Monthly Archives: November 2017

Visit to my patient

The rain was coming down in torrents and my shoes were not up to the job. Nevertheless, I pressed forward along the soggy blocks. My 91-year-old patient and I had been together for some 20 years — honestly I’d lost count — so this was the least I could do.Fibrotic lungs and a weak heart […]

When your teenager is in love………………

Dr Harish Shetty Falling in love is a natural instinct. For teenagers it is their first taste of affection as the sounds in their hearts marry the turbulence in their bodies. With families opening up to children’s voices, a vast majority of parents too acknowledge this phenomenon as normal. The responses to the same may […]

Between 65 and death.

Between 65 and death. 1. It’s time to use the money you saved up. Use it and enjoy it. Don’t just keep it for those who may have no notion of the sacrifices you made to get it. Remember there is nothing more dangerous than a son or daughter-in-law with big ideas for your hard-earned […]

Resistance training – an underutilised drug available in everybody’s medicine cabinet .

By Dr Yorgi Mavros @dryorgimavrosThe Physical Activity and Population Health BJSM Blog SeriesAs we get older we begin to lose muscle mass, approximately 1% every year. But more importantly, the decline in muscle strength declines at a rate 3-times greater [1]. The consequences of this decline in strength are significant, with lower muscle strength being associated […]

Myths

First MythHealthcare costs are increasing in India Infact they are coming down In 90s a Bypass surgery would cost 3 lakh and only few centres did it And now it costs 2.5 lakhs Even after 25 years the price is less and it is due to fact that it is available in many places in […]

अपने बच्चों को डॉक्टर मत बनाना

———————————————————अपने बच्चों को कुछ भी बना देना यदि करते हो उन्हें थोड़ा भी प्यार,गलती से उन्हें डॉक्टर मत बना देनाआज देश में चिकित्सा व्यवसाय की विकट स्थिति है आज डॉक्टर बनने के लिए नहीं अनुकूल परिस्थिति है Iयदि गलती से बच्चे को डॉक्टर बनने का जुनून चढ़ गया हो पागलपन का यह भूत चढ़ गया […]

Do emotions related to alcohol consumption differ by alcohol type?

► Prepublication history and additional material for this paper are available online. To view these les, please visit the journal online (http://dx.doi. org/10.1136/bmjopen-2017- 016089). Received 25 January 2017 Revised 26 June 2017 Accepted 1 August 2017 1Policy, Research and International Development, Public Health Wales NHS Trust, Cardiff, Wales2Department of Psychiatry, Psychiatry and Neuroscience, King's College […]

The rules of the doctors heart

Siddhartha MukherjeeEvery medical case, to paraphrase the writer Viet Thanh Nguyen, is lived twice: once in the wards and once in memory. Some of what follows is still intensely vivid, as if it were shot in high-def video. Other parts are blurry — in part because I must have subconsciously deleted or altered the memories. […]

Scientific aspect of “FORGIVE AND FORGET “

The researchers in the study found that if people were very forgiving of themselves and others, that alone completely eliminated the connection between stress and mental illness. "It's almost entirely erased — it's statistically zero," "If you don't have forgiving tendencies, you feel the raw effects of stress in an unmitigated way. You don't have […]

Cost of ICU

A simple calculation of per bed cost per day if the draft prepared by the committee constituted vide memo F. No 35 17 2012 Ministry Co ordination cell by AIIMS committee as minimum standards that are to be adopted for 10 bed ICUs throughout the country. 1)…. Full Time Director…. 1 1.5 lacs per month […]

Money and Health- heading for the abyss:

It was 2006. I had become a Plastic Surgeon. After four and a half years of MBBS, I did One year of that rotating slave work called internship. Then three years of surgical residency at JIPMER. I had done eighty to hundred hours of work per week in those years, and I didnt know what […]

Islam and Psychosis

Posted on 1. March 2015 by Roya Azal “I once read about a Muslim man who was locked up in a Psychiatric hospital by his family. He begged a young Psychiatrist for help and repeated the Fatihah over and over again. What really got to me was the response of the Psychiatrist. He brushed the […]

  What is Islamic Psychology?

• MEANHA BEGUM • 3 APR 2016Islamic Psychology (Ilm Ul Nafs) is the study of the “self” (nafs) or the “psyche” from an Islamic Perspective with concepts that are not included in western forms of studying the field i.e the unseen influences, the impact of destiny, the sway of the shaytaan and the inclusion of […]

Ranbaxy

Once there was a company called Ranbaxy Labs. It had a wonderful reputation: it was profitable, it was pioneering. In fact, its reputation could even be called saintly: after all, did it not manufacture generic drugs, all manner of life-saving medicines? Was it not curing AIDS in Africa? Are not such companies deserving of admiration, […]

Eye opener for Doctors

WHY ONLY DOCTORS ARE SOFT TARGET FOR PUBLIC, MEDIA AND GOVERMENT?Dear colleaguesRecent incidence in Fortis Gurugram, I would like to tell you few facts regarding patient care in cooperate/Private hospital.ONCE YOU ENTER COOPERATE/ PRIVATE HOSPITALFrom the very beginning meter startsRegistration fee + file charge (No share of Doctors)Room rent+ Nursing Care Charges + RMO charges […]

Looters???

Doctors being called chors, private nursing homes and hospitals branded looteras, is this the way those who provide 75-80 percent of care to the needy are going to be treated. Threats of jail terms, cases of stone pelting and beating up of doctors and nurses is now an established norm. Is this Mera Bharat Mahan!Till […]

Fortis

11/23/17, 6:37:49 AM: Dr. Vivek Jawali: I was not surprised to see this ‘ tragic story of yet another gullible Patient -wronged by the unscrupulous Private Hospital’ hogging the headlines of the TOI , because bashing the private healthcare sector is the new norm nowadays .But what made me certainly curious is , how the […]

Cause of Death; Dr K Ramprakash MBBS

Today If Governments, Press , Society in general and Courts are to be believed, doctors are the only cause of death in this country. They cause death by operating or deliberately not operating, by doing unnecessary money making tests or by not doing the appropriate test, by giving branded useless medications, and even by not […]

NMDA ENCEPHALITIS A severe form of encephalitis associated with antibodies against NR1–NR2 heteromers of the NMDA receptor was recently identified. We aimed to analyse the clinical and immunological features of patients with the disorder and examine the effects of antibodies against NMDA receptors in neuronal cultures.MethodsWe describe the clinical characteristics of 100 patients with encephalitis […]

Pharma market

Total Pharma Market: 1,10,574 CrsTotal Pharma Company in India: 4228Total Brands in India: 55,682Total Medical Reps in India: 3,05,000Total Doctors in India: 10,22,000Total Chemist in India: 7,58,000Total Stockists in India: 1,80,000Total Area Managers in India: 60,838Total Regional Managers in India: 26,800 What an Incredible Market Community we areInformation courtesy : India Pharma 2017

The hue and cry about huge bill of fortis hospital in a dengue case

This patient of dengue was covered under insurance upto 10 lac . It is well known that in corporate hospitals the billing takes entirely different hues when you declare that you are insured . This explains the huge bill. So where do we go from here. The facts are that The government wants to increase […]

Wrong diagnosis

When the mentally ill go to a spiritual guru! To be or not to be!

Dr Harish Shetty Spiritual Gurus have been close to mankind for ages, more so in India and the east. Viewed with suspicion by the modern professionals but with a lot of reverence by the lay populace they have an important role to play in providing mental health care. Most of the times, it is the […]

Medical ethics.

Medical ethics is a path illuminated by principles to guide members of the medical profession in their dealings with each other and with their patients. Here, I concern myself with the doctor-doctor relationship, which is under severe stress. I refer to negative professional criticism of one’s colleagues, a practice which damages the profession and its […]

Only Dreamers can be Doctors

If there is one thing I regret in life, it is not studying to be a doctor. I am not usually the regretting kind –but I have enormous respect for those that heeded the calling and chose this profession.  There are a number of reasons I could possibly give for my not choosing to be […]

CEA

Let’s take a look at how the Clinical Establishment Act has “helped” the health set-up:Incident 1:A critical patient is admitted to the ICU of a private hospital. The patient progressively worsens and unfortunately, dies. The patient party ransacks the hospital, threatening everybody on duty with, “Dekhe nebo, joto shob chorer dol.” (We’ll see through this, […]

KPMEA

15/11/17, 10:03:30 AM: Dr Jagat Lal Nimhans: Karnataka:(CEA) KPMEA Bill passed in lower house. *All private hospitals in Karnataka to go for total voluntary shutdown from tomorrow*..All services including emergencies shut down..All small clinics to large corporate hospitals shut down.may last for minimum one week.15/11/17, 10:03:32 AM: Dr Jagat Lal Nimhans: The end of private […]

KPME ACT

Very well analysed and written in my opinion.Felt like sharing. Apologies if it hurts anyone's feelings 🙏——————————-This was written by Dr Dwarkanath Srinivas, Professor of NeurosurgeryNIMHANSBMC – 1991 batch Anyhow, this is his opinion on the KPME act "First the disclaimer, As a Central govt. employee I will not be affected by the act. While […]

WE ARE DOCTORS, NOT CRIMINALS”, SAYS DR DEVI SHETTY| DETCARE

1 Dr Devi Prasad Shetty, founder and Chairman of Narayana Health, who was preparing to leave for Belgaum to stand shoulder to shoulder with a string of doctors who are on strike from Thursday to register their protest against the  Karnataka Private Medical Establishments (Amendment) Bill 2017, called the bill "unfortunate"."This is an Amendment that […]

iPhone ultrasound

A sugeon diagnosed himself with throat cancer using an iPhone and an ultrasound device.Vascular surgeon John Martin, MD, had been experiencing an uncomfortable sensation in his throat.Coincidentally, Dr Martin had been testing a pocket-sized ultrasound device that was being developed by Butterfly Network, a startup based in Guilford, Connecticut. He had recently been hired by […]

Guru govind Singh

Takht Sri Hazur Sahib, Nanded, built over the place where Guru Gobind Singh was cremated in 1708, the inner chamber is still called Angitha Sahib.Aurangzeb died in 1707, and immediately a succession struggle began between his sons who attacked each other.[81] The official successor was Bahadur Shah, who invited Guru Gobind Singh with his army […]

Why I’m Digging Deep Into Alzheimer’s

By Bill Gates | November 13, 2017 In every part of the world, people are living longer than they used to. Thanks to scientific advancements, fewer people die young from heart disease, cancer, and infectious diseases. It’s no longer unusual for a person to live well into their 80s and beyond. My dad will celebrate his […]

Why I’m Digging Deep Into Alzheimer’s

By Bill Gates | November 13, 2017 In every part of the world, people are living longer than they used to. Thanks to scientific advancements, fewer people die young from heart disease, cancer, and infectious diseases. It’s no longer unusual for a person to live well into their 80s and beyond. My dad will celebrate his […]

NMC

The Health Ministry has moved a Cabinet note on the Bill seeking to replace apex medical education regulator Medical Council of India (MCI) with a new and transparent body, the National Medical Commission (NMC). The note was moved this Wednesday after a Group of Ministers (GoM) headed by Finance Minister  approved the draft Bill enabling […]

Sundowning Sundowning is a term used about the changes in behaviour that occur in the evening, around dusk. Some people who have been diagnosed with dementia experience a growing sense of agitation or anxiety at this time.   Practical tips on preventing sundowning • Follow a routine during the day that contains activities the person […]

convert all district hospitals into medical colleges . MCI

President of Medical Council of India (MCI), in a letter, urged the government to convert all district hospitals into medical colleges President of Medical Council of India (MCI), in a letter, urged the government to convert all district hospitals into medical colleges to provide better facilities to patients as well as a scope of practice […]

compare costs of surgical cardiac care in the United States and India.

Sowmya R. Rao, PhD Department of Quantitative Health Sci- ences, University of Massachusetts Medical School, Worcester, Massachusetts Center for Healthcare Organization and Implementation Research (CHOIR), Bedford VA Medical Center, Bedford, Massachusetts ABSTRACT When my mother fell ill while visiting me in the United States, I had the oppor- tunity to compare costs of surgical cardiac […]

Why America Needs Foreign Medical Graduates

Aaron E. CarrollTHE NEW HEALTH CAREAs our recent eight-nation bracket tournament showed, many people think the United States health care system has a lot of problems. So it seems reasonable to think of policy changes that make things better, not worse. Making it harder for immigrants to come here to practice medicine would fail that […]

The Business Of Medical Bargain

© Dr. Rajas Deshpande “I will die now” the forty-plus gentleman said in a semi-threatening way, “I haven’t slept all night yesterday as I was with my brother, I even skipped my lunch today. I must sleep now. I will leave my cell number, if something happens to my brother, they can call me. You […]

Technology providing a helping hand to those fighting with mental health issues

"One of the incidents close to my heart was when a girl who was raped by her teacher in school contacted us," Singh recalls. At the time she got in touch, she was in college but was considering dropping out. She had been undergoing therapy for four years but had been unable to tell her […]

MBBS

Doctors in India see patients for just 2 minutes:

In 15 countries, which represent around half of the world’s population, the appointment lasted less than five minutes. Average consultation time increase to over 20 minutes in the US and 10 minutes in the UK.Updated: Nov 09, 2017 14:03 ISTBy Press Trust of India • Researchers said shorter consultation length has been associated with multiple […]

*I found this article by Ahmednagar Doctor Sensibly Readable.*

The Drama and The Tragedy of Indian Healthcare “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 […]

Neltrexone

Researchers have come up with a drug Naltrexone that may eventually help to change drinking behaviour in adults who are used to binge during their adolescent years. "During our teen years, the brain is still in a relatively immature state. Binge drinking worsens this situation, as alcohol undermines the normal developmental processes that affect how […]

Busting Medical Myths

© Dr. Rajas Deshpande Just one month after his marriage, this young man suddenly developed weakness on the right side of his body, and slurring of speech and started becoming drowsy. His mother, a labourer who collects empty liquor bottles with him for survival, brought him to one of the biggest hospitals in Pune. The […]

कुछ बिंदु जो दिखने में छोटे हैं परंतु भविष्य में बहुत बड़ी समस्याओं को जन्म दे सकते हैं –

१. आजकल अक्सर हॉस्पिटल मे डाक्टरो और कर्मचारियों से मार पीट की घटनाएँ हो रही है. किसी परिजन की मृत्यु होने पर दुख और नाराज़गी जायज़ है परन्तु दुख मे किसी से मारपीट या जानलेवा हमले से जान वापस आ जाती है ? उसका नतीजा भी समाज को झेलना पड़ता है, अब डाक्टर भी गंभीर […]

Medical Humanities: The Rx for Uncertainty?

by Danielle OfriAcademic MedicineIt was just one nonfiction manuscript out of hundreds that were being considered for the Bellevue Literary Review. The essay was ragged at the edges, and it almost didn’t make the first cut. The narrator was a college kid on spring break in Florida. She was dancing at a disco, trying to […]

Ten testaments

Ten Testaments to Run Stress Free Private Practice*.This is more relevant today in view of the Newer Hippocratic Oath being adopted by New Zealand Medical council with self health of Doctor himself being given the top priority over that of anything else. In view of adoption of new Hippocratic Oath for doctors here are few […]

Reunions

These are the common conversations that take place during Reunions post our graduation which reflect the different phases of life and it’s priorities..I- Graduation Party:-1- What are you planning to specialize in?2- Planning to settle in India or abroad?3- Did you propose to that girl you were moving around with all the time? Oh I […]

Good emotion

In the movie _Taare Zameen Par_The art teacher tells the rude and cursing father of the dyslexic kid about *Solomon Islands..* In those islands, the tribal don’t cut down a tree. *They surround the tree and curse it for hours every day..* Within a few weeks, the treedries up and becomes dead.. Many of us […]