spend a substantial amount of time on administrative tasks, such as drafting insurance denial appeal letters and reviewing prior authorization requirements, Epic is developing AI tools to streamline these processes. These tools are expected to roll out by the end of the year.

Looking ahead, Epic aims to further enhance its generative AI capabilities. By the end of 2025, the AI will be able to gather relevant test results, medications, and other crucial information needed when responding to patient messages through the MyChart app. Additionally, specialized functions, such as using AI to calculate wound measurements from images, are expected to become available next year.

Epic also announced the forthcoming launch of a new staff scheduling application for physicians and nurses, named “Teamwork.” Furthermore, Faulkner mentioned that Epic is “investigating” the possibility of enabling direct claims submissions through its software, potentially eliminating the need for intermediaries like clearinghouses. If successful, this could revolutionize the way insurance claims are processed across the healthcare industry.

While it remains uncertain if all these features will come to fruition or be widely adopted by health systems, Epic concluded Tuesday’s presentation with a bold demonstration showcasing its vision for the future of healthcare technology.

A Glimpse into the Future

Seth Hain, Epic’s senior vice president of research and development, led the demo, interacting with an AI agent via the MyChart app about his recovery following a fictional wrist surgery. The AI agent asked Hain questions about his pain level and instructed him to use his camera to capture his wrist’s range of motion, allowing the AI to assess his recovery progress. The AI determined that Hain’s wrist extension ranged from 60 to 75 degrees, indicating that his recovery was ahead of schedule compared to data from similar patients in Epic’s Cosmos database.

When Hain inquired about resuming his pickleball activities, the AI advised him to “wait a little longer” before engaging in such activities again.

After the presentation, Hain met with reporters and clarified that the demo was conducted in real-time without any human intervention. However, he acknowledged that the technology is still very new, to the point where it does not even have a name yet. Hain suggested that it could be several years before such AI capabilities are widely available in the medical community. “It is very, very, very early in regards to how and where the community, the broader medical community, will adopt that type of thing, but it’s viable,” he explained.

Epic’s forward-looking approach, demonstrated through their commitment to AI innovation, indicates the potential for significant advancements in healthcare delivery and patient engagement. As the company continues to refine these technologies, the industry will closely watch how Epic’s AI-driven tools and applications evolve and impact daily healthcare practices.

Bipartisan Lawmakers Urge Biden Administration to Increase Scrutiny on U.S. Clinical Trials Conducted in China

On August 20, a bipartisan group of lawmakers, led by Indian American Representative Raja Krishnamoorthi, urged the Biden administration to intensify oversight of U.S. clinical trials being conducted in China. Their concerns center on the potential theft of intellectual property and the risk of forced participation of Uyghurs in these trials.

Representative John Moolenaar, a Republican who chairs the House Select Committee on China, and Democratic Representative Raja Krishnamoorthi highlighted that U.S. pharmaceutical companies have collaborated with Chinese military-run hospitals to conduct numerous clinical trials over the past decade. These trials have even been conducted in Xinjiang, the region where China’s Uyghur minority resides.

“Given the historical suppression and medical discrimination against ethnic minorities in this region, there are significant ethical concerns around conducting clinical trials in (Xinjiang),” Moolenaar and Krishnamoorthi expressed in a letter dated August 19, which was directed to Robert Califf, the head of the U.S. Food and Drug Administration (FDA).

The letter, co-signed by Democratic Representative Anna Eshoo and Republican Representative Neal Dunn, further stated, “These collaborative research activities raise serious concerns that critical intellectual property is at risk of being transferred to the (People’s Liberation Army) or being co-opted under the People’s Republic of China’s National Security Law.”

As of the article’s publication, the FDA had not provided a response to requests for comment.

In response to these concerns, the Chinese embassy in Washington rejected the accusations, labeling claims of intellectual theft as “groundless” and dismissing allegations of genocide in Xinjiang as “sheer falsehood.” The embassy emphasized, “China-US cooperation in health care…is mutually beneficial in essence,” and added that “politicizing and instrumentalizing normal cooperation” was not in anyone’s interest.

This letter reflects a growing unease among U.S. lawmakers about China’s expanding role in the biotechnology industry.

Earlier this year, in April, Representatives Krishnamoorthi and John Moolenaar’s predecessor, Republican Representative Michael Gallagher, urged the Biden administration to add seven Chinese biotechnology companies to a list managed by the U.S. Department of Defense. This list identifies firms that are allegedly collaborating with Beijing’s military.

Additionally, U.S. lawmakers are contemplating legislation that would limit business dealings with certain Chinese biotechnology companies, including WuXi AppTec and BGI.

The letter to the FDA requests answers to a series of questions about these clinical trials by October 1, reflecting the urgency and importance of this matter to the concerned lawmakers.

Mpox Clade I Raises Concerns in Africa, But U.S. Risk Remains Low, Experts Say

As concerns grow about a more severe variant of mpox spreading in Africa, infectious disease experts are cautiously optimistic that this strain may not spread as widely in the United States or cause as severe health impacts. The potential threat to the U.S. from this mpox subtype, known as clade I, could be minimized due to several factors, including immunity from previous vaccination and infection during the 2022 outbreak of a different variant, lack of viral circulation in wild animals, and better healthcare access and living standards.

On Wednesday, the World Health Organization (WHO) reinstated mpox as a public health emergency of international concern due to a large outbreak of clade I in the Democratic Republic of Congo (DRC), which has spread to other African nations. Sweden reported the first case of clade I outside Africa on Thursday.

“It was only a matter of time before we saw this extend beyond the African continent,” said Dr. Boghuma Titanji, an infectious disease specialist at Emory University.

On Friday, Dr. Pamela Rendi-Wagner, director of the European Centre for Disease Prevention and Control, announced that the agency had raised the risk level of clade I to the general European population from “very low” to “low,” citing the close connections between Europe and Africa. “We must be prepared for more imported clade I cases,” she added.

The Centers for Disease Control and Prevention (CDC) confirmed on Friday that no cases of clade I have been reported in the U.S. so far.

Clade I is generally considered more transmissible and severe than clade II, the variant responsible for the global mpox outbreak that peaked in August 2022, which had a death rate of 0.2%. People with weakened immune systems, particularly those with untreated, advanced HIV, have been most at risk of severe disease, hospitalization, and death from clade II. The U.S. continues to see low-level transmission of clade II.

Anne Rimoin, an epidemiologist at the University of California, Los Angeles, and a leading mpox expert, emphasized the importance of context when comparing how mpox might behave in Western countries versus Africa. “I think we have to be very, very cautious about saying that this is more dangerous,” she said of clade I. “The data on the severity, associated mortality — all of that is scant. There are a lot of questions about whether or not the perceived severity might have more to do with the population that it’s spreading in, their immune system, the route of transmission, the infectious dose.”

On Thursday, the National Institutes of Health (NIH) reported that the antiviral TPOXX did not reduce clade I symptom duration in a DRC clinical trial. However, only 1.7% of participants died, compared to the typical clade I death rate of 3.6% or higher in the DRC. NIH experts credited better medical care provided to study participants for the lower death rate.

Epidemiologist Dr. Jennifer McQuiston, the lead for the CDC’s mpox clade I response, expressed hope that high-quality healthcare in the U.S. could help minimize deaths from the disease. Dr. Dan Barouch, a virologist at Harvard Medical School, acknowledged the possibility of clade I cases in the U.S. but stated, “The absolute risk in the U.S. is currently low, although we need to remain vigilant.”

The CDC first alerted doctors and healthcare providers in December to be on the lookout for clade I, updating the advisory on August 7. When U.S. clinics order testing for potential mpox cases, some testing centers can directly screen for the clade type, while others send samples to the CDC for analysis. All positive results must be reported to the CDC. Additionally, numerous sites across the country monitor wastewater for signs of the virus in local populations.

“We are more worried about clade I than we are about clade II,” McQuiston said, highlighting the CDC’s continued domestic vigilance.

The CDC recently reported that receiving both doses of the Jynneos vaccine appears to reduce the risk of mpox. The vaccine is expected to protect against both clades. Throughout the clade II outbreak, which is now at low levels, mpox has primarily spread through sexual contact between men. The CDC continues to urge men with multiple male partners to receive both doses of the Jynneos vaccine. However, only about one in four of those considered at high risk in the U.S. have been fully vaccinated.

In the DRC outbreak, clade I has spread significantly through sexual transmission among both gay men and female sex workers. Children have been particularly affected, accounting for two-thirds of the roughly 20,000 suspected cases and three-quarters of the 975 suspected deaths in the DRC since January 2023, according to the CDC.

There is speculation that recent mutations in the virus may have increased its transmissibility. Rimoin suggested that close physical contact, whether sexual or nonsexual household contact, likely remains necessary for transmission. In the DRC, people often live in much more cramped conditions compared to the U.S.

“We don’t hear reports of people getting it at the market,” McQuiston noted, adding that household spread might be occurring in the DRC due to family members caring for the sick without adequate protection and limited ability to isolate those who are infected.

The vaccine remains scarce in the DRC, while in the U.S., where supply is sufficient, household contacts of infected people can seek the vaccine prophylactically. In rural DRC, people also likely contract mpox from an unknown wild animal host, possibly a rodent. No animals in the U.S. are believed to carry the virus.

Dr. Jeffrey Klausner, an infectious disease expert at the University of Southern California, pointed out that differences in sexual behavior between gay men and heterosexuals in the U.S. might limit the spread of mpox among the broader American population. Unlike the general heterosexual population, gay and bisexual men include a smaller group whose behaviors could sustain an mpox outbreak outside of Africa, Klausner explained in a commentary published in The Lancet Microbe on August 7.

Klausner also argued that infectious disease researchers may have underestimated the rate of natural immunity from previous infections. For now, he believes that a combination of natural and vaccine-induced immunity is sufficient among those engaging in high-risk sexual behavior to largely prevent a substantial outbreak.

However, research suggests that natural immunity from the 2022 outbreak may wane over time, and mpox may mutate to evade these defenses. Additionally, the extent to which immunity from clade II will protect against clade I is still unknown, according to Dr. Chloe Orkin, an infectious disease expert at Queen Mary University of London.

Emory’s Titanji added a note of caution, saying of clade I, “I don’t want people to get into a complacency and think that we cannot see this in a heterosexual network” in the U.S.

WHO Declares Public Health Emergency as Deadly Mpox Outbreak Spreads in Africa

The World Health Organization (WHO) has declared a public health emergency due to the rapid and deadly spread of a new strain of mpox in Africa. This is the second such declaration in three years, with the previous emergency having been lifted in May 2023. However, the current threat is considered to be much more severe.

“The detection and rapid spread of a new clade of mpox in eastern [Democratic Republic of the Congo], its detection in neighbouring countries that had not previously reported mpox, and the potential for further spread within Africa and beyond is very worrying,” WHO Director-General Tedros Adhanom Ghebreyesus said.

The Democratic Republic of the Congo (DRC) has been particularly hard-hit, reporting a record 15,600 mpox cases and 537 deaths. The outbreak has also affected 13 countries, including several that had never previously reported cases of the disease.

This outbreak is linked to a strain of mpox that descends from clade I, which is endemic to the DRC and the Republic of the Congo. Those most at risk from the current outbreak are women and children under the age of 15.

In response to the worsening situation, the U.S. Centers for Disease Control and Prevention (CDC) issued a health alert last week, urging both clinicians and the general public to remain vigilant for signs of the virus. The Africa Centers for Disease Control and Prevention also declared a “public health emergency of continental security” on Tuesday.

The U.S. Department of Health and Human Services has expressed its support for both the WHO and Africa CDC declarations. In a statement, the department emphasized the importance of international cooperation in addressing the outbreak. “The United States will continue to work closely with African governments, Africa CDC and WHO to ensure an effective response to the current outbreak and to protect the health and lives of people of the region,” the agency said.

As of now, no cases of this clade I mpox have been detected outside the affected African countries. However, the WHO’s declaration is intended to encourage other nations to prepare for a possible spread of the virus and to coordinate a response, including sharing resources like vaccines.

The declaration of a public health emergency by the WHO highlights the seriousness of the situation and the need for a coordinated global response. The rapid spread of this new strain of mpox in Africa, particularly in the DRC, underscores the potential for the virus to spread to other regions if not contained.

The WHO’s decision to declare a public health emergency is not taken lightly, as it is a rare and significant step that signals the need for immediate action. The last time the WHO declared an emergency over mpox, it was due to a less severe outbreak that was eventually brought under control. However, the current outbreak presents a much greater threat, both in terms of its rapid spread and its potential impact on vulnerable populations.

The situation in the DRC is particularly concerning, as the country has reported a record number of cases and deaths from mpox. The virus has spread to 13 countries in total, including some that had never previously reported mpox cases. This suggests that the outbreak is not confined to a specific region and has the potential to spread even further if not contained.

The WHO’s declaration is also a call to action for other countries to prepare for the possibility of the virus spreading beyond Africa. By coordinating a response and sharing resources like vaccines, countries can work together to prevent the virus from becoming a global threat.

The U.S. CDC’s health alert is another indication of the seriousness of the situation. The alert urges clinicians and the public to be on the lookout for signs of the virus and to take precautions to prevent its spread. This is particularly important in light of the fact that the current outbreak is linked to a strain of mpox that is endemic to the DRC and the Republic of the Congo.

The Africa CDC’s declaration of a “public health emergency of continental security” is another significant development, as it underscores the need for a coordinated response across the continent. The declaration highlights the potential for the virus to spread beyond Africa if not contained, and the importance of international cooperation in addressing the outbreak.

The U.S. government’s support for both the WHO and Africa CDC declarations is a positive sign that the international community is taking the outbreak seriously. By working closely with African governments and international organizations, the U.S. can help ensure an effective response to the outbreak and protect the health and lives of people in the region.

The current outbreak of mpox in Africa is a stark reminder of the importance of global health security and the need for a coordinated response to emerging infectious diseases. The WHO’s declaration of a public health emergency is a call to action for the international community to come together and address the outbreak before it becomes a global threat.

In the meantime, countries must remain vigilant and take steps to prepare for the possibility of the virus spreading beyond Africa. This includes monitoring for signs of the virus, sharing resources like vaccines, and coordinating a response to prevent the virus from becoming a global threat.

The rapid spread of the new mpox strain in Africa, particularly in the DRC, underscores the urgency of the situation and the need for immediate action. The international community must work together to contain the outbreak and prevent the virus from spreading further. The WHO’s declaration of a public health emergency is a critical step in this effort, and it is up to the global community to respond accordingly.

As the situation continues to evolve, it will be important for countries to stay informed and prepared for the possibility of the virus spreading beyond Africa. By working together and sharing resources, the international community can help ensure an effective response to the outbreak and protect the health and lives of people around the world.

Dr. Satheesh Kathula, President of AAPI Condemns Violence Against Physicians in India During an Interview on BBC

“At AAPI, we want to express our deepest concerns and anguish about the recent horrific rape and murder of a postgraduate medical student in what should have been a haven for her — a State-run hospital in Kolkata, where she was practicing Medicine,” Dr. Satheesh Kathula, President of American Association of Physicians of India Origin (AAPI) said here today.

AAPIThe resident Doctor’s body was found last week on Friday with multiple injuries and signs of sexual assault in a seminar hall at the RG Kar Medical College and Hospital in the city of Kolkata. Protests broke out in Kolkata and across the country, bolstered mostly by medical students and postgraduates in hospitals, demanding safety and security as they are engaged in healing people.

 Dr. Kathula, who assumed charge last month as the President of AAPI, the largest ethnic medical organization in the nation, serving 30% of the US population, was interviewed by the British Broadcasting Corporation, (BBC) on Tuesday, August 13th, 2024.

“My heartfelt condolences to the victim’s family. It is very unfortunate that this has happened,” he said. Referring to the current situation in India, Dr. Kathula, an Oncologist based in Dayton, Ohio, serving patients for nearly a quarter century, said, “Female Doctors in India are at risk of physical violence and harassment from patients, families and the public because of the nature of their job. They also have to work during the night and the hospitals may not be providing enough security measures which puts them at risk.

Stating that such incidents are not new, Dr. Kathula said, “This is not a new phenomenon. However, there has been a noticeable increase in recent years. There is more media coverage now, which is bringing more of these incidents to light.”

A survey in 2015 by the Indian Medical Association found 75% of the Doctors in India had faced some form of violence, local media reported at the time.

There are so many reasons for these things to happen, Dr. Kathula said. “Such incidents can stem from dissatisfaction with medical outcomes, delayed services or perceived negligence. Many factors may contribute to the rise in such incidents. They may include heightened patient expectations, strained health infrastructure with increasing costs and rising frustration among patients, their families, and even staff. This is a very unfortunate thing which can impact the mental health as well as the professional wellbeing of women Doctors in India.”

“There is a need for the people to pay attention to the fact that these are all healthcare professionals, who are risking their lives, to save patients and their lives,” Dr. Kathula, an eminent physician of over 25 years’ standing in Ohio, an admirable community leader and philanthropist with a stellar record of serving in several leadership roles in AAPI.

Kathula GHS (1)Dr. Kathula urged that “hospitals need to implement robust security measures and increase surveillance cameras and security personnel and control the access to sensitive areas. Establishing clear protocols for handling violent incidents and ensuring all staff are trained to manage such situations, and also they should offer training to Doctors and hospital staff in conflict resolution and communication skills to handle these types of situations more effectively. Also, there should be public awareness and education of the people to enhance respectful interactions with healthcare professionals,” he said.

“While recognizing the pain and sufferings of the family and friends of the slain Doctor, who are impacted by the cruel and unfortunate death of their dear one, AAPI is urging that the federal, state, and local Governments in India to pursue its investigation and bring to justice, who are responsible for this tragedy. We want the government to make all the efforts possible to prevent such behaviors against physicians around the nation, who continue to suffer due to violence, harassment, and disrespect,” Dr. Kathula said.

The President of AAPI proposed that from the government side, “there is an urgent need to have stricter legislations, and for the need to enforce them and punish the people who are doing such violent things and crimes. And this is very, very important from the government standpoint.”

Since its inception in 1982, AAPI has been at the forefront, representing a conglomeration of practicing Indian-origin physicians in the United States, seeking to be the united voice for physicians of Indian origin. Dr. Satheesh Kathula says, “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

Mpox Outbreak in the DRC Declared a Public Health Emergency by WHO

The ongoing mpox outbreak in the Democratic Republic of the Congo (DRC) has prompted the World Health Organization (WHO) to once again declare it a public health emergency of international concern. This declaration mirrors a similar one made in 2022 when the virus began spreading to countries where it was not previously endemic. While wealthy Western nations managed to control the outbreak rapidly, African countries, including the DRC, received little assistance, leaving them at the heart of the epidemic.

Currently, infection rates in the DRC are on the rise, the virus is evolving, and the WHO has raised alarms again. Here’s what you need to know about the situation.

WHO’s Concern and Response

WHO Director-General Tedros Adhanom Ghebreyesus expressed serious concern about the outbreak, stating that everyone should be vigilant. The WHO intends to increase the distribution of diagnostics, treatments, and vaccines to the DRC. However, experts caution that it may take several months for these vaccines to reach the DRC and other affected African regions.

Understanding Mpox

Previously referred to as “monkeypox,” mpox is characterized by a rash of flat sores that develop into liquid-filled blisters, which can be itchy or painful. In addition to the rash, mpox can cause flu-like symptoms such as fever, headaches, body aches, swollen lymph nodes, chills, and overall fatigue. The majority of cases in the outbreak that began in 2022 have not been life-threatening. However, the disease can be fatal for individuals with compromised immune systems. Mpox spreads through close contact and has primarily affected men who have sex with men in the U.S. and Europe, where it has mainly spread within gay and bisexual communities.

Reasons for the Current Situation

There are several factors contributing to the current outbreak, according to Dr. Boghuma Titanji, an assistant professor in Emory University’s infectious disease department. More than 14,000 mpox cases have been reported in the DRC this year, surpassing the total number of cases for all of 2023. Tragically, over 524 people have died, including 240 children. According to the WHO and Save the Children, the infection is four times more deadly for children under the age of 15 than it is for adults.

Titanji notes that it remains unclear why the disease has become so lethal for children, but a variation or subclade of the virus, which has developed mutations making it more adept at human transmission, is suspected. This new subclade might also be responsible for the virus spreading across borders to other African countries, including Burundi, the Central African Republic, Kenya, and Rwanda. This situation led the Africa Centres for Disease Control and Prevention to declare a continent-wide public health emergency on August 13. However, Titanji points out that, so far, no cases of this new subclade have been detected outside of the African subregion.

Assessing the Risk of Mpox

For those outside Central Africa, the risk of contracting mpox has not increased. Although the Centers for Disease Control and Prevention (CDC) warned in May that the outbreak in the DRC poses a “global threat,” the agency still considers the overall risk to the general American public to be “very low.” For men who have sex with other men and have multiple partners, the risk is categorized as “low to moderate.” However, the CDC notes that this group could be at risk if the latest version of mpox reaches the U.S.

Even though the U.S. has an ample stockpile of vaccines and treatments for mpox, Dr. Titanji emphasizes the interconnectedness of the world today, stating, “We live in a very, very interconnected global village.” There are now outbreaks in 13 African countries. “These outbreaks are connected to the U.S. or Europe by just a couple of hours because it’s easy to get on a flight and travel,” Titanji explains. “If we don’t address problems when they’re still small and affecting a relatively confined geographic location, then we could potentially have to deal with it within our own shores.”

Implications of WHO’s Declaration for Africa

The practical implications of the WHO’s declaration remain uncertain, according to Titanji. “The global outbreak has been going on since 2022,” she points out, “and we still haven’t really seen containment of the outbreak in the African region.” She questions what will be different this time.

The WHO’s declaration is intended to act as a signal, emphasizing the gravity of the emergency in the hope that it will rally resources to the affected areas, thereby preventing the outbreak from spreading further. Ideally, this would mean that the international community would come together to provide funding, diagnostics, treatments, and vaccines to the DRC and other severely impacted African regions. However, Titanji recalls that in 2022, the declaration “did not necessarily translate to the tools needed to fight the outbreak in Africa.” She highlights that about 10% of mpox cases in the DRC remain unconfirmed due to a lack of diagnostic tools. Additionally, the vaccines and antiviral medications that were instrumental in controlling the outbreak in the U.S. are still in short supply in Africa.

During the press conference announcing the public health emergency declaration, the WHO estimated that an initial investment of $15 million would be required to fund surveillance, response, and preparedness measures. While the WHO has released $1.5 million toward this effort, they have called on donors to contribute additional funds to meet the necessary requirements.

Google Funds Classroom Mental Health Initiatives to Address Student Wellbeing Crisis

The ongoing mental health crisis among children in the United States has become increasingly evident within schools, where students spend much of their time. In response, Google’s philanthropic branch is taking direct action by funding mental health projects in high schools through a classroom crowdfunding platform.

On Monday, Google.org announced a major initiative, flash funding all mental health-related projects listed on DonorsChoose, an online charity where public school teachers can request supplies. With an infusion of $10 million and the involvement of actress Selena Gomez, Google aims to make mindfulness a central focus as the new school year begins.

The COVID-19 pandemic has exacerbated issues like childhood depression, anxiety, and behavioral problems, prompting school districts to seek help from teachers in addressing these challenges. However, experts have noted that while awareness of mental health issues has grown, it has not been matched by a significant increase in philanthropic funding for mental health initiatives.

Google.org had previously pledged support for nonprofits working on children’s mental health and online safety. Monday’s announcement boosts this commitment to $25 million, including the provision of $500 vouchers for eligible DonorsChoose campaigns in the near future.

This move by Google comes amid growing criticism and legal action against Google-owned YouTube and other social media platforms, which have been accused of contributing to the mental health crisis among children by incorporating addictive features into their designs.

Justin Steele, Director for Google.org in America, emphasized that this initiative is part of Google’s effort to lead a crucial conversation and contribute positively to addressing the mental health crisis. He pointed out that searches for “teen mental health” have doubled over the past four years, highlighting the rising concern.

“Obviously, we want people to be able to take advantage of all the amazing things technology has to offer,” Steele stated. “But we also want them to be able to do it in a healthy and safe way.”

Google.org’s contributions include $6 million to DonorsChoose. Additionally, the company announced donations totaling $1.5 million to the Jed Foundation, the Steve Fund, and the Child Mind Institute—organizations that focus on the emotional wellbeing of young adults, people of color, and children, respectively. These groups will develop 30-minute training sessions to help educators manage new mental health challenges, with teachers earning $200 DonorsChoose credits upon completing the course.

Selena Gomez’s Rare Impact Fund, which seeks to increase funding in this underfunded area, will receive $1.25 million. Gomez, who has been open about her own bipolar diagnosis, stressed the importance of having supportive adults in teenagers’ lives.

In a blog post on Monday, Gomez wrote, “As young people find their way through the world, it’s crucial that they get guidance in building healthy, positive and productive mental health habits. Few people are in a better position to help do this than teachers.”

The urgency to address behavioral issues in schools was underscored by a recent report from the Centers for Disease Control and Prevention, which revealed that students are experiencing higher rates of bullying and school absences due to safety concerns compared to previous years.

Yes, there has been an uptick in funding for mental health initiatives, noted Mindful Philanthropy Executive Director Alyson Niemann, but she added that the financial support still falls short of meeting the elevated awareness and needs. One significant challenge, according to Niemann, is that donors are often uncertain about which solutions are effective. Nevertheless, school-based mental health support is one of the most promising strategies, as it is often the first place where students seek help and find trusted adults like teachers or coaches.

DonorsChoose CEO Alix Guerrier clarified that while teachers are not a replacement for mental health professionals, there has been a fourfold increase in the number of mental health-related requests from teachers on their platform over the last four years. These requests often include items like saucer chairs for a “calm corner” or meditative stuffed animals that aid in deep breathing exercises.

“There is no limit to teachers’ creativities,” Guerrier remarked.

Aileen Gendrano Adao, a high school English teacher in Los Angeles, has long prioritized mental health in her classroom. She begins her classes by asking students to ground themselves with three deep breaths and has decorated her classroom walls with posters that affirm students’ self-worth.

Adao appreciates the flexibility that DonorsChoose offers, allowing her to creatively engage with her students, especially when district funding falls short of meeting immediate needs. During the pandemic, when Asian Americans were facing racially motivated attacks, she used DonorsChoose to acquire graphic novels about Asian American identity for her students.

She hopes that this additional funding will inspire more educators to prioritize mental health in their classrooms.

“Schools are transforming in a way that’s needed and necessary to heal from post-pandemic chaos,” she said. “There’s an investment. People are seeing us and wanting us to be better and whole again.”

This comprehensive effort by Google.org and its partners reflects a broader recognition of the critical need to support the mental health of students. By providing resources and training for educators, they aim to create a more supportive and mindful educational environment for children facing unprecedented mental health challenges.

AAPI, Led By Dr. Satheesh Kathula And Team Commit To Take It To Newer Heights

Center for Continence and Female Pelvic Health said, “Since my membership to AAPI In 1997, I have been a dedicated foot soldier for the American Association of Physicians of Indian Origin.”

satheesh 24As the President-Elect, the multi-talented professional said, “I understand that AAPI needs experienced leadership from someone who has been in AAPI leadership for over two decades.  I know what works and what does not.  This is a major contribution that I can make this year in guiding the leadership to progress in the right direction efficiently and effectively.”

Dr. Kathula, a board-certified hematologist and oncologist from Dayton, Ohio, practicing Medicine for over two decades, said: “I want to take this opportunity to thank past leadership, along with the executive committee, Board of Trustees, and chairs of all standing committees, for their year of dedicated service. Let us continue to support each other, innovate, and strive for excellence. The challenges we overcome today will pave the way for a brighter and more prosperous future for all.”

Dr. Kathula, who graduated from Siddhartha Medical College, Vijayawada, Andhra Pradesh, India in 1992 is asatheesh with amit 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:”

While elaborating on his broader agenda as the 43rd President of AAPI, Dr. Kathula, an eminent physician of over 25 years’ standing in Ohio, an admirable community leader and philanthropist with a stellar record of serving in several leadership roles in AAPI, says, “I will collaborate with legislative bodies and medical associations such as the AMA, ACP, and FSMB, in our efforts to amplify our impact.”

Dr. Kathula has laid out his vision for AAPI:

  • Promote AAPI’s mission of education, excellence in patient care, research, and professionalism.
  • Increase membership of AAPI and enhance membership benefits. Engage the younger generation more.
  • Collaborate with major physician organizations in the US.
  • Fast-tracking of Green Cards process for Physicians
  • Leverage the strength of 100,000 Indian American Doctors through Legislative endeavors.

Kathula GHSThe 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. Physicians of Indian origin are known for their great achievements, and their contributions to their motherland, India, and their adopted land, the United States in significant ways 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, 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 AAPI, please visit: www.appiusa,org

Ajay Ghosh

Media Coordinator, AAPI

Phone # 203.583.6750

Urgent Need for Medicare Physician Payment Reform to Protect Healthcare Access and Quality

The Medicare physician payment system is becoming increasingly unsustainable, threatening the stability of both physicians and their patients. Despite years of advocacy for reform, physicians remain the only Medicare providers who do not receive an annual inflationary update. This lack of adjustment means that payment rates fall behind inflation, putting physicians at risk financially and making it difficult for them to manage rising medical costs. Without intervention, many physician practices may be forced to close, resulting in fewer options for all patients, not just those on Medicare, to receive high-quality care.

Reforming this system is urgently needed. Strong action from Congress is essential to establishing a fair and logical Medicare payment system that links compensation more closely to the quality of care provided. Such reforms would also eliminate the need for Congress to annually assess and prevent scheduled pay cuts. The Strengthening Medicare for Patients and Providers Act (H.R. 2474) proposes an annual inflationary update to Medicare physician payments, calculated using the Medicare Economic Index. Support for this bill from policymakers would help correct systemic flaws, protect physician practices, and ensure patients retain access to quality care.

Further reforms could also make the Medicare physician payment system more reflective of the current realities faced by medical practices. These changes could include revising the rules around budget neutrality calculations to prevent errors in future projections and reducing the financial and reporting burdens imposed by the Merit-based Incentive Payment System (MIPS). Additionally, reforms could encourage participation in alternative payment models (APMs), which reward providers for delivering high-quality, coordinated care.

There are several critical reasons why Congress needs to address this issue immediately:

Rising Practice Costs and Declining Physician Pay:

Since 2001, Medicare physician pay has fallen 29 percent behind inflation. During the same period, the cost of running a medical practice has increased by nearly 50 percent. This discrepancy has resulted in over two decades of stagnant payments in the face of rising costs.

Incorrect Assumptions Reduce Available Payment Funds:

When new services are added to the physician fee schedule, projections about the future workload of practices are made to comply with the Centers for Medicare & Medicaid Services (CMS) budget neutrality rules. However, these projections are often inaccurate, leading to billions of dollars being permanently removed from the payment pool.

Temporary Fixes Are Not Sustainable:

At the beginning of 2024, Medicare physicians faced a 3.37 percent payment cut. While Congress intervened to limit the reduction, they only managed to reverse 1.68 percent of the cut. This action left physicians struggling to manage practice costs and consumer prices. This reduction followed a 2 percent pay cut in 2023.

Ongoing Pay Cuts Limit Options for Medicare Patients:

The U.S. is already seeing delays in access to care and challenges in scheduling appointments. With a projected shortage of up to 86,000 physicians by 2036, Medicare patients cannot afford to lose more options for care.

All Americans Risk Losing Access to Quality Care Without Reform:

Without significant long-term changes, physicians will struggle to afford staff salaries, purchase new equipment, or invest in their practices. If Medicare physicians are forced to close their doors, all Americans, not just Medicare beneficiaries, will be at risk.

APM Development Has Stalled:

While both Congress and the physician community have advocated for APMs to enable better care delivery at lower costs, most physicians still lack the opportunity to participate in these models. This lack of participation deprives both patients and physicians of the advantages offered by innovative healthcare delivery systems.

Healthcare Access in Rural and Underserved Areas Will Decline:

The annual cost of participating in MIPS is approximately $12,800 per physician. This cost is challenging for rural and small practices with limited resources to absorb. If Medicare physicians in these areas close, residents may struggle to find care at all.

A Rational Payment System Would Better Meet the Needs of Americans:

Reforming the current system would benefit both patients and physicians. It would provide financial stability and predictability, promote value-based care, and safeguard access to high-quality care. Additionally, it would allow practices of all sizes, in both rural and urban areas, to thrive.

Physicians have been pushing for reform for over a decade, but the system remains unchanged. The current situation has placed significant strain on the healthcare system, particularly for those on Medicare. As healthcare costs continue to rise, the lack of an inflationary update has put many practices at risk of closure, which in turn threatens the quality of care available to patients across the country.

One of the most significant issues is the failure to provide physicians with an annual inflationary adjustment. While other Medicare providers receive such updates, physicians are left behind, struggling to keep up with increasing costs. This gap between rising expenses and stagnant payments creates a precarious situation for many practices, especially smaller ones that lack the financial buffer to absorb these costs.

The Strengthening Medicare for Patients and Providers Act (H.R. 2474) offers a potential solution by proposing an annual update to Medicare physician payments based on the Medicare Economic Index. This adjustment would help align payments more closely with the realities of medical practice today, providing a much-needed lifeline for struggling physicians.

Moreover, addressing the systemic flaws that lead to inaccurate budget projections is crucial. When new services are added to the fee schedule, the assumptions made about future usage can lead to significant errors. These errors can result in billions of dollars being unnecessarily removed from the payment pool, exacerbating the financial challenges faced by physicians.

The temporary patches that have been applied to the payment system are no longer sustainable. At the start of 2024, physicians were confronted with a 3.37 percent payment cut. Although Congress intervened, they could only reverse a portion of the cut, leaving physicians unable to fully cover their rising costs. This situation is not new; it follows a similar reduction in 2023, highlighting the ongoing instability of the current system.

The continued decline in payment rates has broader implications for patient care. The U.S. is already grappling with delays in access to care, and with a projected shortage of up to 86,000 physicians by 2036, the situation could worsen significantly. Medicare patients, in particular, are at risk of having fewer options for care, which could lead to longer wait times and reduced access to the services they need.

Without comprehensive reform, all Americans stand to lose. Physicians will find it increasingly difficult to maintain their practices, particularly in rural and underserved areas where resources are already stretched thin. The high cost of participating in programs like MIPS further exacerbates these challenges, making it even harder for these practices to survive.

Reforming the payment system is not just about ensuring fair compensation for physicians; it is about protecting the healthcare infrastructure that millions of Americans rely on. A rational, stable payment system would support practices in providing high-quality care, encourage innovation through APMs, and ensure that patients, regardless of where they live, have access to the services they need.

Congress must act now to reform the Medicare physician payment system. The current system is unsustainable, and without change, both physicians and patients will continue to suffer. The Strengthening Medicare for Patients and Providers Act (H.R. 2474) and other proposed reforms offer a pathway to a more stable, equitable system that benefits everyone involved.

Survey Reveals Rising Physician Dissatisfaction: Over One-Third Consider Leaving or Reducing Work Hours, AMA and Sanford Health Respond with Targeted Strategies

As retirement age nears, many physicians naturally begin to think about stepping down or reducing their workload. However, recent data from an AMA survey reveals a concerning trend: more than one-third of all physicians, including a significant number of younger or midcareer doctors, are considering leaving the profession or cutting back on their work hours. This trend raises alarms about the future stability of healthcare as experienced physicians contemplate early retirement or reduced workloads.

The American Medical Association (AMA) gathered over 12,400 responses from physicians across 31 states through the AMA Organizational Biopsy®, involving more than 80 health systems. The findings, exclusive to the AMA and not published elsewhere, reflect 2023 trends in six key areas: job satisfaction, job stress, burnout, intent to leave an organization, feeling valued by an organization, and total hours spent on work-related activities each week (referred to as “time spent”). These aggregated data aim to provide a national overview of organizational well-being and serve as a benchmark for other healthcare organizations, though the results are somewhat limited by the number of participating health systems.

From 2022 to 2023, 35.7% of doctors expressed a moderate interest in leaving their current jobs within the next two years or indicated they would like to or definitely would leave during that period, according to the national physician comparison report. Although this figure represents a slight decrease from 39.3% in 2022, the intent to leave remains highest among physicians who are 20 or more years out of training, at 40.8%. Part-time physicians also reported a high intention to leave, with 39.1% considering departure, compared to 34.9% of full-time physicians. Male physicians showed a slightly higher tendency to leave (35.9%) compared to female physicians (33.2%).

Specific specialties are more affected by this trend than others. Internal medicine physicians had the highest intent to leave at 39.1%, followed by family medicine at 37.3%, obstetrics and gynecology at 34%, hospitalist medicine at 32.9%, emergency medicine at 32.3%, and pediatrics at 30.2%. These figures highlight the growing dissatisfaction across a range of specialties, which could have significant implications for patient care and the healthcare system as a whole.

Furthermore, 35.9% of physicians surveyed stated they plan to reduce their work hours within the next 12 months, a slight decrease from 38.1% in 2022. The AMA, as a leader in promoting physician well-being, is actively working to reduce physician burnout by minimizing administrative burdens and offering practical solutions to help doctors rediscover the joy in their profession.

At Sanford Health in Sioux Falls, South Dakota, a member of the AMA Health System Program, the situation mirrors the national statistics, with 35.5% of physicians reporting an intention to leave within two years. Sanford Health is implementing several strategies to improve job satisfaction and reduce the number of physicians considering departure or reducing their work hours.

One of the key strategies Sanford Health has adopted is providing annual check-ins with physicians. Research shows a clear link between work overload and burnout or the intention to leave a job. Dr. Heather Spies, an obstetrician-gynecologist and physician director of clinician experience and well-being at Sanford Health, emphasized the importance of intentional and proactive conversations and investments in relationships between physicians and their leaders. “Why someone is considering leaving an organization can be complex—it may be different for everybody,” Dr. Spies explained.

To address this complexity, Sanford Health has instituted annual check-ins for physicians and other health professionals to meet with their department chair and directors individually, and offers additional opportunities to connect as needed. “Listening, understanding and building trusting relationships are essential to determining how best to help clinicians avoid burnout or alleviate it once it’s happened,” Dr. Spies noted. These conversations are crucial for early intervention if physicians are considering reducing their hours, leaving entirely, or retiring early.

Maintaining open communication is another critical component of Sanford Health’s approach. Solutions to physician dissatisfaction vary, and open communication helps leaders apply individualized solutions. This involves having deeper conversations to uncover the specific reasons why a physician may be considering leaving or reducing their work hours. “Is it because they are not able to keep up on their charts or their in-baskets? If it’s something operationally adjustable, then we could find ways to enhance teamwork within their clinic or their department,” Dr. Spies suggested. She added that tools like Epic signal data can help identify how much time physicians are spending on work-related tasks outside of regular hours, such as charting or managing their in-baskets. “If they’re high and their time spent outside of work on charting or the in-basket is an outlier, then we can talk to them about supporting them further with resources,” she said.

This data-driven approach allows Sanford Health to tailor solutions to individual physicians while also identifying broader trends that may impact multiple clinicians. “It’s really just looking at all the different things that they might need,” Dr. Spies explained. “Then the clinician and their leader can also work better together to have discussions on solutions—some of which may apply to and help other clinicians as well, and some of which may be more unique to a certain physician.”

At Sanford Health, the intent to leave is highest among physicians who are 20 years or more post-training, at 48.9%, and among obstetrician-gynecologists, at 46.1%. The upcoming Organizational Biopsy at Sanford Health aims to identify what physicians need to thrive in a high-stress, high-stakes environment. Previous data from Sanford Health’s Organizational Biopsy showed that “the highest turnover rate is in those first couple of years after joining a practice,” Dr. Spies mentioned.

In response, Sanford Health has heavily invested in new physician orientation and extended onboarding programs to ensure physicians feel integrated into the organization’s culture. These initiatives also help physicians adapt to the community where they live and connect them with mentors or coaches if needed. “Our goal with our clinician experience strategy is to continually look at ways to be intentional about assessing the needs of our clinicians so that if there is a need, we can try to be proactive and provide for that need rather than getting to the point where we’re retroactively trying to find out why people are leaving,” Dr. Spies said. She emphasized that data is a crucial part of understanding and addressing the well-being of clinicians at an organizational level, allowing Sanford Health to stay vigilant for red flags that might indicate potential issues.

“We want Sanford to be a place where clinicians come and a place where they retire,” Dr. Spies stated. “So, it’s really important to us that we’re looking at that whole career spectrum and what we can do in each phase of that spectrum to keep making it better.”

As leaders, Dr. Spies and her colleagues are committed to continuously finding ways to reduce administrative burdens and maintain a strong focus on patient care. They also strive to recognize clinicians for their hard work and to help them find joy in their profession. “We have to be ready as leaders in this work to pivot and keep finding ways to reduce administrative burdens and keep the focus on the care of the patient, keep finding ways to recognize clinicians for the great work they do and keep finding ways to help our colleagues have joy in their work,” she added.

Dr. Satheesh Kathula, President of AAPI Assures to Foster Unity Within AAPI Through His Unwavering Commitment to People, Optimism, and Integrity

“I aim to foster unity within AAPI through my unwavering commitment to people, optimism, and integrity,” says Dr. Satheesh Kathula, President of the American Association of Physicians of Indian Origin (AAPI), who has assumed charge of the largest ethnic medical association in the United States. “My vision for AAPI centers on professionalization of the organization and advocacy for critical issues affecting physicians and patients alike, including addressing the physician shortage and regulatory burdens,”

KATHULA 3In an official communication sent out to the members of the AAPI’s General Boy, Dr. Kathula stated: “According to the current bylaws (Article VI) the current Executive Committee (EC) term is one year which ended on July 8, 2024. The new Executive Committee’s term started on July 9, 2024.”

Dr. Kathula, a board-certified hematologist and oncologist from Dayton, Ohio, practicing Medicine for over two decades, said: “I want to take this opportunity to thank past leadership, along with the executive committee, Board of Trustees, and chairs of all standing committees, for their year of dedicated service. Let us continue to support each other, innovate, and strive for excellence. The challenges we overcome today will pave the way for a brighter and more prosperous future for all.”

While elaborating on his broader agenda as the 43rd President of AAPI, Dr. Kathula, an eminent physician of over 25 years’ standing in Ohio, an admirable community leader and philanthropist with a stellar record of serving in several leadership roles in AAPI, says, “I will collaborate with legislative bodies and medical associations such as the AMA, ACP, and FSMB, in our efforts to amplify our impact.”

Kathula FamilyDr. 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:”

He strongly believes acquiring new knowledge is crucial for professionals, especially fore the physicians in 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.”

Kathula GHSRecalling his long association with AAPI, which he has come to call his 2nd family, Dr. Kathula says, “My first experience with medical conventions occurred at the AAPI annual convention in 1995, graced by then-President Bill Clinton. Inspired, I formally joined AAPI in 2002, though my active involvement commenced in 2009, assuming the role of the governing body member of AAPI. Later on, I won all four national elections I contested, supported by esteemed AAPI members.”

Dr. Kathula has served AAPI in various capacities. He served as 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 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 has served as the President-Elect of AAPI during the year 2023-34.

Kathula group pixIn his inaugural note, Dr. Kathula assured all AAPI members and all physicians of Indian origin that “I will sincerely work for the betterment of our beloved organization, AAPI.”

“My priority is to engage the second-generation physicians and foster mentorship to ensure AAPI’s continued relevance and vitality.” As the leader of AAPI, who has been entrusted with the task of leading AAPI, Dr. Kathula says, “My goals for AAPI have been very clear. I want to focus on education, communication, and legislation, involving the younger generation. Increasing the membership, creating benefits for members, and making AAPI financially stronger are some of my objectives. I will work hand in hand with the entire executive committee, and board of trustees, to make AAPI stronger and more viable.”

Kathula HarvardDr. Kathula has laid out his vision for AAPI on his website:

  • Promote AAPI’s mission of education, excellence in patient care, research, and professionalism.
  • Increase membership of AAPI and enhance membership benefits. Engage the younger generation more.
  • Collaborate with major physician organizations in the US.
  • Fast-tracking of Green Cards process for Physicians
  • Leverage the strength of 120,000 Indian American Doctors through Legislative endeavors.

Dr. Kathula has been an educator and mentor for dozens of high school students in the community with an interest in attending Medical Schools. He is a Clinical Professor of Internal Medicine at Wright State University in Dayton. He has been part of the program offering teaching/mentoring to medical students, residents and fellows for two decades. He has presented CME (Continuing medical education) lectures at national and international conferences and published articles in peer-reviewed medical journals.

Kathula NYHe has been actively involved in community service locally, nationally, and internationally for the last two decades. Dr. Kathula was instrumental in raising funds for the construction of the Om Shanti Hindu Cultural Center in Dayton. He is also the President and Founding Member of the Association of Indian Physicians from Ohio. He has served on several non-profit boards, dedicating his time, skills, and resources for the greater good of the larger community. Dr. Kathula served on the Board of Trustees of the Leukemia and Lymphoma Society (Dayton chapter) and has raised more than $200,000 for some of its initiatives. The society conferred on him the Man of the Year Award in 2010. Dr. Kathula received Hind Rattan Award in 2010, given by the NRI Welfare Society of India for his outstanding contributions. He was awarded ‘Man of the Year – 2018’ by the Leukemia and Lymphoma Society.

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 750 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. He also served as the chair of the Oncology track for several Global Health Summits in India.

Not satisfied with his personal and professional achievements, Dr. Kathula has been active in the Indian community. Intending to enable Physicians of Indian Origin to give back to their motherland, India, he is planning the next edition of the Global Healthcare Summit in New Delhi, India in October this year.

Satheesh kathula pixDr. Kathula gives credit to several mentors who have helped shape his outlook on life. “My life’s journey has been enriched by countless mentors and inspirations from all walks of life, each contributing to my personal and professional growth.”

Sharing about his family, Dr. Kathula says, “My wife is a homemaker, while both my sons have pursued careers in medicine—the elder as a resident in Anesthesiology and the younger currently in his third year of medical school.” Beyond a professional career, Dr. Kathula finds joy in music, writing, photography, travel, cricket, and golf, “indulging in these passions whenever time allows.”

While urging all the members of AAPI “to actively participate in AAPI’s endeavors, emphasizing inclusivity and innovation,” Dr. Kathula says, “Each Chapter of AAPI serves as a vital conduit between local and national initiatives, embodying AAPI’s ethos of collaboration and service. By fostering cooperation between the Executive Committee and Board of Trustees, we can optimize AAPI’s effectiveness and uphold our shared objectives.”

“AAPI represents over 120,000 physicians of Indian origin—a distinction I will humbly uphold as the organization’s president,” Dr. Kathula states. “I attribute this honor to the diligent efforts of my predecessors who have cultivated AAPI into a preeminent Indian American institution over its 43-year legacy. Drawing from my leadership experience in various non-profit organizations, despite our members’ diverse backgrounds, I want to emphasize our shared goals to foster cohesion within AAPI,” Dr. Kathula says, adding emphatically, “With unity, I believe we can surmount any challenge and achieve our collective aspirations.”

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, 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 practicing Indian-origin physicians in the United States, seeking to be the united voice for physicians of Indian heritage. Dr. Satheesh Kathula says, “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

Sreedhareeyam, While Spreading Ayurveda Across the Globe, Continues Its Mission Restoring Vision For All

Sreedhareeyam Ayurvedic Eye Hospital, located strategically in the picturesque town of Koothattukulam, nestled amidst the serene beauty of Kerala’s countryside, was established in the year 1931 by Vaidya Thrivikraman Namboothiri and his brother Vaidya Parameswaran Namboothiri, where Ayurveda Ophthalmology services were provided at their ancestral home of Nelliakattu Mana. It was then known not as Sreedhareeyam, but was called Shridhari Vaidyasala.

Thrivikraman Namboothiri practiced Medicine and Parameswaran Namboothiri would prepare and manufacture the medications, which were in very small quantities for the patients. Often medications were prescribed by the Vaidyas (Doctors), and patients would go to Koothattukulam Vaidyasala or other ayurvedic stores, where they could purchase the 10-20 ingredients and prepare the medications at home.

NPP Namboothiti teaching new DoctorsContinuing these ancient Indian principles and focusing on the assessment and treatment of the eyes, Sreedhareeyam was taken to the next level through the dynamic leadership of Dr. NPP Namboothiri, who was trained under the guidance of Vaidyan Trivikraman Namboodiri and other eminent ophthalmology practitioners in Kerala. After his passing away in 2021, Dr. Narayanan Namboothiri has been entrusted with the role of Medical Director and has been leading this prestigious Eye Hospital to newer heights.

In an exclusive interview with this writer, Dr. Namboothiri, who sees patients in the same house that he was born decades ago, says Ayurveda places a strong emphasis on the diagnosis of the disease. And those who practice Ayurveda use three tools: seeing, touching and assessing, and often do not use any instruments for the diagnosis of one’s illness. For Vata, Pitta, and Kapha disorders, the doctor would carefully monitor the patient’s pulse at the onset and diagnose the illness.

The ancient Indian classicals have described the ways to diagnose the severity of one’s illness by placing the fingers on the wrist area, and a physician can measure through the “Nadi Pariksha” that is pulse reading and one is able to assess and evaluate a person’s body, mind, soul, and spirit. Thus, Nadi Pariksha serves as a critical tool for diagnosis, prognosis, and determination of the Physiological and Pathological State of the Patient’s Body through the Science of Nadi Vigyan.

Sreedhareeyam Day Begins with Prayer at NaalukettuAs per Dr. Namboothiri, there are about 40 to 45 Doctors in addition to hundreds of supporting staff here working at Sreedhareeyam and its branches across India and abroad, who are led and trained by some senior Doctors, who are also assisting in the treatment of patients here and other branches.

Dr. Narayanan Namboothiri, who used to personally meet and treat every patient who visited the hospital during the initial years, gives credit to the “dedication and commitment” of the staff for the success and growth of Sreedhareeyam. “Even though I cannot see everyone, the Senior Doctors, whom I had the privilege of training are now able to train other Doctors and every one of them helps realize the mission of Sreedhareeyam.”

Unlike in the past, where fresh medical ingredients were prepared by hand, now Sreedhareeyam boasts of its highly advanced medicines factory that prepares and manufactures medicines in large quantities that meets the growing demands for the thousands of its own patients and supplying them to several other hospitals.

Sreedhareeyam, in its mission to share the ancient knowledge in Ayurveda has its Research Wing that closely monitors and documents the impact of the treatment for other facilities and future generations to emulate from its own success stories of the thousands of patients who benefit from the treatment.

“Led by a team of Doctors, our Research Team has published scientific articles in renowned research journals which is an effective way of sharing ancient knowledge and wisdom and its impact on current population, Dr. Namboothiri says. “When people read and hear about these concrete and evidence-based success stories, they come to Sreedhareeyam,” states Dr. Namboothiri, who does not believe in paid marketing campaigns to promote Sreedhareeyam and its impact on restoring vision to people.

Sreedhareeyam NethradharaAmong the thousands of successful cases, Dr. Narayanan recalls how Sreedhareeyam could help restore the vision for Rose Mary Odinga, the daughter of Raila Odinga, former Prime Minister of Kenya in 2023. After being diagnosed with a brain tumor in 2017, Odinga’s daughter had undergone surgery in Nairobi. But in the post-operative period, Rosemary had complained of severe loss of eyesight. She travelled to India in 2019 and underwent treatment at Sreedhareeyam, which helped her vision to restore.

Rose Mary said, in 2018, she suffered from aneurysm, and subsequently her eyesight became weak. For treatment, she went to Germany, Japan and South Africa. “I also went to China two times, where I received treatment using acupuncture,” she said. Having not received much success, Rosemary Odinga finally came to India, where she underwent treatment at Sreedhareeyam, where she was treated in two sessions of three weeks each.

Dr. Namboothiri says, “When she came to us two years ago, she was totally blind with some light perception with no clear visibility. She came after having undergone several treatments in other countries. She had suffered loss of eyesight due to aneurysm and atrophy in the optic nerve.”

Rose Mary received Ayurvedic treatment, involving oral medication as well as rejuvenation therapy of the nervous system, “After the first session itself she showed signs of improvement,” he said. “When she first came, she was only left with some perception of light, and her field of vision was completely lost. Now, she is moving around,” Dr Namboothiri added. Rosemary said she was happy and excited to finally see Dr. Namboothiri clearly. “(When I first met him), I could not see him, I could just hear his voice…follow his instructions. But now I can see him,” she said.

“I guess it is a testimony that AYUSH has helped someone else, other than India, from another part of the world. It is a testimony that it is universal, that solutions of AYUSH are universal, and I am proud to be part of this story,” said Rosemary Odinga. AYUSH’ denotes Ayurveda, Yoga, Naturopathy, Unani, Siddha and Homoeopathy. India has a federal ministry dedicated to these alternative medicine systems.
Mr. Odinga was all praise for the medical services rendered by the Sreedhareeyam, helping his daughter regain her eyesight.
India’s Prime Minister Narendra Modi, during his weekly “Man Ki Bhaat” mentioned Rosemary Odinga’s story and, while no medical treatment was helping her regain eyesight, Sreedhareeyam helped her. “She was treated in many countries but did not regain her eyesight. At last, she found success in India, that too after Ayurveda treatment. Rosemary’s eyesight returned, and she can see now. Her father told me that when she saw her children for the first time after the treatment, it was a golden moment of her life,” Modi said.

Sreedhareeyam While Spreading Ayurveda Across the GlobeSimilar stories by people from abroad and in India are not uncommon. Ralitsa Dutch, a 37-year-old patient from the Netherlands shared about her experience at Sreedhareeyam and Ayurveda this way: “I experienced optic neuritis, an inflammation of the optic nerve in relation to a Multiple Sclerosis (MS) relapse. Since then, my right eye has been heavily impaired. In 2013, when allopathic medicine deemed my case as “hopeless,” I started looking at alternative treatments and got to know about Ayurveda. The decision to come to India and undergo Ayurvedic treatment turned out to be life changing. After a three month stay at a specialized Ayurvedic MS center, my right eye “woke up” for the first time. After three consecutive stays, my MS stabilized, and I have not had any relapses ever since.”

Ralitsa went on to state that even though her MS stabilized, her vision did not come back to normal. It was in early 2023 “when I got to know about Sreedhareeyam, where I stayed for a two-week treatment. A year later, the test results showed improvement in the thickness of both the eye nerve and retina, indicating that 1) despite the 10-year gap, the nerve and retina are capable of regenerating and 2) there is a possibility of further regeneration followed by improvements of my eyesight. And I believe, Ayurveda is a synonym of hope and I encourage anyone who feels hopeless to give it a try.”

Dr. Namboothiri says, many come to Sreedhareeyam as the last resort, where all other options, including most modern medicines have failed them. According to him, in modern allopathic medicine, for each disease there may be multiple medications prescribed, with several side effects. However, in Ayurveda, such concept is not there. But, in ayurveda, Doctors prescribe medications that target holistically, and are treating the basic cause for any disease.

On the connection between vegetarian food and ayurvedic medicine, Dr. Namboothiri says, “Food is at the center of the medicines we give to our patients. And it’s preferred that we eat food that is easily digestible. In addition, vegetables contain lots of ingredients, including vitamins and the minerals our bodies need. Carbohydrates and protein, which are non-vegetarian items won’t digest easily, and will add to the increase of fat in our body, which contributes to collapsing of the circulation of blood. Whenever the blood is not flowing and its pathway is getting obstructed, that leads to problems in the brain, and to the upper limbs or lower limbs everywhere. It is very difficult to treat a patient with obesity and is a major challenge.”

Regarding the growing interest now in Ayurveda his thoughts for the upcoming Doctors and medical students who want to be “Another Dr. Narayanan,” Dr. Namboothiri says, people coming from outside of Kerala are not getting sufficient exposure in other ayurveda systems and its ways of treatment. Here in Kerala, there are several Ayurvedic hospitals, where thousands of patients are being treated and medical students have direct knowledge and exposure. “My suggestion to those doctors is that it is important to practice medicine with a very good understanding of Ayurveda, so that they can provide good relief to the patients with the Ayurvedic system of medicines. For instance, if someone has a fever, one should know that it can be resolved even with the one day of fasting itself. Follow the Panchakarma procedure with which they can do wonders,” he added.

Dr. Namboothiri gives credit to “My Gurus in Ayurveda, my uncle NPP Namboothiri, and Dr. B Vaidyanadhan who was in Chennai and was a famous ayurvedic doctor, with whom I had the privilege of working with for about a year. But quite often I used to go to him and learn from his approaches. He used to examine patients using the nadi parikshanam. He used to give only limited medicines, which are pinpointed and treat the ailments in his patients. I learnt a lot from him and his approach to treating patients.”

Entrance to Nellikattu Bhagwathy Temple where the Lamps are lit and burn 247 all daytsDr. Namboothiri thanked the Modi government in India, saying “It is very helpful that the Modi Government promotes Ayurveda. The government is doing many things, and he is a very good ambassador for Ayurveda as well as Yoga. An All-India Institute of Ayurveda has been started in Delhi with centers in Gujarat and Goa. The creation of Ayush Ministry is a big boost for the ancient medical traditions of Inda.”

While describing the secret to the success and growth of Sreedhareeyam, especially in the past quarter century, Dr. Namboothiri says, “I am grateful to the Divine power of the Bhagavathi, who is in front of the hospital and the divine power of Mahadeva, who is behind the hospital.”

The treatment for every patient at Sreedhareeyam begins with praying and offerings to the Divine. The staff here gather before the Bhagavathi every morning at the “Naalukattu” where the hospital originated, seeking her blessings on every patient and staff. Dr. Narayanan says, “It’s the Prakasam, that is the lighting of the lamp all night and day before the Divine” that helps sustain the vision for all of our patients.” In addition, he says, “It’s not only that I feel the power of the Divine while entering the Hospital, but there are others who feel and share the same,” which is the secret to the success of the mission of Sreedhareeyam, which is “restoring the vision for all.”

Sreedhareeyam’s commitment to the fusion of traditional Ayurveda with modern technology results in effective, safe, and reliable treatments for eye ailments. Sreedhareeyam has expanded and grown tremendously in its headquarters at Koothatukulam and having opened several new centers across many states in India and abroad. New sections are being constructed at Sreedhareeyam and there plans to open new centers in other states across India and abroad.

When asked about the future of Sreedhareeyam, Dr. Namboothiri says, “At Sreedhareeyam, our major objective is that every patient should receive maximum benefit from the treatment we provide. We are not looking at having more patents each day, but we want to provide quality care to all those who come here seeking treatment.”

NAINA HOLDS 9TH BIENNIAL CONFERENCE IN ALBANY, NY ON OCTOBER 4TH AND 5TH

The preparations for the Ninth Biennial Conference of the National Association of Indian Nurses of America (NAINA) are in full swing.  The two-day conference will be held on October 4 and 5th at Crown Plaza Hotel in Albany (New York).  The conference objectives and topics are based on the theme: “Synergy in Action:  Innovate, Inspire, Integrate”.

Suja ThomasNAINA stands as the representing voice of the tens of thousands among the 4.7 million nurses in the healthcare arena.  The primary goal of NAINA is to provide service to and bring all the nurses and nursing students of Indian origin under one umbrella.  With twenty chapters across the nation, NAINA stands as the sole national organization of Indian nurses with thousands of nurses enjoying the benefits of its membership.  In the mainstream, NAINA is closely associated with American Nurses Association, CGFNS International, National Coalition of Ethnic Minority Nurses Organization, and National Council of State Board of Nursing.  As we witness Indian Americans all across the life spectrum in the country, the Indian American nurses have already established their presence in healthcare. You will Indian nurses at bedside, in outpatient clinics, nursing leadership, nursing education, hospital administration, university faculty, and research.  They are ambitious; they uphold a vision of high-quality healthcare.  They believe that higher education can equip them with advanced knowledge, critical thinking skills, upward career opportunities, professional respect, and healthcare progress.” Suja Thomas, the president of NAINA emphasized.  Suja, a nursing administrator and an adjunct professor, is also in the governing team of CGFNS International.  The leadership team of NAINA also represents nursing professionals with expertise from diverse fields.

The conference, after the inaugural ceremony and keynote addresses, will be split in four concurrent sessions at theTara Shajan same time and will bring out new research outcomes and evidence- based practice initiatives that could empower and embolden nurses with knowledge and skills to bring back to their home practices. Attendees of each session will get continuing education credits that could be used for maintaining their specialty certifications and help nurses to achieve promotional initiatives like Clinical Ladder.  Tara Shajan, a nursing director at Health and Hospitals Corporation of New York who is the National Convenor and the treasure of NAINA pointed at the networking opportunities that NAINA conference provides to the attendees.  “Besides the valuable continuing education credits, you get opportunities to network with bedside nurses from all specialties, scholars, nurse practitioners and educators from California to Main and Florida to Minnesota. You can inspire and get inspired!”

Dr. Colleen Irwin-Walsh will be the keynote speaker on the first day.  She is the Associate Director of Evidence Based Practice at the Department of Veterans Affairs Health System, Washington DC whose Cardiac guidelines have been implemented by all VA System hospitals nationwide and will be presenting on the topic:  Driving Nurse Excellence: Ambili Nair Integrating Research, and Technological Innovation for Enhancing Practice.”   Mukul Bhakshi, Chief of Strategy and Governmental Affairs, will be another guest speaker.  Dr. Debbie Hatmaker, Chief Nursing Officer of American Nurses Association, and Dr Kelly Foltz-Ramos, director of simulation & innovation and assistant professor at University at Buffalo School of Nursing will be the guest speakers on Saturday, the second day.  Dr. Glenda B. Kelman, chair and professor of nursing at Russell Sage College Troy will do the keynote presentation on “Overcoming Imposter Syndrome in the Age of Technological Innovation in Nursing Practice.”  The concurrent sessions will follow.

Early registration to the conference is underway.  Ambili Nair, president of Indian American Nurses Association of Albany, the host of the conference, and the chapter convenor emphasized the benefits of early bird registration: “by being a participant at the conference, you are also participating in the discussion in transforming the future of nursing.”   Registration can be done at https://nainausa.org/biennial-conference-24-registration

A Conference Souvenir will also be published at the conference.  Dr. Shyla Roshin, the chief nursing officer at South Beach Psychiatric Center in Staten Island is the chair of the souvenir committee.  She said more information on submission of contributions to the conference is available at https://nainausa.org/conference-24-souvenir.

Indian Nurses Association Of New York Conducts Health Screening And Education In Long Island

The health screening and education booths of Indian Nurses Association of New York (INANY) at the Senior Health Expo in Rockville Center, Long Island was a major attraction for the local communities in the area. They included blood pressure monitoring, body mass index measurement, blood sugar check, physical and mental health screening, diabetes education, heart related education and other health maintenance education and guidance. The Senior Health Expo was organized by the first Indian American second term New York State Senator of Long Island Kevin Thomas. The event was targeted at the seniors in the region to give access to information and resources for maintaining and bettering their health.

Indian Nurses Association Of New York Conducts Health Screening And Education In Long Island 1INANY, the organization that stands as the voice of Indian nurses living in New York, has been engaged with New York State Senator to extend healthcare services to the underserved communities in his constituency for the last three years. INANY was also a recipient of a $10,000 grant in partnership with Coalition of Asian American Children and Families to address the surge anti-Asian hate incidents after the COVID-19 pandemic began. The nurses conducted an awareness and bystander intervention training program in senior centers, professional forums, social gatherings and as part of a nursing continuing education conference. The training program comprises various strategies that could be used by a witness or bystander of an anti-Asian hate incident to comfortably intervene to help the victim, without compromising safety or fear. Dr. Anna George, the president of INANY pointed out that the strategies are evidence based and have been adopted by various universities and healthcare organizations such as Northwell Health.

INANY also utilized this opportunity to provide innovative and accessible infection control education for frontline healthcare workers to protect their patients. This initiative was part of National Association of Indian Nurses of North America (NAINA) instituting a grant from American Nurses Association.

Indian Nurses Association Of New York Conducts Health Screening And Education In Long Island 2The nurse-volunteers who attended at the Health Expo comprised of nurses working at bedside, nurse practitioners from cardiac catheter lab, and university professors who shared their expertise to educate on reducing risks of life threatening illnesses and conditions. They also did depression screening and talked about need for seeking help or reaching out to resources when someone from own family or others suffers from mental health conditions or substance abuse. They also counselled about the stigma attached to mental illness. Taylor Darling, the New York assembly woman from district 18 who observed services of INANY nurses at the Expo said that she was thoroughly impressed and delighted with what INANY did for the health of the community. She talked about the stressors in nursing related to staff shortage, safe staffing issues, faculty shortage and acuity at work and thanked the nurses for their compassion and altruism. Senator Kevin Thomas expressed his gratitude for the services INANY provided to the people of his district and for the dedication of Indian nurses for what they do every day in healthcare facilities.

INANY president Dr. Anna George, Annie Sabu Aleyamma Appukuttan, Grace Alexaner, Nisha Jayan, Grace Geevarghese, Rupinder Kaur, Paul Panakal, Shiney Xavier, Paul Panakal, and Jaya Vathappally dedicated the day for their voluntary services at the Expo.

7 Key Signs You’re Dehydrated and How to Stay Hydrated, According to Experts

You might believe you’re staying adequately hydrated, especially if you’re frequently sipping coffee throughout the day, but you might be more dehydrated than you realize. The human body is approximately 70% water, and daily activities can lead to a loss of up to two and a half liters. Even breathing contributes to fluid loss, with about half a liter exhaled daily.

How Much Water Should You Drink Each Day?

Maintaining fluid balance is essential, and drinking sufficient water plays a crucial role. According to the Mayo Clinic, which references data from the U.S. National Academies of Sciences, Engineering, and Medicine, adult women should consume around 11.5 cups or 2.7 liters of fluids daily, while men need about 15.5 cups or 3.7 liters. Although roughly 20% of this intake can come from food sources like fruits, soups, and vegetables, few individuals actually meet these recommended amounts.

Signs You May Be Dehydrated

To better understand if you’re dehydrated, we consulted Dr. Lela Ahlemann, a specialist in dermatology, proctology, and nutritional medicine. She highlighted seven common indicators that you might not be drinking enough water:

  1. Dry Mouth and Thirst

A classic symptom of dehydration is feeling thirsty and experiencing a dry mouth. This sign suggests that your body is signaling a need for fluids. Dr. Ahlemann notes that a dry mouth not only indicates dehydration but can also impair your immune system. “A dry mouth can lead to a weakened oral mucosa, which serves as an immune defense, making you more susceptible to infections,” she explains. If you can’t drink water, at least rinse your mouth with some liquid.

  1. Dark Urine or Reduced Urine Output

Dr. Ahlemann explains that concentrated urine, which appears darker, is a sign of insufficient hydration. Ideally, urine should be a pale yellow. “If your urine is dark, it’s a clear indication that you need to drink more water. Observing your urine color is a simple self-check to determine if you’re adequately hydrated.”

  1. Headaches and Dizziness

Dehydration can reduce blood volume, which in turn affects the brain’s supply of blood and nutrients, leading to headaches and dizziness. “Headaches and dizziness are often caused by this decreased blood volume,” says Ahlemann. If you experience frequent dizziness, seeking medical advice is recommended.

  1. Fatigue and Difficulty Concentrating

Lack of fluids can also result in fatigue and difficulty concentrating. This is because reduced blood volume impacts brain function. “Fatigue and trouble focusing are common signs of dehydration. The decreased blood volume means that the brain is not receiving optimal support,” explains Dr. Ahlemann.

  1. Dry Skin and Lips

Dry skin and lips are additional indicators of dehydration. Dr. Ahlemann suggests a simple test to check for dehydration: “Pinch the skin on the back of your hand and pull it up. If the skin returns slowly to its original position, it indicates dehydration.” Dry skin can also cause itching and make your skin appear paler due to insufficient oxygen and micronutrient supply.

  1. Dark Circles Under the Eyes

Not drinking enough water can make blood thicker, which may make blood vessels more visible, resulting in dark circles and sunken eyes. “If you’re not drinking enough, the blood can become thicker, making blood vessels more noticeable. This can lead to dark circles, sunken eyes, and increased wrinkles around the eyes,” says Ahlemann.

  1. Constipation

Constipation is a common consequence of inadequate fluid intake. When you drink insufficient water, your intestines absorb too much water from stool, reducing its volume and leading to constipation. Dr. Ahlemann notes, “In medical terms, constipation is described as having hard stools due to dehydration. Many people are unaware that insufficient hydration can also cause bloating.”

Understanding these signs can help you recognize when your body needs more water and take appropriate steps to stay hydrated.

AAPI’s World Health Congress Concludes In New York

The first ever World Health Congress organized by the American Association of Physicians of Indian origin (AAPI) held from July 18-22nd, 2024 came to a close here at the Marriott Marquis on Times Square in New York City with the call by the outgoing President, Dr. Anajana Samadder to work towards the realization of the mission of AAPI.

“I want to thank the AAPI delegates, sponsors and organizing committee who have put together such a great event at the heart of New York City,” Dr. Samadder said in her concluding address. “We have had an exciting 1st ever World Health Congress that was full of fun-filled, educational and entertaining. There was something for everyone, including the younger generation, the teenagers, and children, as wells to the AAPI members, making it a family event,” said Dr. Samadder.

Top News AAPI’s World Health Congress Concludes In New YorkIn her keynote address at the gala on Sunday night, Honorable Smriti Irani, a former Cabinet Minister of India and a Bollywood star shared with the over 1,500 AAPI delegates who came from across the United States about the many contributions of India to the world, especially in the healthcare filed and the numerous achievements of the Government of India. She thanked the AAPI members for their great contributions and services to the people of the United States and for their motherland India.

The World Health Congress, which began on July 18th with the cutting of the Ribbon by the Mayor of New York City, Eric Adams is being attended by over 1,000 physicians and has over 80 speakers and CEOs from around the globe, provide the delegates with an unparalleled opportunity to network, learn, and explore groundbreaking advancements across healthcare disciplines.

Some of the key speakers addressed the delegates at the  Congress included: Dr. Mehmet Oz, American television personality, Physician, Author, and Professor Emeritus of cardiothoracic surgery at Columbia University; Eric Adamas, Mayor of New York City; Smriti Zubin Irani, an Indian politician and former actress, fashion model, and television producer; Binaya Srikanta Pradhan, Consul General of India in New York, Dilip Chauhan, Deputy Commissioner for Trade, Investment and Innovation, and NY Assembly woman Jenifer Rajkumar.

AAPI’s World Health Congress Concludes In New YorkNew York City Mayor Eric Adams inaugurated the World Health Congress of Physicians with the cutting of the Ribbon and a powerful and memorable inaugural address on July 18th, 2024. In his inaugural address, Adams lauded the contributions of Indian American physicians across the United States, especially during the Covid pandemic. “When you look at the 1000s of physicians across the country, you walk into any hospital, the emergency rooms, especially during COVID, you were present. You were there, and you sacrificed your own health to make sure of the health of this entire country. Your contributions are so rare.”

Dr. Mehmet Oz delivered an inspiring talk on “Living the Good Life” sharing with delegates who had assembled at the Broadway Ballroom his insights into wellness and health optimization that resonate deeply within and beyond the medical community.

Sri Brahmrishi SiddhGuru Gurudev, while bestowing his blessings on the organizers and the AAPI delegates called the Indian American Physicians “the best” in the world, because “they give their best to the world.” He lauded them for their virtues of “learning, earning and returning” that makes them stand out across the globe.

AAPI’s World Health Congress Concludes In New York

Pramukh Swami Dr. Swami Gyanvatsal, a Motivational Speaker from Akshardham, BAPS Swaminaryan Mandir presented his inspirational talk on “Physician Burnout.” Swami Gyanvasti Dr. Gyan Vatsal focused on various aspects of personal development, spirituality, social harmony, giving back to society, education, and knowledge, highlighting the significance of continuous learning and education in personal growth.

The CEO Forum was moderated by Dr. Achintya Moulick, Chair of the AAPI World Health Congress. In his opening remarks, Dr. Moulick said, “The first World Congress of AAPI signals the beginning of a new chapter for the organization which has had a significant impact on American healthcare. The goal for me as the first convention chair of the World Congress is to bring healthcare providers, entrepreneurs, financial bodies and policymakers together and create a perfect gathering of first, second and third generation physicians and other healthcare providers of Indian origin lead the way for the future of global health.”

The CEO had industry leaders from healthcare, pharma and IT, including Dr. Oz; Edward Chan, 1315 Capitall; Michael Kopko,, Co-founder & CEO | Pearl Health; Hemanth Neeli,, Inhospital Physicians; Ishan Shivanand,, Yoga of Immortals (YOI); and Dr. Samin Sharma, The Mount Sinai Hospital, Director, Cardiovascular Clinical Institute. The inspiration forum deliberated on ways to provide the best and most efficient healthcare delivery to patients, with minimum cost and how AI has and will influence healthcare delivery in the US and around the world.

AAPI’s World Health Congress Concludes In New York

AAPI’s Legislative Day discussed the need to regulate healthcare, visa, physician-patient relationship, insurance issues and was moderated by Dr. Sumul Raval, national Secretary of AAPI. He said, “AAPI’s lobbying efforts on some of the issues affecting the broader Indian American community and other immigrant groups is also a testament to its growth and reach. Being one of the oldest Indian American organizations, it’s also among the most influential, as was evident from the lawmakers who took time out of their busy schedule to address the group.”

Dr. Srinagesh Paluvoi, member of AAPI’s national Board of Trustees, and the Regional Director, Mid Atlantic-I Region Dr. Bhavani Srinivasan moderated the Legislative Day. Lawmakers how were part of the Panel included: New York City Councilwoman Susan Zhuang; New York City Councilman Shekar Krishnan; NY Assemblywoman Jenifer Rajkumarl;  Ravi Reddi, representing the Office of US Senator Kirsten Gillibrand; New Jersey state Senator Vin Gopal; and, NYC Councilwoman Majority Whip Selvena N. Brooks-Powers. During the discussions, AAPI members highlighted the importance of healthcare delivery, Green Card backlog, physician-patient health relationship, and insurance issues. In a show of support for AAPI, all the lawmakers addressed the AAPI delegates and listened to their concerns and promised support.

Moderated by Dr. Bhavani Srinivasan and co-moderated by Dr. Mamta Singhvi co moderator, past president of MSRF and led by Dr. Anjana Samadder, president of AAPI, the popular Women’s Forum had Smiriti Irani, former federal Minister from India and Bollywood star, Dr. Leena Gupta, Regional Director from the West Coast, Yoshita Singh, Press Trust of India, Chief Correspondent for USA and the United Nations, Dr. Soumya Vishvanathan, a physician and corporate leader, leading a group of 17 Hospitals in Florida. Each of them shared with the audience their personal journey to become successful in their professional careers.

AAPI’s World Health Congress Concludes In New York Some of the major themes at the convention include: Yoga and Meditation practices, a welcome kit with books & self-care supplies, A Personal Reflexology Session, Take home wellness routine, yoga therapy sessions, a workshop on Spiritual well-being, Book talk with Yoga Gurus, including on the science of Yoga & Lifestyle medicine, and several wellness sessions.

The World Congress has had, among many others, sessions on cutting-edge research and CMEs, promoting business relationships, and displaying of ethnic items. Artificial Intelligence (AI) was the prime focus of our World Health Congress. There were entertainment features for children, live and exciting performances by Javed Ali and Atif Aslam, Aditya Narayan, Traditional Garba, Bollywood Film Festival, a standup comedy show by Kapil Sharma and a fashion show by the world renowned fashion designer and artist Archana Kochar.

In addition to colorful entertainment, and exquisite authentic Indian cuisine, esteemed health industry leaders, world-renowned speakers, and experts shared their wisdom and expertise in the industry, offering enlightening sessions to the delegates.

AAPI’s World Health Congress offered an exciting venue to interact with leading physicians, health professionals, academicians, and scientists of Indian origin. The 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.

AAPI’s World Health Congress Concludes In New YorkAmit Chakrabarty, Vice President of AAPI said, “AAPI’s mission has evolved in th