Author Archives: deemagclinic
antipsychotic in pregnancy
“Of course, you only give the drug because it is being used to treat a disease, but when the disease and the drug affect the same outcome potential, it is very hard to separate the two, but this is what they do very well in a very large sample of American women,” she added. The […]
freedom for doctors
India celebrates its Independence Day every year on 15th August, commemorating its freedom from British rule in 1947. It is the day that all Indians pay homage to our freedom fighters and leaders for their immense contribution that led to freedom of our country. In this democratic country, everyone from a homeless person to the […]
CLINICAL ESTABLISHMENT ACT,IMA & MINIMAL STANDARDS
clinical establishment act- basics why the government wants it. The government wants insurance in health sector.The insurance sector is hesitant to enter in an unregulated heath sector . Hence the act Why the government is making a mistake. Insurance was introduced in American health care because American health care is inaccessible and very expensive. Indian […]
Major deficiencies in the Mental Health Care Bill (MHCB) 2016
To, The PM, We, the psychiatrists of this country represented by the Indian Psychiatric Society (IPS)(the largest Professional Association of Indian psychiatrists) request your intervention in the above mentioned Bill passed by Rajya Sabha on 8 th August 2016, that seeks to improve the mental health care of the mentally ill in the […]
Various perpectives on clinical establishment act
Clinical Establishment Act . . . The vedas have long ago stated the fact that in kaliyug the do gooders would be hounded out and the the corrupt would flourish.The clinical establishment act seem to fulfill this profesy not in part but in full measures There are stringent and huge monitory penalties for non registration […]
American tribalism
In America, tribalism is alive and well. There arefour kinds – class, ideology, region, and race. First, class. Pretty easy. Rich folk and poor folk. Second, ideology. Liberals and conservatives. They don’t merely disagree on political issues, each side believes the other is evil. Intermarriage is discouraged and on the rare occasion that it happens, […]
My perspectives on clinical establishment act 2010
Clinical Establishment Act . . . The vedas have long ago stated the fact that in kaliyug the do gooders would be hounded out and the the corrupt would flourish.The clinical establishment act seem to fulfill this profesy not in part but in full measures There are stringent and huge monitory penalties for non registration […]
cea and dentist
TUESDAY, JUNE 17, 2014The Clinical Establishment Act- How will it affect the practising dentist The Clinical Establishment Act 2010 became effective in Feb 2012 through an extraordinary gazette notification and is today applicable in 4 states with at least three more poised to adopt the same. There is no doubt that this is a landmark […]
Clinical Establishments- Role of government and Healthcare Market
The Kerala Clinical Establishments (Registration, Accreditation and Regulation) Bill, 2009 which was in the news recently has invited the fury of Medical practitioners, clinical institutions, labs, pharmacies, scanning centres and agencies, as it intended to curtail their freedom. The healthcare sector in Kerala which is one of the most lucrative sectors has been contributing to […]
A bitter pill?
Leave a reply India can boast of a flourishing and diverse medical industry. The ailing have a variety of options and treatments to choose from, including the best modern hospitals and the traditional homeopathy and Ayurveda cures. With a market of more than a billion people readily available, clinical establishments of all sorts have mushroomed […]
The Clinical Establishments Bill, 2007: Boon or Bane?
Saturday, December 22, 2007 The Clinical Establishments (Registration and Regulation Bill), 2007 is one of the important bills pending before the house that has somehow escaped the scrutiny of its more controversial counterpart-in-passage, the Broadcasting Bill. It may however have equally prominent implications for healthcare across the country. It has been introduced in parliament and […]
THE MAHARASHTRA CLINICAL ESTABLISHMENTS (REGISTRATION AND REGULATION) BILL 2014
Posted on March 6, 2014 by multiknack Long awaited Clinical Establishment Act, “THE MAHARASHTRA CLINICAL ESTABLISHMENTS (REGISTRATION AND REGULATION) BILL 2014 DRAFT” is tabled in the Maharashtra Legislative Assembly. Let the medical professionals say anything, this act is here to stay and sooner or later, all medical professionals and establishments will have to adhere to […]
CEA
This is a post which I should have posted much before. I’m not sure about how many know about the Clinical Establishment Act 2010 which is being slowly implemented in the country. Couple of states like Assam and Orissa have already implemented it. There are many a hospital in both these states that have been […]
doctors agaist clinical establishment act
Once again, the newly enacted Clinical Establishment(Registration and Regulation) Act (CEA) has attracted the displeasure of the doctors. For the doctors affiliated to the Indian Medical Association(IMA) have unequivocally expressed their opposition to the provisions of the act. Their claim: it will just land healthcare in corporate hands and adversely affect smaller healthcare units. They […]
dangerous times
You can’t control when health emergencies occur, but if you had to go to the hospital, you’d probably be better off avoiding the summer months. At least that’s been the conventional wisdom among doctors, who know that the most experienced medical residents graduate and leave hospitals in July, just as newly minted M.D.s (i.e., last […]
Let Me Heal: The Opportunity to Preserve Excellence in American Medicineby Kenneth M. Ludmerer
Oxford University Press, 431 pp., $34.95 Osler Library of the History of Medicine, McGill University Dr. William Osler (second from left) at the Johns Hopkins Hospital, Baltimore, where, in the 1890s, he created the first residency program for training physicians after medical school In the 1890s, Sir William Osler, now regarded as something of a […]
The Real Problem With Medical Internships
The Real Problem With Medical Internships Sandeep Jauhar Sandeep Jauhar JULY 1, 2015 Credit Erik Carter APPROXIMATELY 26,000 newly minted doctors across the United States will begin their internships today. For many, this legendarily grueling year will be the most trying time of their professional lives. Most will spend it in a state of perpetual exhaustion, […]
open letter
Dear Readers, I hope this letter finds you in good health. Apologies for using such an outdated greeting, but being a doctor, I will always be obsessed as well as fascinated by it. It is my first time at writing something so please spare the irregularities and mistakes you come across while reading this. This […]
Dr. Pk Gupta.
Dr P K Gupta was born and brought up in what was a small hill town of Dehradun, now the capital of Uttarakhand, in the foothills of the Himalayas. His early education was in St. Thomas High School, followed by his selection in AFMC, Maulana Azad Medical College, and CPMT, and graduating with MBBS from […]
Can A Doctor Be Arrested By Police
Dr. Koushik Whenever a doctor anticipates that a negligence case can be framed against him from the patient’s side, he gets panicked and indecisive. What should be the immediate steps to avoid police arrest? Can doctors be arrested in all medical negligence cases? What should a doctor know about his rights, if arrested by the […]
Torrent Pharma
Brothers Samir and Sudhir Mehta have taken Torrent Pharma to new heights with a measured approach to business and by showing resilience in adversity Sudhir Mehta chairman emeritus of Torrent Pharma, with brother Samir, who is executive chairman “The chemistry works” is a phrase that pops up often as Samir Mehta narrates […]
Kounis syndrome triggered by diclofenac sodium injection which leads to myocardial infarction and cardiac arrest
doi:10.1016/j.jccase.2013.03.002Open Archive, Elsevier user license Case Report Caglar Emre Cagliyan MDMehmet Balli MDKamuran Tekin MDSerdar Turkmen MDİbrahim Halil Tanboga MD Show more Abstract Allergic reactions due to drugs may lead to different clinical conditions. Acute coronary syndromes triggered by Type 1 hypersensitivity reactions due to drug intake are known as “Kounis syndrome.” Vasospasm occurring in […]
Worsening Depression Points to Dementia Risk
Liam Davenport May 04, 2016 Older adults with steadily increasing depressive symptoms may be at increased risk of developing dementia, Dutch investigators have discovered in findings that suggest that worsening depression may share a common etiology with dementia. Investigators found that individuals aged 55 years or older who had had steadily worsening symptoms of […]
ethics*zero=?
Ethics x Zero =?© Dr. Rajas Deshpande An NRI businessman was held with his family on an European airport as his travel agency had used fake credit cards, in spite of him paying them in cash. The airline threatened to have the NRI arrested there. In panic, he called an Indian lawyer through a friend […]
jobs most dangerous to your health
Read on to find out which jobs have the most potential to damage your health. Max Nisen contributed to an earlier version of this post. . Radiologists Overall unhealthiness score: 52.8 What they do: Examine and diagnose disorders and diseases using X-rays and radioactive materials. Top three health risks: 1. Exposure to radiation: 87 2. […]
virtual life after death.
And they lived virtually ever after Aditi Maithreya | Imagine getting a what’s up message or a fb greeting after a person in long dead. There’s always some thing unsaid when death comes. But the digital world is slowly changing the perspective of death by piggybacking on the philosophical belief that `one never really dies […]
PPH
Postpartum haemorrhage (PPH) accounts for around 28% of maternal deaths in developing countries1—that is, for over 125,000 deaths each year2. There are about 125 million births annually in the developing world3, so the risk of maternal death from PPH is approximately 1 in 1000 deliveries there. Here in Britain the risk of death from obstetric […]
provoked seizure
Harrison Ford has played a hero in the movies, but in real life, he gives that distinction to his 26-year-old daughter, Georgia. Earlier this month, the actor revealed that Georgia has epilepsy, and that it took years for her to get the proper treatment. “I admire her perseverance, her talent, her strength,” he told the […]
पागलपन क्या है
पागलपन क्या है? एक प्रकार का पागलपन एक गंभीर मानसिक बीमारी है. इस बीमारी से लोग परेशान है और बेतरतीब सोच, भाषा, और व्यवहार. वे देखते हैं, सुनने के लिए, हो सकता है, या चीजें हैं जो वास्तव में वहाँ नहीं कर रहे हैं लग रहा है. कभी कभी एक प्रकार का पागलपन के साथ […]
multiple drug combination ban
Delhi high court has already given a stay order on the ban of fixed dose combination drug when at least 14 pharma giants filed a petition against the notification. Many questions were raised from pharma side as well from different other section of healthcare industry –What is the rationale for banning the drugs that are […]
hepatitis
Laboratory assessment of the patient with suspected or clinically obvious liver disease is context dependent. For example, the acutely ill jaundiced patient with a history of prolonged alcohol ingestion requires a different laboratory assessment than the well patient in whom one or more standard liver test results are discovered to be abnormal during routine testing. […]
D|D of tremors
Tremor, an involuntary, rhythmic, oscillatory movement of a body part, is the most common movement disorder encountered in clinical practice. Rest tremors occur in a body part that is relaxed and completely supported against gravity. Action tremors occur with voluntary contraction of a muscle and can be further subdivided into postural, isometric, and kinetic tremors. […]
when you eat
Mitochondria – the tiny power centers inside cells that burn nutrients like sugar to make energy – are tightly controlled by the body’s biological or circadian clock. Consequently, there is an optimum time when sugar-burning is most efficient.A man eating breakfast In tests on mice, the researchers found the body clock controls the optimum times […]
ageing __how to stop it
Wrinkles, gray hair, poorer physical and cognitive health: these are some of the common manifestations of aging. But could it be possible to reverse the aging process in the future? Studies are increasingly suggesting so.[An aging woman] Aging is inevitable, but some studies suggest the effects of aging can be reversed. In simple terms, aging […]
Doctor can take leave anytime if necessary
Doctor can take leave anytime if necessary “A Doctor, like any other professional can take leave if felt necessary by him on account of his personal reasons or otherwise and it is the DUTY of the HOSPITAL to take alternate arrangements.” – ” Like other normal human being he (DOCTOR) also needs to take rest […]
A nurse by herself. At the end of a life.
AMANDA ANDERSON, RN | CONDITIONS | OCTOBER 13, 2015 I softly scrub blood from the teeth of a man who died moments ago. From the chair where I sat quietly writing nursing notes while he quietly ended, my patient’s sallow skin and sunken cheeks looked so peaceful. But the weeks of stagnant residue on his […]
automated empathy
A health care startup made a wild pitch to Cara Waller, CEO of the Newport Orthopedic Institute in Newport Beach. The company said it could get patients more engaged by “automating” physician empathy. It “almost made me nauseous,” she said. How can you automate something as deeply personal as empathy? But Waller needed help. Her […]
JUDGEMENT ON PNDT ACT
HIGHLIGHTS FROM THE JUDGEMENT19. At this stage, the counsel for the petitioner in W.P.(C) No.6968/2011(IRIA) contended that PNDT Act was concerned with the misuse of the techniques of ultrasound for sex determination but has ended up, permitting all MBBS Doctors to conduct ultrasound. However on enquiry, whether prior thereto, there was any bar on MBBS […]
Zika virus disease
Key facts Zika virus disease is caused by a virus transmitted by Aedes mosquitoes. People with Zika virus disease usually have symptoms that can include mild fever, skin rashes, conjunctivitis, muscle and joint pain, malaise or headache. These symptoms normally last for 2-7 days. There is no specific treatment or vaccine currently available. The best […]
Hanumanthapa
i hope the death of hanumanthapa should bring about some change in how live frozen tissue should be thawed. Bringing it to room temperature would be akin to bringing up a diver to surface immediately. A theoretical question arises that he survived in ice for 5 days but died in ICU in 2 days. Had […]
ECT EQUIPMENT LOW RISK OR HIGH RISK
The FDA recently proposed a rule change that would reclassify electroconvulsive therapy (ECT) devices used for treating major depressive disorder from class III (high risk) to class II (low risk). The change would significantly improve access to an effective and potentially lifesaving treatment. In 1976, the FDA became responsible for regulating medical devices and the […]
Tachyphylaxis/tolerance to antidepressants
Tachyphylaxis/tolerance to antidepressants in treatment of dysthymia: Results of a retrospective naturalistic chart review studypcn_2231 499..504 Gregory Katz, MD* The Jerusalem Mental Health Centre–Kfar Shaul Psychiatric Hospital, Hadassa Medical School, Hebrew University, Jerusalem, Israel Aim: The main goals of this chart-review study were to examine the rate of tachyphylaxis during treat- ment of dysthymia with […]
The Straight Line
Dr. Rajas Deshpande 1 hr · © Dr. Rajas Deshpande “Her stomach tube appears blocked, she appears to be in lot of pain, her BP is low” my sister said, crying, panicked. My mother was in the ICU last four days, critical and fluctuating. I was returning home to change in the morning after spending […]
PROBLEMS OF MEDICAL PROFESSIONS
Wednesday, February 10, 2016 by Dr M C Gupta 1) Quackery: This is the biggest problem. To me, the term “medical community” means those qualified in modern medicine. All others are vaids, hakims, siddhas, homeopaths and naturopaths only. Quackery means practising modern medicine without being registered with the medical council. Neither the Indian Medical Association […]
the mystery of placebo
There’s a drug that can make you run faster, feel less depressed and experience reduced pain. Don’t believe me? You shouldn’t. That’s because this miracle drug isn’t a drug at all — it’s a placebo. The “placebo effect,” or an inert substance’s ability to improve a patient’s symptoms, has been documented in everything from pain […]
The Examiners Who Fail
Dr. Rajas Deshpande 30 January at 02:43 · © Dr. Rajas Deshpande DM Neurology final exam case presentations. The peak of academic tension. Eight of us waiting, crowded in the side room. Die will Do. Beyond tremors, sweating and palpitations, in the realm of renunciation. Cornered cats, with the defiant expression of “they won’t actually […]
Thank you Ms. Maneka Gandhi for an intelligent PCPNDT approach!
(c) Dr. Rajas Deshpande A pregnant female suddenly had worst headache of her life yet, and vomitings. As there is a tendency of blood clotting in the brain’s veins during pregnancy, it was mandatory to get an MRI and start blood thinners if there was a clot. Otherwise it could turn fatal. She was referred […]
The Shocking Answer
(c) Dr. Rajas Deshpande The wall of a government building falls off within a year of construction. Two children killed, one had bad head injury. Brought to hospital in auto-rickshaw as no ambulances available for the real poor. Bled too much on the way. Who is guilty? Regular office goers. Bad roads, dug at many […]
May I Enlighten You, Doctor?
© Dr. Rajas Deshpande Casualty. Sixty year old gasping, unconscious, has fever. “Since when he has been like this?” asked the doctor, as the staff started to secure IV and oxygen mask, preparing for intubation. “I don’t know. I just came. My brother who lives near him told me that he had breathlessness since yesterday, […]
The wisdom of discrimination
Dr. Rajas Deshpande 23 January at 14:45 · © Dr. Rajas Deshpande “You are next to God, doctor. You make the decision for us”. “Most Doctors work heartlessly only for money”. Both these sentences are heard equally commonly. Many patients from all socio-economical classes come prejudiced to the hospital / doctor. These patients have red […]
deemagclinic
