Monthly Archives: August 2014

Listen up, doctors: Here’s how to talk to your patients

Introduction It is said that over 80% of diagnoses are made on history alone, a further 5-10% on examination and the remainder on investigation.[1] Whether this adage is true or not may be open to debate but it is clear that history and examination skills remain at the very core of clinical practice. This record […]

The Hippocratic Oath Today

The Hippocratic Oath Today The Hippocratic Oath is one of the oldest binding documents in history. Here you’ll find classical and modern versions of the oath as well as a brief article that offers a sense of the controversial nature of the oath today. Follow links at the bottom of the page to post your […]

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meditation and mindfulness

MBCT courses are proliferating across the UK – but research in the US found some who practised some types of Buddhist meditation were assailed by traumatic memories and impairment in social relationships. Photograph: Luis Alvarez/Getty Images/Vetta In a first floor room above a gridlocked London street, 20 strangers shuffle on to mats and cushions. There’s […]

The Electroencephalogram in the Management of Psychiatric Condition

    By Nash N. Boutros, MD The Electroencephalogram in the Management of Psychiatric Conditions   The electroencephalogram (EEG) has a limited but definitive role in understanding and managing psychiatric conditions. When the presentation is unusual, a neurological workup that includes an EEG is essential. In conditions in which EEG abnormalities are demonstrably common, an […]

Ketamine antidepressant effect

Ketamine, an injectable anesthetic that has been shown to exert a rapid but short-lived antidepressant effect, may reduce suicidal ideation independently of a reduction in depressive symptoms, new research suggests. Investigators at the National Institute of Mental Health in Bethesda, Maryland, distinguished the relationship of ketamine to reduced suicidal thoughts from its effect on depression […]

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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 […]

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Robin Williams

Millions of people worldwide have been rocked by the recent and very sad death of Robin Williams. Although suicide is part of our daily work as clinicians, we are mostly focused on assessing our patients for suicide risk, exploring suicide thoughts and planning, and treating the cognitive patterns directly or the underlying psychiatric illnesses. In […]

mindfulness

What do a 2,500 year-old monk and a modern-day ninth-generation military woman have in common? Besides some common thread of humanity, on the surface it may not seem like much. Like the military, mindfulness has a deep-seated history. Rooted in Buddhist psychology, mindfulness made its way into modern-day American society in various forms in the […]

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Psychotherapy in the Bhagavad Gita, the Hindu Scriptural Text

Ananda K. Pandurangi, M.D.; Sudhakar Shenoy, M.B.B.S.; Matcheri S. Keshavan, M.D. View Large Download Slide (.ppt) Add to My POL Gitopadesha (Teaching of the Gita): Krishna, the god (charioteer, in blue), with his right hand raised in the teaching gesture (Jnana Mudra) and Arjuna (prince, in green) in the battle of the Mahabharatha. Gouache painting […]

Pomegranate Compound Could Stem Alzheimer’s

Keywords: Microglia; Neuroinflammation; NF-κB; Pomegranate; Punicalagin Scope In this study, the effects of punicalagin on neuroinflammation in LPS-activated microglia were investigated. Methods and results The ability of punicalagin to reduce the production of TNF-α, IL-6 and prostaglandin E2 was measured in culture medium using enzyme immunoassay. TNF-α and IL-6 gene expression in mouse hippocampal slices […]

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The Reasons Physicians Fail to Build Wealth

f you have physician clients or family or friends, you’re in on a dirty little secret: physicians’ high incomes do not reliably translate to high net worth. Practicing physicians earn top dollars. In fact, according to the U.S.Bureau of Labor Statistics, nine of the top ten earners in the U.S. call themselves “doctor.” Indirect evidence […]

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Personal Observations on the Changing Scene In American Medicine: 1955 to 2010

                 Clifton K. Meador, M.D. When I entered private practice in 1962 (after graduating from medical school in 1955, completing a medical residency, serving  two years in the Army Medical Corps, and completing a NIH Fellowship in Endocrinology), there was no Medicare, no Medicaid, and very little medical insurance of any kind. Patients paid cash, […]

Hyposkillia , Deficiency of Clinical Skills

Hyposkillia Deficiency of Clinical Skills Herbert L. Fred, MD, MACP Author information ► Copyright and License information ► This article has been cited by other articles in PMC. The medical profession today faces many problems. We march to bureaucratic drummers, we have lost our autonomy, our prestige has spiraled downward, and our professionalism is sagging.1,2 […]

cap on doctors’ fee

A proposal in the Rajya Sabha to put a cap on doctors’ fee has created uproar in the medical fraternity. The Indian Medical Association (IMA) has already decided to go to the court, even as patient bodies and activists hail the move. The proposal titled ‘Regularization of Doctors’ Fees’ was put forward by Congress leader […]

A HEARTLESS PROFESSION?

Indian American cardiologist Sandeep Jauhar‘s book has caused quite a few blood vessels to pop with its lacerating look at the practice of medicine in US It is the Holy Grail for almost every Indian parent: that their son andor daughter go to medical college, become doctors, and embark on a thriving career that brings […]

suicide tourists “

The number of people traveling to Switzerland to commit suicide has doubled since 2009, a new study shows. These suicide tourists ” 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 […]

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 […]

Illinois suspends license of controversial psychiatrist

Illinois medical board suspends license of Chicago psychiatrist in clozapine case Illinois agency suspends Chicago psychiatrist’s license, citing illegal payments from drugmaker For years, Dr. Michael Reinstein was a prolific prescriber of a dangerous antipsychotic drug in nursing homes and mental health facilities, giving it to more than 50 percent of the patients under his […]

female foeticide

Many years ago  the Pathan gangs, were at their heights of power  in the Mumbai  under world , communism was at its peak and the Bolly wood they controlled depicted the business men of India as greedy, corrupt and smugglers while the Pathans and Kabuliwala were shown with high esteem.Erroneously offcoarce! How time changes and […]

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 establishment act

The Government of USA enforced certain public health laws in USA because of the general consensus among the population is USA was that Doctors were bad and fleecing patient and then dumping them.In short doctors in USA were seen to be not doing there duties.Offcoarce this had to do something with the econnomic slump and […]

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 […]

IMA Objections to CEA draft standards

Executive Summary Clinical Establishment Act 2010 and Rules 2012 DEMANDS An independent authority rather than the Government, should be the regulator. Accreditation and not licensing should be the process of registration. All Treatment protocols of WHO, international and national professional associations should be accepted. Government should refrain from framing protocols. Fixing of fees and charges […]

clinical establishment act 2012

Many years ago I received a phone call from CMO Dehradun to immediately stop hospitalisation of psychiatric patient in my nursing home or i will have a case on my hand.The mental health act though passed in 1987 was begun to be enforced somewhere in 2000 .This bill was similar in nature to clinical establishment […]

Quotes – Psychiatry, Psychiatrists, Mental Health

“If A is a success in life, then A equals X plus Y plus Z. Work is X; Y is play; and Z is keeping your mouth shut.” – Albert Einstein   Die with memories, not dreams. – Anonymous   There are thousands and thousands of people out there living lives of quiet, screaming desperation who […]

How to “Bully-Proof” Kids

    By Gariane Phillips Gunter, M.D.  Do you think October’s national anti-bullying campaign was successful in stopping bullies? The Washington Postrecently blogged about our country having a hard time defining bullying among kids. So, what can we, as parents, do to protect our children and teens? Here are some tips for “bully-proofing” your kids: Distinguish between events […]

How Psychotherapy Changes the Brain

By Serina Deen, MDMPH When I first see patients for evaluation, they often tell me that they’ve debated starting a “biological” treatment such as medication, versus a “psychological” treatment such as psychotherapy. I’m happy to report that as brain imaging technology advances, we’re finding that this distinction may be obsolete. Psychotherapy is also “biological” in […]

Teach Teens and (Yourself!) how to W.A.I.T

By Tristan Gorrindo, M.D. By now, over 80 percent of teens have an account with Facebook, Twitter, or some other social networking site. A common feature on almost all of these sites is the ability to share with your friends whatever is on your mind. Commonly these posts appear on a “wall” or other profile […]

What to expect for your first visit with your psychiatrist

By David Goldsmith, M.D., & Arshya Vahabzadeh, M.D. Follow @VahabzadehMD Resident Psychiatrists, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine Your Psychiatrist’s Training A psychiatrist is a physician who is specially trained to diagnose and treat people who are experiencing a wide range of issues, from emotional distress to more severe mental health concerns. […]

vitamin D deficiencies & Alzheimer’s disease

People with moderate-to-severe vitamin D deficiencies are significantly more likely to develop Alzheimer’s disease or other forms of dementia than those who have an adequate supply of the vitamin in their body, a new study has found. Researchers, led by David J. Llewellyn at the University of Exeter Medical School, found that adults who suffered […]

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

The Long-Term Effects of Conventional and Atypical Antipsychotics in Patients With Probable Alzheimer’s Disease

his large longitudinal observational study revealed that a higher proportion of patients exposed to antipsychotic medications, especially conventional antipsychotics, were admitted to a nursing home or died compared with those who never took these medications. However, in time-dependent statistical models, these associations were no longer present after we adjusted for the symptoms for which the […]

EMTALA

What is EMTALA? The Emergency Medical Treatment and Active Labor Act is a statute which governs when and how a patient may be (1) refused treatment or (2) transferred from one hospital to another when he is in an unstable medical condition. EMTALA was passed as part of the Consolidated Omnibus Budget Reconciliation Act of […]