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 […]
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 […]
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 […]
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 […]
(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 […]
(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 […]
© 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, […]
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’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. vmv@manglahospital.org 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 […]
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 […]
© 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 […]
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 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 […]
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 […]
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 […]
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; 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 […]
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 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 […]
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, […]
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 […]
Dr. BlumenfieldAbout the Blog 30Dec2009Year End Reflection on Those Taken From UsThere are certain times of the year such as religious holidays, anniversaries and the New Year where I find myself reflecting on those people who are no longer with us. As we come to a new year and the end of the first decade […]
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 […]
Diet is one of the most important contributors to health, affecting our risk of obesity, heart disease and numerous other conditions. Now, a new study claims that what we eat also has important implications for sleep quality.[A woman unable to sleep] Published in the Journal of Clinical Sleep Medicine, the study suggests that eating foods […]
Since its invention by a French doctor 200 years ago, this device has become the unique identifier for clinical practitioners. A stethoscope wrapped around the collar of a white-coat medico tethers the patients easily to them. However, the tether is reportedly being frayed. Let us get into the most happening discussion of the time among […]
A psychiatrist named Tom, would employ one of three tactics when he first met a new patient: Either he’d drop a pencil, tell a bad joke or spill his coffee. Presumably, Tom’s patients had already been impressed by the diplomas on his wall, which signaled his competence and credibility. Now Tom’s goal was to demonstrate […]
Dr. Pk Gupta Jan 04 2016 What Is The Treatment For Resistant Urinary Tract Infection Nephrology Internal Medicine UrologyVotes(0) Answers(6) Viewed 120 Times One 72 year old male, hypertensive non-diabetic, non-smoker patient presented with sleepiness and confusion 5 years ago. On investigation he had urinary tract infection with pus cell count of over 100 per hpf. […]
one 72 year old male,hypertensive non diabetic non smoker, patient presented with sleepiness and confusion 5 years ago. On investigation he had urinary tract infection with pus cell count of over 100 per hpf. He also had elevated serum creatinine . Repeated ultrasound abdomen revealed slight prostatomegaly with pvr of 50 to 70 ml, […]
Dara Shikuh: Majma‘ ul-Bahrain or the Mingling of the Two Oceans [of Islam and Hinduism] Introduction: Dara Shikoh (1615-1659) was the eldest son the Mughal emperor Shah Jahan. He was educated as heir apparent but developed since his youth a strong interest in esoteric aspects of Islam and in mysticism which brought him since his […]
Introduction: Al-Biruni (Alberuni, A.D. 973-1048) was one of the greatest universal geniuses of his age. Born in Khwarazm (today Uzbekistan), he wrote more than hundred books in various disciplines of science and humanities. In 1017, after the conquest of Khwarazm by Mahmud he was taken as a highly honoured “state prisoner” to Ghazna where he […]
In addition to alleviating symptoms of depression in some people, the selective-serotonin reuptake inhibitor (SSRI) escitalopram may protect against some inflammatory and neurotoxic biomarkers associated with the mood disorder, a study in the Journal of Psychiatric Research reports. Angelos Halaris, M.D., Ph.D., a professor of psychiatry and behavioral neurosciences at Loyola University Chicago Stritch School […]
The basal ganglia are most noted for their involvement in Parkinson’s and Huntington’s disease. While the two conditions share certain signs and symptoms, they are notably different. For example, Parkinson’s disease primarily affects the substantia nigra resulting in decreased production of the inhibitory neurotransmitter dopamine. One of the characteristic signs of Parkinson’s disease is that patients have a hard time initiating movement […]
A chat with Dr.Devi Shetty, Narayana Hrudayalaya (Heart Specialist) Bangalore was arranged by WIPRO for its employees. The transcript of the chat is given below. Useful for everyone. Qn: What are the thumb rules for a layman to take care of his heart? Ans: 1. Diet – Less of carbohydrate, more of protein, less oil […]
ew Delhi: The white coat, those knowing eyes, that reassuring voice when in pain, a mere glimpse of a doctor puts us at ease. Little does one realise that their back-breaking schedule, odd working hours and “emotional labour” during patient care sometimes takes a toll on doctors’ health, pushing them to seek help themselves. Dr […]
This i read on a friends fathers blog Mr. J.k Chandana i hope u all read it When an old man died in the geriatric ward of a nursing home in an Australian country town, it was believed that he had nothing left of any value. Later, when the nurses were going through his meagre […]
Serum gastrin levels exceeding 1000pg/ml (normal, <100) usually raise the suspicion for aneuroendocrine tumor (NET) that secretes gastrin. Rarely, such elevated gastrin levels are seen in patients with pernicious anemia which most commonly is associated with autoimmune gastritis (AG). AG can occur concomitantly with other autoimmune disorders including lymphocytic colitis (LC).Gastrin stimulates enterochromaffin-like cells which increase histamine secretion. Histamine excess can cause diarrhea as can bacterial overgrowth or LC. We present a 57-year-old […]
“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 […]
Back Maternal depressions alter the baby’s brain structure APADec 10, 20130 view No rating Maternal depressions alter the baby’s brain structure According to a study from Singapore, if a pregnant woman is depressive, this affects her baby’s brain structure. The children have a life-long increased risk of developing a mental disease, warn scientists in “Biological […]
[AN ANTIPSYCHIATRY PERSPECTIVE] by Don Weitz [*] First do no harm – The Hippocratic Oath I was once tortured for six weeks over 50 years ago — it happened in December 1951 and January 1952 when I was 21. While locked up for 15 months, I was forcibly subjected to a series of 110 sub-coma […]
Irritable Bowel Syndrome (IBS)(Spastic Colon) Share This (See also the American Gastroenterological Association’s technical review and medical position statement on irritable bowel syndrome.) Irritable bowel syndrome (IBS) is characterized by abdominal discomfort or pain that is accompanied by at least two of the following: relief by defecation, change in frequency of stool, or change in consistency of stool. The […]
“The Free Fetish” © Dr. Rajas Deshpande “I want to treat all patients free all my life, Sir.” I told my most beloved professor on the day that I passed my MD Medicine exams. Always fair to me, my Prof. did not brush away my words as overexcited blabber of a passing student on the […]
Recently a systematic review examined the available literature on acute care treatments for migraine for effectiveness and tolerability, graded each medication’s level of available evidence, and gave recommendations regarding its use.1 The review was limited to double-blind prospective RCTs in adults treated in an emergency department or equivalent acute care setting. Only studies that defined […]
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 on Monday, AHPI treasurer […]
The number of people traveling to Switzerland to commit suicide has doubled since 2009, a new study shows. These” 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 neurone disease, Parkinson’s […]
Sharing an interesting article below. The bottom line is that the law in India should be proportionate to the crime and not change with the criminal. The version of this article was published on October 15 by Dainik Jagran, India’s largest Hindi-language newspaper under the title “Secular Qabeeley Ke Log”… By Tufail Ahmad Tufail Ahmad […]
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 […]
Provocation by colleagues- professional jousting-frequent cause of malpractice litigation. A Surgeon had to convert a Lap Cholecystectomy into open surgery because of difficulties. Post-surgery, after a couple of months, recurrence of abdominal pain led to further investigations including CT scan abdomen and a retained abdominal mop was diagnosed. Patient was unwilling to continue treatment with […]
THE NEW ‘QUIT INDIA’ MOVEMENT ? As a law abiding doctor in medical profession for 22 years now, sometimes I really doubt that where exactly is this nation and its healthcare heading to. 1. An honest highly qualified Radiologist who is willing to co-operate with the silly law like PCPNDT is liable to go to […]
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