Author Archives: deemagclinic

Cholesterol Drugs

Embed from Getty Images Embed from Getty Images Thousands Sue for Damages Against Cholesterol Drugs as Big Pharma Defends Billion Dollar Industry Brian Shilhavy Health Impact News The $100 billion dollar cholesterol-lowering statin drug industry is under attack, as thousands of Americans are filing lawsuits against the manufacturers of cholesterol-lowering drugs such as Lipitor. Research continues […]

Hyperammonemia

Hyperammonemia is a metabolic condition characterized by elevated levels of ammonia in the blood. Increased entry of ammonia to the brain is a primary cause of neurologic disorders, such as congenital deficiencies of urea cycle enzymes, hepatic encephalopathies, Reye syndrome, several other metabolic disorders, and some toxic encephalopathies. Signs and symptoms Signs and symptoms of […]

Persistent genital arousal disorder

Persistent genital arousal disorder (PGAD), originally called persistent sexual arousal syndrome (PSAS) and also known as restless genital syndrome (ReGS or RGS), results in a spontaneous, persistent, and uncontrollable genital arousal in women, with or without orgasm or genital engorgement, unrelated to any feelings of sexual desire. It was first documented by Dr. Sandra Leiblum and […]

Here are some treatments for depression that are not antidepressants

Depression is a tricky disease to treat, in part because it manifests so differently in those it afflicts. But promising new research shows there may be options outside the pill bottle and off the couch at a therapist’s office. That’s not to say you should stop taking prescribed antidepressants or break up with your therapist, […]

Dr NN Wig

Around seven decades back, he wanted to study medicine in King Edward’s College at Lahore. But the dream was lost in Partition.Perhaps that city paid eminent psychiatrist Dr NN Wig his due a decade back by naming occupational centre at Lahore’s Fountain House Psychiatric Centre’s after him. 84-year-old, Dr  NN Wig has served as head, […]

Re: Medico legal Judgement in favour of doctors

Tue Sep 23, 2014 2:54 pm . Finally a Loud Voice in favor of Doctors. Most medicolegalcomplaints are personality based rather than issue based.‎While we do our technical and moral best to treat ourpatients, we must develop the art of sympathetic and defthandling of patients’ relatives so that they are constantlyinformed and should see that we are doing […]

A Practical Guide to Avoiding Drug-Induced Nutrient Depletion

by TENGLISH on APRIL 22, 2013 · 0 COMMENTS in NUTRITION REVIEW ARCHIVE By Hyla Cass, M.D. A little known, but potentially life-saving fact is that common medications deplete your body of a host of vital nutrients essential to your health. In this practical guide I’ll show you how to avoid drug-induced nutrient depletion and […]

Proton Pump Inhibitors & B12 Deficiency

Last Updated: Aug 16, 2013 | By Esther Sherry Vitamin B12 deficiency can be caused by the chronic use of proton pump inhibitors. Photo Credit Jupiterimages/Photos.com/Getty Images Vitamin B12, also known cobalamin, is a water-soluble B-complex vitamin that is necessary for the production of energy from consumed foods, maintenance of healthy nerve cells and manufacture […]

A Nobel Laureate on ‘Successful Aging’ – Dr. Eric Kandel’s Epic Search for the Biological Basis of Memory

Eric R. Kandel, M.D. From The Quarterly, Winter 2012 Imagine that you are standing on a busy city street corner and you gather together the first 100 passersby who are precisely 70 years old. “In this randomly selected group, let’s assume that men and women are equally represented and that none of them appears to […]

Fundamentals Of Medical Ethics

During our MBBS days, the topic of Medical Ethics was probably included in Forensic Medicine and was never stressed. In these days of Consumer Awareness and doctors having been brought under the purview of Consumer Forums, there is a need for every practicing doctor to be aware of the basics of medical ethics. A common […]

What Bipolar Disorder Really Feels Like

The Huffington Post  | By Sarah Klein http://www.facebook.com/plugins/like.php? About 2.6 percent of American adults — nearly 6 million people — have bipolar disorder, according to the National Institute of Mental Health (NIMH). But the disease, characterized by significant and severe mood changes, is still dangerously misunderstood. Bipolar disorder is vastly different from the normal ups and […]

Don’t force doctors to perform charity

    by Dr Kamal Mahawar Now that I have read the whole transcript of the Medical Consultancy and Other Services (Rationalisation of Fees) Bill tabled by Congress leader Renuka Chowdhury in the Rajya Sabha on August 8, I have to say I have mixed feelings towards it. I will leave it to the political analysts to examine […]

a blood test to diagnose depression in adults

A group of Northwestern University professors and researchers have developed a blood test to diagnose depression in adults, the school revealed in a study set to be published today. But the discovery does not mean the test can be offered to the public just yet, officials said. Depression is one of the most difficult mental […]

Schizophrenia is eight different diseases, not one

Liz Szabo, USA TODAY1:06 p.m. EDT September 15, 2014 (Photo: PhotoDisc) New research shows that schizophrenia is not a single disease, but a group of eight distinct disorders, each caused by changes in clusters of genes that lead to different sets of symptoms. The finding sets the stage for scientists to develop better ways to […]

A Tale of 2 Countries

A Tale of 2 Countries: The Cost of My Mother’s Cardiac Care in the United States and India Sowmya R. Rao, PhD⇑ +Author Affiliations Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts Center for Healthcare Organization and Implementation Research (CHOIR), Bedford VA Medical Center, Bedford, Massachusetts CORRESPONDING AUTHOR: Sowmya R. Rao, […]

Equalise number of UG, PG medical seats: Devi Shetty

Embed from Getty Images Equalise number of UG, PG medical seats: Devi Shetty Bangalore, Jul 29, 2013, DHNS : The Indian Medical Association (IMA) and the Association of Healthcare Providers India (AHPI) have written to the Ministry of Health demanding equalisation of medical seats in undergraduate (UG) and postgraduate (PG) courses. At a press conference […]

Disruptive Mood Dysregulation Disorder: A New Diagnostic Approach to Chronic Irritability in Youth

An 8-year-old boy with frequent temper outbursts is evaluated. ”Dillon,” an 8-year-old boy living with his parents and his younger brother, was evaluated because his parents were at their “wits’ end” regarding how to handle his explosive outbursts, which were occurring several times a day. Ms. A, Dillon’s mother, stated, “It has gotten to the […]

Direct Effect of Sunshine on Suicide

Benjamin Vyssoki, MD1; Nestor D. Kapusta, MD, PhD2; Nicole Praschak-Rieder, MD, PhD1; Georg Dorffner, PhD3; Matthaeus Willeit, MD, PhD1 [+] Author Affiliations JAMA Psychiatry. Published online September 10, 2014. doi:10.1001/jamapsychiatry.2014.1198 Importance  It has been observed that suicidal behavior is influenced by sunshine and follows a seasonal pattern. However, seasons bring about changes in several other meteorological factors and a seasonal rhythm in social behavior may […]

The Wonderful Dr Devi Shetty

Friday, March 15th, 2013 at 4:51 pm   Yet again I have come across another compassionate and amazing man known as ‘The King of Hearts’. I watched a documentary on his hospital that runs at a profit, and had to learn more about him, so here is his story. Dr Devi Prasad Shetty was born […]

‘Production line’ heart surgery

By Chris Morris BBC News, Delhi Out of media player. Press enter to return or tab to continue. Inside India‘s ‘production line’ heart hospital The chest of a thirteen-year-old boy Uday Kumar has been sliced open and a team of doctors are operating on his heart. “This is for patients who have a single ventricle,” says […]

A LETTER TO 4000 CHILDREN WITH A SCAR ON THE CHEST

Dr. Devi Prasad Shetty June 23, 2013 To understand Dr. Devi Prasad Shetty’s heart, read this>>>> (He wrote this letter to the children he preformed cardiac surgery on.) A LETTER TO 4000 CHILDREN WITH A SCAR ON THE CHEST My Dear Children: I have been planning to write this letter for quite some time. Maybe […]

Body blow to the medical profession

May 13, 2014 09:08 PM , By DEVI SHETTY | That’s enough Penalties are necessary, but so is   sense of balance Compensation for medical malpractice should be capped. Else, there will be no doctors left to perform surgeriesThe recent Supreme Court ruling on medical compensation of ₹11 crore in Kolkata has raised several issues related […]

‘noose’ will tighten on private clinics and Nursing Homes

In response to the newspaper article published in the Times of India, I wish we could give a rejoinder paragraph by paragraph as below.  It is not likely to get published because our thoughts won’t make Masala  for publication. Read the news item first and then this. Readers in the IMA group may add more […]

Why Doctors Are Sick of Their Profession

August 29, 2014 11:16 AM American physicians are increasingly unhappy with their once-vaunted profession, and that malaise is bad for their patients By SANDEEP JAUHAR All too often these days, I find myself fidgeting by the doorway to my exam room, trying to conclude an office visit with one of my patients. When I look […]

Listen up, doctors: Here’s how to talk to your patients

Introduction It is said that over 80% of diagnoses are made on history alone, a further 5-10% on examination and the remainder on investigation.[1] Whether this adage is true or not may be open to debate but it is clear that history and examination skills remain at the very core of clinical practice. This record […]

The Hippocratic Oath Today

The Hippocratic Oath Today The Hippocratic Oath is one of the oldest binding documents in history. Here you’ll find classical and modern versions of the oath as well as a brief article that offers a sense of the controversial nature of the oath today. Follow links at the bottom of the page to post your […]

meditation and mindfulness

MBCT courses are proliferating across the UK – but research in the US found some who practised some types of Buddhist meditation were assailed by traumatic memories and impairment in social relationships. Photograph: Luis Alvarez/Getty Images/Vetta In a first floor room above a gridlocked London street, 20 strangers shuffle on to mats and cushions. There’s […]

The Electroencephalogram in the Management of Psychiatric Condition

    By Nash N. Boutros, MD The Electroencephalogram in the Management of Psychiatric Conditions   The electroencephalogram (EEG) has a limited but definitive role in understanding and managing psychiatric conditions. When the presentation is unusual, a neurological workup that includes an EEG is essential. In conditions in which EEG abnormalities are demonstrably common, an […]

Ketamine antidepressant effect

Ketamine, an injectable anesthetic that has been shown to exert a rapid but short-lived antidepressant effect, may reduce suicidal ideation independently of a reduction in depressive symptoms, new research suggests. Investigators at the National Institute of Mental Health in Bethesda, Maryland, distinguished the relationship of ketamine to reduced suicidal thoughts from its effect on depression […]

How essential is morality to health care practice?

Medicine – Still a Noble profession? COUNTER POINT DR FIAZ FAZILI SmallerDefaultLarger   Over centuries, the Medical fraternity has maintained the ethical standards. Their magnificent contributions and landmark discoveries in medical sciences and innovations in diagnostic and therapeutic techniques have revolutionized patient care, saved countless lives, and significantly improved longevity and the quality of human […]

Violence Among Mentally Ill People

Experts Discuss Factors That May Lead to Violence Among Mentally Ill People Aaron Levin While researchers are beginning to understand more about factors linking violence and mental illness, much more research needs to be done to identify individuals at risk. For years, substance use has been known as a key factor mediating the intersection of […]

Robin Williams

Millions of people worldwide have been rocked by the recent and very sad death of Robin Williams. Although suicide is part of our daily work as clinicians, we are mostly focused on assessing our patients for suicide risk, exploring suicide thoughts and planning, and treating the cognitive patterns directly or the underlying psychiatric illnesses. In […]

mindfulness

What do a 2,500 year-old monk and a modern-day ninth-generation military woman have in common? Besides some common thread of humanity, on the surface it may not seem like much. Like the military, mindfulness has a deep-seated history. Rooted in Buddhist psychology, mindfulness made its way into modern-day American society in various forms in the […]

Psychotherapy in the Bhagavad Gita, the Hindu Scriptural Text

Ananda K. Pandurangi, M.D.; Sudhakar Shenoy, M.B.B.S.; Matcheri S. Keshavan, M.D. View Large Download Slide (.ppt) Add to My POL Gitopadesha (Teaching of the Gita): Krishna, the god (charioteer, in blue), with his right hand raised in the teaching gesture (Jnana Mudra) and Arjuna (prince, in green) in the battle of the Mahabharatha. Gouache painting […]

Pomegranate Compound Could Stem Alzheimer’s

Keywords: Microglia; Neuroinflammation; NF-κB; Pomegranate; Punicalagin Scope In this study, the effects of punicalagin on neuroinflammation in LPS-activated microglia were investigated. Methods and results The ability of punicalagin to reduce the production of TNF-α, IL-6 and prostaglandin E2 was measured in culture medium using enzyme immunoassay. TNF-α and IL-6 gene expression in mouse hippocampal slices […]

The Reasons Physicians Fail to Build Wealth

f you have physician clients or family or friends, you’re in on a dirty little secret: physicians’ high incomes do not reliably translate to high net worth. Practicing physicians earn top dollars. In fact, according to the U.S.Bureau of Labor Statistics, nine of the top ten earners in the U.S. call themselves “doctor.” Indirect evidence […]

Personal Observations on the Changing Scene In American Medicine: 1955 to 2010

                 Clifton K. Meador, M.D. When I entered private practice in 1962 (after graduating from medical school in 1955, completing a medical residency, serving  two years in the Army Medical Corps, and completing a NIH Fellowship in Endocrinology), there was no Medicare, no Medicaid, and very little medical insurance of any kind. Patients paid cash, […]

Hyposkillia , Deficiency of Clinical Skills

Hyposkillia Deficiency of Clinical Skills Herbert L. Fred, MD, MACP Author information ► Copyright and License information ► This article has been cited by other articles in PMC. The medical profession today faces many problems. We march to bureaucratic drummers, we have lost our autonomy, our prestige has spiraled downward, and our professionalism is sagging.1,2 […]

cap on doctors’ fee

A proposal in the Rajya Sabha to put a cap on doctors’ fee has created uproar in the medical fraternity. The Indian Medical Association (IMA) has already decided to go to the court, even as patient bodies and activists hail the move. The proposal titled ‘Regularization of Doctors’ Fees’ was put forward by Congress leader […]

A HEARTLESS PROFESSION?

Indian American cardiologist Sandeep Jauhar‘s book has caused quite a few blood vessels to pop with its lacerating look at the practice of medicine in US It is the Holy Grail for almost every Indian parent: that their son andor daughter go to medical college, become doctors, and embark on a thriving career that brings […]

suicide tourists “

The number of people traveling to Switzerland to commit suicide has doubled since 2009, a new study shows. These suicide tourists ” are largely from Germany and the United Kingdom, although they also come from other countries including the United States and Canada, and nearly half suffer from nonfatal neurological conditions, such as paralysis, motor […]

Dr. Reinstein’s

A Chicago psychiatrist faces $2 billion in penalties after the United States filed a civil health care fraud lawsuit against him Thursday, claiming he took kickbacks from drug companies and submitted at least 140,000 false Medicare and Medicaid claims for antipsychotic medications he prescribed to thousands of mentally ill patients in area nursing homes. Michael […]

Illinois suspends license of controversial psychiatrist

Illinois medical board suspends license of Chicago psychiatrist in clozapine case Illinois agency suspends Chicago psychiatrist’s license, citing illegal payments from drugmaker For years, Dr. Michael Reinstein was a prolific prescriber of a dangerous antipsychotic drug in nursing homes and mental health facilities, giving it to more than 50 percent of the patients under his […]

female foeticide

Many years ago  the Pathan gangs, were at their heights of power  in the Mumbai  under world , communism was at its peak and the Bolly wood they controlled depicted the business men of India as greedy, corrupt and smugglers while the Pathans and Kabuliwala were shown with high esteem.Erroneously offcoarce! How time changes and […]

generics

Sir, The press has gone hammer and tong aginst doctors.The basicassumption is the erroneous guideline of MCI which statesthat the Doctors must as far as possible write only genericbrands,.Technically all the medicines in india or most ofthem are generic as they are not made by patent holders andare therefore cheap.Still some of them are manufactured […]

clinical establishment act

The Government of USA enforced certain public health laws in USA because of the general consensus among the population is USA was that Doctors were bad and fleecing patient and then dumping them.In short doctors in USA were seen to be not doing there duties.Offcoarce this had to do something with the econnomic slump and […]

CLINICAL ESTABLISHMENTS ACT (CEA)

The Centre’s ambitious plan to have an umbrella regulatory body for medical and paramedical education hit a roadblock as the Parliamentary Standing Committee on Health rejected the National Commission for Human Resources for Health (NCHRH) Bill, 2011. As retribution to it the center wanted to implement the CLINICAL ESTABLISHMENTS ACT (CEA) which was introduced as […]

IMA Objections to CEA draft standards

Executive Summary Clinical Establishment Act 2010 and Rules 2012 DEMANDS An independent authority rather than the Government, should be the regulator. Accreditation and not licensing should be the process of registration. All Treatment protocols of WHO, international and national professional associations should be accepted. Government should refrain from framing protocols. Fixing of fees and charges […]

clinical establishment act 2012

Many years ago I received a phone call from CMO Dehradun to immediately stop hospitalisation of psychiatric patient in my nursing home or i will have a case on my hand.The mental health act though passed in 1987 was begun to be enforced somewhere in 2000 .This bill was similar in nature to clinical establishment […]

Quotes – Psychiatry, Psychiatrists, Mental Health

“If A is a success in life, then A equals X plus Y plus Z. Work is X; Y is play; and Z is keeping your mouth shut.” – Albert Einstein   Die with memories, not dreams. – Anonymous   There are thousands and thousands of people out there living lives of quiet, screaming desperation who […]