Careers in medicine have taught them the limits of treatment and the need to plan for the end By KEN MURRAY February 25, 2012 Years ago, Charlie, a highly respected orthopedist and a mentor of mine, found a lump in his stomach. It was diagnosed as pancreatic cancer by one of the best surgeons in […]

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 […]

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 […]

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 […]

The Misuse of Drugs Regulations 2001 divide Controlled Drugs (CDs) into five schedules corresponding to their therapeutic usefulness and misuse potential. A number of changes affecting the prescribing, record keeping and destruction of CDs have been introduced as a result of amendments to the Misuse of Drugs Regulations 2001. The Controlled Drugs (Supervision of Management […]

Although we think of some drugs being legal, and others being illegal, many drugs are somewhere in between. Some substances are legal, but there are laws restricting their use or sale. Others are illegal to use, possess or produce. New psychoactive substances (synthetics) – including synthetic cannabis A range of terms have been used to […]

Prescription drug abuse is a high priority for local and federal law enforcement. Because prescription drug overdose is the leading cause  of accidental death in the United States, officials are taking prescription drug crimes more seriously now than ever. This means if you are caught with a prescription drug charge, you could be facing serious […]

a guide to the complexities of the Criminal Justice and Public Order Act of 1994. This is a brief guide (courtesy of Freedom Network) to the CJA. A copy of the entire Act can be viewed online Sections 61 & 62: Trespassers on land Two or more persons trespassing on land ( not including public […]

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 […]

A bioactive compound found in turmeric promotes stem cell proliferation and differentiation in the brain, reveals new research published today in the open access journal Stem Cell Research & Therapy. The findings suggest aromatic turmerone could be a future drug candidate for treating neurological disorders, such as stroke and Alzheimer’s disease. The study looked at […]

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 […]

By Rick Maese December 6 <:article> Cynthia Kamzelski heard the recent news reports out of Ohio — a young athlete, apparently taking his own life after struggling with the effects of concussions — and everything raced back. “I’ve been just sick about it,” she said. Kamzelski’s son, Kaelin, was a sophomore in high school when […]

Introduction One of the issues that was succinctly articulated into the consensus statement that was produced at the second African Regional World Organization of Family Doctors’ (WONCA) Conference which was held in Rustenburg, South Africa (October 2009) was the leadership role of the Family Physician in Primary Care in the African context. Part of the […]

(102 of 1956) 30th December, 1956 (As amended by the Indian Medical Council (Amendment) Acts, 1964, 1993 & 2001) AN ACT TO PROVIDE FOR THE RECONSTITUTION OF THE MEDICAL COUNCIL OF INDIA AND THE MAINTENANCE OF A MEDICAL REGISTER FOR INDIA AND FOR MATTERS CONNECTED THEREWITH. Be it enacted by Parliament in the seventh year […]

 By Lisa Esposito for US News Caring is key to your response. This is what you should do if someone you know talks about taking their life. Take people seriously and let them know you care. When someone tells you he’s thought of suicide, it’s scary. Or when a friend confides she’s an attempt survivor, […]

http://www.gettyimages.com/detail/109891498 Dietrich Blumer, M.D. View Author and Article Information Vincent van Gogh (1853–1890) had an eccentric personality and unstable moods, suffered from recurrent psychotic episodes during the last 2 years of his extraordinary life, and committed suicide at the age of 37. Despite limited evidence, well over 150 physicians have ventured a perplexing variety of […]

So is it possible to live forever? The person with the longest confirmed lifespan is Jeanne Clement. She lived to be 122 and died in 1997. Imagining living that long almost makes your head hurt. This lady met Vincent Van Gogh. In person. For real. And was around to see the internet too. Imagine your […]

Objective: The authors compared the efficacy and tolerability of low and moderate dosages of extended-release quetiapine in adults with borderline personality disorder. Method: Ninety-five participants with DSM-IV borderline personality disorder were randomly assigned to receive 150 mg/day of quetiapine (the low-dosage group; N=33), 300 mg/day of quetiapine (the moderate-dosage group; N=33), or placebo (N=29). Total […]

  Getting psychiatric care in the United States is a lot harder than it should be. Patients around the country are having a hard time booking appointments for outpatient care, and face significant hurdles when it comes to receiving inpatient psychiatric care. Why is this the case? This largely because there just aren’t enough psychiatrists […]

POSTED OCTOBER 20, 2011, 12:46 PM Peter Wehrwein, Contributor, Harvard Health Remember when the best-selling bookListening to Prozac came out almost 20 years ago? Now Americans aren’t just reading about Prozac. They are taking it and other antidepressants (Celexa, Effexor, Paxil, Zoloft, to name just a few) in astounding numbers. According to a report released […]

Next Avenue  | By Laine Bergeson Posted: 11/08/2014 7:45 am EST Updated: 11/08/2014 7:59 am EST SPECIAL FROM Next Avenue By Laine Bergeson Hair loss, common for men and many women in midlife, can have profound emotional and psychological effects. So, too, can baldness cures advertised as magical remedies. “There’s this guy, a regular caller on […]

By JANE COLLINGWOOD Associate News Editor Reviewed by John M. Grohol, Psy.D. on November 10, 2014 Researchers are beginning to discover some of the reasons whybipolar disorder can cause people to engage in risky behavior. The condition involves fluctuatingdepression and mania. In the manic stage, the patient often feels intense excitement and irritability, which can […]

I was standing at my patient’s bedside. Mike Venata was having chills with a temperature of 103. Sweat covered his balding scalp like dew, then coalesced and rolled down past his staring eyes. Just 20 minutes earlier, a specialist had informed him that he hadmetastatic pancreatic cancer and could expect to live less than six months. […]

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, […]

Stress is affecting your brain much more than you think. Sure, you’ve experienced the distraction, forgetfulness, negativity or anxiety that comes from stressful situations, but did you know it’s also shrinking your brain? Hormones released in response to stress not only affect brain function, they also change the physical structure of your brain. The stress […]

Both recent trends in illicit drug use in the United States and pharmacotherapies that clinicians can use to treat certain substance use disorders, such as opioid dependence, were the focus of a symposium at APA’s Institute on Psychiatric Services in San Francisco, which ended Sunday. “For a while, until 2000, the United States was seeing a marked decrease […]

by Taboola Depression is usually brought on by factors beyond our control—the death of a loved one, a job loss, or financial troubles. But the small choices you make every day may also affect your mood more than you may realize. Your social media habits, exercise routine, and even the way you walk may be […]

Once every five minutes, someone somewhere says they’re “sooo OCD” about sorting emails, using Purell during flu season, or wearing day-of-the-week underwear on the correct days. This statistic is made up, but it is certainly true that OCD, the acronym for Obsessive Compulsive Disorder, is often misappropriated as a synonym for orderly, clean or nitpicking. […]

October 23, 2014  | One of the most provocative studies of suicide ever done was published in the September edition of the journal Social Psychiatry and Psychiatric Epidemiology. It appeared shortly after Robin Williams’ suicide, and shortly before the World Health Organization’s World Suicide Prevention Day. Both of those events received widespread media attention, but […]

By TÁMARA HILL, MS   Photo by vanessa_hutd Are you the parent, grandparent, or family member of a teen or pre-teen who exhibits an inability to control their impulses, emotional reactions, behaviors, aggression, suicidal thoughts, self-injurious behaviors, and anger? Is the behavior so extreme that you are afraid to discuss minor issues for fear of […]

Pearl | October 29, 2014 | Staff, Managers Administrators, Pearls, Staff Salary Survey By Judy Capko Physicians and managers know their practice depends on its staff to meet management’s needs, complete the many important tasks required, and serve patients. One question you should ask yourself is “What objective measures do I use to rate my […]

  Jade Small | October 25, 2014 | Spirituality | No Comments at the turn of this century, the Dalai Lama issued the following eighteen rules for living. Of the many problems we face today, some are natural calamities and must be accepted and faced with equanimity. Others, however, are of our own making, created by misunderstanding, and can be corrected. […]

In the present study, we investigated neural system habituation to eye gaze in individuals with fragile X syndrome compared with individuals group-matched for sex, intellectual functioning, autism symptoms, and adaptive behavior. Our primary result reveals less neural habituation in individuals with fragile X syndrome in response to all facial stimuli (direct gaze + averted gaze), […]

Eric Barker Oct. 18, 2014 Eric Barker writes Barking Up the Wrong Tree. We all want to know how to get respect. 1) Power Is Respected… But There’s A Catch. What makes us happier: money or power? Power. Do we prefer money or status? Status. What do children say they want more than anything when […]

Prolonged grief refers to abnormal grief with persistent yearning for the deceased, associated emotional pain, difficulty in accepting the death, a sense of meaninglessness, bitterness about the de ath, and difficulty in engaging in new activities. It is considered to be present if these symptoms have persisted at least six months after the death. Prolonged […]

Chelsea Stephens Become a fan There’s a very uninformed, ongoing stigma that mental illness is some sort of weakness. There’s an equally uninformed stigma that if a person can’t “deal with” their mental illness on their own, that they’re weak. Both of these mindsets reflect a willful lack of education, but they are not what […]

Oct 17 2014 The first step in improving competence in Emotional Intelligence is developing emotional self-awareness. It is generally agreed that all other emotional intelligence skills are based on recognizing and using emotional self-awareness to select the best response to situations that occur on a daily basis. It is generally agreed that anger is a […]

A groundbreaking study will help researchers learn more about ways to treat people experiencing suicidal thoughts. Nearly 20,000 patients will be able to participate in a trial that draws from other successful interventions for depression and suicide. One of the treatments being tested was developed with the help of other patients. Each year, over 9 […]

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 […]

For those who haven’t been diagnosed with an anxiety disorder, it might be difficult to truly comprehend what’s going on inside the mind of the 40 million American adultswho live with the condition. What exactly do you say to a loved one who is feeling extreme stress? How do you make them feel better if […]

Hon’ble SC in a case of medical negligence decide on 10th February 2010, observed that on scrutiny of the leading cases of medical negligence both in our country and other countries especially United Kingdom, some basic principles emerge in dealing with the cases of medical negligence. [Para 94] While deciding whether the medical professional is […]

Posted on September 23, 2014 by Admin This post was authored by Mark Victor, MD, FACC, CEO of Cardiology Consultants of Philadelphia, as delivered during ACC’s 2014 Legislative Conference. Over my 33 year career I have witnessed an unimaginable change in the practice of medicine. The certainty of where and how we practiced, relationships with […]

BY KYLE HILL ON OCTOBER 14, 2014 You’re probably lucky. You probably don’t have to worry about how clean your water is, if you’ll be able to get vaccinated this year, or if you’ll ever get to see a doctor. You’re lucky, but much of the world isn’t. Many parts of the globe still lack […]

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 […]

I have been stable for the past four years, but now my bipolar disorder has resurfaced. It could have been triggered by stress, meds or the weather change — or equal parts of all of these things — but the reality is that I’m unwell. Saturday highlighted this, as I was in a full hypomanic […]

—————————— Career in Medicine The dilemma that Indian doctors face today is that their profession is based on principles of morality, ethics and Hippocratic oath whereas accountability is based on consumer laws, RTI and Laws of tort. He is confused about the realities of his own practice. Out-of-hours duty and worsening work-life balance is the […]

Subarachnoid hemorrahge CT scan Figure 1. CT scan of head, read as normal in ED. Subarachnoid hemorrahge CT scan Figure 2. Additional CT cut Subarachnoid hemorrahge CT scan Figure 3. CT showing subarachnoid blood to right of brainstem. A 35-year-old Asian man presents to the emergency department with a severe headache. He states he rarely […]

The union health ministry on Friday launched the country’s first ever mental health policy to provide access to good quality treatment to mentally ill people with the focus on those living in poverty. The policy, launched by Union Health Minister Harsh Vardhan, is backed up by the “Mental Health Action Plan 365” which spells out […]

Christy Heitger-Ewing Become a fanAuthor and freelance writer When someone close to you dies, your world is torn apart. As a result, you’re as fragile as tissue paper, feeling as if the slightest breeze might shred you completely. Well-meaning friends may try to console you, but many of them wonder what to say. “What if […]

Christy Heitger-EwingAuthor and freelance writer When someone close to you dies, you initially receive a good deal of advice and support. Some of it is helpful. Some, not so much. I recently posted an article titled “The 8 Worst Things You Can Say to Someone Who is Grieving.” This is the companion piece that offers […]