Category Uncategorized
Painful Injection
© Dr. Rajas Deshpande “Anyone Treat Anything” and the “Add-On complaints”. “Doc I have come to you for this severe headache since last five months”. Examined, investigated, prescription given. 5 days later: “Doc there is no relief. This back pain is killing me”. “What about the headache you had?” “Oh that went away the next […]
God help the Indian Doctor.
© Dr. Rajas Deshpande A court recently awarded a compensation of 12 crores to a patient because that’s what she would have earned if alive, as she held a job in the US. While human life is invaluable, there has to be a logic / discipline to such punishments. What compensation was ever awarded to […]
I’ve finally accepted that all doctors are uniformly and completely corrupt.
I’ve finally accepted that all doctors are uniformly and completely corrupt. There’s no hiding from this obvious truth. It must be true because the greatest intellectual of the modern era, Bollywood superstar and busybody Aamir Khan, says so. Another great humanitarian Akshay Kumar has confirmed it in a movie called ‘Gabbar Is Back’ which showcases […]
Living wills and advance directives for medical decisions
Living wills and advance directives describe your preferences for end-of-life care. These documents speak for you when you’re not able to speak for yourself. By Mayo Clinic Staff Living wills and other advance directives are written, legal instructions regarding your preferences for medical care if you are unable to make decisions for yourself. Advance directives […]
Living wills and advance directives for medical decisions
Living wills and advance directives describe your preferences for end-of-life care. These documents speak for you when you’re not able to speak for yourself. By Mayo Clinic Staff Living wills and other advance directives are written, legal instructions regarding your preferences for medical care if you are unable to make decisions for yourself. Advance directives […]
predictions of kaliyug
In the last canto of the Bhagavata Purana there is a list of predictions and prophecies about the dark times for the present age of Kali Yuga. The following 15 predictions, written 5,000 years ago by sage Vedavyasa, are amazing because they appear so accurate. Despite the negative tone of these prophecies, there is still […]
The Brain-Alive Heart-Dead.
(c) Dr. Rajas Deshpande “We don’t want her to suffer. We don’t want any ventilator etc. treatments”. Said the calm son, no traces of emotional tones in his speech. His mother was admitted last night with stroke. Quite a sophisticated family, this son owning a company of repute. His teenager daughter was sitting by her […]
The Yearn
© Dr. Rajas Deshpande It was raining hard as I started on a Sunday noon for my escape long-drive. Staying on the outskirts of town has the advantage of lower noise and longer roads. On one such long road I always saw an elderly couple sitting on the footpath selling vegetables, not plenty, but two-three […]
I have to walk my life alone. Always.
I can deceive myself and others by pretending to understand.. Hold hands and falsely reassure myself and someone else of things being shared, but then we both choose to close our eyes to the reality: that no pain ever can be shared. No happiness, no personal achievement, no mental evolution, even peace cannot be shared. […]
We the Great!
When we set out to perform and dazzle the world, we seldom analyse ourselves: a cause of great discomfort and pain to others, and mostly, ourselves! Much as it is impossible to dislike oneself (we cant hate ourselves, all said and done!), it would be worth a try to atleast analyse. On the inside, we […]
The second side of the story of “Unnecessary surgeries and stenting”:
Stop “Doctor Bashing”!! The said firm in this news is said to have conducted research about this. What is its standing in medical research? Has it obtained permission for such research from ICMR/MCI/local medical councils? Has it obtained permission also to publish such studies in the general press/media? Who has verified the statistical/medical authenticity of […]
Forced tasks, deadlines and suspension of Govt Servant Doctors.
Doctors, especially surgeons should stop all forced “deadline and ultimatum-based” government programmes unless and until: 1. All the world-class standard equipment and theaters are available for every surgery / procedure, and the number of procedures that can be done without stress and hurry is decided by the treating doctor / operating surgeon. 2. An “All-is-well” […]
Question from a young Indian doctor who just passed out MBBS:
GM Sir. I am pursuing PG after MBBS. I follow your posts regularly. I have a question: Does the passion we have to actually become doctors and serve society and those who need us actually fade away? Many of my friends tell me that there’s nothing like passion, only money matters after a while, and […]
The Unsafe Pilot / Driver:
We don’t even grasp the threat! (c) Dr. Rajas Deshpande Imagine someone without consciousness / awareness of self / self control handling a gun around you or driving a truck / train or flying an airplane with you in it. The recent claim about a pilot “deliberately” downing his plane with many others will make […]
Drug Quality, price and risk: repost
(c) Dr. Rajas Deshpande Sir, What about the responsibility of quality of drugs used for the treatment? These are the only weapons with which we fight a disease. Does it make pharma a share holder of responsibility in case of adverse outcome ? This is another grey zone to elaborate. Dear Dr. Sachin Jaybhaye, Thank […]
The Murdered Angels of India
(c) Dr. Rajas Deshpande This simple looking girl in her early twenties walks into my OPD with her parents. They all are dressed up typically worker/ lower middle class, just enough to avoid obviously torn clothes. Everything humble, barely touching middle class, but very well behaved. She starts telling her father’s complaints in perfect English, […]
Plight of of a a common Indian Doctor.
Letter to a beloved Teacher: (c) Rajas Deshpande Respected sir, Yourself and most other teachers are my Gods, I am what I am largely because of teachers like you, and cannot argue with your opinions. Like any normal man, I wanted Porsches and Ferraris, a bungalow by the beach, a calm and quiet life of […]
Doctors under duress: Stop the violence
Make a law against “Interference in patient care” Should the docs leave casualty if they sense hostility / arrogant and threatening relatives? Every doctor cannot make correct decisions under duress, and patients suffer. © Dr. Rajas Deshpande Doctors who work in any emergency ward / hospital in India are exposed to two great risks: violence […]
Medical Gods I met upon Earth: Part V
Patients who taught me life. The breathless grandpa. © Dr. Rajas Deshpande This octogenarian Mr. Abaji was admitted for the umpteenth time in the general ward for sudden breathlessness due to a respiratory condition called COPD. In general ward at govt. hospitals, there’s barely three feet distance between beds, without any privacy (No embroidered / […]
Medical Gods I met upon Earth: Part VII
The Mother Brain © Dr. Rajas Deshpande “Get out of the ward, Rajas!” said Dr. Pravina Shah. Although many of my teachers may have thought of these words school onwards, it was Dr. P. U. Shah who finally said them, in the first month of my joining the D.M. Neurology course at KEM hospital (Seth […]
Medical Gods I met upon Earth: Part VIII
The Messiah of Medicine © Dr. Rajas Deshpande “Sir, many times last night, I felt it was so easy to slip in some wrong drug to that rapist: if that criminal is allowed to go back in the society, he will just continue to rape more women”. Said the devastated intern with tears in her […]
The Guarantee of Life
© Dr. Rajas Deshpande What is the Guarantee, Doctor? Best of the Doctors internally react like metal on sandpaper to this question by the patient or relatives. While surgeons are the most common victims of this question, physicians also often succumb to these innocent words. It’s not that the doctor wants to hide or lie, […]
The new medical villain on the block “Medical Meddler”
The new medical villain on the block “Medical Meddler” © Dr. Rajas Deshpande There are more than one options to choose from in the treatment of most medical conditions. Although doctors may differ on the exact diagnosis in some cases, they usually agree upon the “umbrella” or parent medical condition, and usually prescribe similar molecules […]
Doctors under duress: Stop the violence Make a law against “Interference in patient care”
Should the docs leave casualty if they sense hostility / arrogant and threatening relatives? Every doctor cannot make correct decisions under duress, and patients suffer. © Dr. Rajas Deshpande Doctors who work in any emergency ward / hospital in India are exposed to two great risks: violence and murders and early health problems and death […]
The new medical villain on the block “Medical Meddler”
© Dr. Rajas Deshpande There are more than one options to choose from in the treatment of most medical conditions. Although doctors may differ on the exact diagnosis in some cases, they usually agree upon the “umbrella” or parent medical condition, and usually prescribe similar molecules as treatment. It is extremely important for the patient […]
The “token” gift, and the “real” punishment!
Embed from Getty Images (Things doctors don’t get time to say!) © Dr. Rajas Deshpande Wherever possible, and whenever they deal with “mature and understanding” relatives, most doctors explain and predict about the patients, but the moment they sense accusive, legality oriented, halfbaked googlecakes, doctors have no option but to turn on their guards in […]
Medical Gods I met upon Earth
Medical Gods I met upon Earth: Part IV (c) Dr. Rajas Deshpande “He’s a King.. and also a Superman” Deb said. One of the most respected figures in the world of clinical and research Neurology, director of a specialty unit and professor in one of the best reputed western universities, and the highest among genius […]
Lets talk about FEEDBACK.
Lets talk about FEEDBACK. This is something which we should do everyday, may be after every shift or may be twice/thrice on a single shift. An effective feedback can really transform learners. This is important for the attendings/consultants as well as the residents as they need to provide constant feedback to the residents/medical students. So, What […]
Depression
Someone recently asked me to write on what I wish people knew about depression, in light of Robin William’s suicide. Here’s my response. I wish people knew that depression is complex, that it is a physiological condition with psychological and spiritual components, and therefore can’t be forced into any neat and tidy box, that healing […]
Doctor, Shut Up and Listen
HARRISBURG, Pa. — BETSY came to Dr. Martin for a second — or rather, a sixth — opinion. Over a year, she had seen five other physicians for a “rapid heartbeat” and “feeling stressed.” After extensive testing, she had finally been referred for psychological counseling for an anxiety disorder. The careful history Dr. Martin took […]
How Chronic Stress Creates Hormonal Havoc
by Mark Hyman, MD “If you really knew what was happening to you when you are stressed, you would freak out. It’s not pretty,” I said during the 2013 Third Metric women’s conference. I wasn’t kidding. I could write several books about stress’s massive, chronic havoc on your body. If you want to avoid stress, you’ve […]
Drugs and the Criminal Law
The number of people dealt with for drug offences in 1998 was 153,200 and of these, 127,840 were found guilty, cautioned, given a fiscal fine or dealt with by compounding for drug offences in 1998. Offences mainly involved cannabis (76%), followed by amphetamine (12%), heroin (9%) and cocaine (4%), with little change in the type […]
modernizing Code of Medical Ethics
By RICHARD GUNDERMAN, MD Last month the American Medical Association wrapped up its annual meeting in Chicago, where it has reached the final stages of modernizing its 167-year-old Code of Medical Ethics, last updated more than 50 years ago. The central role of ethics in medicine is reflected in the fact that, at the AMA’s first […]
The Most Dangerous Idea in Mental Health
BY ED CARA • November 03, 2014 • 6:00 AM (Illustration: Simon Prades) Share on facebookShare on twitterShare on google_plusone_shareShare on diggShare on redditShare on emailShare on printfriendlyMore Sharing Services The belief that hidden memories can be “recovered” in therapy should have been exorcised years ago, when a rash of false memories dominated the airwaves, […]
overtesting and overtreatment
There are many reasons why physicians engage in overtesting and overtreatment. Much emphasis has been placed on perverse financial incentives that reinforce such behavior, as well as on commercial marketing efforts designed to create demand for more testing, diagnosis, and treatment.1 2 3 4 5 Physicians themselves mostly cite fear of legal (malpractice) claims as […]
U.S. health care is a ‘subtle form of corruption’ says leading cancer doctor
By Susan Perry | 04/24/12 cancer.org Dr. Otis Brawley Dr. Otis Brawley, an oncologist and chief medical officer for the American Cancer Society, has long been an outspoken critic of unnecessary medical tests and procedures. On this topic, he is perhaps best known for his opposition to the routine screening of men for prostate cancer, […]
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, […]
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 […]
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 […]
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 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 […]
dr.pk gupta’s invitation is awaiting your response
dr.pk gupta would like to connect on LinkedIn. How would you like to respond? dr.pk gupta consultant in neuropsychiatry and epileptology at deemag clinic Confirm you know dr.pk You are receiving Reminder emails for pending invitations. Unsubscribe © 2014, LinkedIn Corporation. 2029 Stierlin Ct. Mountain View, CA 94043, USA
Prenatal Exposure to Antidepressants Shows No Cardiac-associated Risk in Offspring, Study Finds
New research shows that antidepressant pharmacotherapy does not appear to pose a risk for cardiac defects in infants born to women taking the medicines during the first trimester of pregnancy—including those that are contraindicated for pregnant women. A research team led by Krista Huybrechts, Ph.D., of Harvard Medical School conducted a large-scalestudy with nearly 950,000 pregnant […]
receptor
In biochemistry and pharmacology, a receptor is a protein molecule usually found inside or on the surface of a cell, that receives chemical signals from outside the cell. When such chemical signals bind to a receptor, they cause some form of cellular/tissue response, e.g. change in the electrical activity of the cell. In this sense, a receptor is a protein molecule that recognises […]
chromogranin a
Plasma chromogranin A after severe burn trauma. Lindahl A.E., Low A., Stridsberg M., Sjoberg F., Ekselius L., Gerdin B. Neuropeptides 4 Plasma chromogranin A after severe burn trauma. Lindahl A.E., Low A., Stridsberg M., Sjoberg F., Ekselius L., Gerdin B. Neuropeptides 47:207-212(2013) · Mapped (3) Elevated serum levels of Chromogranin A in hepatocellular carcinoma. Biondi […]
deemagclinic
deemag and chest clinic 