Category post for doctors

Ketamine tested as severe depression treatment

10 April, 2014 “The illegal party drug ketamine is an ‘exciting’ and ‘dramatic’ new treatment for depression,” BBC News reports. A small study found that some people with severe depression responded well to the drug.   The study involved people with severe depression (including people with depression as part of bipolar disorder) who had failed […]

Good-bye Clinics & Nursing Homes, Welcome Corporate Hospitals

Sunday, March 30, 2014 by Dr Neeraj Nagpal  Tweet The friendly neighbourhood physician, as well as the small husband-wife run nursing home, is soon to be phased out. These clinical establishments dotting the country in every nook and corner and providing 70 per cent of the total healthcare services are now becoming history. The medical scene in the country is about […]

Can doctors practice medicine ethically in India?

Tuesday, April 1, 2014 by Dr Kamal Mahawar  Tweet Can you practice medicine ethically in India? This is a million dollar question facing every Indian doctor. This is also relevant to thousands of medical students who will become doctors of tomorrow and hundreds of thousands of Indian doctors working abroad, who want to return home but are put […]

Inclusion of medical humanities as a staple in medical curriculum

Wednesday, April 2, 2014 by Dr Ashok Jahnavi Prasad  Tweet To conceptualize medicine purely in scientific terms is the biggest disservice that can be done to this discipline. Medicine has an inbuilt humanistic dimension, removal of which is akin to a body without a soul. — Sir William Osler Dr Ashok Jahnavi Prasad How true the […]

developing human brain

A comprehensive three-dimensional atlas of the developing human brain that incorporates gene activity along with anatomical reference atlases and neuroimaging data has released its first major report online today inNature. This National Institutes of Health (NIH)-funded resource, freely available to the public, enables researchers to answer questions related to the early roots of brain-based disorders […]

Why Indian doctors fear for their lives And how they are trying to cope with violent, rampaging relatives

First he skipped breakfast, and then found there was no time for lunch. As afternoon stretched into evening, the famished young doctor considered slipping away for a bite, but there were too many patients turning up at the emergency ward. At 7.30pm, he thought he might take a breather after just one more case. It […]

Should there be an ‘Exit Test’ for MBBS graduates?

  GUEST ARTICLES Should there be an ‘Exit Test’ for MBBS graduates? Saturday, March 22, 2014 by Dr Praveenlal Kuttichira Tweet ‘The Hitavada – The People’s Paper’ of March 10 carried an article titled MCI clears ‘Exit Test’ for MBBS pass-outs. The article was written by Mr Vikas Vaidya from Nagpur dated Feb 9. The matter never appeared […]

“Is Med School Worth the Dollars, Stress, and Decade Spent in Training?”

“Is Med School Worth the Dollars, Stress, and Decade Spent in Training?” I hear this question a lot. Even some of my most capable and well-adjusted friends and fellow medical students have confided to me that in the midst of medical school, they questioned whether this was the right profession for them and whether medical […]

cost of medicines

Medicines for rich patients only? Gopal Dabade, Mar 13, 2014 : Cost of medicines is the most debated topic even among civil society members and several heads of governments. Modern medicines play an important role in saving lives and also in improving quality of life. Not many know that vast majority of people do not […]

kinds of milk !

You’re Drinking the Wrong Kind of Milk And we’re not talking about soy or almond, either. —By Josh Harkinson | Wed Mar. 12, 2014 3:00 AM GMT Tweet Okea/Thinkstock When my in-laws moved from India to the United States some 35 years ago, they couldn’t believe the low cost and abundance of our milk—until they developed […]

homosexuality

In the last two decades, dozens of scientific papers have been published on the biological origins of homosexuality – another announcement was made last week. It’s becoming scientific orthodoxy. But how does it fit with Darwin’s theory of evolution? Macklemore and Ryan Lewis’s hit song Same Love, which has become an unofficial anthem of the […]

mci code of ethics

(AMENDED UPTO DECEMBER 2010) (Published in Part III, Section 4 of the Gazette of India, dated 6th April,2002) MEDICAL COUNCIL OF INDIA NOTIFICATION New Delhi, dated 11th March, 2002 Click here to view / read this Regulation No. MCI-211(2)/2001/Registration. In exercise of the powers conferred under section 20A read w ith section 33(m) of the […]

practice-number of patients

A GP in US under medicare who provides 80 or more services on 20 or more days of the year is generally considered to be guilty of inappropriate practice, because professional bodies say it is not possible to effectively treat such large numbers of patients.Most state that the average number of patient you can see […]

$1 million mistake: Becoming a doctor

ISTOCKPHOTO  Shares  Tweets  Stumble   Email More + (MoneyWatch) If you are brilliant, ambitious and gifted in science, you may consider becoming a doctor. If so, think twice. According to a new survey by personal finance site NerdWallet, most doctors are dissatisfied with the job, and less than half would choose a career in medicine if they […]

jokes

Science is a very serious business, so what tickles a rational mind? In a not very scientific experiment, we asked a sample of great minds for their favourite jokes Statisticians: not totally reliable. Physics ■ Two theoretical physicists are lost at the top of a mountain. Theoretical physicist No 1 pulls out a map and peruses […]

water metabolism

Body fluid volume and electrolyte concentration are normally maintained within very narrow limits despite wide variations in dietary intake, metabolic activity, and environmental stresses. Homeostasis of body fluids is preserved primarily by the kidneys. Water and Na balance are closely interdependent. Total body water (TBW) is about 60% of body weight (ranging from about 50% […]

tachycardia-after-eating

A person is diagnosed with tachycardia when the heart rate is more than 100 beats per minute (BPM). The normal resting heart rate for adults is about 60 to 100 BPM and for infants, it is about 110 BPM. Tachycardia after eating is an uncommon disorder and for the people who experience it, it can […]

Sarcoidosis

Specialists provide an evidence-based review of the condition and its management Sarcoidosis is a systemic disease of unknown cause that is characterised by the formation of immune granulomas in various organs, mainly the lungs and the lymphatic system. Studies show that sarcoidosis might be the result of an exaggerated granulomatous reaction after exposure to unidentified […]

Is vitamin D supplementation still warranted for osteoporosis prevention?

Oct 15, 2013 338 views 3 stars Is vitamin D supplementation still warranted for osteoporosis prevention? Background Findings from recent meta-analyses of vitamin D supplementation without co-administration of calcium have not shown fracture prevention, possibly because of insufficient power or inappropriate doses, or because the intervention was not targeted to deficient populations. Despite these data, almost […]

safdarjang hospital

14 Responses By ASHISH JHA, MD I visited Safdarjung Hospital in New Delhi today – an institution with  1,531 beds and 145% occupancy rate.  Yes, 145%.  You do the math.  A lot of bed sharing and asking families to bring in cots.  It’s right across the street from the All India Institute of Medical Sciences (AIIMS), the premier public […]

the state of USA health

Understanding the major health problems in the United States and how they are changing over time is critical for informing national health policy. Objectives To measure the burden of diseases, injuries, and leading risk factors in the United States from 1990 to 2010 and to compare these measurements with those of the 34 countries in […]

Longacting somatostatin analogue shows promise in the ALADIN trial

Autosomal dominant polycystic kidney disease slowly progresses to end-stage renal disease and has no effective therapy. A pilot study suggested that the somatostatin analogue octreotide longacting release (LAR) could be nephroprotective in this context. We aimed to assess the effect of 3 years of octreotide-LAR treatment on kidney and cyst growth and renal function decline […]

white paper on medical education by dr.DEVI SHETTY

    Contents                                                                                   Page No. Executive Summary                ………………..                02   1.      Preamble                                ………………..                04 2.      Current scenario                    ………………..                05 3.      Challenges faced          ………………..                06 4.      Initiatives in the past by MCI  ………………..                08 5.      Recommended actions           ………………..                09 6.      Outcome and Benefits            ………………..                11   Executive Summary Preventing and treating NON-COMMUNICABLE DISEASES(NCD) is […]

Importance Physicians’ views about health care costs are germane to pending policy reforms.

Objective To assess physicians’ attitudes toward and perceived role in addressing health care costs. Design, Setting, and Participants A cross-sectional survey mailed in 2012 to 3897 US physicians randomly selected from the AMA Masterfile. Main Outcomes and Measures Enthusiasm for 17 cost-containment strategies and agreement with an 11-measure cost-consciousness scale. Results A total of 2556 […]

Doctors Badmouthing Other Doctors

114 Comments Doctors Badmouthing Other Doctors By PAULINE W. CHEN, M.D. Tetra Images/Getty Images FACEBOOK TWITTER GOOGLE+ SAVE E-MAIL SHARE PRINT DOCTOR AND PATIENT Dr. Pauline Chen on medical care. A physician friend known for her conscientious work recently disclosed that a year ago she was named in a malpractice lawsuit. The revelation rattled me not […]

an interesting and funny case

IT was an interesting and funny case which came to my clinic today. A Hindu patient named(changed) vikram who was had  an acute   manic episode, in a fit of grandiose delusion , suddenly changed his religion and became Muslim, changed his name to Mohemmed,started wearing muslim topi,kurta and pyjama and frequented madrarasas and got into […]

doctors and feelings

Is Your Model of Physician Behavior Out of Date? As a physician, you are a product of medical culture; in that culture, there are unspoken manners and mores that its members are expected to note and assimilate. In dealing with patients, for example, the historical model has been for physicians to remain cool, calm, and […]

Clinical Establishments Act

The Clinical Establishments (Registration and Regulation) Rules, 2010 Draft Rules for the Central Government These rules may be called The Clinical Establishments (Registration and Regulation) Rules (Central Government), 2010 These rules extend to the whole of the States of Arunachal Pradesh, Himachal Pradesh, Mizoram, Slkkim and in any other State which adopts this Act under […]

drug treatment of depression

Pharmacologic Therapy for Depression Drugs used for treatment of depression include the following: Selective serotonin reuptake inhibitors (SSRIs) Serotonin/norepinephrine reuptake inhibitors (SNRIs) Atypical antidepressants Tricyclic antidepressants (TCAs) Monoamine oxidase inhibitors (MAOIs) St. John’s wort Selective serotonin reuptake inhibitors SSRIs include the following: Citalopram (Celexa) Escitalopram (Lexapro) Fluoxetine (Prozac) Fluvoxamine (Luvox) Paroxetine (Paxil) Sertraline (Zoloft) Vilazodone […]

Why Psychiatry Should Be Abolished as a Medical Specialty

by Lawrence Stevens, J.D. Psychiatry should be abolished as a medical specialty because medical school education is not needed nor even helpful for doing counselling or so-called psychotherapy, because the perception of mental illness as a biological entity is mistaken, because psychiatry’s “treatments” other than counselling or psychotherapy (primarily drugs and electroshock) hurt rather than help […]

chinese medicine

In lieu of the current move to regulate Traditional Chinese Medicine, the following petition has been created in response to some of the injustices currently being experienced by practitioners.   Please sign HERE The following statement has been release by Acupuncturist Solidarity: Ontario’s Traditional Chinese Medicine (TCM) Act will be in force as of April 1, 2013. […]

dr trehan

  (From Left to Right) Shekhar Gupta, editor-in-chief, Indian Express; Dr Girdhar j Gyani, director general, Association of Healthcare Providers (India); Dr Randhir Sud, chairman, Institute of Digestive and Hepatobiliary Sciences, Medanta – The Medicity; Shiv Khera, motivational speaker and author of ‘You Can Win’; and Dr Naresh Trehan, chairman and managing director, Medanta – […]

Hippocratic Oath

  Hippocratic Oath I swear by Apollo, the healer, Asclepius, Hygeia, and Panacea, and I take to witness all the gods, all the goddesses, to keep according to my ability and my judgment, the following Oath and agreement: To consider dear to me, as my parents, him who taught me this art; to live in […]

Staff slipups on patient privacy can get doctors sued

  Staff slipups on patient privacy can get doctors sued ■ Medical offices must train employees adequately about confidentiality rules to avoid legal risks, experts say. By ALICIA GALLEGOS — Posted April 22, 2013. PRINT  |   EMAIL  |   RESPOND  |   REPRINTS  |   LIKE   |   SHARE   |   TWEET  In the Courts A column analyzing the impact of recent court decisions on physician SEE ARCHIVES WITH THIS STORY: » External links » Related content […]

facebook and patients

By David Pittman SAN FRANCISCO — Physicians should avoid making or accepting “friend” requests through social networking websites with past or current patients, a new policy statement advises. Instead, doctors should separate their professional and social lives online and direct patients to correct avenues of information if they contact doctors through social networks, according to […]

The ethics of the placebo in clinical practice

  P Lichtenberg, U Heresco-Levy, U Nitzan +Author Affiliations Herzog Hospital, and Hadassah Medical School—Hebrew University, Jerusalem, Israel Correspondence to:
 Dr P Lichtenberg
 Herzog Hospital, POB 35300, Jerusalem 91351, Israel;licht@cc.huji.ac.il Accepted 2 June 2003 Abstract While discussions of the ethics of the placebo have usually dealt with their use in a research context, the authors address […]

Five Public Relations Secrets to Building Your Medical Practice

Would-be physicians attend medical school and complete their residency training with the dream of putting an MD after their name. But it is another MD that more and more is becoming essential if these same physicians are to build a profitable and sustainable business in many markets around the country. That MD stands for “marketing […]

Why do men become dumb in the presence of attractive women?!

  18OCT Recently was watching a commercial on TV. A babe with striking looks donning a revealing bikini was walking out of the sea. As I watched in awe, I was surprised to know that the advertisement was that of a cement brand. Now, what does a woman showing well-toned wearing nearly nothing have to […]

OTC Supplement May Aid in Migraine Prevention

Caroline Cassels Mar 26, 2013  Add Migraine to My Topic Alert Drug & Reference Information Migraine-Associated Vertigo Migraine Headache Tension Headache San Diego, California — Melatonin, which is widely available in North America as an over-the-counter supplement, is more effective than placebo for migraine prevention and has a more favorable adverse effect profile than the tricyclic antidepressant amitriptyline, […]

pornography-a psychiatrists perspective

Porn: A Psychiatric Perspective Posted onJune 9, 2009byLuke Gilkerson The following is an interview with consultant psychiatrist, Dr. Samir Parikh, MBBS, DPM, MD. Dr. Parikh did his graduate and post-graduate work at Civil hospital in Ahmedabad. He is an international speaker and is one of the leading academic experts in the field of mental health. He […]

demands of medical profession

Dear Washington, D.C.: I am writing this letter because I feel that our leaders and lawmakers do not have an accurate picture of what it actually entails to become a physician today; specifically, the financial, intellectual, social, mental, and physical demands of the profession. This is an opinion that is shared among many of my […]

Active Docs Give Exercise Advice More Freely

Note that this study was published as an abstract and presented at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal. Note that this literature review revealed significant associations between physical activity in healthcare providers and the frequency of patient counseling in that area. Be aware […]

a magical moment

God, I’m tired, I thought to myself. I was 20 hours into a seemingly endless stretch on my Pediatrics rotation. The hours before had held overdoses — both accidental and intentional — plus surgical emergencies, medical train wrecks, and a steady stream of URIs and AGEs that we would sign off of in the Peds […]

Doctor-pharma ties

Doctor-pharma ties defended on eve of pay reporting mandate ■ Major stakeholders outline principles of physician-industry collaborations amid concern that all payments will be painted with a broad brush. By KEVIN B. O’REILLY amednews staff — Posted March 25, 2013 PRINT  |   EMAIL  |   RESPOND  |   REPRINTS  |   LIKE   |   SHARE   |   TWEET  WITH THIS STORY: » 4 principles on doctor-industry interactions » External links » Related content With the start of federally […]

Transient neurological attacks frequently precede vertebrobasilar ischaemic stroke

Background Transient isolated brainstem symptoms (eg, isolated vertigo, dysarthria, diplopia) are not consistently classified as transient ischaemic attacks (TIAs) and data for prognosis are limited. If some of these transient neurological attacks (TNAs) are due to vertebrobasilar ischaemia, then they should be common during the days and weeks preceding posterior circulation strokes. We aimed to […]

America Is Stealing the World’s Doctors

It was not an unusual death. Kunj Desai, a young doctor in training at University Teaching Hospital in Lusaka, Zambia, had seen many that were not so different and were equally needless. Still, this was the one that altered all his plans. “A guy came in, and he had a stab wound,” Desai recalled, “and […]

How Creative Is Your Doctor?

What are you doing creatively these days? It’s not a question you hear commonly, and certainly not in a medical journal. But that was the title of a commentary in a recent issue of Academic Medicine. It caught my eye, because medicine is a field with a strong history of creativity, but its daily practice feels less […]

links

Selected Links Share This CDC Centers for Disease Control and Prevention main page. Includes MMWR, Mortality and Morbidity Weekly Report, which provides health statistics, infectious disease information, and breaking news. clinicaltrials.gov National Institute of Health site providing information on over 29,000 federal and privately sponsored clinical trials. Includes consumer information on the nature of clinical trials […]

coma

Coma is unresponsiveness from which the patient cannot be aroused. Impaired consciousness refers to similar, less severe disturbances of consciousness; these disturbances are not considered coma. The mechanism for coma or impaired consciousness involves dysfunction of both cerebral hemispheres or of the reticular activating system (also known as the ascending arousal system). Causes may be […]

Book Review: “No matter what, I love you!”

Book Review: “No matter what, I love you!” by DEVANG VIBHAKAR on FEBRUARY 24, 2012 1,275 views   in ARTICLES Book name: પણ, હું તો તને પ્રેમ કરું છું! (In English: No matter what, I love you!. Hindi: फिरभी तुम्हे चाहेंगे) Author: Dr. Hansal Bhachech (Psychiatrist, Author, Columnist) Publisher: Navbharat Sahitya Mandir, Ahmedabad. Price: Rs. 250/- (Sixth edition). Sold over 25,000 […]