Monthly Archives: January 2020

Wihan. Corona. Virus

Remember *W-U-H-A-N* W – wash hands U – use mask properly H – have temperature checked regularly A – avoid large crowds N – never touch your face with unclean hands Prevention is better than cure. Just read for personal precaution n hygiene. No harm done : 👇👇👇 This is from a doctor in Hong […]

Research paper The association between banana consumption and the depressive symptoms T in Chinese Adults

Journal of Affective Disorders 264 (2020) 1–6    Contents lists available at ScienceDirect Journal of Affective Disorders journal homepage: http://www.elsevier.com/locate/jad  generaladultpopulation: A cross-sectional study Tong Jia, Xiaoyue Lia, Ge Menga,c,⁎, Yeqing Gua, Qing Zhangb, Li Liub, Hongmei Wua, Zhanxin Yaod, Shunming Zhanga, Yawen Wanga, Tingjing Zhanga, Xuena Wanga, Xingqi Caoa, Huiping Lia, […]

Subdural and epidural hematomas

A subdural hematoma (SDH) is a type of bleeding in which a collection of blood—usually associated with a traumatic brain injury—gathers between the inner layer of the dura mater and the arachnoid mater of the meninges surrounding the brain. It usually results from tears in bridging veins that cross the subdural space. Subdural hematoma Other […]

CADR S

Cutaneous Adverse Drug Reactions (CADRs) to commonly used drugs, generally considered safe M3 India Newsdesk Dec 01, 2019 Summary In routine clinical practice, all physicians encounter numerous cases of suspected cutaneous adverse drug reactions (CADR) in various forms. Although such cutaneous reactions are frequent, comprehensive information regarding their incidence, severity and ultimate health effects are […]

Regrets

  DOCTORS  Treating Regret Despite its pervaisiveness doctors often overlook it. By Dhruv Khullar, M.D. • Jan. 22, 2020   They say time is brain: Every minute you’re not treated for a stroke you lose two million brain cells. It’s a piece of medical trivia which, remarkable as it is, hardly captures the devastation that […]

Non MBBS DOCTOR IN ALLOPATHIC HOSPITAL

Following that, the National Consumer Commission has given the following verdict on the issue of hospitals hiring non-MBBS doctors: “When a patient is admitted in a hospital, it is done with the belief that the treatment given in the hospital is being given by qualified doctors under the Indian Medical Council Act, 1956. It is […]

Padam awardees

Continuing with the age-old tradition of honoring the nation’s unsung heroes on the Republic  Day, the Indian government has conferred its highest and most prestigious civilian Padma awards to 13 doctors who have made exemplary and outstanding contributions in the field of medicine.  The Padma Awards are of three categories, namely, Padma Vibhushan, Padma Bhushan, […]

Corona virus

Clinical management of severe acute respiratory infection when Novel coronavirus (nCoV) infection is suspected: Interim Guidance  Introduction This is the first edition of this document for novel coronavirus, an adaption of WHO Clinical management of severe acute respiratory infection when MERS-CoV infection is suspected publication (2019). This document is intended for clinicians taking care […]

National Snakebite Management Protocol,

India is recognised as having the highest snakebite mortality in the world. Most of the fatalities are due to the victim not reaching the hospital in time and are preventable. Research has shown that PHC doctors do not treat snakebite mainly due to lack of confidence. At the secondary and tertiary care level Emergency departments, […]

Overview of Problems in Elderly

  Dr Manigreeva Krishnatreya Medical Officer    AGING • Aging is a gradual and continuous process of natural change that begins in early adulthood. • During early middle age, many bodily functions begin to gradually decline • People do not become old or elderly at any specific age  AGING TYPES Chronologic […]

We too need that hug

5 unusual signs of cardiovascular disease

The ears, nails, forehead, scalp, and oral cavity could all be unusual parts of the human body to show subtle indications of CVD. Therefore, it may be a good idea to keep an eye out on these areas for certain signs that might indicate heart disease. Death rates for coronary heart disease in the United […]

Take me for granted

Neurologist Pune/ Mumbai “Is your food more important than the patient?” asked a angry voice on the other end of the phone. It was a Saturday night, about 11 PM, and I had already had a tough day. I had not had time for even lunch, my head was hurting already. I had known the […]

LONA

Is salt (sodium chloride) essential for life? 1 Sodium is essential for life. It is needed to transmit nerve impulses, contract and relax muscle fibres (including those in the heart and blood vessels), and maintain a proper fluid balance. Sodium also plays a crucial role in the body’s control of blood pressure and volume. 2 […]

Dr. Kishore Shah

Dr. Kishore Shah is a renowned Gynecologist practicing in Pune. He is a prolific writer. Humor is his forte. The following article is in his own words about the “MI” (myocardial infarction-heart attack) he had suffered few days back. It is ” simply ” mind blowing. ” I suffered a heart attack about 5 days […]

How to set up a private clinic

Opening a private clinic is very different from treating patients in a hospital setting on a day-to-day basis. It not only requires business acumen but one also needs to make sure to manage finances efficiently and have all the licences in place. For a doctor, starting their own clinic can be a daunting task despite […]

Diabetes Care in the Hospital: Standards of Medical Care

Diabetes Care Volume 43, Supplement 1, January 2020 S193   Diabetesd2020 Diabetes Care 2020;43(Suppl. 1):S193–S202 | https://doi.org/10.2337/dc20-S015 The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes the ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate […]

myocardial infarction-heart attack of a doctor

Dr. Kishore Shah is a renowned Gynecologist practicing in Pune. He is a prolific writer. Humor is his forte. The following article is in his own words about the “MI” (myocardial infarction-heart attack) he had suffered few days back. It is ” simply ” mind blowing. ” I suffered a heart attack about 5 days […]

My request to Indian doctors – please hike your fees

It might sound odd to non medicos, that I’m requesting Indian doctors to charge more. The general perception among public is that Healthcare should ideally be low cost to people and affordable for poor. When compared to developed countries like USA, many feel India has this positive aspect of cheaper healthcare.  Yet I request Indian […]

“Dr, should I run the Marathon? “

With the increasing popularity of the “Marathons”, running has become an “in-thing”. Suddenly, it’s trending on twitter and Facebook has groups of runners, which plan which next event to attend. Marathon runners travel all over the country to run various Marathons organised by various bodies. Apart from sporting industry, a chunk of humanitarian organisation and […]

Trust

Ten strategies could help doctors, patients and families prevent sudden cardiac death, according to a new report.

The findings from the American College of Cardiology and the American Heart Association published Monday in the Journal of the American College of Cardiology and Circulation: Cardiovascular Quality and Outcomes. More than 350,000 Americans each year have an out-of-hospital cardiac arrest, where the heart stops beating, and only 12 percent survive, according to the AHA. Experts say that many of those […]

Spirituality

 Indian Psychiatric Society In Association with Medical Wing, R.E.R.F. Editor Avdesh Sharma Spirituality & Mental Health Spirituality & Mental Health:  Reflections of the Past Applications in the Present Projections for the Future  Indian Psychiatric Society ‘Spirituality and Mental Health’ Task Force (2008-2009)  : In association with : Medical Wing, Rajyoga Education […]

‘Why I am an Indian’.

I thought it is fitting to reproduce what a man by the name of Khushwant Singh wrote in his Editor’s Page of ‘The Illustrated Weekly of India’ 50 years ago. It makes sense, and I believe is a must-read for all Indians in the present political situation. Don’t miss the last para! On Feb 15, […]

Snake poisoning

Dr. H Bawaskar provides a quick drug management protocol for elapids (cobra and krait) bite and poisoning, for situations where a clinician might be faced with an absence or unavailability of anti-snake venom (ASV). Cobra venom is neuro and cardiotoxic. It causes sudden death due to cardiac arrhythmias, heart blocks, and hypotension. Cobra and krait […]

Suicide in India

Each suicide is a personal tragedy that prematurely takes the life of an individual and has a continuing ripple effect, dramatically affecting the lives of families, friends and communities. Every year, more than 1,00,000 people commit suicide in our country. There are various causes of suicides like professional/career problems, sense of isolation, abuse, violence, family […]

How much a doctor earn in India?

A very good answer given by a doctor doing DM Medical Oncology in AIIMS, Delhi……. This is a very complex question. So a detailed answer. Corporate hospitals. There are few high flying doctors in India who are superstars like Amir, Shahrukh and Akshay, who earn loads of money, but majority of the doctors working in […]

Suicide data

Each suicide is a personal tragedy that prematurely takes the life of an individual and has a continuing ripple effect, dramatically affecting the lives of families, friends and communities. Every year, more than 1,00,000 people commit suicide in our country. There are various causes of suicides like professional/career problems, sense of isolation, abuse, violence, family […]

Brain drain

Dr. Animesh, a young medico puts forth his concerns on the rising ‘brain-drain’ in the medical profession in India, the challenges young medicos face, and possible solutions to overcome them. The year 2019 was marked as one of the most strenuous years for medical postgraduate aspirants. We are aware of the term “Brain drain”, and […]

Assertiveness, Non-Assertiveness, and Assertive Techniques

Introduction Difficulty with being assertive has stereotypically been a challenge ascribed to women. However, research on violence and men’s roles demonstrated that many physical altercations result from poor communication which then escalates into larger conflicts. Many men feel powerless in the face of aggressive communication from men and women in their lives; conversely, passivity in […]

Dementia

Dr. Prithika Chary discusses how simple investigations can be used to make a differential diagnosis of dementia and with the help of two cases explains the approach taken to diagnose and treat such patients. The DSM – IV criteria for definition of the dementia syndrome are multiple cognitive deficits, including memory impairment and at least […]

Oldest Medical college

  The year 1835 has a special bearing in the history of medical education in India. Two very prestigious and respected medical colleges of India, Calcutta Medical College, Kolkata and Madras Medical College, Chennai admitted students for the first time in 1835. The Calcutta Medical College was not only the first institute to teach modern […]

Mental health

        अपने आप को अन्य लोगों से अलग समझना आपकी वैयक्तिक भिन्नता को प्रदर्शित करता है। आप समाज का एक अभिन्न अंग होते हुए खुद को समाज का अतुलनीय हिस्सा मानते हैं। ऐसा मानना आपको चेतन या अचेतन रूप से आत्मविश्वास से भर देता है क्योंकि विचारों की शृंखला आपको महसूस कराती है कि आपका जीवन […]

Fever

Very useful points about fever 1. Recurrent rigors are most likely to be caused by bacterial infections. 2. Severe muscle pain may be a symptom of sepsis, even in the absence of fever. 3. Fever in the elderly is rarely caused by a viral illness. 4. Sepsis in the elderly may not present with a […]

Septic shock

  Clinical Review & Education SpecialCommunication | CARINGFORTHECRITICALLYILLPATIENT The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) Mervyn Singer, MD, FRCP; Clifford S. Deutschman, MD, MS; Christopher Warren Seymour, MD, MSc; Manu Shankar-Hari, MSc, MD, FFICM; Djillali Annane, MD, PhD; Michael Bauer, MD; Rinaldo Bellomo, MD; Gordon R. Bernard, MD; Jean-Daniel Chiche, […]

Important Clinical Tips*

* 1. Recurrent rigors are most likely to be caused by bacterial infections. 2. Severe muscle pain may be a symptom of sepsis, even in the absence of fever. 3. Fever in the elderly is rarely caused by a viral illness. 4. Sepsis in the elderly may not present with a fever. “The older the […]

Stepwise duties of a doctor facing a dead patient: Dr. Walke

 M3 India Newsdesk Dr. Walke, Past Chairman, Ethics and Medicolegal Committee FOGSI guides the reader in dealing with patient death in a stepwise manner- diagnosis, declaration report, handling the authorities, and handling the mob. In view of the rising incidents of the intolerant behaviour of patients and their relatives towards healthcare professionals, it has become extremely […]