Author Archives: deemagclinic
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 […]
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 […]
Lost and Saved Life: The Indian Puzzle
Rajasdeshpande RajasDeshpande 2 weeks ago Mumbai Diary-2 Lost and Saved Life: The Indian Puzzle © DR. RAJAS DESHPANDE He had a sudden, severe chest pain, so he told his office-colleague so. The colleague first called his wife and alerted her “Bhabhiji please don’t panic, I am taking your husband to this hospital, please reach there […]
Impact of Mental Healthcare Act, 2017, on the Indian healthcare insurance industry 2019
MILLIMAN WHITE PAPER Joanne Buckle, FIAI, FIA Neha Taneja, FIAI Rachin Aggarwal, MBA Vidhi Gupta, MSc (OR) Introduction As per the World Health Organisation (WHO), mental health refers to a broad array of activities directly or indirectly related to mental well-being, prevention of mental disorders and treatment and rehabilitation of people affected by mental disorders. […]
Management of severe acute pancreatitis
State of the art reVIeW                     O Joe Hines,1 Stephen J Pandol2    1Department of Surgery, David Ge en School of Medicine at UCLA, Los Angeles, CA 90095- 6904, USA 2Department of Medicine, Cedar-Sinai […]
Diagnose This Indian Disease
©️ Dr. Rajas Deshpande “Doctor, we had gone to the UK” the patient’s husband was telling me, “What an advanced world that is! Extremely clean and very systematic! People are so well mannered, everyone is respectfully treated. So many facilities… and there’s no pollution at all! I think that world is at least thirty years […]
Cpa
“`”डॉक्टर साहब, आप की शिकायत आयी है। आप मरीज का इलाज न करके नोटस् और ट्रीटमेंट लिखने में व्यस्त रहे। इलाज देर से होने से मरीज खत्म हो गया।”“` “सर, मरीज सीरियस था। कुछ भी हो सकता था। मैंने उसे चेक कर लिया था। उसके बाद मैं उसका ट्रीटमेंट लिखने लगा। जब ट्रीटमेंट लिख चुका […]
Prevalence of ECG abnormalities and risk factors for QTc interval prolongation in hospitalized psychiatric patients
891386    research-article20192019 TPP0010.1177/2045125319891386Therapeutic Advances in PsychopharmacologyN Ansermot, M Bochatay   Therapeutic Advances in Psychopharmacology Original Research  Nicolas Ansermot , Meredith Bochatay, Jürg Schläpfer, Mehdi Gholam, Ariane Gonthier, Philippe Conus and Chin B Eap Abstract Background: Psychiatric patients are at risk of cardiovascular diseases, and many psychotropic drugs can prolong QTc […]
Antipsychotic efficacy. Meta analysis
Articles                          Lancet Psychiatry 2020; 7: 64–77 Published Online December 17, 2019 https://doi.org/10.1016/ S2215-0366(19)30416-X See Comment page 6 *Contributed equally Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK […]
Good habits bad habits
Several years ago, I bought a smartphone and soon came to love it. Being able to send an e-mail, look up a fact, or buy something no matter where I was meant a previously unimaginable gain in productivity. Every time I got an e-mail, the phone emitted a ping and I would deal with whatever […]
Reunions
These are the common conversations that take place during we doctor’s Reunions post our graduation which reflect the differenct phases of life and it’s priorities.. I- *Graduation Party*:- 1- What are you planning to specialize in? 2- Planning to settle in India or abroad? 3- Did you propose to that girl you were moving around […]
Parenting
*Tirukkural was written by Tiruvalluvar (a Tamil poet/writer) more than 5,000 yrs ago. It’s one of the ancient sciences on Human Behaviour, which has not changed in spite of modern education & technology!* SOME GOLDEN THOUGHTS OF THIRUKKURAL:* 1. *If your children lie to you often, it is because you over-react too harshly to their […]
Dying
Dying is an interesting business. Most of us probably hope to just drop, quickly, out like a light. But that scenario is one of the least likely, as became clear during last week’s Royal Commission into Aged Care Quality and Safety hearings in Canberra. At the heart of the issue is the matter of directives […]
The Corruption of Evidence Based Medicine — Killing for Profit
Dr. Jason Fung Apr 10, 2018 · 10 min read The idea of Evidence Based Medicine (EBM) is great. The reality, though, not so much. Human perception is often >awed, so the premise of EBM is to formally study medical treatments and there have certainly been some successes.   Consider the procedure of angioplasty. […]
Medico Legal General Medicine +
Criminal Liabilities In Medical Profession Multimedia section begins Multimedia section ends Multimedia section begins Multimedia section ends Ignorance of the law is never an excuse especially when it comes to the medical profession, the doctors are under tremendous pressure to perform at the best of their ability and follow the lawsuit in general as their […]
Future is here… Really?
Written by Dr Dhananjay Kelkar ex (medical director.. deenanath mangeshkar hospital Pune ) Robotic surgery and more…. Last 12 months, i am looking at robotic surgery and perceived future of high tech surgery. The focus of surgery is shifting from patient needs and benefits to leadership in surgery and perceived needs. Companies come up with […]
What Experts Know About Men Who Rape
Image A dissertation called “The Undetected Rapist” included articles with these headlines. The author suggested that they contribute to misconceptions about rapists, most of whom do not appear in news stories or in court. Share on Facebook Post on Twitter Mail By Heather Murphy Oct. 30, 2017 阅读简体中文版閱讀繁體中文版 In 1976, a Ph.D. candidate at Claremont […]
PSYCHIATRY UPDATE Psychopharmacology
Editor Kamal N Kalita Co-editor Angshuman Kalita ii PSYCHIATRY UPDATE: Psychopharmacology Editor Kamal N Kalita Co-editor Angshuman Kalita Published by Department of Psychiatry, LGBRIMH, Tezpur-784 001 on behalf of Organising Committee, 28th Annual Conference Indian Psychiatric Society, Assam State Branch in association with Bhabani Books, Guwahati, Assam ISBN: 978-93-87494-14-5 © Publishers All rights reserved. Except […]
Accepted Manuscript Pre-treatment with amitriptyline causes epigenetic up-regulation of neuroprotection-associated genes and has anti-apoptotic effects in mouse neuronal cells
Nguyen Quoc Vuong Tran, An Nghia Nguyen, Kyoko Takabe, Zentaro Yamagata, Kunio Miyake  PII: DOI: Reference: To appear in: Received date: Revised date: Accepted date: S0892-0362(16)30114-3 doi: 10.1016/j.ntt.2017.05.002 NTT 6700 Neurotoxicology and Teratology 17 October 2016 9 May 2017 11 May 2017 Please cite this article as: Nguyen Quoc Vuong Tran, An Nghia Nguyen, […]
Mood Disorders, Accelerated Aging, and Inflammation: Is the Link Hidden in Telomeres?
    cells       Review Alessio Squassina 1,2, Claudia Pisanu 1,3,* and Roberta Vanni 4,* 1 2 3 4 09042 Monserrato Cagliari, Italy * Correspondence: claudia.pisanu@unica.it (C.P.); vanni@unica.it (R.V.); Tel.: +39-070-675-4334 (C.P.); +39-070-675-4123 (R.V.) Received: 18 December 2018; Accepted: 12 January 2019; Published: 15 January 2019  Department […]
Hepatocellular carcinoma and antidepressants: a nationwide population-based study
 http://www.impactjournals.com/oncotarget/ Oncotarget, 2017, Vol. 8, (No. 18), pp: 30464-30470  Vincent Chin-Hung Chen1,2 , Chiao-Fan Lin2,3, Yi-Hsuan Hsieh2,3, Hsin-Yi Liang2,3, Kuo-You Huang4, Wei-Che Chiu5,6,*, Yena Lee7, Roger S. McIntyre7,8 and Hsiang- Lin Chan2,3 1 Department of Psychiatry, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan 2 Department of Psychiatry, Chang Gung University, Taoyuan, Taiwan 3 […]
Is Autophagy Involved in the Diverse Effects of Antidepressants
    cells       Review Theo Rein Max Planck Institute of Psychiatry, Munich 80804, Germany; theorein@psych.mpg.de; Tel.: +49-89-30622531   Received: 15 December 2018; Accepted: 9 January 2019; Published: 12 January 2019 Abstract: Autophagy has received increased attention as a conserved process governing cellular energy and protein homeostasis […]
Therapeutic spectrum in psychiatry
Introduction and definitions The concept of therapeutic spectrum is broad and can’t be fully defined at this moment in psychopharmacology as well in general pharmacology. It refers to sometimes one or both of the following concepts . 1) the range of beneficial clinical activities of a drug to all symptom domains of a specific diseases. […]
Whole theory
A plucky amateur dared to question a celebrated psychological finding. He wound up blowing the whole theory wide open. Narratively | • Vinnie Rotondaro Illustrations by Kevin Huizenga. It was autumn of 2011. Sitting in a dimly lit London classroom, taking notes from a teacher’s slides, Nick Brown could not believe his eyes. By training […]
Treatment Options for Carbapenem-resistant Gram- negative Bacterial Infections
Clinical Infectious Diseases SUPPLEMENT ARTICLE Treatment Options for Carbapenem-resistant Gram- negative Bacterial Infections Yohei Doi1,2 1Center for Innovative Antimicrobial Therapy, Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pennsylvania; and 2Departments of Microbiology and Infectious Diseases, Fujita Health University School of Medicine, Aichi, Japan Antimicrobial resistance has become one of the greatest threats […]
Low protein diet?
Taking low carbohydrate diet and substituting carbohydrates proteins has become a leading dogma for all those who care for their looks and health. A high-protein diet is believed to keep you fit and help you lose fat and retain lean muscle mass. In an article published in Nephrology Dialysis Transplantation, Dr Kamyar Kalantar-Zadeh, Dr Holly […]
chat
*Please circulate this far and wide. It is a chat with Dr. Abdullahi Oluwalogbon (Heart and Utility Specialist). The transcript of the chat is given below. Useful for everyone.* QUESTIONS & ANSWERS: *Question 1:* What are the thumb rules for a layman to take care of his or her heart? *Answer:* 1. Diet – Less […]
ICD 11
 INTERNATIONAL CLASSIFICATION OF DISEASES – Mortality and Morbidity Statistics CHAPTER 06 Mental, behavioural or neurodevelopmental disorders 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, […]
Occupational Therapy in Psychiatry and Mental Health
                                          Occupational Therapy in Psychiatry and Mental Health FiFth Edition Edited by Rosemary Crouch […]
A TALE OF TWO HOSPITALS IN TWO COUNTRIES: HOW AN EMERGENCY REVEALED BROKEN STATE OF INDIAN HEALTHCARE
A TALE OF TWO HOSPITALS IN TWO COUNTRIES: HOW AN EMERGENCY REVEALED BROKEN STATE OF INDIAN HEALTHCARE BY:PRAVEEN SWAMI <a class=”gplus” href=”javascript:;” onclick=”OpenSharePopup(‘https://www.firstpost.com/long-reads/a-tale-of-two-hospitals-in-two-countries-a-recent-emergency-underscored-indias-broken-healthcare-system-7646661.html&title=A tale of two hospitals in two countries: How an emergency revealed broken state of Indian healthcare’,’google’);”><i class=”icon-google-plus”></i></a> only artical content section Eight weeks ago, I lay unconscious on a sidewalk in Paris, […]
TOP 10 MEDICAL INNOVATIONS FOR 2020, According to Cleveland Clinic
CLINICAL UPDATES : Here, in order of anticipated importance, are the Cleveland Clinic’s list of top 10 medical innovations for 2020. 1. DUAL-ACTING OSTEOPOROSIS DRUG ROMOSOZUMAB In April, the US Food and Drug Administration (FDA) approved romosozumab (Evenity, Amgen), the first drug for osteoporosis that both increases bone formation and decreases bone resorption. It is indicated for […]
deemagclinic
