Category neuropsychiatry

EI

The major components of emotional intelligence are personal competence and social competence. Developing emotional intelligence involves developing both personal competence and the social competence Guidelines to develop personal competence: Pay attention to your emotional reactions to situations. Introspect on why you respond the way you do. Try to think of different ways to interpret harmful […]

Inverted T Wave: Differential Diagnosis in the Adult Patient

January 30, 2014 | Cardiovascular Diseases By William Brady, MD Figure 1A. Acute coronary syndrome Figure 1B. Acute coronary syndrome Figure 1C. Wellens syndrome (deeply inverted T wave) Figure 1D. Wellens syndrome (biphasic T wave) Figure 2A. Pulmonary embolism Figure 2B. CNS vascular event (subarachnoid hemorrhage) Figure 2C. Bundle-branch block (left bundle-branch block) Figure 2D. […]

 Tripti Sharan

The woman deserved at least some tears for her selfless service to him, but here he was, already thinking about his remarriage. She was indeed pale and her recent haemoglobin was just three grams. That was barely enough to keep her alive and she was pregnant on top of that. Such a low haemoglobin meant […]

As hands-on doctoring fades away, patients losePhysicians rely so heavily on technology that they’re short on diagnostic skills

The Washington Post20 May 2014BY SANDRA G. BOODMAN BIGSTOCK Doctors at a Northern California hospital, concerned that a 40-year-old woman with sky-high blood pressure and confusion might have a blood clot, order a CT scan of her lungs. To their surprise, the scan reveals not a clot but large cancers in both breasts that have […]

RNS

When Drugs and Surgery Don’t Work, an Option in Epilepsy Andrew N. Wilner, MD; Barbara C. Jobst, MD, PhD Andrew N. Wilner, MD: Welcome to Medscape. I’m Dr Andrew Wilner and today I have the pleasure of speaking with Dr Barbara Jobst. Dr Jobst is an epileptologist and professor of neurology at Dartmouth Medical School […]

Dementia and Sleep Dysfunction: Tips 

I’m Richard Isaacson, director of the Alzheimer’s Prevention Clinic at Weill Cornell Medicine in New York-Presbyterian. A new study recently published in Neurology looked at the quantity of a person’s sleep and how that could correlate with the diagnosis of dementia later in life. The study was very interesting. It may not have found what […]

GST AND MEDICINE 

Question on GST : I am a practicing Clinical Doctor. I purchase medicines from suppliers and in the process pay them GST (previously called as VAT) on the bills received from them. I then dispense medicines to my patients and issue them receipts including consultation+dispensing fees. It goes without saying that the cost of medicines […]

Good grief, bad grief

Pieces of debris found in the Indian Ocean indicate that a missing Malaysian jet may have plunged into the waters. Counsellors tell T.V. Jayan that family and friends of the passengers may find it difficult to cope with the grief Grief has its own symbols. Little bouquets of roses, teddy bears and candles often dot […]

Consent

In UK law, only a person with capacity can give consent. There is no proxy consent. When a person loses capacity due to mental disorder ( for ex delirium) , the doctor can take a decision in the best interest of patient. He takes the wishes of family members as a good practice. If time […]

KP

If you are a Kashmiri Pandit, it’s certain that in your life you have been asked a question by your non KP friend that, “why you didn’t picked up a gun”. We all answered in a way we found suitable, but our friends never really understand the trauma and the burden that we feel. We […]

Disclosure of mental illness before marrying 

Following guidelines is essential, which we follow at NIMHANS  a) Make sure person with mental illness is symptom free for reasonable degree of time (one year at least) b) Advice patient and significant other members of the family regarding complete disclosure (Plz document the advice) c) explain the possible outcomes of non-disclosure (document that patients […]

1 July

पारिवारिक मित्र से व्यवसायी चिकित्सक का तीन दशकों का सफर  डाक्टर दिवस 1 जुलाई पर विशेष   पिछले तीन दशकों के दौरान डाक्टर के सामाजिक सम्मान में जो गिरावट आई है, शायद ही किसी अन्य प्रोफेशन में ऐसा हुआ हो। जिस समाज में डाक्टर को भगवान का दर्जा दिया जाता रहा हो उसी को शैतान मान […]

Govt bans 46 private medical colleges from admitting students

The Union Health Ministry has banned 46 private medical colleges from admitting medical students for the next one as well as two academic years citing substandard facilities. The colleges have also had to forfeit a security deposit of Rs 2 Crore each. The 4,000 UG students currently pursuing their courses at these colleges will be […]

Cheap medicine 

A renowned Indian heart surgeon is currently building a 2,000-bed, internationally accredited “health city” in the Cayman Islands, a short flight from the U.S. Its services will include tertiary care procedures, such as open-heart surgery, angioplasty, knee or hip replacement, and neurosurgery for about 40% of U.S. prices. Patients will have the option of recuperating […]

Olive Oil Key Ingredient in Alzheimer’s Prevention?

Pam Harrison June 27, 2017 Extra-virgin olive oil (EVOO) appears to protect memory and learning ability and reduces the formation of beta amyloid (Aβ) plaques and neurofibrillary tangles in the brain — the classic hallmarks of Alzheimer’s disease (AD) — new animal research shows. The study, conducted by investigators at Temple University in Philadelphia, Pennsylvania, […]

Digital image manipulation is a growing problem in science.

Nico De Pasquale Photography/Getty Seven years ago, a cover of The Economist showed Barack Obama, head down on a Louisiana beach in front of an oil rig — the picture of lonely despair. The image perfectly encapsulated the news magazine’s story about the massive pollution caused when BP’s Deepwater Horizon platform exploded, and what the […]

*Maharashtra govt to introduce ‘Prevention of Cut practices in Medical Services Act’…!!*

*Pharmabiz,* *By Laxmi Yadav,* *Mumbai,* *Friday, June 30, 2017.* *With an aim to curtail the ‘cut practice’ in medical profession, the Maharashtra government has decided to introduce Prevention of “Cut practices in Medical Services Act, 2017” soon.* *A 9-member committee has been formed by the government to study other countries’ regulations for preventing cut practices […]

Part 3 of doctor patient relationship

Clinical Journals Latest Picks“Doctor is not god. He is also human and can make mistakes.” Understanding Doctor-Patient Disputes [Part 3] M3 India Newsdesk | Jun 29, 2017 Trends     If you want to check part 1 or 2, please click here. Part 1 “Threatened to kill us” Part 2 What is the biggest reason […]

Part2 of doctor patient relationship 

In the next part of our survey, we attempted to understand what the doctors thought about the reasons for doctor -patient disputes. From the responses that we gathered, an often-cited reason was inadequate understanding of the disease on the patient’s part which leads to avoidable dispute situations. Doctors also reported that disputes often arose when the […]

“Threatened to kill us” Doctor-Patient Disputes – Causes and Remedies [

Part1]M3 India Newsdesk | Jun 29, 2017 Trends     The doctor -patient relationship is being increasingly highlighted. Nasty disputes between doctors and patients or patient’s relatives have been making headlines recently. With this background, we attempted to understand the Indian doctor’s views of this situation through an online survey. Objective To explore the views […]

 The Power of the Doctors

 Arnold Relman MARCH 29, The Social Transformation of American Medicine by Paul Starr  Social scientists have been perplexed by the remarkably favored position of doctors in American society. Few other professions conduct their affairs with so much autonomy and receive in return such generous economic benefits. In a country historically suspicious of privilege and authority […]

TRANSPARENCY AND MEDICINE

 Financial interests are eroding the trust between doctors and the community. Brooks Elliott  – Welcome to a new series in which we’ll showcase an array of articles examining issues from ethics to the evidence in evidence-based medicine, the influence of medical journals to the role of Big Pharma in our present and future health. Here […]

Doctors in society. Medical professionalism in a changing world.

Working Party of the Royal College of Physicians, Clin Med (Lond). 2005 Nov-Dec. Medicine bridges the gap between science and society. Indeed, the application of scientific knowledge to human health is a crucial aspect of clinical practice. Doctors are one important agent through which that scientific understanding is expressed. But medicine is more than the […]

The professional status of physicians is at risk

  RICHARD A. FOULLON, MD | PHYSICIAN | JULY 12, 2011 According to Wikipedia, up to the beginning of the 19th century there had been only 3 occupations that were considered to be professions, Divinity, Medicine and Law. A profession is considered a trade or occupation that transforms itself through “the development of formal qualifications […]

Occupational prestige

Occupational prestige (also known as job prestige) is a way for sociologists to describe the relative social class positions people have. It refers to the consensual nature of rating a job based on the belief of its worthiness. The term prestige itself refers to the admiration and respect that a particular occupation holds in a […]

Bad

for someone in her 30s, I’ve spent a lot of time in doctors’ offices and hospitals, shivering on exam tables in my open-to-the-front gown, recording my medical history on multiple forms, having enough blood drawn in little glass tubes to satisfy a thirsty vampire. In my early 20s, I contracted a disease that doctors were […]

Many Depressed Doctors Avoid Professional Help

Physicians face unique circumstances during their careers that may lead to depression; these include bullying, hazing, sleep deprivation, overwork, and medical board investigations—plus the repeated near-daily exposure to suffering and death. However, doctors also experience depression for the same reasons the general public does, says Pamela Wible, MD, Ideal Medical Care, Eugene, Oregon. Dr Wible […]

Kedarnath shrine: Four years after the tragedy, The Indian Express visited at least 15 disaster-hit villages and towns near Kedarnath.

  kedarnath tragedy, kedarnath disaster, kedarnath flood, psychiatrists, mental truma, kedarnath shrine, uttarakhand, himalayas, kedarnath valley, indian express On June 12, the search for 23-year-old Prahlad Singh ended. Villagers found him tightening a rope around his neck. “He was about to kill himself,” says Prahlad’s mother Rajeshwari Devi. That day, he had run away from home, […]

Mental health india 

by The MINDS Foundation   In 1948, the Constitution of the World Health Organization (WHO) recognized health to have two crucial dimensions – physical and mental. Since then, as stated in the definition, health is considered as “a state of complete physical, mental, and social well being, and not merely the absence of disease or […]

Do you have anxiety?

Do you have anxiety? Have you tried just about everything to get over it, but it just keeps coming back? Perhaps you thought you had got over it, only for the symptoms to return with a vengeance? Whatever your circumstances, science can help you to beat anxiety for good.Anxiety can present as fear, restlessness, an […]

Value of Opioid Antagonists for Withdrawal Uncertain

Pauline Anderson June 22, 2017 1   Combining an opioid antagonist such as naloxone with an alpha2-adrenergic agonist is a feasible approach for managing opioid withdrawal, results of a new Cochrane review suggest. However, it is unclear whether this approach reduces the duration of withdrawal or facilitates transfer to naltrexone treatment to a greater extent […]

A Touching Moment In The Life Of A Doctor

Dr. S. K. Thakur Professor Of Surgery  May 29 2017      Share on WhatsApp Share on Email Flag inappropriate    +59 votes  views (1.6k) I have been in the medical profession for nearly 35 years and have not done anything extraordinary in the field that may make people curious about this special day for […]

Lithium and Antihypertensive Medication: A Potentially Dangerous Interaction

Authors Joel Handler MD First published: 31 August 2009Full publication history DOI: 10.1111/j.1751-7176.2009.00181.x View/save citation Cited by (CrossRef): 13 articles Check for updates Citation tools Joel Handler, MD, Kaiser Permanente, 411 Lakeview Avenue, Anaheim, CA 92807 E-mail: joel.handler@kp.org A 62-year-old woman with hypertensive stage 3 chronic kidney disease and a long history of bipolar II […]

Probiotics 

COPENHAGEN, Denmark ― Probiotics may be effective in reducing core depressive symptoms in treatment-naive patients with a mild to moderate form of the disorder, results of a new pilot study suggest. Investigators led by Caroline Wallace, PhD candidate, Queen’s University, Kingston, Ontario, Canada, found that symptoms of mood, anhedonia, and sleep disturbance were significantly reduced […]

Kpmea

The Karnataka Private Medical Establishments (Amendment) Bill, which was introduced by the Siddaramaiah government in the Assembly, has been referred to a joint select committee of the legislature but the threat posed by it still remains. It is intended to regulate private hospitals but the draconian measures proposed in the bill will badly hurt the […]

Placebo 

TWO WEEKS INTO Ted Kaptchuk’s first randomized clinical drug trial, nearly a third of his 270 subjects complained of awful side effects. All the patients had joined the study hoping to alleviate severe arm pain: carpal tunnel, tendinitis, chronic pain in the elbow, shoulder, wrist. In one part of the study, half the subjects received […]

Ayur allo pathy

It is a common pattern all over India particularly in Delhi NCR and in all metro and big cities and town of India. Big or mediocre or small private hospital although run by very renowned educated leader doctors usually employ Ayush Doctors after passing BAMS, BUMS, BHMS or RMPs. They are the care providers. Most […]

Lithium 

Leonardo Tondo, MD, a prominent researcher on lithium and affective illness, who is on the faculty of McLean Hospital/Harvard Medical School and the University of Cagliari, Italy, reviewed studies on lithium’s effects for suicide prevention. Ecological studies in this field have found an association between higher amounts of lithium in the drinking water and lower […]

Can you spot the narcissist in your life?

dating a narcissist Is he a narcissist? Being in a relationship with a narcissist can result in long-term emotional damage. Much has been written about the consequences of relationships with narcissists. There are books about healing from the damage narcissists can do. Some people report having had multiple relationships with narcissistic others. How do narcissists […]

Medical Conferences In India, A Critical Analysis

Dr. Lakshmanan Prakash Orthopedic, Plastic Surgery  Yesterday at 4:13 PM      Share on WhatsApp Share on Email Flag inappropriate    +46 votes  views (1.4k) There are three types of medical conference/ workshops. A. Organised by Associations and societies of doctors, These conferences are highly political, scientific content is low, speakers are chosen more for […]

MCI

 MCI de-recognizes two M.D courses MCI,  TOP NEWS, Medical Education, NewsJune 16, 2017 1024 A+A- Share this: inShare EmailPrint Share this on WhatsApp With a recent gazette notification, the Apex Medical Council has de-recognized two PG Medical Qualifications by deleting them from the relevant schedule of Postgraduate Medical Education Regulations, 2000. In Schedule of the […]

India is no country for doctors

 Photo by Arijit Sen/Hindustan Times via Getty Images   Photo by Arijit Sen/Hindustan Times via Getty Images A file photo of doctors protesting violence against medical practitioners Doctors are either treated as gods or are beaten up if they fail to save lives. Courts say they cannot strike as they aren’t factory workers. But, surely, […]

α-Synuclein in gut endocrine cells and its implications for Parkinson’s disease

Rashmi Chandra,1 Annie Hiniker,2 Yien-Ming Kuo,3 Robert L. Nussbaum,3,4 and Rodger A. Liddle1,5 First published June 15, 2017 – More info Abstract Parkinson’s disease (PD) is a progressive neurodegenerative disease with devastating clinical manifestations. In PD, neuronal death is associated with intracellular aggregates of the neuronal protein α-synuclein known as Lewy bodies. Although the cause […]

Rohan Sabharwal

Updated: Jun 09, 2017 22:41 IST By Rohan Sabharwal, Hindustan Times Last week, as I began to co-write this piece with clinical psychologist and psychotherapist, Prachi Vaish, I called my father. I needed answers to questions I’d never dared to ask. Specifically, what was it like dealing with the police each of the three times […]

Doctor (title)

This article is about the title. For professionals frequently referred to as “doctor”, see Physician, Surgeon, Dentist, and Veterinarian. For other uses, see Doctor (disambiguation). “Dr.” redirects here. For other uses, see DR (disambiguation). Doctor is an academic title that originates from the Latin word of the same spelling and meaning.[1] The word is originally […]

Is India at war with its Doctors ?

  Having been in clinical practice for 28 years I have had the opportunity to have witnessed the ‘glory days’ of medicine when a patient with normal gall bladder operated erroneously with diagnosis of acute cholecystitis / cholelithiasis would still touch the surgeons feet on discharge. Those were the days when ultrasound was science fiction […]

    ‘Reading the Mind in the Eyes

Scientists at the University of Cambridge in the UK conducted a test of cognitive empathy called the ‘Reading the Mind in the Eyes’ Test on 89,000 people across the world. Women are more likely to have a ‘mind-reading’ gene mutation that gives them the ability to read a person’s thoughts and emotions by looking at […]

Consequences of hospital bill

Our Bureau March 2: The West Bengal Clinical Establishments (Registration, Regulation and Transparency) Bill, 2017, drawn up by the Mamata Banerjee government contains stringent norms for the functioning of hospitals and proposes hefty penalties for possible lapses. Metro highlights the key provisions of the bill, copies of which were distributed to the MLAs on the […]

Routine blood glucose testing may not be of value to some patients with type 2 diabetes.

Type 2 diabetes: Blood glucose testing of little value to some patientsBy Honor WhitemanPublished Sun 11 Jun 2017blood glucose testing Many patients with type 2 diabetes consider finger-prick blood tests key for keeping blood glucose levels under control. But according to a new study, they are unlikely to be beneficial for patients who are not […]

Pathological Narcissism.

Proud peacock. Narcissist? Photo courtesy of Pixabay.com When certain patterns of behavior, or your inner experience, become continuing, pervasive, and inflexible and deviates from what your culture expects, you may have a personality disorder. Narcissistic personality disorder involves an extreme need for admiration, delusions of grandeur or grandiosity, and a lack of empathy. This particular […]