Author Archives: deemagclinic

Counterfeit medications

A counterfeit medication or a counterfeit drug is a medication or pharmaceutical product which is produced and sold with the intent to deceptively represent its origin, authenticity or effectiveness. A counterfeit drug may contain inappropriate quantities of active ingredients, or none, may be improperly processed within the body (e.g., absorption by the body), may contain […]

Generics 

The problem is compounded by the fact that there are very few branded medicines in india , the rest can be called branded generics .Also there are numerous compounds for which there are no so called branded generics. Branded molecules are those which are patented, branded generic being brands made after expiry of patent and […]

Worse than Death

(C) Dr. Rajas Deshpande “Doctor, I have started to die. Can you help me somehow?” he asked, calmly. In his late twenties, a handsome young man, well dressed, but with a certain painful gloom upon his face that was a mismatch to an overall nice and clean appearance. What could this be? I started thinking, […]

Treating Headaches in Psychiatry

We know that headaches are common in the general population, but they are particularly common among patients with psychiatric problems. According to one review, (Pompili M et al., J Headache Pain 2009; 10(4):283-290) patients with depression have a 46% lifetime prevalence of migraine, while bipolar patients have a 51% prevalence. Patients with migraines have triple […]

What is unethical…

After GBM I realised.. everyone is unhappy..  Physicians are unhappy about Surgeons treating DM, HT, thyroid diseses themselves .. Surgeons are unhappy about Physicians developing Medical ICUs and treating surgical diseases.. Gynacs are as such frustrated with PCPNDT and cutthroat competition, surgeons doing hysterectomies.. Opthalmologists are frustrated with optimetrists and Free NGO cataract camps… Radiologists […]

Retail margin on generic drugs may be as high as 1,000%, claims study

Pharmaceuticals By Durgesh N. Jha, TNN | Updated: Apr 19, 2017, 09.13 AM IST Ironically , India is one of the world’s largest exporters of generic drugs. If you think doctors prefer to prescribe expensive drugs when cheaper options are available, you are only partly right. A study in Indian Journal of Pharmacology found that […]

Defensive medicine 

Doctors fearing the threat of prosecution are avoiding high-risk procedures and patients who could be denied life-saving treatment as a result, a survey suggests. The poll, carried out for Doctors and Manslaughter, found 86% of UK physicians who responded said that they had adopted “a more defensive style”. Defensive medicine is where doctors recommend a […]

Why no generics

The website of Central Drug Standard Control Organisation (CDSCO) in New Delhi clearly says that this organisation has no role in testing the Drugs and Drug Manufacturing in India. The zonal labs under its control only test drugs submitted. This is the finished product. They do not verify manufacturing process. In all pharmaceutical manufacturing, the […]

Modi ji and cheaper medicines

Press Note 18.4.17Dr. Vitull K. Gupta, Chairman, Association of Physicians of India (Malwa Branch) has criticized Prime Minister Narendra Modi’s suggestion of a legal framework under which doctors will have to prescribe generic medicines stating that generic medicines are cheaper than equivalent branded drugs projecting doctors as demons putting the entire blame on doctors. Dr. […]

Doctor bashing 

Doctor bashing both physically and metaphorically seems to be a favourite pastime. Patients and relatives assaulting doctors are becoming frequent if the outcome is not what they expected. Politicians (read Namo) also speaks disparaging about doctors, casting aspersions on their integrity saying they are looting and overcharging patients, writing branded drugs. Every body wants the […]

PM AND GENERICS 

HIGHLIGHTS The PM outlined a series of measures planned by the health ministry in line to regulate cost of medical care in the country The health ministry has recently issued a draft gazette notification making it mandatory for pharma companies to carry generic name of drugs on packs NEW DELHI: In a major step to […]

Allopathy orAyurveda 

Just before we left Gurgaon for Chennai, Krishnan had a severe stomach infection. Whatever he would eat, he would throw up and he was in really bad pain. When we consulted our GP Dr. Nehal Vora, she prescribed some medicines and then when the situation didn’t get better, she asked us to get an ultrasound […]

Why sitting is not the ‘new smoking’

By Emmanuel Stamatakis  Source: The Conversation 17 FEB 2017 – 7:12 AM UPDATED 17 FEB 2017 – 7:12 AM Emmanuel Stamatakis, University of Sydney Sitting has been branded the “new smoking” for its supposed public health risks, especially for people with sit-down office jobs. Over the past 15 years or so sitting has been linked […]

IMA to move court against “unconstitutional” provisions of CLINICAL ESTABLISHMENT Act IN BENGAL

Press Trust of India | Kolkata Apr 16, 2017 02:57 PM IST The Indian Medical Association has decided to move court for questioning the “validity” of the Clinical Establishments (Registration, Regulation and Transparency) Act, 2017 introduced by the West Bengal government.  The IMA will also protest “politically” and observe “National IMA Black Day” on April […]

Teach patients how to google

Most doctors don’t like patients who search for information on the internet. Their experience has been that because there is so much unreliable information on the internet, these patients get lost and confused, and are always trying to second-guess their doctor’s advice. This is why they tell them to stay away from doctor Google, and […]

Signs of psychiatric disorder

Psychiatric disorders like bipolar disorder or schizophrenia do not appear all of a sudden. There are small changes that happen to an individual over a long period of time until the disease fully develops. These signs and symptoms might be too subtle in the early stage for other people to notice until they become obvious. […]

Mental Illness: How the Media Contributes To Its Stigma

/jaruneu/ December 9, The scene opens with an unsuspecting woman taking a shower. Through the shower curtain, we see a figure approach her. As violins screech in the background, he throws the shower curtain aside and repeatedly stabs her in the back, leaving her for dead. We later learn that the killer, Norman Bates, has […]

What Happens When Parents Are Rude in the Hospital

FEBRUARY 27, 2017 The Checkup By PERRI KLASS, M.D. The neonatal intensive care unit is a place full of tiny, vulnerable and critically ill infants; fearful and anxious parents; and busy doctors and nurses working to save lives. But if a parent of a sick baby says something rude to the medical staff, the quality […]

Rude doctors

The Checkup By PERRI KLASS, M.D. Just how much rudeness is there in the hospital, and who bears the brunt of it? A few weeks ago I wrote about a study that looked at what happens to medical teams when parents are rude to doctors. In these studies of simulated patient emergencies, doctors and nurses […]

Dopamine system 

Dopamine (DA, contracted from 3,4-dihydroxyphenethylamine) is an organic chemical of the catecholamine and phenethylamine families that plays several important roles in the brain and body. It is an amine synthesized by removing a carboxyl group from a molecule of its precursor chemical L-DOPA, which is synthesized in the brain and kidneys. Dopamine is also synthesized […]

Cholecystokinin

Effects of cholecystokinin on the gastrointestinal tract. Cholecystokinin is secreted by I-cells in the small intestine and induces contraction of the gall bladder, relaxes the sphincter of Oddi, reduces of gastric acid secretion, increases bile acid production in the liver, delays gastric emptying, and induces digestive enzyme production in the pancreas. Cholecystokinin (CCK or CCK-PZ; […]

Prostaglandin

Group of physiologically active lipid compounds E1 – Alprostadil I2 – Prostacyclin The prostaglandins (PG) are a group of physiologically active lipid compounds having diverse hormone-like effects in animals. Prostaglandins have been found in almost every tissue in humans and other animals. They are derived enzymatically from fatty acids. Every prostaglandin contains 20 carbon atoms, […]

How does the opioid system control pain, reward and addictive behavior?

EUROPEAN COLLEGE OF NEUROPSYCHOPHARMACOLOGY      The opioid system controls pain, reward and addictive behaviors. Opioids exert their pharmacological actions through three opioid receptors, mu, delta and kappa whose genes have been cloned (Oprm, Oprd1 and Oprk1, respectively). Opioid receptors in the brain are activated by a family of endogenous peptides like enkephalins, dynorphins and […]

Endocannabinoid system

The endocannabinoid system (ECS) is a group of endogenous cannabinoid receptors located in the mammalian brain and throughout the central and peripheral nervous systems, consisting of neuromodulatory lipids and their receptors. Known as “the body’s own cannabinoid system”,[1] the ECS is involved in a variety of physiological processes including appetite, pain-sensation, mood, and memory, and […]

the D word

Interview: A depression survivor talks about her guide to living with the diseaseShubhrata Prakash, an Indian Revenue Services officer, has written a book ‘The D Word: A Survivor’s Guide To Depression’. The Health Collective Published Apr 07, 2017.   Interview: A depression survivor talks about her guide to living with the disease Diagnosed with depression […]

AYUSH =ALLOPATHY ?

It’s official. Practitioners of AYUSH (Ayurveda, Yoga, Unani, Siddha, and Homeopathy) appointed in Primary Health Centres (PHCs) in rural areas of Karnataka can practice allopathy “during emergencies”. A Government Order to this effect was issued on Thursday. With this, Karnataka has joined the list of 13 States, including Maharashtra, Tamil Nadu, Gujarat, Punjab, Uttar Pradesh, […]

Yoga

Scientists are getting close to proving what yogis have held to be true for centuries — yoga and meditation can ward off stress and disease. John Denninger, a psychiatrist at Harvard Medical School, is leading a five-year study on how the ancient practices affect genes and brain activity in the chronically stressed. His latest work […]

9 things you should never tell a patient under treatment for depression

Harish Shetty  Image result for deepika padukone pictures Nothing is wrong with you ! This is devastating for a patient. Just because all the physical tests are normal would not mean that everything is ok. M.R.I scans do not detect depression. Physiological changes in the brain is not detected by the scans and blood tests.Moods […]

error of judgement

Supreme Court held that an error of judgement is not amount to Criminal Negligence. Huge relief for doctors as Supreme Court quashed criminal case registered against doctor on the allegations of negligence. Summarty In a very recent judgement pronounced by Hon’ble Supreme Court of India on 6 April 2014 in Criminal Appeal No. 636 of […]

 how the brain really works.

Published: February 2014 Picture of the human brain, top view Secrets of the Brain New technologies are shedding light on biology’s greatest unsolved mystery: By Carl Zimmer Photograph by Robert Clark Van Wedeen strokes his half-gray beard and leans toward his computer screen, scrolling through a cascade of files. We’re sitting in a windowless library, […]

बेयर फुटेड डॉक्टर-एक व्यंग

———————– रोज रोज मीडिया की दुत्कार ,कि डॉक्टर पेशेवर हो गये हैं! सरकार द्वारा डॉक्टर्स पर लगाम लगाने के सतत प्रयासों और नये नये कानूनों के कारण ,मेरा भी ह्रदय परिवर्तन हुआ और अपराध बोध से ग्रसित हो मेरे मन का विरेचन हुआ। मुझे हमारे पूर्वज चिकित्सकों ,चरक ,धन्वन्तरी और सुश्रुत की याद आने लगी! […]

Placebo effect is real

  by Benika Pinch figures by Kaitlyn Choi If you watched the Rio Olympics, you probably noticed that several athletes, including swimmer Michael Phelps, were covered in bizarre circular marks. These bruises were caused by cupping, a therapy that uses suction to pull skin upwards into a circular cup, with the intent of increasing blood […]

Behavioural conditioning as the mediator of placebo responses in the immune system

Sabine Vits, Elvir Cesko, […], and Manfred Schedlowski Additional article information ABSTRACT Current placebo research postulates that conditioning processes are one of the major mechanisms of the placebo response. Behaviourally conditioned changes in peripheral immune functions have been demonstrated in experimental animals, healthy subjects and patients. The physiological mechanisms responsible for this ‘learned immune response’ […]

Nocebo

The nocebo effect is when a negative expectation of a phenomenon causes it to have a more negative effect than it otherwise would. A nocebo effect causes the perception that the phenomenon will have a negative outcome to actively influence the result.[1][2] Mental states such as beliefs, expectations and anticipation can strongly influence the outcome […]

Faith healing

Faith healing is based on belief and is about as far as you can get from science-based medicine, but it is not exempt from science. If it really worked, science would be able to document its cures and would be the only reliable way to validate its effectiveness. Miraculous cures continue to be reported on […]

The science of placebo

PlacebonexWe frequently write about placebo effects here on Science-Based Medicine. The reason is simple. They are an important topic in medicine and, at least as importantly, understanding placebo effects is critical to understanding the exaggerated claims of advocates of “complementary and alternative medicine” (CAM), now more frequently called “integrative medicine” (i.e., integrating pseudoscience with science). […]

The naked guy

ANDREW MARTINEZ | B. 1972The Naked Guy By JASON ZENGERLE Andrew Martinez wanted to be called the Militant Nudist, but the nickname never stuck. He was simply too gentle, too agreeable for it. In the summer of 1990, when he was 17 and had fallen under the nonconformist spell of Henry David Thoreau, Martinez took […]

DOCTOR KILLED A 23 YEAR OLD STUDENT – SIKKIM, 4/3/2017

It is a very disturbing news that a dynamic, intelligent son of a poor family has left for the unknown journey because of a negligent doctor. Where has all the humanity gone, why are they just filling their pockets and not doing their task efficiently when they are so well paid? REPORTED AS RECEIVED: He […]

How to interact with paranoid person

Living with a person who eavesdrops, feels rejected for no reason, seeks endless reassurance (but is never reassured), thinks others are looking askance, sneaks into private communications, and makes false accusations takes a toll. While many of us may feel suspicious, rejected, excluded or hypersensitive from time to time, chronic paranoia in a functioning person […]

GST AND PHARMA INDUSTRY

The long awaited Goods and Services tax (GST) Bill has been passed by both houses of India. There will be significant improvement in Indian Pharmaceutical industry’s supply chain efficiency as well as a decline in manufacturing cost of Pharmaceutical products.               Goods and Services tax (GST) Impact on Pharmaceutical […]

How do you communicate with a narcissist?

G. B. ~~~~~~~~~~ Response: Dear G. B.: Let’s begin with some basics. My response to your question has four parts… Words of caution. A Narcissist’s Characteristics. How To Talk To A Narcissist. How To Get What You Want From A Narcissist. ~~~~~~~~~~ Words of caution. Before proceeding with details about how to interact with a […]

Strike

Death, serious illness, accident situations which create complete emotional turmoil are witnessed only at one place and that is a hospital. It is natural to feel frustrated, helpless shocked, dumb stuck and sad when one loses a near and dear relative or a friend. Unexpected and unanticipated incidences make the emotional trauma more profound. Even […]

Healing power of faith

   At the University of Florida, Parkinson’s disease patient Russell Price undergoes surgery to implant a deep brain stimulation (DBS) lead that will deliver electrical impulses to motion-controlling parts of his brain, treatment which has been shown to provide substantial relief from symptoms in appropriately selected patients. Additional improvement in some patients may also derive […]

MIND OVER MATTER

Unlocking the Healing Power of You Science is showing that how you feel isn’t just about what you eat, or do, or think. It’s about what you believe.     At the University of Florida, Parkinson’s disease patient Russell Price undergoes surgery to implant a deep brain stimulation (DBS) lead that will deliver electrical impulses […]

The new science of exercise 

Ever since high school, Dr. Mark Tarnopolsky has blurred the line between jock and nerd. After working out every morning and doing 200 push-ups, he runs three miles to his lab at McMaster University in Ontario. When he was younger, Tarnopolsky dreamed of becoming a gym teacher. But now, in his backup career as a […]

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Selaginella bryopteris

Scientific classification Kingdom: Plantae Division: Lycopodiophyta Class: Isoetopsida Order: Selaginellales Family: Selaginellaceae Genus: Selaginella Species: S. bryopteris Binomial name Selaginella bryopteris (L.) Baker Selaginella bryopteris (Devanagari:संजीवनी) is a lithophytic plant that is native to India. It is used medicinally in India and is one of the plants that is considered as a candidate to be […]

Turritopsis dohrnii

Species of cnidarian Immortal jellyfish Turritopsis dohrnii.jpg Turritopsis dohrnii medusa Scientific classification Kingdom: Animalia Phylum: Cnidaria Class: Hydrozoa Order: Anthoathecata Family: Oceaniidae Genus: Turritopsis Species: T. dohrnii Binomial name Turritopsis dohrnii (Weismann, 1883)[1] Turritopsis dohrnii, the immortal jellyfish, is a species of small, biologically immortal jellyfish[2][3] found in the Mediterranean Sea and in the waters […]

Total loss of trust

Hyderabad: Infuriated mob pulled off the ventilator support from a 16-year old boy, suspecting that the doctors were fooling them by keeping the system to an already dead man. The mob also manhandled a junior doctor and ransacked the furniture in the hospital in Hyderabad. The unusual episode took place at Lotus Hospital in Hyderabad […]