Monthly Archives: February 2016

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 […]

JUDGEMENT ON PNDT ACT

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 […]

Hanumanthapa 

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 […]

ECT EQUIPMENT LOW RISK OR HIGH RISH

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 […]

  PROBLEMS OF MEDICAL PROFESSIONS

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. 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 […]

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 […]

dandruff 

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 […]