Monthly Archives: September 2019


From Chinese drones to sniper rifles to stones: the weapons connect all the dots between Afghanistan and Kashmir. Imran Khan’s so called moment of truth in USA, masks the reality of Kashmir. His milstablishment is the only missing link. Imran Khan, in the worst flap ever, concedes Pak Army and ISI trained the Taliban and […]

Big medicine

How Big Medicine is hurting patients and putting small practices out of business JOHN MACHATA, MD | POLICY | MARCH 27, 2019 Recently the CEO of a large health care network stated: “Market forces don’t apply to health care.” Of course, economic and political forces apply to health care.  Big Medicine’s most powerful entities (insurers, […]


• Communication is a process of exchange of information • Active listening involves paying attention, facilitatory cues (Verbal & nonverbal), reflecting, clarifying, deferring judgment, summarizing and giving feedback. • Proxemics and kinesics need attention • Nonverbal communication plays important role hence learn to decode clients & manage one’s own facial expressions, gestures, postures and vocal […]

Septic shock with no diagnosis at 24 hours

Contou et al. Critical Care (2016) 20:360 DOI 10.1186/s13054-016-1537-5 RESEARCH  Open Access : a pragmatic multicenter prospective cohort study Damien Contou1,2*, Damien Roux3, Sébastien Jochmans4, Rémi Coudroy5, Emmanuel Guérot6, David Grimaldi7, Sylvie Ricome8, Eric Maury9, Gaëtan Plantefève10, Julien Mayaux11, Armand Mekontso Dessap1,2, Christian Brun-Buisson1,2 and Nicolas de Prost1,2       […]

Sample light scalpel romance

Upon joining the MS course, a doctor doesn’t expect to be showered with rose petals. But he shouldn’t be treated like dirt either. Afunny-looking man entered Nirog Hospital. He was swaggering like a WWE wrestler, on the move. But his spotless white coat and the stethoscope hanging around his neck were clear pointers to his […]

For Sex Change surgery

Guidelines are 1.Diagnosis by two Psychiatrists 2. Psychological assessments This initial workup taken as starting point 3 months of counselling Monthly visit to primary consultation and behavior assessment (recording ) by primary psychiatrist .. 3rd month : hormonal treatment can be started if patient is well 6 month ( from starting point) : counseling sessions […]

A book DEAR PEOPLE..sample

Dear People, Once upon a time, doctors were considered akin to God. The stethoscope was revered and their healing touch was discussed far and wide. The doctor-patient relationship was a pure bond, unaltered by technological interference. Don’t get us wrong; there’s much to cheer in the way we live today, but a lot is still […]

150000 Deaths, 500000 Accidents Or A Strict Law?

(c) Dr. Rajas Deshpande Neurologist Pune/ Mumbai Ask any doctor in India, how traffic related deaths and injuries cause havoc in the casualties every day. In a country with nearly five lakh traffic related accidents and one lakh fifty thousand deaths every year, with many more lakhs seriously injured and disabled for life, the strictest […]

You CAN prevent falls!

 Fall Prevention and Healthy Ageing                          The facts    Falls are the leading cause of injury among older Indians. 20-30% of seniors experience one or more falls each […]

The Feds Are Raiding the Offices of Doctors Who Prescribe Addiction Medication

Opioid overdose is now responsible for one in five deaths among young adults—an astonishing proportion, according to new data from the American Medical Association. These losses aren’t inevitable: We actually have two medications, which, if made widely available, could cut opioid-related mortality by 50 percent or more. Unfortunately, while doctors and activists are fighting to […]

E cigarettes

सरकार ने, ई सिगरेट पर बैन लगा दिया है, यह कहते हुए कि इससे युवाओं को हेल्थ हज़ार्ड से बचाया जा सकेगा। जो लोग ई सिगरेट के बारे में कम जानकारी रखते हैं, उनको ई सिगरेट के बारे में बताना आवश्यक है कि– ई सिगरेट ,सिगरेट छुड़ाने की डिवाइस होती है, जो एक पेन की […]

सरकारी अस्पताल

सरकारी अस्पतालों की एक स्थायी प्रकृति होती है कि वे हमेशा गंधाते रहते हैं। मरीजों व तीमारदारों की भारी भीड़…सफाईकर्मी कम… शौचालय जाम…. उसमें पानी भी नहीं।ऐसे में कोई करे भी तो क्या?अस्पताल जब बना था ,तब सब चालू हालत में था।स्टील की टोंटियां, एग्जॉस्ट फैन व अन्य जो कुछ भी चुराने लायक था ,भाई […]


 The clinical e ectiveness of sertraline in primary care and the role of depression severity and duration (PANDA): a pragmatic, double-blind, placebo-controlled randomised trial Gemma Lewis, Larisa Du y, Anthony Ades, Rebekah Amos, Ricardo Araya, Sally Brabyn, Katherine S Button, Rachel Churchill, Catherine Derrick, Christopher Dowrick, Simon Gilbody, Christopher Fawsitt, William Hollingworth, Vivien Jones, […]

Ten commandments for budding doctors.*

* Prof Pankaj Chaurvedi *A – Attitude* – You are not doing any favor to the patients. Human body is the nature’s best creation and only we are privileged to deal with it. Patients do a favor to us by having trust in us. Give your best where ever you are. Attitude trumps attributes. *B […]

Was the writer a buffalo

The majority of persons with mental distress (PWMD) in India do not have access to care, and even those who seek care are pushed to attend private providers, given the weak and largely absent public mental health services framework. The aim of this study was to examine the experiences in help-seeking and with unethical health […]

The pleasure is momentary…the expense damnable? The influence of pornography on rape and sexual assault

Author’s personal copy Aggression and Violent Behavior 14 (2009) 323–329 Christopher J. Ferguson a,⁎, Richard D. Hartley b a Department of Criminal Justice, Applied Sciences and Criminal Justice, Texas A&M International University, 5201 University Boulevard, Laredo, TX 78041, United States b University of Texas San Antonio, One UTSA Circle, San Antonio, TX 78249-1644, United States […]

metabolic acidosis

Jung et al. Ann. Intensive Care (2019) 9:92 REVIEW Open Access                          Diagnosis and management of metabolic acidosis: guidelines from a French expert panel Boris Jung1,2*, Mikaël Martinez3,4, Yann‐Erick Claessens5, […]

Dengue in doon

Dehradun is in middle of a Dengue Epidemic. Tens of thousands of people in Dehradun are suffering from Dengue, but the government claims only around 1000 people have Dengue. That is because the State Government claims that Dengue tests done in private laboratories are wrong and unreliable and counts, in its statistics , only tests […]

Benzo teratogenic ?

TAKE-HOME MESSAGE This article presents a critical appraisal of a recent meta-analysis on the assocation between gestational exposure to benzodiazepines and major congenital malformations in the offspring.   ======================== THE SYNERGY TIMES ======================== Sept 12, 2019: Vol 19 No 95 BENZODIAZEPINES IN PREGNANCY AND MAJOR CONGENITAL MALFORMATIONS: 2 In a systematic review and meta-analysis of […]

हास्यास्पद स्थिति

मरीज देखते समय एक डॉक्टर का तनाव उसी मरीज से उत्पन्न हास्यास्पद स्थिति से ज्यादातर दूर हो जाता है, लेकिन कभी कभी इसका उल्टा भी। 1 ज्यादातर मरीज आते ही पहली शर्त दाग देते हैं कि डॉक्टर साहब गर्म दवा न लिखियो, गर्म व स्ट्रांग दवा नुस्कान करति आ शहर के मरीज भी ऐसा ही […]

Funny side of surgeon- Anaesthetist relationship!

By Malcolm Fisher (World Medicine October 1976) “Surgeons and anaesthetist have a curious sadomasochistic relationship. The love-hate aspects of the relationship are governed by two historical truths: without surgeons, anaesthetists would be unemployed and, because all surgical progress has been made possible by anaesthesia, without anaesthetists, most patients would rather keep their gallbladders, prepuces, and […]

The Healthcare Service Personnel and Clinical Establishments (Prohibition of violence and damage to property) Bill, 2019″ —

 No. Z.28013/22/2019-MS Government of India Ministry of Health & Family Welfare Department of Health & Family Welfare (Medical Services Division) ****** Nirman Bhawan, New Delhi Dated: 2nd September, 2019 NOTICE Subject: Draft Legislation titled “The Healthcare Service Personnel and Clinical Establishments (Prohibition of violence and damage to property) Bill, 2019” — regarding Ministry of […]

डॉक्टर देबेन दत्ता जैसे देवदूत की गलती क्या थी?

आइये एक चिकित्सक होने के नाते विचार करें ,क्यों डॉ दत्ता को अपनी जान देनी पड़ी विचार इसलिए भी करना है क्योंकि हम उसी नाव में सवार हैं ,हादसा किसी से भी हो सकता है ,लेकिन हादसे की जड़ में नहीं गए तो यह घटनाएं रिपीट होती रहेंगी चिकित्सक एक इंसान है ,इंसानों के बीच […]

How Serotonin And Prozac Affect The Gut’s Microbiota

POSTED ON SEPTEMBER 6, 2019 .entry-meta .entry-header Serotonin and drugs that target serotonin, such as anti-depressants, can have a major effect on the gut’s microbiota, a new study[1] in mice led by UCLA biologists strongly suggests. An estimated 90 percent of the body’s serotonin is produced in the gut, where it influences gut immunity. The […]

Dengue Prevention

 What you need to know…  Contents 1. What is dengue fever 2. Symptoms of dengue fever 3. Characteristics of the Aedes mosquito 4. Life cycle of the Aedes mosquito 5. How the Aedes mosquito transmit diseases 6. How to prevent the spread of dengue fever 7. The 10-min Mozzie Wipe-out Exercise 8. Quiz […]

Why depressed

A recent Face book entry by Dr.Simmi Waraich on Mental Health Campaign Being asked “Why are you depressed? Life is beautiful!” Is like saying “Why do you have Asthma? There is so much Air”.   After doing Psychiatry all my life and also personally suffering, I was never referred to a Neurologist by any astute […]

Draft Legislation titled “The Healthcare Service Personnel and Clinical Establishments (Prohibition of violence and damage to property) Bill, 2019” —

 No. Z.28013/22/2019-MS Government of India Ministry of Health & Family Welfare Department of Health & Family Welfare (Medical Services Division) ****** Nirman Bhawan, New Delhi Dated: 2nd September, 2019 NOTICE Subject: Draft Legislation titled “The Healthcare Service Personnel and Clinical Establishments (Prohibition of violence and damage to property) Bill, 2019” — regarding Ministry of […]

Renal Replacement Therapy in the Critical Care Setting Adeel

Hindawi Critical Care Research and Practice Volume 2019, Article ID 6948710, 11 pages Review Article Rafi Ahmed ,1 Ayanfeoluwa Obilana,2 and David Lappin3 1MB BCh BAO MRCPI MRCP(UK) PGDip (ClinEd), Holder of European Certificate in Nephrology, University Hospital Galway, Galway, Ireland 2MB BCh BAO MRCPI, Specialist Registrar in Nephrology, University Hospital Galway, Galway, Ireland […]