Monthly Archives: June 2019

C section

Did you know that modern C sections were invented by African women— centuries before they were standard elsewhere? Midwives and surgeons living around Lake Tanganyika and Lake Victoria perfected the procedure hundreds of years ago. When a baby couldn’t be delivered vaginally, these healers sedated the laboring mother using large amounts of banana wine. They […]

‘Doctors in government hospitals are par excellence … a skewed doctor-patient ratio is the major cause of trouble’

India’s public healthcare system has been in the spotlight following an assault on a junior doctor in West Bengal. Tatyarao P Lahane, an ophthalmologist by training, who is director of Maharashtra’s Directorate of Medical Education and Research (DMER) and was dean of Grant Medical College and JJ Hospital, Mumbai, spoke to Sugandha Indulkar about the […]

Formal guidelines: management of acute respiratory distress syndrome

Papazian et al. Ann. Intensive Care (2019) 9:69 https://doi.org/10.1186/s13613-019-0540-9 REVIEW Open Access                          Laurent Papazian1*, Cécile Aubron2, Laurent Brochard3, Jean‐Daniel Chiche4, Alain Combes5, Didier Dreyfuss6, Jean‐Marie Forel1, Claude Guérin7, Samir Jaber8, […]

Subclinical hypothyroidism: When to treat

REVIEW SIDRA AZIM, MD Starling Physicians Endocrinology; Medical Staff, Hartford Hospital, Hartford, CT; Clinical Assistant Professor, Department of Medicine, University of Connecticut School of Medicine, Hartford CHRISTIAN NASR, MD Department of Endocrinology, Diabetes, and Metabolism, Cleveland Clinic; Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH   […]

Addiction

  2017.1.118.40 Adoption Date: April 12, 2011 Public Policy Statement: Definition of Addiction PDF Short Definition Frequently Asked Questions (FAQs) Short Definition of Addiction: Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in […]

Don’t make doctors the fall guy for India’s poor healthcare

June 23, 2019, 2:00 AM IST Chetan Bhagat in The Underage Optimist | India | TOI When I was in school, many of my friends prepared for entrance exams. For science students back then, and perhaps even now, medicine and engineering were the most popular options. I chose engineering. Today, when I see the state […]

Should Health Professionals Allow Reporters Inside Hospitals and Clinics at Times of Natural Disasters?

Health professionals must protect their patients’ dignity and privacy Anant Bhan The tsunami that marked a solemn end to 2004 left behind unprecedented devastation. The world was shocked at the increasing casualty figures and the real-time images of the disaster brought by the news media. These included clips and photographs of dead bodies, grieving relatives, […]

ऐसा बर्ताव होगा तो कौन डॉक्टर बनना चाहेगा

जब स्कूल में था तो मेरे कई दोस्त प्रवेश परीक्षा की तैयारी करते रहते थे। उन दिनों और शायद आज भी विज्ञान के छात्रों के लिए मेडिसीन और इंजीनियरिंग सबसे लोकप्रिय विकल्प थे। मैंने इंजीनियरिंग को चुना। आज जब मैं अपने देश में डॉक्टरों की हालत देखता हूं तो मैं शुक्र मनाता हूं कि मैंने […]

Muzaffarpur deaths

Along with my colleagues, I had investigated the so-called mystery disease in Muzaffarpur, Bihar, during its outbreak in 2012, 2013 and 2014. The local name for it was acute encephalitis syndrome, but we found that the disease was not encephalitis but encephalopathy. This distinction is important. Encephalitis results from a viral infection, unless proved otherwise. […]

No country for doctors

Doctors all over the country supported the Indian Medical Association’s nationwide protest on Monday, against the attacks on doctors in West Bengal. However, we kept emergency services open; because that is what we are supposed to do as doctors – save lives. I remember reading a quote by Kate Gilmore, UNHRC’s deputy high commissioner for […]

Fruits for people with diabetes

Last updated Mon 19 Nov 2018 By Caroline Leopold Reviewed by Natalie Butler, RD, LD Table of contents Eating fruit is a delicious way to satisfy hunger and meet daily nutritional needs. However, most fruits contain sugar. This has raised questions about whether fruits are suitable for people who have diabetes. Diabetes is a chronic […]

*एक डॉक्टर की व्यथा*

अपनी तकलीफ़ साझा कर रहा हूं, दो मिनट मेरी जगह ख़ुद को रखकर सोचिएगा। आठ सालों से ग्रामीण क्षेत्र में अवस्थित एक मेडिकल कॉलेज अस्पताल में शिशु चिकित्सक की तरह काम कर रहा हूं। करीब दो-तीन सालों से बचे समय में निजी प्रैक्टिस भी कर रहा हूं। अपने क्लिनिक से भी भरती योग्य गंभीर मरीजों […]

Worried mother

Last week at Kolkata’s Nil Ratan Sarkar (NRS) hospital, relatives of a dead man turned their rage on a junior doctor. Dr Paribaha Mukhopadhyay stood defenceless as a brick was hurled at him, fracturing his skull, leading to major head injuries. He was operated upon, but now there are fears of possible brain damage. It […]

Doctors strike back

এনআরএস হাসপাতালে আন্দোলনরত ডাক্তারদের “প্রেস রিলিজ”। On the completion of the GB meeting, we have come to certain conclusions. We have certain demands that we have listed out. The same will be read out by our brother here. At the end of the meet, we are not going to entertain or answer any questions whatsoever. […]

रेजिडेंट डॉक्टरों की प्रेस मीटिंग

आम सभा की बैठक के पूरा होने पर, हम कुछ निष्कर्षों पर आए हैं। हमारी कुछ माँगें हैं जिन्हें हमने सूचीबद्ध किया है। यहाँ हमारे भाई द्वारा पढ़ा जाएगा। बैठक के अंत में, हम किसी भी प्रश्न का उत्तर देने वाले नहीं हैं। आगे के सवालों के जवाब केवल तभी दिए जाएंगे जब कल सुबह […]

Violence against doctors

Somethings on my mind about what’s happening now. It is not so simplistic like the BJP and TMC are making it out to be. Both are taking advantage of the situation. The doctors protests in Kolkata must be handled with empathy and wisdom. This is not the time for TMC to scent conspiracies nor for […]

The incident

Initial incident: Date-10/6/19 Time-10.30-11.30pm Place-NRSMC&H Incident:A male patient aged 75 years, admitted in the male medicine ward died on 10/6/19 at around 6.15pm.Life saving drugs were injected to him and patient party accused that poison had been given to him causing death and they went into a feud with interns and threatened them that they […]

Medical world in India

नही चाहते थे के इस देश के सड़ांध मारते मेडिकल जगत पर कुछ लिखा जाए।लेकिन आज लिखना ज़रूरी हो गया।क्योंकि आज चिकित्सा जगत उस दोराहे पर आ खड़ा हुआ है,जहां से सिर्फ और सिर्फ पतन नज़र आ रहा है।जान बचाने वालो को आज खुद अपनी जान के लाले पड़ रहे है। पिछले 15 सालों से […]

1+1=?

“The doctor killed the patient” or “the hospital killed the patient” – a statement you can find frequently in new nowadays. Have you ever wondered what if the patient himself was a doctor? ©️ detcare -He was the Medical college principal (not naming but you can certainly find the news, few years back). A well […]

Transform Indian healthcare: How the government can build, at no cost, 300 new “medical colleges” and offer 30,000 new seats

June 14, 2019, 2:00 AM IST Devi Shetty in TOI Edit Page | Edit Page, India | TOI The WHO ranking of global health systems ranks India at a shameful 112th position, below Iraq and Venezuela, mainly due to the shortage of doctors. Converting taluka and district hospitals to  medical colleges is logical but not […]

Fake counsellors

Motivational trainers and career counsellors have been accused of practising as clinical psychologists after obtaining fake Doctor of Letters (D.Litt) certificates from fictitious universities in the country and abroad. Among them there a few school teachers and government employees too, claims Jithin K, president, Malabar chapter, Indian Association of Clinical Psychologists. They are found to […]

Reading List

The influence of a skilled and thoughtful mentor never wanes EDWARD HUNDERT In the mid-1950s, Leston Havens, psychiatrist, professor, author, patient advocate, and, for me, a mentor extraordinaire, began a residency at what would become Massachusetts Mental Health Center. During his nearly three decades at the center, Les helped define the fledgling field of biological […]

How medical education became a business, one policy change at a time

The draft National Education Policy’s call for abandoning all regulation of fees in professional courses marks the latest in a series of steps that have aggressively pushed commercialisation of medical education over the last decade, say public health activists. Till 2009, the official stance was that education could not be for sale or a for-profit […]

Cure फ़ॉर alzheimers डिज़ीज़

Pfizer chose to ‘hide’ cure for Alzheimer’s 5 days ago .entry-header end slider-section Share 0 Shares A team of researchers inside Pfizer made a startling find in 2015: The company’s blockbuster rheumatoid arthritis therapy Enbrel, a powerful anti-inflammatory drug, appeared to reduce the risk of Alzheimer’s disease by 64 per cent. The results were from […]

Wrong Diagnosis: The Secret Child Of Every Doctor

© Dr. Rajas Deshpande “I don’t agree with your diagnosis” said the senior gynaecologist to me, as the rich patient and his family heard with interest and confusion, “I don’t think this patient has Parkinsons Disease”. I had just returned from an advanced University Hospital in Canada after completing a fellowship in Parkinson’s Disease, a […]

The Secret of diagnosis

The posting in Dermatology was one, as an Intern, I had looked forward to. The full name of the specialty was Dermatology, Venearology and Leprology. In addition to diseases of the skin, it dealt with sexually transmitted diseases and leprosy. It was one of those cooler departments that an intern desperately looks forward to. I […]

Empathy

The real p(atient) value Sharon Roman The significance of patient perspectives: empathy and better healthcare Editorial commentary journal, until now I have remained a data5 point, but I am a person. Please allow me to introduce myself, my name is Sharon Roman, and 20 years ago, I was diagnosed with clinically definite multiple sclerosis. Funding […]

The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition

Spahn et al. Critical Care (2019) 23:98 https://doi.org/10.1186/s13054-019-2347-3 RESEARCH  Open Access Donat R. Spahn1, Bertil Bouillon2, Vladimir Cerny3,4,5,6, Jacques Duranteau7, Daniela Filipescu8, Beverley J. Hunt9, Radko Komadina10, Marc Maegele11, Giuseppe Nardi12, Louis Riddez13, Charles-Marc Samama14, Jean-Louis Vincent15 and Rolf Rossaint16*               […]

Subclinical hypothyroidism: When to treat

REVIEW SIDRA AZIM, MD Starling Physicians Endocrinology; Medical Staff, Hartford Hospital, Hartford, CT; Clinical Assistant Professor, Department of Medicine, University of Connecticut School of Medicine, Hartford CHRISTIAN NASR, MD Department of Endocrinology, Diabetes, and Metabolism, Cleveland Clinic; Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH   […]

Cardiogenic Shock

 CONTEMPORARY REVIEW                                Cyrus Vahdatpour, MD; David Collins, MD; Sheldon Goldberg, MD, FACC   Cardiogenic shock (CS) is a common cause of mortality, […]

Letter to health minister

To Dr Harshavardan Health Minister of India. Respected Sir Greetings While every health professional was glad to see a medical doctor holding the Health minister of India portfolio every modern medicine Doctor is aghast at one of the Governments first and major desicion . Of making Ayush doctors,nurses,dentists,pharmacists,with a bridge course become qualified modern medical […]

Phenomenology and Course of Alcoholic Hallucinosis

  Journal of Dual Diagnosis research and practice in substance abuse comorbidity ISSN: 1550-4263 (Print) 1550-4271 (Online) Journal homepage: https://www.tandfonline.com/loi/wjdd20 Venkata Lakshmi Narasimha, Rahul Patley, Lekhansh Shukla, Vivek Benegal & Arun Kandasamy To cite this article: Venkata Lakshmi Narasimha, Rahul Patley, Lekhansh Shukla, Vivek Benegal & Arun Kandasamy (2019): Phenomenology and Course of Alcoholic […]

Ethics in Critical Research: Stories from the Field

                1 Catriona Ida Macleod, Jacqueline Marx, Phindezwa Mnyaka, and Gareth J. Treharne is handbook is about researchers’ encounters with ethical dilemmas in the conduct of social and health research in which a critical approach is being applied. Each chapter […]

Woes

(Author is a non medico frnd ) “You guys are actually having fun here. To see the real ragging, go to a Medical College,” so we were told by our seniors when we started the first year in the Engineering College. Later as we interacted with friends who had taken admission in MBBS, it became […]