Monthly Archives: June 2020

ready to make plasma donation

From a group of people ready to make plasma donation: We are ready to help For blood donate pls share to u r friends,collegus,relation etc 1.Srikanth O+ ,9700655144. 2.Mani O+ ,7401535415 3.Sriram B+ ,8056051072 4.Ramesh B+ , 9884727286 5.Suresh B+, 8148916988 6.Murali A+. 7299399392 7.PRABHU. O+ 9884641396 8.Vijay. AB-ve. 9790954376 9.Jai. B- 99623610622 10.Raja A1+ […]


I GOT VACCINACTED AGAINST COVID19 ! Dr Ramesh Gulla, MS  The China born novel Corona virus is devastating the world by killing people in thousands and ruining the the world economies like never before. We still do not have an effective medicine nor do we have a novel vaccine. The medical world was not […]

Change This Medical Scene: Article Two

In the last article I had written all the reasons that make doctor’s unity impossible, and had also pointed out the fallacies of some medical professionals. Accepting that yes, some doctors are wrong sometimes, let me go to the next part: our society. 1 The Absent Scientific Mindset: 2 We have a biased society beyond […]


Months after mask manufacturers ramped up production of N95 masks in response to the coronavirus crisis, hospitals, clinics, and nursing homes taking care of COVID-19 patients are still facing shortages of the respirators. Because of the lack of supply for essential workers, consumers still can’t buy the masks in many stores, despite the fact that […]

The Conversation

Can people spread the coronavirus if they don’t have symptoms? 5 questions answered about asymptomatic COVID-19 Jun 25, 2020 Screening for symptoms of COVID-19 and self-quarantine are good at preventing sick people from spreading the coronavirus. But more and more evidence is suggesting that people without symptoms are spreading the virus too. Monica Gandhi, an […]


 Government of India Ministry of Health and Family Welfare Directorate General of Health Services (EMR Division) Version 4 27.06.20 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Table of Contents Background ……………………………………………………………………2 Disease epidemiology………………………………………………………2 Patho-physiology…………………………………………………………….2 Case definition ……………………………………………………………….3 Clinical features ………………………………………………………………3 Risk factors …………………………………………………………………….4 Clinical severity ………………………………………………………………4 Infection prevention […]

Prone Positioning in Awake, Nonintubated Patients With COVID-19 Hypoxemic Respiratory Failure

 Letters RESEARCH LETTER Prone Positioning in Awake, Nonintubated Patients With COVID-19 Hypoxemic Respiratory Failure Critically ill patients with coronavirus disease 2019 (COVID- 19) severely strained intensive care resources in New York City in April 2020.1 The prone position improves oxygenation in in- tubated patients with acute respiratory distress syndrome.2,3 We investigated whether the Invited […]

Hospitals building types.

“A functional design can promote skill, economy, conveniences, and comforts; a non-functional design can impede activities of all types, detract from quality of care, and raise costs to intolerable levels.” … Hardy and Lammers Hospitals are the most complex of building types. Each hospital is comprised of a wide range of services and functional units. These include diagnostic […]

Neuropsychiatric Complications of covid

They described the range of neurological and psychiatric complications that may be linked to the disease in the study published in the journal The Lancet Psychiatry. “There have been growing reports of an association between COVID-19 infection and possible neurological or psychiatric complications, but until now these have typically been limited to studies of ten […]

Mental, behavioural or neurodevelopmental disorders

 INTERNATIONAL CLASSIFICATION OF DISEASES – Mortality and Morbidity Statistics CHAPTER 06 This chapter has 161 four-character categories. Code range starts with 6A00 Mental, behavioural and neurodevelopmental disorders are syndromes characterized by clinically significant disturbance in an individual’s cognition, emotional regulation, or behaviour that reflects a dysfunction in the psychological, biological, or developmental processes that […]

Silicon nitride

Crucial immune cells failing to respond to virus An important set of immune cells is failing to respond properly to the novel coronavirus, providing a possible explanation for why some patients appear mildly ill at first and suddenly deteriorate, according to new research from Hong Kong. The dendritic cells are supposed to alert the immune […]

**Story of my wife who won a tough battle against severe Covid 19 (may be useful for understanding):

Covid19 was declared a pandemic in the first quarter of 2020. Everyone’s lives changed. We, the doctors who were looked down upon by the public, suddenly found ourselves in the midst of a revolution wherein we began to take the role of leading the healthcare battlefields from the frontlines. We knew our limitations and scarily […]

Did anyone ever realize how the Chinese did their wars in last 80 years?

All they did were border wars with Russia, Vietnam, Korea, Japan, India. They may have lots of weaponry. Have they ever done any significant bombing using a fighter plane? NO. They have a simple methodology when it comes to war. Irrespective of the faction or leader at the top, the war has to be just […]

Revised Discharge Policy for COVID-19

The revised discharge policy is aligned with the guidelines on the 3 tier COVID facilities and the categorization of the patients based on clinical severity (Available at: 1. Mild/very mild/pre-symptomatic cases Mild/very mild/pre-symptomatic cases admitted to a COVID Care Facility will undergo regular temperature and pulse oximetry monitoring. The patient can be discharged after […]

Diastolic dysfunction

Did you ever take the time to read an old cardiology journal – maybe, one from the late 80ies – early 90ies? In a way, it is amazing how much we already knew about diastolic dysfunction 30-40 years ago. But then again it is also disturbing to see how so many recommendations never made it […]


* Dear friends Dr Shashank Joshi, head of the covid response team in Mumbai, has coined the word covidology for the learning gems from corona experience. He is the man responsible for increasing the doubling time in mumbai to 28 days ( national average is 15 days) thus flattening the curve in Mumbai. In his […]

Colour coding for BMW

Whether or not you’ve been following our other articles about biomedical waste management, you probably know that the disposal of such garbage must be done in a certain manner: without damaging the environment, or endangering the safety of patients or medical staff. The sterilizing and removal methods are also highly dependent on the kind of […]

How is life on the first year of an MBBS?

“Mom, I won’t go to school today. Would you please let me sleep, turn off the alarm na !!!” Oh. I’m no longer in a school 😦 So what ?!? I am in a college right, who gives a shit about attendance. Lemme sleep. Anatomy Practical : Sleep kiddo sleep. I am gonna deal with […]

Managing emergencies

Nonischaemic Causes of Chest PainIllness/Condition Differentiating Symptoms and SignsReflux oesophagitis,  No ECG changesoesophageal spasm  No ECG changes Heartburn Worse in recumbent position, and also whilst straining, like anginapectoris The most common cause of chest pain. Be careful to recognize arisk patient who also has ischaemia.Pulmonary embolism  Tachypnoea, hypoxaemia, hypocarbia No pulmonary congestion […]


MR-guided focused ultrasound (MRgFUS) is a novel surgical technique that can be used for incision-free ablative neurosurgery. Two Phase I clinical trials conducted at Sunnybrook Research Institute have demonstrated that MRgFUS appears to be safe and effective for patients with treatment-resistant obsessive compulsive disorders (OCD) and major depressive disorder (MDD). Of 12 study participants who […]


Dr Shashank Joshi, head of the covid response team in Mumbai, has coined the word covidology for the learning gems from corona experience. He is the man responsible for increasing the doubling time in mumbai to 28 days ( national average is 15 days) thus flattening the curve in Mumbai. In his discussion with Dr […]

एक चिकित्सक की आप बीती

🌹कोरोना से मुलाक़ात 🌹 लोकडौन शुरू हुए दो महीने बीत चुके थे और मैं अपने क्लिनिक नहीं जा रहा था ।लेकिन धीरे धीरे कुछ ढील मिलने पर और अपने मरीज़ों के बार बार आग्रह पर मैंने क्लिनिक जाने का निर्णय ले लिया ।हालाँकि मेरा परिवार ये बिल्कुल नहीं चाहता था ।उनका मानना था की मैं […]

Can death in Covid patients be prevented if trigger/s can be identified?

1. Timely detection of hypoxia can prevent death The first trigger is silent hypoxia or “happy hypoxia”. It appears more when fever subsides (between Day 7 to 9). It may occur in patients who have no comorbid conditions. Normally, in hypoxia, carbon dioxide levels are raised and the person is irritable. In hypoxia in Covid […]

Improving the mental health of Indian workers

        Feature Gajal Gupta With research from the India State-Level Disease Burden Initiative suggesting that as many as one in seven Indians may be a ected by mental health problems, there is a pressing need to focus on ways of supporting and improving the mental wellbeing of the […]


  MOLECULAR AND BEHAVIORAL ASPECTS Edited by ALON CHEN  Academic Press is an imprint of Elsevier 125 London Wall, London EC2Y 5AS, United Kingdom 525 B Street, Suite 1650, San Diego, CA 92101, United States 50 Hampshire Street, 5th Floor, Cambridge, MA 02139, United States The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, […]

Key discussion point: Can death in Covid patients be prevented if trigger/s can be identified?

1. Timely detection of hypoxia can prevent death The first trigger is silent hypoxia or “happy hypoxia”. It appears more when fever subsides (between Day 7 to 9). It may occur in patients who have no comorbid conditions. Normally, in hypoxia, carbon dioxide levels are raised and the person is irritable. In hypoxia in Covid […]

My experience with COVID 19 infection and cytokine storm

Good morning to everyone Myself Dr. Ram Bihade. I have been treated for covid 19 pneumonia with cytokine storm. Today I have been discharged to home after 22 days. I intend to use this platform for sharing my experience. I became symptomatic on 23 may evening, I had high grade fever and severe headache. 5 […]

Indian Medical Association Healthcare under the ambit of MSME

 Benefits of MSME Registration Proof of Legal Existence Any MSME having Udyog Aadhar Registration is treated as a registered business entity in India. This is beneficial for Proprietorship Firms which otherwise do not have any other proof of existence in the name of proprietorship firms. Credit Facilities through Financial Institutions at lower rate of […]

Shedding of infectious virus in hospitalized patients with coronavirus disease-2019 (COVID- 19): duration and key determinants

medRxiv preprint doi: version posted June 9, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. All rights reserved. No reuse allowed without permission. Jeroen J.A. van Kampen M.D., Ph.D.1, David A.M.C. van de […]

radiation in covid

Human medical trials have begun on severely ill COVID-19 patients using low-doses of radiation. The first results on a very small group were published this week in a non-peer-reviewed journal that exists to get critical results out quickly to the scientific and medical community. The results were quite extraordinary. Researchers at Emory University Hospital, led […]

हिंदुस्तान के अस्पतालों का इवोल्यूशन💥💥

———————————– फेसबुक पर कुछ क्रूसेडर लिख रहे हैं मालदीव्स के रिसॉर्ट्स से भी महंगे हैं दिल्ली ,एनसीआर के कॉर्पोरेट अस्पताल।बिल्कुल सही है, और होने भी चाहिए। 80 -90 के दशक तक ऐसा नही था। अस्पताल बहुत कम थे लेकिन उन पर अनावश्यक नियम कानूनों का , अनावश्यक उम्मीदों का बोझ नही था इसलिए कम होने […]

Cytokine storm – A Life changing experience

It was 12th May 2020 when I started my second round of obstetrics Covid Ward duty along with my team. We did three lscs of Covid suspect on the first day itself. Out of which first patient turned out to be positive for Covid-19. We were also managing one Covid suspect post LSCS day one […]

Can Mouthwash Douse the Spread of COVID-19?

News > Medscape Medical News Michael Vlessides June 12, 2020 • 9 Share Email ADD TO EMAIL ALERTS create-article-wrapper-contenet-template: xml_id: P1, isMultipage= false, page_id: 1 Editor’s note: Find the latest COVID-19 news and guidance in Medscape’s Coronavirus Resource Center. Can oral rinses help stop the spread of COVID-19? After reviewing evidence from more than 100 articles, researchers […]

Dominant Airborne Transmission of covid

We further elucidated the contribution of airborne transmission to the COVID-19 outbreak by comparing the trends and mitigation measures during the pandemic worldwide and by considering the virus transmission routes (Fig. 4). Face covering prevents both airborne transmission by blocking atomization and inhalation of virus-bearing aerosols and contact transmission by blocking viral shedding of droplets. […]

Lancet Editor Spills the Beans

by Vera Sharav Alliance for Human Research Protection Philippe Douste-Blazy, MD, is a cardiologist and former French Health Minister who served as Under-Secretary General of the United Nations. He was a candidate in 2017 for Director of the World Health Organization. Philippe Douste-Blazy, MD In a videotaped interview on May 24, 2020, Dr. Douste-Blazy provided […]

Media 😳

Media should behave in a sane and literate way….and society shud try to find the way , not just keep sitting in front of TV and be the best judge. आओ हमारे अस्पतालों में हमारे साथ कंधे से कंधा मिलाकर कुछ कदम चलने की हिम्मत दिखाओ। कुछ करके दिखाओ…वीडियो बनाना बहुत आसान है, कुछ हिम्मत […]

Drug and cosmetic act

(TobepublishedinPartI,Section3,Sub-section(i)oftheGazeteofIndia, Extraordinary,datedthe….) GovernmentofIndia MinistryofHealthandFamilyWelfare (DepartmentofHealthandFamilyWelfare) NewDelhi,the…………,2018 Notification. G.S.R._(E).-WHEREASthedraftoftheNew DrugsandClinicaltrialsRules, 2018 was published,in supersession ofPartXA and Schedule Y ofthe Drugs and CosmeticsRules,1945,andinexerciseofthepowersconferedbysection12andsection 33 of the Drugs and Cosm etics Act, 1940 (23 of 1940), in the Gazet te of India, Extraordinary,PartI,section3,sub-section(i),videnotificationnumberG.S.R.104(E), st datedthe1 February,2018,bytheCentralGovernment,afterconsultationwiththeDrugs TechnicalAdvisoryBoard,invitingobjectionsandsuggestionsfrom alpersonslikelytobe afectedthereby,beforetheexpiryofaperiodoffortyfivedaysfrom thedateonwhich copiesofthesaidGazetecontainingthesaidnotificationweremadeavailabletothe public; ANDWHEREAS,copiesoftheGazetecontainingthesaidnotificationweremade availabletothepubliconthe1stFebruary,2018; AND WHEREAS,alobjectionsandsuggestionsreceivedinresponsetothesaid draftnotificationhavebeendulyconsideredbytheCentralGovernment; N […]


  INDIAN COUNCIL OF MEDICAL RESEARCH 2017 Published by: Director-General Indian Council of Medical Research New Delhi 110 029 ISBN: 978-81-910091-94 October, 2017 Price: ₹ 500.00 © Copyright Indian Council of Medical Research The use of content from this book is permitted for all non-commercial purposes like education, training and dissemination of information, […]

Changing portrayal of doctors in Bollywood films: 1940 – 2020; time for introspection.

1  Satyendra Tyagi, MD Introduction  changing portrayal of doctors in Bollywood films in the last eighty years to see if it has been influenced by the ongoing changes in The Indian film industry is one of the largest cinema hubs in the world. Indian cinema, popularly referred to as Bollywood, is renowned not […]


. The RxISK post on Medications Compromising Covid Infections resonated with many. Its basic premise that many of the drugs we are on might compromise our ability to fight the infection seems close to self-evident. It made a call to the powers that be to ensure that data was collected on the meds that people […]

Healthcare workers & SARS-CoV-2 infection in India: A case-control investigation in the time of COVID-19

[Downloaded free from on Wednesday, June 10, 2020, IP:] Indian J Med Res, Epub ahead of print DOI: 10.4103/ijmr.IJMR_2234_20 Pranab Chatterjee1,#, Tanu Anand7,#, Kh. Jitenkumar Singh2, Reeta Rasaily3, Ravinder Singh4, Santasabuj Das8, Harpreet Singh5, Ira Praharaj6, Raman R. Gangakhedkar6, Balram Bhargava† & Samiran Panda9 1Translational Global Health Policy Research Cell, †Department of Health […]


Government of India PIB Press Briefing 11th June 2020 1 Cases per Lakh Population amongst the Lowest in the World 800 700 600 500 400 300 200 100 746.8    91.67 93.2 204.1 209.5 220.6 332.8 230.9 338.3 425.9 389.6 589.5 517.5 605.7   20.77 0 World India Mexico Turkey Iran Germany […]

Coagulation abnormalities and thrombosis in patients with COVID-19

Comment            e438 Vol 7 June 2020 Published Online May 11, 2020 S2352-3026(20)30145-9 Although most patients with coronavirus disease 2019 (COVID-19) predominantly have a respiratory tract infection, a proportion of patients progress to a more severe and systemic disease, characterised by treatment- resistantpyrexia,acutelunginjurywithacuterespiratory […]

COVID- 19 Infection Control During Reopening Efforts

Medical services, Offices, Manufacturing units, Hotels, Malls    JAAN JAHAAN BHI BHI  Shouldering Responsibility Of COVID -19 Decontamination • The Leader in disinfection • Specialized in surface and environment disinfection with US EPA certified products • Infection control products range to meet everyone requirements including Medical Services, Offices, Industry, Food Industry, Retails, […]


Corona Virus is here to stay for quite some time, and so we have to change our ways of Medical Practice, to keep ourselves , our families and our staff safe. Here are some important tips for safe practice , though every one can add or modify to some extent, depending upon his type of […]

*Naam Nishan Aur Namak.*

(This is a story of leadership told by *Subedar Major Darbara Singh* to NDA cadets in the mid eighties:) NDA Cadets from the early to mid eighties will remember the imposing frame of SM Darbara Singh. During the rehearsal for the Passing out Parade in 1985, the cadets were in a particularly rebellious mood. The […]


 YOUR Plan of Action TO BE FIT, FINE & HEALTHY LIFE-LONG   Continuously living in the hormones of stress, fear and anxiety will just invite more diseases. Instead let us start living with more awareness and right knowledge.  IMMUNITY BOOSTING FOODS  DRUMSTICKS – Drumstick is one of the superfoods which helps […]

‘It didn’t kill me, but I came out stronger’

A nurse contracted COVID-19 from one of his patients, recovered, and returned to work with much more resolve and compassion /noindexstartindex Eugene, a 32-year old nurse, left the elderly care home early on 1 April eager to spend time with his wife and five-month old son at their newly built house just outside of Vienna. […]

Zinc and covid

Abstract. In view of the emerging COVID‐19 pandemic caused by SARS‐CoV‐2 virus, the search for potential protective and therapeutic antiviral strategies is of particular and urgent interest. Zinc is known to modulate antiviral and antibacterial immunity and regulate in ammatory response. Despite the lack of clinical data, certain indications suggest that modulation of zinc status […]