Monthly Archives: August 2017

Schizophrenia

The concept of schizophrenia is dying. Harried for decades by psychology, it now appears to have been fatally wounded by psychiatry, the very profession that once sustained it. Its passing will not be mourned.Today, having a diagnosis of schizophrenia is associated with a life-expectancy reduction of nearly two decades. By some criteria, only one in […]

GST AND NURSING HOME AND PATHOLOGY LABS

Dhirajlal Rambhia KVO Merau Kutchh Health Care Services by a clinical establishment, an authorised medical practitioner or para-medic is exempted under GST. Under this exemption, all treatment or diagnosis or care for any illness, injury, deformity, abnormality or pregnancy by a clinical establishment is covered. Authorised medical practitioners in any recognised branch of medicine like […]

New rule in MaharastrA

) Recently, the Government of Maharashtra has introduced the Maharashtra Shops and Establishments (Regulation of Employment and Conditions of Service) Bill, 2017 in the Maharashtra Legislative Assembly that categorically includes doctors and hospitals in the definition of establishment. This bill is in sharp contrast with the previous numerous court judgments that implied that individual medical […]

Future of medicine in India

Dr. Narayanan Harimohan (now in Brunei) on Facebook:- "The future of Indian medical sector looks to me of only two choices, one is shoddy government setups with skilled and hard working doctors but one where quality will not be the priority because of demanding situation and poor infrastructure, and, the second will be multinational corporate […]

Dark side

Episode 1. I’m a surgeon. I’d like to think that I’m resilient and well adjusted, having gone through medical school and rigorous surgical training. I’ve been a doctor for 13 years and much of that period has been spent training to be as good a surgeon as I could ever be. I have great family […]

WHY FATHERS ARE NEGLECTED IN OLD AGE. -ITS A MUST READ FOR ALL FATHERS! (and mothers too!)

Take ur time and read through. 1. In the lifetime of family settings, there are 3 Dispensations of Power. 2. The 1st is the first 25 years in the life of the family (father, mother, children) where power indisputably rests with the father. 3. The 2nd is after the kids have grown & started working […]

Epidemic act.

[Act No. 3 of 1897] 1[4th February, 1897.]1. This Act has been amended in its application to–(1) The Punjab by the Epidemic Diseases (Punjab Amendment) Act, 1944 (Punjab Act 3 of 1944); in East Punjab by East Punjab by East Punjab Act 1 of 1947;(2) The C.P. and Berar by the C.P.and Berar Epidemic Diseases […]

Addiction

The Evolution of Addiction Recovery – More than a half century ago, the book Alcoholics Anonymous brought into the mainstream of American consciousness the idea that alcoholism is a physiological disease, as opposed to a moral failing.Until then, America thought on the matter was dominated by the Calvinist principles of our Puritan forbearers. This tradition, […]

O2

Many applications will require a higher percentage than the 19%. That's where Concentrated Oxygen fills the need. Concentrated Oxygen refers to oxygen which is a minimum of 90% pure with moisture removed to a -100 deg F dew-point. It can be produced from an oxygen concentrator or delivered in a pressurized cylinder bottle. There are […]

Padmavati

S. I. PadmavatiDr. Sivaramakrishna Iyer Padmavati commonly known as S. I. Padmavati or S. Padmavati (born June 20, 1917) is an eminent Indian cardiologist. She is director of the National Heart Institute, Delhi and the founder president of the All India Heart Foundation. The institute collaborates with the World Health Organisation (WHO) in training students […]

Yoga

Conn HastingsScience Writer and Editor Scientists in Brazil have imaged elderly female yoga practitioners’ brains and found they have greater cortical thickness in the left prefrontal cortex, in brain areas associated with cognitive functions like attention and memory. The results suggest that yoga could be a way to protect against cognitive decline in old age.As […]

Frontotemporal Dementia: A Brain Disease That Challenges Definitions of Mental Illness

August 22, 2017 | Dementia, Geriatric Psychiatry, NeuropsychiatryBy Barbara Schildkrout, TABLE. Diagnostic approaches to bvFTD for psychiatristsEvery practicing psychiatrist has seen a patient whose presentation resembles Chad’s. Chad consulted me almost 2 decades ago, but I remember him well. It was a few months before his 60th birthday. He was “facing mortality” and thought he […]

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The side effect

“You see, I put the ampicillin next to the Tylenol—a packet of pink pills, a packet of blue pills. The colors have to look good together. If my display doesn’t catch the eye, no one will buy anything.”Aristil Bonord adjusts the blue plastic bucket on his right shoulder as he speaks. Inside it, a steeple […]

Medical errors and ISRO

HEALTHCAREISRO tie-up with healthcare experts to reduce medical errorsBy Namita Kohli | August 19, 2017Representational ImageA unique collaboration between space scientists and healthcare professionals is set to take the country closer to the goal of “error-free” healthcare. The first step in this direction is Health Quest, a new set of guidelines for critical care units […]

Are PPIs Linked With Increased Dementia Risk? The Latest Evidence Says No

David A. Johnson, MDDISCLOSURES August 17, 2017 Hello. I'm Dr David Johnson, professor of medicine and chief of gastroenterology at Eastern Virginia Medical School in Norfolk, Virginia.When it comes to caring for patients who need proton pump inhibitors (PPIs), one of the most troubling things they can tell you is that they've stopped taking their medication because […]

Why we lie

By /react-text Yudhijit Bhattacharjeereact-text: 10 Photographs by /react-text Dan WintersThis story appears in the June 2017 issue of National Geographic magazine. Approvedby Mom. Lorem ipsum dolor sit amet. More Indianthan you thinkDiscover more 0 In the fall of 1989 Princeton University welcomed into its freshman class a young man named Alexi Santana, whose life story […]

Freud.

For a century or more, Sigmund Freud has cast a long shadow not just over the field of psychoanalysis but over the entire way we think of ourselves as human beings. His theory of the unconscious and his work on dreams, in particular, retain a firm grip on the western imagination, shaping the realms of […]

Brahmachari

The story of Upendranath Brahmachari is the story of a forgotten man, remembered only when a street in Kolkata that bears his name shows up on Google Maps. Even here, Brahmachari was handed down a recognition that for more than a century belonged to John Claudius Loudon, the Scottish botanist. A nation that knows not […]

Alcohol and electrolytes

Alcoholic patients commonly develop a variety of acid-base and electrolyte disturbances. The aim of this review is to describe the most commonly encountered abnormalities and their significant role in the patients’ morbidity and mortality. Physicians should be aware of these clinically important disturbances caused by alcohol abuse and their underlying pathophysiological mechanisms involved for their […]

ALCOHOL WITHDRAWAL AND HYPOKALAEMIA: A CASE REPORT

Article NavigationM. R. M. J. Burin C. C. H. CookAlcohol and Alcoholism, Volume 35, Issue 2, 1 March 2000, Pages 188–189, https://doi.org/10.1093/alcalc/35.2.188Published: 01 March 2000 Article history/.ww-history/.pub-history-wrap for mobile PDF Cite Permissions Share/.toolbar-inner-wrapAbstractA case is presented where a 25-year-old man developed a serious hypokalaemia (K+ 2.2 mmol/l) during alcohol withdrawal, despite intravenous saline treatment and […]

The Electroencephalogram in the Management of Psychiatric Conditions

CME | May 07, 2013 | Electroconvulsive Therapy, Addiction, Bipolar Disorder, CME, Neuropsychiatry, Panic AttacksBy Nash N. Boutros, MDLinked ArticlesThe Electroencephalogram in the Management of Psychiatric ConditionsElectroconvulsive Therapy: The Second Most Controversial Medical ProcedureContemporary ECT for Depression Part 1: Practice UpdateContemporary ECT, Part 2: Mechanism of Action and Future Research DirectionsIs ECT an Ethical Treatment?Table: […]

Evidence-Based Guidelines for EEG Utilization at the University Teaching Hospital (UTH)

Gretchen L. Birbeck, E Chomba, […], and the Neurologic & Psychiatric Society of Zambia (NPSZ)Additional article informationBackgroundElectroenphalograph (EEG) technology via a Natus Bio-Logic Ceegraph digital EEG machine will be available at University Teaching Hospital (UTH) very soon. In anticipation of this newly available technology, members of the Neurologic & Psychiatric Society of Zambia discussed the […]

10 Crazy Facts About the Placebo Effect

HEALTH. DAVID DECHER FEBRUARY 16, 2013 Share1K Stumble3 Tweet Pin8 +118 Share5SHARES1KThe Placebo Effect is one of the strangest and least understood phenomenons found in human physiology and psychology. Most of us know a thing or two about it, namely that we can essentially cure ourselves of maladies simply because we believe we are being […]

Case study I CHF

A 58-year-old man has been diagnosed with systolic heart failure (HF) with New York Heart Association (NYHA) class-II symptoms and ejection fraction 25%. The patient had a history of hospitalizations for heart failure. The chief complaints of the patient were dyspnea on exertion (DOE), poor sleep and appetite. (*This case is hypothetical and designed for […]

Coagulation disorders

Coagulation disorders are disruptions in the body’s ability to control blood clotting. Coagulation disorders can result in either a hemorrhage (too little clotting that causes an increased risk of bleeding) or thrombosis (too much clotting that causes blood clots to obstruct blood flow).These clotting disorders develop due to several conditions.Major causes of coagulation disorders resulting […]

PANDAS

.et_pb_column .et_pb_counters.et_pb_column.et_pb_row.et_pb_sectionWHAT IS PANDAS?  PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) occurs when strep triggers a misdirected immune response results in inflammation on a child’s brain. In turn, the child quickly begins to exhibit life changing symptoms such as OCD, anxiety, tics, personality changes, decline in math and handwriting abilities, sensory sensitivities, restrictive […]

Dying

A few years ago, psychological scientist Kurt Gray came across the final statements of 500 Texas inmates executed between 1982 and 2013. (The state’s Department of Criminal Justice posts them online.) As he read these inmates’ surprisingly sanguine last words, Gray wondered if their positivity was a fluke or part of a broader psychological trend.So […]

Homeopathy

The AYUSH ministry has set up a high-level committee at the Central Council for Research in Homeopathy to “deal with issues related to false propaganda against homeopathy” as well as “other related issues.” Credit: PixabayNew Delhi: The AYUSH ministry is not taking kindly to jibes made about homeopathy, to the extent that it has set […]

Carotid artery disease

Contents [hide] 1 Introduction 2 Incidence 3 Risk factors for stroke 4 Pathogenesis 4.1 Extracranial arterial pathology 4.2 Subclavian steal 5 Clinical presentation 5.1 Asymptomatic 5.2 Symptomatic 5.2.1 Transient ischaemic attacks 5.2.2 Stroke in evolution/complete stroke 6 Investigations 7 Treatment 7.1 Symptomatic carotid disease 7.2 Asymptomatic carotid disease 7.3 Carotid endarterectomy 7.4 Carotid stenting 7.5 […]

Epilepsy

The soul of psychiatry resides in synapses and synaptic functions and any disorder inducing synaptic dysfunction invariably will lead to psychiatric symptoms sooner or later.(Synaptic autoimmune encephalopathies are the biggest example of it and psychiatry would forever be indebted to that catagory for this revelation) And epilepsy always induces synaptic dysfunction. So epilepsy won't ever […]

Scientists reported a breakthrough in gene-edited piglets that may open the way for organ transplants from animals to humans

Thursday, August 10, 2017 2:03 PM EDT In a bold scientific step that helps open the door to organ transplants from animals, researchers at Harvard and a private company have created gene-edited piglets cleansed of viruses that might cause disease in humans.The advance, reported on Thursday in the journal Science, may make it possible one […]

The Drama and The Tragedy of Indian Healthcare*

* (C) Dr. Sachin LandgeTranslation: Dr. Rajas Deshpande “One doesn’t need to be a doctor to start a hospital, just as one can start a hotel without knowing how to cook”. Big businessmen and corporates who must invest their money in profitable ventures knew this very well. Up came gigantic buildings under the title ‘advanced […]

How to Recognize a Trustworthy Doctor

DrAbhayShuklaandDrArunGadre |July5,2017|15:14PHOTO ILLUSTRATION By NILANJAN DAS The difference between a rational, ethical doctor and one who is not can be the crucial difference between good health outcomes and bad health outcomes, and sometimes even between life and death. As doctors who have practised and interacted with many other doctors, we share clues about how to […]

Hairy tales

Hairy tales: Mass delusions are symptoms of social stress, which really do need remedyingAugust 8, 2017, 2:00 AM IST It would be funny if it wasn’t both a symptom and cause of very real misery. Over the last two months women from across Rajasthan, Haryana, Delhi, Uttar Pradesh and Punjab have reported that somebody cut […]

AI AND VR

AI and VR Could Completely Transform How Doctors Diagnose and Treat Mental DisordersPost Content here A Virtual TherapistAdvancements in deep learning, virtual reality (VR), and artificial intelligence (AI) may signal an end to issues engrained within the practice of clinical psychology — such as subjectivity and the difficulty of conducting large-scale studies — perhaps leading us into a […]

Love

4 Secrets to Falling in Love Every DayBy Srini Pillay“It is astonishing how little one feels alone when one loves.” ~John BulwerI am very fortunate to have come from a loving family. My family members have a wide range of personalities, and even though they’re all very opinionated, they are not judgmental in the least.Growing up […]

Empty nest syndrome

By LISA HEFFERNAN and JENNIFER BREHENY WALLACEAUGUST 2, 2017For Maureen Stiles of Gaithersburg, Md., it was the empty shoe rack that did her in.After the eldest of her three sons left for college last fall, she said, “I walked upstairs and I could see straight into his room from the hallway.” The missing shoes made it clear that he was […]

Blue. Whale game

A teen boy comes across the online social media game, The Blue Whale. He is given one challenge after the other. He accomplishes every task and keeps on moving to the subsequent levels. The final and concluding challenge asks him to commit suicide. He clicks himself on top of a building and jumps. If police […]

Blue whale

AUG2 BLUE WHALES , GREEN SHARKS OR DISTRESSED MINDS BLUE WHALES , GREEN SHARKS OR DISTRESSED MINDS Dr Harish Shetty MENTAL HEALTH COMMISSIONERS & MENTAL HEALTH SOLDIERS :NEED OF THE HOUR ! The 'clinic' of the professional or the 'abode of the teacher' are the temples of healing. At the time of writing this piece […]

Depression

Stephen Hawking’s Beautiful Message For Anyone With Depression You might have heard about a man by the name of Stephen Hawking, whether it be in the media or in your social circles, because he is one of the greatest minds of our time. At the age of 21, Hawking started developing symptoms of ALS, oramyotrphic lateral […]

Depression

Stephen Hawking’s Beautiful Message For Anyone With Depression You might have heard about a man by the name of Stephen Hawking, whether it be in the media or in your social circles, because he is one of the greatest minds of our time. At the age of 21, Hawking started developing symptoms of ALS, oramyotrphic lateral […]

Fees

Doctor’s Fees: A Taboo Topic© Dr. Rajas Deshpande A famous industrialist from Pune recently visited my OPD. My Boss called me on phone and told me to waive off the fees, as he was a close friend of my Boss. The industrialist was not only well behaved, but well-read too. He had a complicated problem, […]