Author Archives: deemagclinic

What is solution to mess in Indian healthcare?

—————————Bohr Committee advised for Indian Medical Services, in line of Indian Administrative services in year 1948 . After that many Committees were formed on same subject but recommendations not implemented. It is high time that government should immediately nationalise healthcare services in India. Till 1990 it was mainly government hospitals which were providing healthcare services […]

Dictatorial Actions?

© Dr. Rajas Deshpande If one minister commits a mistake, does the entire government go? Even the wrong ministers rarely go.If one doctor / department has committed a mistake, how fair is it to cancel the license of an entire super-specialty hospital, where over a hundred specialists work, many hundred patients are already admitted and […]

CEA

हम में से बहुतों का खून ये समाचार पढ़ के खौल रहा होगा। पर मेरे प्यारे साथियो,थोड़ा धीरज रखो।एक बार क्लिनिक एस्टेब्लिशमेंट एक्ट ढंग से आ जाये,फिर ऐसी खबरों की हम सभी को आदत पड़ जाएगी।मैक्स जैसे भारी भरकम अस्पताल का जब ये लोग ऐसा हश्र कर सकते हैं,तो सोचो छोटे मोटे अस्पतालों और नर्सिंग […]

Bills

Now let's see how use of special instruments is charged in hospital bills.I had no knowledge of cost anaysis until recently when i had an opportunity to interact with one expert whose kin was admitted in my hospital and he used to be in her room every evening.Robotic knee surgery has become the talk of […]

Safety

Health care delivery is an increasingly complex process. Successful treatment for a patient no longer rests on a single individual, rather it rests on a chain of factors dependent on healthcare workers as well as technology. Given the intricacies in the system, and the challenges within, medical errors and technological glitches have seeped in to […]

High bp

High blood pressure is redefined as 130, not 140 – US guidelines High blood pressure was redefined Monday by the American Heart Association, which said the disease should be treated sooner, when it reaches 130/80, not the previous limit of 140/90. “High blood pressure is now defined as readings of 130 mm Hg and higher […]

Who is against medical profession?

I believe, we are fighting among ourselves. There are Corporate doctors, government doctors , Small healthcare establishments & Private Practitioners. There r resident doctors, consultants & teaching faculty.Yes we are not cohesive, we are at war with each other . Corporates are busy in destroying small healthcare establishments by playing dirty games in collusion with […]

Viable or not

It seems that the biggest group of healthcare Providers in Delhi NCR are feeling the heat , right in midst of the winter ! November was jinxed for FORTIS Group , and December seems to be the MAX Hospital’s turn ! One has apparently ‘ kept a dead Patient on ventilator to fleece money , […]

India—a tale of one country, but stories of many states

The Lancet Colonialism leaves disfiguring scars among those who are colonised. Few countries inflicted such deep wounds as Britain did during its centuries-long colonial rule of India. Understanding the history of colonialism and its consequences is therefore essential if one is to understand the predicaments of nations today. This week, The Lancet publishes the most […]

Paucity of time prevents doctors from following BP measurement protocol:

M3 India NewsdeskDec 05, 2017 Small inaccuracies in blood pressure (BP) measurement can have considerable consequences. We recently conducted an online survey to assess the blood pressure measurement practices among Indian doctors, the most commonly performed clinic examination, yet considerably undervalued. MethodologyThe survey carried a few simple and direct questions for the Indian doctor community. […]

The Disillusioned Psychiatrist

By Eve A. Wood, MDDecember 3, 2017 Many of us psychiatrists are struggling with where we are as a profession and field. Our burnout rate is off the charts. Suicide is common; 400 doctors in the U.S. kill themselves yearly, and 5% of U.S. physicians have considered suicide in the last 12 months. Isolation and […]

Respect: The Depreciating Indian Salary

© Dr. Rajas Deshpande “Over 1.5 Crore Every Year! That becomes more than ten lacs per month! Wow!!” my student showed me the news that some brilliant engineering students passing out from India were hired by some software biggies in Campus Interviews, “They will start their careers at that salary. That’s life!” I felt proud, […]

Frank Rajan 2: Holy Cross Hospital vs Fortis Hospital: Dear society, You will get what you deserve!

Article by ©Dr Swapnil Kumar Kale for DoxBay Once you have beaten up all the doctors in the country and broken all their small clinics into pieces, this is what you will be left with – corporate hospitals that charge you lakhs per hour! कल्याण का हॉस्पिटल तो तोड़ दिया; अब हिम्मत है तो एक […]

When Baby Is Handed To Parents In Plastic Bag – By An Oxford Doctor

Dr Amit Gupta Sipping tea on a cold winter morning in Oxford, a ghastly story back in India caught my attention: premature twins presumed dead, then one found alive. But as I read further, the horror of the tragedy got worse and worse. If true, the babies had been unbelievably handed to the shattered parents […]

PCPNDT – Medicolegal Secrets

(written By Dr Vivekanshu ) Man & Machines “Terror of Making Error” among Doctors under PNDT“Doctors must play with Machines by the specific Country’s Rules” Q. What is PCPNDT?PCPNDT=Pre conception & Prenatal Diagnostic Techniques (Prohibition of sex selection) Act 1994.1 Q. What does PNDT Law regulate?• PNDT Law regulates “Testing & Telling”• Law regulates fetal […]

Hospital

सरकारी अस्पताल में गये तो शिकायत थीभीड़ भाड़ है ,धक्का मुक्की है,गंदगी है यहां तो मुसीबतें घनघोर हैं। पड़ौस के नर्सिंग होम में गए तो शिकायत थीसुविधाएं कम हैं , मैनेजमेंट नही हैये दिल तो चाहे कुछ और है। आलीशान कॉर्पोरेट में गये तो शिकायत थीमहंगा है, मानवता नाम की चीज़ नही ,ये तो साले […]

Vandalised civilisation

VS NAIPAUL WAS among the earliest to pronounce the widespread prevalence of Mughal-era structures throughout north India—many built on the ruins of earlier Hindu religious structures—as an indication of cultural vandalism in history. According to the writer, several of today’s celebrated examples of Mughal and Islamic architecture were a standing monument to wounds inflicted on […]

Hindu civilisation

Post Independence, in our collective zeal to present a politically correct version of history, we have ensured that Delhi’s and north India’s Hindu heritage remains hostage to a mix of distortions and apathy–Paging–VS NAIPAUL WAS among the earliest to pronounce the widespread prevalence of Mughal-era structures throughout north India—many built on the ruins of earlier […]

Do psychiatry and neurology need a close partnership or a merger?†

BJPsych Bulletin Michael FitzgeraldAdditional article informationAbstractarticle-metaAdvances in neuroscience in recent years have blurred the boundaries between psychiatry and neurology. They now have more in common than what divides them and this signals a return to their origins. Many have called for a merger of the two disciplines, which would offer a more holistic approach, whereas […]

Dr Sylvan Rago

He died of CA Esophagus yesterdayDr.Sylvan Rego was professor and head of paediatrics at St.John’s Medical college. Great teacher *The Day I Die* On the day I die a lot will happen. A lot will change.The world will be busy.On the day I die, all the important appointments I made will be left unattended.The many […]

Dead or not

More to the point, take brain death. Some patients are declared brain dead and then begin spontaneously breathing hours later. Medical scientists say it doesn't matter because most brain-dead patients do not come back to life, but a rigorous scientist would say that these cases speak loudly about the flaws in our criteria for death. […]

वक्त आ गया है कि चिकित्सक अपना नज़रिया, अपना अंदाज़ बदले।

हर स्तर पर यथार्थपरक और पारदर्शी दृष्टिकोण अपनाना होगा। अपनी अपनी फीस बढ़ाओ, सामने के दरवाजे से घुसो, बैक डोर एन्ट्री ठीक नहीं। जरूरतमंद के लिए उसे छोडना या कम करना हमेशा तुम्हारे हाथ में है। समूहिक प्रक्टिस करो। हर चीज को डॉक्यूमेंट करो । पर्याप्त जॉचें करवाओ । सभी संम्भावनाओं पर विचार जरूरी हैं। […]

ASAP

Yesterday night was on night duty. At night 1am got a call from casualty that a patient collapsed.Ran to reach asap.Took history25 year old female with a known history of ASTHMA SINCE 12 YEARSAnd HYPOTHYROIDISM since 2 years and stopped medications on her own since 6 monthsPatient severely dyspneic and Oxygen was not reaching her […]

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 […]