Author Archives: deemagclinic

See the future of medicine in India.

As usual. interesting reading and sound advice from a very very senior Gynecologist.. Indian healthcare in shambles.. “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 […]

Ways to avoid attacks on medicos

There was a meeting organised for hospital administrators regarding attacks on Medicos, Hospitals and healthcare providers. Following are the “20 hospital commandments” to be implemented for the smooth going of day today affairs of hospitals and clinics. Circulating the suggestions collected over the past several years to prevent hospital attacks. *20 suggestions to prevent hospital […]

Banned drugs combinations

LIST OF FDC’S BANNED WITH EFFECT FROM 12-09-2018 AS PER NOTIFICATIONS CIPMMA SL.NO FIXED DOSE COMBINATION NOTIFICATION NO 1 Aceclofenac (SR) + Paracetamol 750 2 Aceclofenac + Paracetamol + Famotidine 744 3 Aceclofenac + Paracetamol + Rabeprazole 705 4 Aceclofenac + Zinc Carnosine 745 5 Acetaminophen + Guaifenesin + Dextromethorphan + Chlorpheniramine 945 6 Acetaminophen […]

Charges in small hospitals

Charter of Patients’ Rights for adoption by NHRC

  Preamble Patients’ rights are Human rights! The Universal Declaration of Human Rights (1948) emphasizes the fundamental dignity and equality of all human beings. Based on this concept, the notion of Patient Rights has been developed across the globe in the last few decades. There is a growing consensus at international level that all […]

Medical Profession and Charity:

A Guideline For Medical Students (Speech at a recent Medical Event) © Dr. Rajas Deshpande My dear friends, you will receive many sermons about your responsibility to do charity and social service from those who do no charity themselves. Many who have never done anything worthwhile for the society will remind you of your Hippocratic […]

How psychiatrists think

Advances in psychiatric treatment (2009), vol. 15, 72–79 doi: 10.1192/apt.bp.107.005298 ARTICLE Niall Crumlish is Lecturer in Psychiatry in Trinity College, Dublin. His primary research interests are early psychosis, insight and transcultural psychiatry. Brendan D. Kelly is Senior Lecturer in Psychiatry at University College Dublin. His research interests include the epidemiology of psychosis and relationships between […]

Sterilisation failure

Many cases of sterilization failure are reported in media where the medical team is always accused of it/s failure and few also challenged in court too. In the matter titled as “Lok Nayak Hospital versus Prema, RFA No. 56/2006” the Hon’ble High Court of Delhi vide judgement dated 06.08.2018 has held that medical negligence is […]

The truth about medical negligence

Sorry about that! A vast majority of people believes that doctors are a negligent lot. This often implies that doctors are not courteous enough, are brusque to the point of being rude, are not available when needed, and prescribe unnecessary laboratory tests, scans and medicines. At a function organised by the Indian Medical Association on […]

‘The Truth About the Drug Companies’

By MARCIA ANGELLOCT. 31, 2004 The $200 Billion Colossus What does the eight-hundred-pound gorilla do? Anything it wants to. What’s true of the eight-hundred-pound gorilla is true of the colossus that is the pharmaceutical industry. It is used to doing pretty much what it wants to do. The watershed year was 1980. Before then, it […]

National snake bite management program

National Snakebite Management Protocol, 2009. India is recognised as having the highest snakebite mortality in the world. Most of the fatalities are due to the victim not reaching the hospital in time and are preventable. Research has shown that PHC doctors do not treat snakebite mainly due to lack of confidence. At the secondary and […]

Zero alcohol

Alcohol use is a leading risk factor for death and disability, but its overall association with health remains complex given the possible protective effects of moderate alcohol consumption on some conditions. With our comprehensive approach to health accounting within the Global Burden of Diseases, Injuries, and Risk Factors Study 2016, we generated improved estimates of […]

The Drama and The Tragedy of Indian Healthcare

A bit longish but a very erudite commentary on present scenario on medical profession and health care. *Copied from FB…* (C) Dr. Sachin Landge Translation: 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 […]


IMA पदाधिकारी द्वारा दिल्ली में दिए गये निराशाजनक बयान ने यह साबित कर दिया कि उन्हें NMC बिल से इसलिए परेशानी नही है कि यह गरीब विरोधी है बल्कि उन्हें इस बिल से इसलिए दिक्कत है क्यों कि उन्हें इससे अपने मक्खन मलाई छिनने का खतरा है ..,. मेडिकल विभाग में आपस में ही छोटा […]

Ayushman Bharat – National Health Protection Mission (AB-NHPM) Psychiatric illnesses out of private care

‘Health insurance may require Rs 20,000-30,000 crore … first phase involves only the public hospitals’ August 15, 2018, 2:00 AM Beginning today, the Narendra Modi government’s health insurance scheme Ayushman Bharat – National Health Protection Mission (AB-NHPM) will be rolled out. Indu Bhushan, CEO of the project, in a conversation with Durgesh Nandan Jha explains […]


*LEGAL & ETHICAL ASPECTS* Following Bombay high court verdict to proceed with criminal prosecution in an incident which involved TELEPHONIC CONSULTATION, the issue came to attention of the public and was widely discussed. Although the particular stand by the high court was not finding negligence in TELEPHONIC consultation, but was due to other reasons also. […]

Ayushman Bharat: 5 Key Features Of Mega Healthcare Scheme

Target beneficiaries of ‘Ayushman Bharat’ scheme are more than 10 crore families belonging to poor and vulnerable population based on SECC database. Updated : August 11, 2018 15:58 IST To ensure that nobody is left out there will be no cap on family size in ‘Ayushman Bharat’ scheme. Ayushman Bharat, often referred to as ‘Modicare’, […]

National digital health authority

In a silent yet tough stance towards data breach, the Ministry of Health and Family Welfare has released a draft of Healthcare Security Law under Digital Information in Healthcare Security Act (DISHA) and has invited comments from stakeholders and readers on the same before April 21. In the draft document shared, the Ministry of Health […]

Association between physical exercise and mental health

Association between physical exercise and mental health in 1·2 million individuals in the USA between 2011 and 2015: a cross-sectional study Sammi R Chekroud, Ralitza Gueorguieva, Amanda B Zheutlin, Martin Paulus, Harlan M Krumholz, John H Krystal, Adam M Chekroud Summary Background Exercise is known to be associated with reduced risk of all-cause mortality, cardiovascular […]

Health ministry finalises draft Bill to establish National Electronic Health Authority

Health ministry National Electronic Health Authority

Telephonic consultation

Dr Arun Gupta (President , Delhi Medical Council) :- ” I am glad a debate has been started in medical community regarding menace of telephonic consultation. Though the Mumbai high court case which triggered this debate is not entirely about telephonic consultation only, it has other elements as well. Nevertheless let us try to understand […]

Central Bureau of Health Intelligence (CBHI),

Central Bureau of Health Intelligence (CBHI),


*LEGAL&ETHICAL ASPECTS* Following Bombay high court verdict to proceed with criminal prosecution in an incident which involved TELEPHONIC CONSULTATION, the issue came to attention of the public and was widely discussed. Although the particular stand by the high court was not finding negligence in TELEPHONIC consultation, but was due to other reasons also. Subsequently arrest […]

Immune system: The “seventh sense”

Published Online: 16 January, 2018 | Supp Info: Downloaded from on August 6, 2018 Jonathan Kipnis Department of Neuroscience, Center for Brain Immunology and Glia (BIG), School of Medicine, University of Virginia, Charlottesville, VA Viewpoint          The brain is our computing machine that integrates stimuli […]

Neurolysis for Megalgia Paresthetica

Byung-Chul Son, M.D., Ph.D., Deok-Ryeong Kim, M.D., […], and Sang-Won Lee, M.D. Additional article information Abstract article-meta Objective Meralgia paresthetica (MP) is a syndrome of pain and/or dysesthesia in the anterolateral thigh that is caused by an entrapment of the lateral femoral cutaneous nerve (LFCN) at its pelvic exit. Despite early accounts of MP, there […]

How many doctors does India have?

How many doctors does India have? Going by data given to Parliament by the Medical Council of India (MCI), there are more than 10.8 lakh doctors registered. In reality, no one really knows as is evident from the MCI’s own answer that 80% availability has to be assumed from this total number. Why 80% and […]

How mental illness stopped being “a terrible dark secret.”

The Great God of Depression By Pagan Kennedy Ms. Kennedy is a contributing opinion writer. Aug. 3, 2018 401 Nearly 30 years ago, the author William Styron outed himself in these page s as mentally ill. “My days were pervaded by a gray drizzle of unrelenting horror,” he wrote in a New York Times Op-Ed […]

What Do We Know About Suicides? Let’s Breakdown Myths vs Facts

Mind It By Dr Harish Shetty August 02, 2018 at 06:14 PM IST social-share-icons Stem Cells Restore Sight? Medscape Replacing damaged epithelium cells improved vision in wet AMD in early trials OPEN Ad closed by Stop seeing this ad Why this ad? Ad closed by Stop seeing this ad Why this ad? Seen this ad […]


History of my Alma mater —————————————— During the British Empire’s government, in 1854 S N Medical College was founded for the practice of British military doctors. The name of S N Medical College was originally Thomson School, named for Lt. Governor Sir James Thomson, founder of the college. Plans for establishing the school were made […]

Pulmonary embolism

Grand Slam championship. I see this photograph of Serena Williams — at the precise moment she won the Australian Open in January — not as a testament to her prowess Ad Buy Now and Get 20% Off VISIT SITE on a tennis court but as a symbol of life. I am transfixed by the […]



How hospitals discourage doctors: A step by step guide*

* RICHARD GUNDERMAN, MD, PHD | PHYSICIAN | SEPTEMBER 26, 2014 Not accustomed to visiting hospital executive suites, I took my seat in the waiting room somewhat warily. Seated across from me was a handsome man in a well-tailored three-piece suit, whose thoroughly professional appearance made me — in my rumpled white coat, sheaves of […]

If a doctor is awarded death sentence, would it wake us up ?

India is a unique country and to be a doctor of modern scientific medicine in this country requires to have a self destructive streak which is becoming increasingly intolerable. Medical profession in India is the most lackadaisical and laggard when it comes to looking after its own interests. We are taught and continue to learn […]

Hiring non MBBS doctors

Following that, the National Consumer Commission has given the following verdict on the issue of hospitals hiring non-MBBS doctors: “When a patient is admitted in a hospital, it is done with the belief that the treatment given in the hospital is being given by qualified doctors under the Indian Medical Council Act, 1956. It is […]


A stepwise approach involving dietary and lifestyle changes along with medication(s) is recommended for the management of patients with type 2 diabetes.4,6 Metformin is the medication recommended first-line in most patients, unless contraindicated.4,6 After metformin, medication selection is determined by a variety of factors including glucose control, presence of cardiovascular disease, other patient-specific factors, (e.g., […]

Professional attire

 Figure 3 Preference for white coat by clinical care setting and physician gender. ED, emergency department. Doctors should wear a white coat when seeing patients in the hospital, the majority of respondents (62%) agreed or strongly agreed with this statement (table 3). Variations in patient preferences of physician attire Important variations in patient preferences […]

Excessive use of social media

SPECIAL CORRESPONDENT PATHANAMTHITTA, JULY 25, 2018 UPDATED: JULY 25, 2018 04:06 IST Excessive use of social media by children could seriously impair their language learning abilities, M.S. Alexander, consultant psychiatrist at Leeds and Fellow of the Faculty of Forensic Psychiatry of the Royal College of Psychiatrists in the United Kingdom, has said. Dr. Alexander was […]

Dr Bharat Vatwani

नई दिल्ली, जेएनएन। डॉ. भरत वतवानी के प्रयासों को मैग्सेसे पुरस्कार से सम्मानित किया जाना न केवल भारत बल्कि विश्व में मानसिक स्वास्थ्य की गंभीर होती चुनौती और इसके सापेक्ष अपेक्षित समाधान को दुनिया के सामने प्रस्तुत करने का सबब है। डॉ. वतवानी ने अपने सार्थक प्रयास से एक राह दिखाई है। दैनिक जागरण से […]

25 points for clinicians

👏 👏👏 Dear friends posting 25 points which I feel every clinician should follow; 1. Do not prescribe medicines for more then 30 days even for out station patients. Out station patients demanding late follow up should be referred to a fellow consultant based at new address or nearby Medical College specialty Dept 2. For […]


Just Released: Much awaited report from the Parliamentary Standing Committee on the National Medical Commission, 2017 Committee proposes to move forward with the NMC Bill, 2017 with substantial recommendations on the Constitution of the NMC, regulation of fees in Medical colleges, the National exit exam and role of States in approving medical colleges The Department-related […]

Ultrasound and dementia

Japanese scientists have found that applying ultrasound waves to the brain can improve cognitive dysfunction – and possibly combat dementia. The research found that applying low-intensity pulsed ultrasound (LIPUS) to the brains of mice improved blood vessel formation and nerve cell regeneration without having obvious side effects. The research, which was conducted by scientists at Tohoku […]

Deception in research

Harvard Medical School’s Dr. Marcia Angell is the author of The Truth About the Drug Companies: How They Deceive Us and What to Do About It. But more to the point, she’s also the former Editor-in-Chief at the New England Journal of Medicine, arguably one of the most respected medical journals on earth. But after reading […]


To, Shri. Ram Gopal Yadav Chairman, Parliamentary Standing Committee on Health, Government of India, New Delhi. Subject: Suggestions/Objections to National Medical Council Bill, 2017 (hereinafter referred to as “NMC Bill”) Introduction:- The idea of reforming and revamping the MCI took root in the Independence Day speech of former Prime Minister Manmohan Singh in 2009. The […]

Banned drugs

Complete list of 344 drugs banned by the Ministry of Health Family welfare Complete list of 344 drugs banned from today in the market A gazette notification by Ministry of Health and d drugsFamily Welfare has banned 344 medicines of fixed drug combinations. The Health Ministry banned 344 fixed drug combinations through a gazette notification. […]

Opioid Receptors Methods and Protocols

 Methods in MolecularBiology 1230    SantiM.Spampinato Editor Opioid Receptors Methods and Protocols                           METHODS IN MOLECULAR BIOLOGY Series Editor John M. Walker School of Life Sciences University […]

The Cannabinoid Receptors

 The Cannabinoid Receptors THE RECEPTORS KIM A. NEVE, SERIES EDITOR The Cannabinoid Receptors, EDITED BY Patricia H. Reggio, 2009 The Glutamate Receptors, EDITED BY Robert W. Gereau, IV, and Geoffrey T. Swanson, 2008 The Chemokine Receptors, EDITED BY Jeffrey K. Harrison, 2007 TheGABAReceptors,ThirdEdition,EDITEDBYS.J.EnnaandHannsMo ̈hler, 2007 The Serotonin Receptors: From Molecular Pharmacology to Human Therapeutics, […]

The receptors

The Receptors Series Editor: Giuseppe di Giovanni For further volumes: Mary E. Abood Roger G. Sorensen Nephi Stella Editors endoCANNABINOIDS Actions at Non-CB1/CB2 Cannabinoid Receptors   Editors Mary E. Abood Department of Anatomy and Cell Biology Temple University School of Medicine Philadelphia, PA, USA Roger G. Sorensen Division of Basic Neuroscience and Behavioral […]

Sabarimala Case:

Sai Deepak, Counsel for People for Dharma Snapshot • People for Dharma makes its case on day six of the Sabarimala hearing. • Counsel Sai Deepak’s arguments are explained here: The petition in the Supreme Court of India seeking entry of women of all ages in the Sabarimala Temple is in the final stages of […]

Practical Protocol for Prescribing Baclofen in Alcohol Addiction

SECTION 1: INTRODUCTION: This is a practical guide to Prescribing Baclofen in Alcohol Addiction. All the information in this module is available in written form including protocols for prescribing and dose adjustment and an information pack to give patients (link). We’ll go through 1  The key effects of baclofen in alcohol addiction 2 The important […]