Category Uncategorized

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 […]


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 […]


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 […] gupta, about me.

Dr. P K Gupta was born and brought up in the small hill town of Dehradun, in the foothills of the Himalayas. His early education was in St. Thomas High school followed by his graduating with MBBS from the third oldest medical college in India, the famous SN Medical College Agra. He pursued his residency […]

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 […]


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 […]


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 […]

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 […]


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. […]

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 […]


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 […]


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 […]


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 […]


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 […]

mci code of coduct

MCI’s New Code of Ethics for Medical Professionals:An Exercise in Vain or a Welcome Move V vIPIN m vaishistha   Consulting Pediatrician, Mangla Hospital, Bijnor, UP, India.  he Medical Council of India (MCI) viaamendment to the “Indian MedicalCouncil (Professional Conduct, Etiquetteand Ethics) Regulation 2002” has broughtout the code of conduct for doctors and professionalassociation […]

once upon a time

There was a time when doctors were doctors. There was a time when young men and women sacrificed the best years of their youth, learning to treat patients and conquer diseases, not to become typists, paper pushers, data-entry clerks, or to have hospitals, insurance companies, and the federal government dictate to us how to practice […]

Female Foeticide versus Lifelong Socio-cultural Sadism?

© Dr. Rajas Deshpande Whenever female foeticide is discussed, many self-crowned intellectuals run the horses of their pseudo-western philosophy against the entire medical profession. Some irresponsible media asks opinions of the very same majority people for whom our desi government has to run billion dollar campaigns, educating them about use of a lavatory. Might as […]


Seborrheic dermatitis is a common skin condition that mainly affects the scalp. It causes scaly patches, red skin, and stubborn dandruff. Seborrheic dermatitis doesn’t affect patients overall health, but it can be uncomfortable and cause embarrassment. Moreover, it is not contagious, and it’s not a sign of poor personal hygiene. As asked by some eminent […]

post traumatic diabetes insipidus

Dear All, My colleague, Dr. Mistry and I had just about finished an inguinal hernioraphy. A couple of skin stitches were required to finish the operation. I had a dynamic theatre sister, a sister Octavia who had her eyes all over the hospital. Straight from the casualty on a stretcher she brought in a patient […]

College Students’ Internet Addiction Has Mixed Effects on Families By Janice Wood

College Students’ Internet Addiction Have Mixed Effects on Their Families There’s good news and bad news for college students who are addicted to the Internet, according to a new study. On one hand, the Internet helps keep them connected to their families when they are apart. But when they are together, their family complains about […]

How much alcohol intake is “normal”?

I regularly have patients who drink a fair amount of alcohol but do not think they should try to reduce the amount they consume. If I gently try to introduce the idea that maybe the amount they are drinking is a bit on the higher side and maybe they should cut back a little, they […]

give your day a healthier start.

We bring you some unusual advice on how to shake up your rising routine and give your day a healthier start. Try mixing up your morning routine for some surprising health boosts. You shouldn’t, for instance, use toothpaste or make your bed, but you certainly should have sex. Kiss and make out: Research suggests that […]

Types of suicidal behaviors

So many different types of behaviors are sometimes referred to as suicide attempts. The lack of clarity and agreement about what to call different types of suicidal behaviors is a problem clinically and in clinical research. But there is a difference between an Actual Attempt, an Interrupted Event, an Aborted Attempt, and Preparatory Acts/Behavior. Suicide […]

2030 तक भारत में एक लाख (10 लाख )अतिरिक्त एमबीबीएस डॉक्टरों होगा; 

2030 तक भारत में एक लाख (10 लाख ) अतिरिक्त एमबीबीएस डॉक्टरों होगा; वर्तमान में प्रति वर्ष 50,000 @ उत्पादन किया जा रहा। डॉक्टरों की कमी की धारणा के विपरीत, नए योग्य चिकित्सकों की एक बड़ी संख्या भारत में स्वास्थ्य क्षेत्र में मानव संसाधन में होने के कारण कुप्रबंधन के लिए बेकार की स्थिति में […]

अपने दिल की देखभाल करने के लिए एक आम आदमी के लिए अंगूठे नियम क्या हैं

देवी शेट्टी के साथ चैटDr.Devi शेट्टी, नारायण हृदयालय (हार्ट विशेषज्ञ) बंगलौर के साथ दुबई sheikA चैट अपने कर्मचारियों के लिए विप्रो द्वारा आयोजित किया गया। चैट की प्रतिलिपि नीचे दी गई है। हर किसी के लिए उपयोगी है Qn: अपने दिल की देखभाल करने के लिए एक आम आदमी के लिए अंगूठे नियम क्या हैं? […]

आहार / नींद की गुणवत्ता

आहार मोटापा, हृदय रोग और कई अन्य शर्तों के अपने जोखिम को प्रभावित करने, स्वास्थ्य के लिए सबसे महत्वपूर्ण योगदान है। अब, एक नए अध्ययन से क्या हम भी खाने, सोने की गुणवत्ता के लिए महत्वपूर्ण प्रभाव पड़ता है कि दावा किया है। [एक महिला को सो नहीं पा] शारीरिक और मानसिक ऊर्जा को पुनर्स्थापित […]

Storytelling Medicine: You of All the People in the World

Copyright 2014 by Susan Miranda. I had decided that you of all the people in the world could be there when I die, and now you cannot be in my life at all. For about a year, I had felt that I possibly had some terminal illness. Not being inclined to go see a doctor, […]

Doctors need to learn about dying, too

By Susan Svrluga January 15    Dr. Michael Nisco (Photo courtesy of Michael Nisco) Michael Nisco (Courtesy of author) Doctors will finally be reimbursed for talking about death with their terminally ill patients, but, Michael Nisco argues, very few of them know how to do that. Nisco, the hospice national medical director for Amedisys Home […]

When Breath Becomes Air,”

In May of 2013, the Stanford University neurosurgical resident Paul Kalanithi was diagnosed with Stage IV metastatic lung cancer. He was thirty-six years old. In his two remaining years—he died in March of 2015—he continued his medical training, became the father to a baby girl, and wrote beautifully about his experience facing mortality as a […]