Category post for doctors

freedom for doctors 

India celebrates its Independence Day every year on 15th August, commemorating its freedom from British rule in 1947. It is the day that all Indians pay homage to our freedom fighters and leaders for their immense contribution that led to freedom of our country. In this democratic country, everyone from a homeless person to the […]

Various perpectives on clinical establishment act

Clinical Establishment Act . . . The vedas have long ago stated the fact that in kaliyug the do gooders would be hounded out and the the corrupt would flourish.The clinical establishment act seem to fulfill this profesy not in part but in full measures There are stringent and huge monitory penalties for non registration […]

The Real Problem With Medical Internships

The Real Problem With Medical Internships Sandeep Jauhar Sandeep Jauhar JULY 1, 2015 Credit Erik Carter APPROXIMATELY 26,000 newly minted doctors across the United States will begin their internships today. For many, this legendarily grueling year will be the most trying time of their professional lives. Most will spend it in a state of perpetual exhaustion, […]

ethics*zero=?

Ethics x Zero =?© Dr. Rajas Deshpande An NRI businessman was held with his family on an European airport as his travel agency had used fake credit cards, in spite of him paying them in cash. The airline threatened to have the NRI arrested there. In panic, he called an Indian lawyer through a friend […]

jobs most dangerous to your health  

Read on to find out which jobs have the most potential to damage your health. Max Nisen contributed to an earlier version of this post. . Radiologists Overall unhealthiness score: 52.8 What they do: Examine and diagnose disorders and diseases using X-rays and radioactive materials. Top three health risks: 1. Exposure to radiation: 87 2. […]

PPH

Postpartum haemorrhage (PPH) accounts for around 28% of maternal deaths in developing countries1—that is, for over 125,000 deaths each year2. There are about 125 million births annually in the developing world3, so the risk of maternal death from PPH is approximately 1 in 1000 deliveries there. Here in Britain the risk of death from obstetric […]

multiple drug combination ban

Delhi high court has already given a stay order on the ban of fixed dose combination drug when at least 14 pharma giants filed a petition against the notification. Many questions were raised from pharma side as well from different other section of healthcare industry –What is the rationale for banning the drugs that are […]

D|D of tremors 

Tremor, an involuntary, rhythmic, oscillatory movement of a body part, is the most common movement disorder encountered in clinical practice. Rest tremors occur in a body part that is relaxed and completely supported against gravity. Action tremors occur with voluntary contraction of a muscle and can be further subdivided into postural, isometric, and kinetic tremors. […]

old man and the ward!

This i read on a friends fathers blog Mr. J.k Chandana i hope u all read it When an old man died in the geriatric ward of a nursing home in an Australian country town, it was believed that he had nothing left of any value. Later, when the nurses were going through his meagre […]

“Is Med School Worth the Dollars, Stress, and Decade Spent in Training?”

“Is Med School Worth the Dollars, Stress, and Decade Spent in Training?” I hear this question a lot. Even some of my most capable and well-adjusted friends and fellow medical students have confided to me that in the midst of medical school, they questioned whether this was the right profession for them and whether medical […]

ibs

Irritable Bowel Syndrome (IBS)(Spastic Colon) Share This (See also the American Gastroenterological Association’s technical review and medical position statement on irritable bowel syndrome.) Irritable bowel syndrome (IBS) is characterized by abdominal discomfort or pain that is accompanied by at least two of the following: relief by defecation, change in frequency of stool, or change in consistency of stool. The […]

Medical Gods I met upon Earth: Part I

(C) Dr. Rajas Deshpande KEM Mumbai Ward No 10. 2.30 PM somewhere in 1999. Prof. Dr. Sorab Bhabha, Neurologist, entered the clinic room. Dr. RNR, my seniormost chief resident appearing for DM Neurology exams, was to present the case to him. Three other batches of DM students, almost 20 others including medicine residents, lecturers, interns […]

Violation of MCI’s code of ethics by the Indian Academy of Paediatrics (IAP)

The matter with regard to violation of MCI’s code of ethics by the Indian Academy of Paediatrics (IAP). The Medical Council of India noted the following recommendations of the Executive Committee:- “The Executive Committee considered the matter alongwith opinion of the Law Officer and the Committee accepted the legal opinion. The Committee also considered the […]

Why Doctors Die Differently

Careers in medicine have taught them the limits of treatment and the need to plan for the end By KEN MURRAY February 25, 2012 Years ago, Charlie, a highly respected orthopedist and a mentor of mine, found a lump in his stomach. It was diagnosed as pancreatic cancer by one of the best surgeons in […]

Hyperammonemia

Hyperammonemia is a metabolic condition characterized by elevated levels of ammonia in the blood. Increased entry of ammonia to the brain is a primary cause of neurologic disorders, such as congenital deficiencies of urea cycle enzymes, hepatic encephalopathies, Reye syndrome, several other metabolic disorders, and some toxic encephalopathies. Signs and symptoms Signs and symptoms of […]

The Wonderful Dr Devi Shetty

Friday, March 15th, 2013 at 4:51 pm   Yet again I have come across another compassionate and amazing man known as ‘The King of Hearts’. I watched a documentary on his hospital that runs at a profit, and had to learn more about him, so here is his story. Dr Devi Prasad Shetty was born […]

‘Production line’ heart surgery

By Chris Morris BBC News, Delhi Out of media player. Press enter to return or tab to continue. Inside India‘s ‘production line’ heart hospital The chest of a thirteen-year-old boy Uday Kumar has been sliced open and a team of doctors are operating on his heart. “This is for patients who have a single ventricle,” says […]

A LETTER TO 4000 CHILDREN WITH A SCAR ON THE CHEST

Dr. Devi Prasad Shetty June 23, 2013 To understand Dr. Devi Prasad Shetty’s heart, read this>>>> (He wrote this letter to the children he preformed cardiac surgery on.) A LETTER TO 4000 CHILDREN WITH A SCAR ON THE CHEST My Dear Children: I have been planning to write this letter for quite some time. Maybe […]

Body blow to the medical profession

May 13, 2014 09:08 PM , By DEVI SHETTY | That’s enough Penalties are necessary, but so is   sense of balance Compensation for medical malpractice should be capped. Else, there will be no doctors left to perform surgeriesThe recent Supreme Court ruling on medical compensation of ₹11 crore in Kolkata has raised several issues related […]

‘noose’ will tighten on private clinics and Nursing Homes

In response to the newspaper article published in the Times of India, I wish we could give a rejoinder paragraph by paragraph as below.  It is not likely to get published because our thoughts won’t make Masala  for publication. Read the news item first and then this. Readers in the IMA group may add more […]

Why Doctors Are Sick of Their Profession

August 29, 2014 11:16 AM American physicians are increasingly unhappy with their once-vaunted profession, and that malaise is bad for their patients By SANDEEP JAUHAR All too often these days, I find myself fidgeting by the doorway to my exam room, trying to conclude an office visit with one of my patients. When I look […]

Listen up, doctors: Here’s how to talk to your patients

Introduction It is said that over 80% of diagnoses are made on history alone, a further 5-10% on examination and the remainder on investigation.[1] Whether this adage is true or not may be open to debate but it is clear that history and examination skills remain at the very core of clinical practice. This record […]

The Hippocratic Oath Today

The Hippocratic Oath Today The Hippocratic Oath is one of the oldest binding documents in history. Here you’ll find classical and modern versions of the oath as well as a brief article that offers a sense of the controversial nature of the oath today. Follow links at the bottom of the page to post your […]

The Reasons Physicians Fail to Build Wealth

f you have physician clients or family or friends, you’re in on a dirty little secret: physicians’ high incomes do not reliably translate to high net worth. Practicing physicians earn top dollars. In fact, according to the U.S.Bureau of Labor Statistics, nine of the top ten earners in the U.S. call themselves “doctor.” Indirect evidence […]

Personal Observations on the Changing Scene In American Medicine: 1955 to 2010

                 Clifton K. Meador, M.D. When I entered private practice in 1962 (after graduating from medical school in 1955, completing a medical residency, serving  two years in the Army Medical Corps, and completing a NIH Fellowship in Endocrinology), there was no Medicare, no Medicaid, and very little medical insurance of any kind. Patients paid cash, […]

Hyposkillia , Deficiency of Clinical Skills

Hyposkillia Deficiency of Clinical Skills Herbert L. Fred, MD, MACP Author information ► Copyright and License information ► This article has been cited by other articles in PMC. The medical profession today faces many problems. We march to bureaucratic drummers, we have lost our autonomy, our prestige has spiraled downward, and our professionalism is sagging.1,2 […]

cap on doctors’ fee

A proposal in the Rajya Sabha to put a cap on doctors’ fee has created uproar in the medical fraternity. The Indian Medical Association (IMA) has already decided to go to the court, even as patient bodies and activists hail the move. The proposal titled ‘Regularization of Doctors’ Fees’ was put forward by Congress leader […]

A HEARTLESS PROFESSION?

Indian American cardiologist Sandeep Jauhar‘s book has caused quite a few blood vessels to pop with its lacerating look at the practice of medicine in US It is the Holy Grail for almost every Indian parent: that their son andor daughter go to medical college, become doctors, and embark on a thriving career that brings […]

female foeticide

Many years ago  the Pathan gangs, were at their heights of power  in the Mumbai  under world , communism was at its peak and the Bolly wood they controlled depicted the business men of India as greedy, corrupt and smugglers while the Pathans and Kabuliwala were shown with high esteem.Erroneously offcoarce! How time changes and […]

clinical establishment act

The Government of USA enforced certain public health laws in USA because of the general consensus among the population is USA was that Doctors were bad and fleecing patient and then dumping them.In short doctors in USA were seen to be not doing there duties.Offcoarce this had to do something with the econnomic slump and […]

IMA Objections to CEA draft standards

Executive Summary Clinical Establishment Act 2010 and Rules 2012 DEMANDS An independent authority rather than the Government, should be the regulator. Accreditation and not licensing should be the process of registration. All Treatment protocols of WHO, international and national professional associations should be accepted. Government should refrain from framing protocols. Fixing of fees and charges […]

clinical establishment act 2012

Many years ago I received a phone call from CMO Dehradun to immediately stop hospitalisation of psychiatric patient in my nursing home or i will have a case on my hand.The mental health act though passed in 1987 was begun to be enforced somewhere in 2000 .This bill was similar in nature to clinical establishment […]

Quotes – Psychiatry, Psychiatrists, Mental Health

“If A is a success in life, then A equals X plus Y plus Z. Work is X; Y is play; and Z is keeping your mouth shut.” – Albert Einstein   Die with memories, not dreams. – Anonymous   There are thousands and thousands of people out there living lives of quiet, screaming desperation who […]

EMTALA

What is EMTALA? The Emergency Medical Treatment and Active Labor Act is a statute which governs when and how a patient may be (1) refused treatment or (2) transferred from one hospital to another when he is in an unstable medical condition. EMTALA was passed as part of the Consolidated Omnibus Budget Reconciliation Act of […]

difference between inpatient and day clinic therapy for depression

  In a pilot study, German researchers investigated whether inpatient treatment of depression is more successful than treatment in a day clinic. However, no significant differences were found, they report in “Psychotherapy and Psychosomatics”. The study, carried out by the University of Heidelberg, involved 44 patients with major symptoms of depression. They were randomised to […]

Evaluation of the radioprotective effect of bael leaf (Aegle marmelos) extract in mice.

Jagetia GC1, Venkatesh P, Baliga MS.   Author information   Abstract PURPOSE: To investigate the radioprotective activity of a leaf extract of bael leaf (Aegle marmelos) (AME) in mice exposed to different doses of gamma-radiation. MATERIALS AND METHODS: The acute toxicity of AME was evaluated in Swiss albino male mice administered various intraperitoneal single doses of AME. […]

long waits for medical consults

ONE small consolation of our high-priced health care system — our $2.7 trillion collective medical bill — has been the notion that at least we get medical attention quickly. Americans look down on national health systems like Canada’s and Britain’s because of their notorious waiting lists. In recent weeks, the Veterans Affairs hospitals have been […]

AGEING

We age in two ways. There is the ageing we count by clock and calendar. And then there is biological ageing. The latter is written into our genes. But, it is also influenced by our lifestyle and history. And while we cannot stop time ticking by, there may be ways to test for our biological […]

epilepsy-and-seizures-neuropsychiatric-implications

May 01, 2014 | Special Reports, Anxiety, Mood Disorders, Neuropsychiatry By Marco Mula, MD, PhD Linked Articles Computerized Neurocognitive Tests in Clinical Practice Chronic Traumatic Encephalopathy: Should We Be Worried? Introduction: Understanding the Links Between Neuroscience and Behavior Management of Psychosis in Parkinson Disease Epilepsy and Seizures: Neuropsychiatric Implications For a long time, the correlation between epilepsy, seizures, and emotions has […]

Antidepressants May Have Role in Preventing Alzheimer’s Disease, Study Suggests

Research conducted by Yvette Sheline, M.D., a professor of psychiatry at the University of Pennsylvania, and colleagues and reported in Science Translational Medicine suggests that antidepressants might someday be a long-sought weapon in the fight against Alzheimer’s disease. After older mice genetically modeled to have Alzheimer’s disease were chronically given the SSRI antidepressant citalopram, it stopped the growth […]

depression as a risk factor of heart disease?

Darrel Regier, M.D., former APA director of research, discusses APA’s involvement with the AHA’s recommendation to consider depression as a major risk factor for heart disease. Sylvia Johnson Despite publication of numerous studies and meta-analyses showing a link between depression and cardiovascular disease, the American Heart Association (AHA) has yet to formally recognize depression as […]

nutrition and depression

INTRODUCTION Few people are aware of the connection between nutrition and depression while they easily understand the connection between nutritional deficiencies and physical illness. Depression is more typically thought of as strictly biochemical-based or emotionally-rooted. On the contrary, nutrition can play a key role in the onset as well as severity and duration of depression. […]

delirium

Introduction This practice guideline seeks to summarize data regarding the care of patients with delirium. It begins at the point where the psychiatrist has diagnosed a patient as suffering from delirium according to the DSM-IV criteria for the disorder. The purpose of this guideline is to assist the psychiatrist in caring for a patient with […]

Antidepressant Therapy Alone in Bipolar Disorder Associated With Mania Risk, Study Shows

    Antidepressant monotherapy in patients with bipolar disorder appears to be associated with an increased risk of mania, according to a report online in AJP in Advance today titled, “The Risk of Switch to Mania in Patients With Bipolar Disorder During Treatment With an Antidepressant Alone and in Combination With a Mood Stabilizer.” In contrast, no increased […]

Why I Kiss My Patients

| June 11, 2014 By Pamela Wible, MD I started kissing patients in med school. And I haven’t stopped. During my third-year pediatric rotation, I would stay up late at night in the hospital, holding sick and dying children. I’d lift them from their cribs, kiss them, and sing to them, rocking them back and forth until […]

Cognitive Training May Bestow Long-Term Benefits for Seniors

Clinical and Research News March 20, 2014  DOI: 10.1176/appi.pn.2014.3b3 Joan Arehart-Treichel   Training elderly individuals in reasoning and speed-of-information processing tasks, but not memory, resulted in sustained or improved cognitive abilities a decade later.   A large multisite, randomized, controlled clinical trial has found that cognitive training can benefit seniors up to a decade after they’ve […]

How Medicine Became a Growth Business

Posted on May 16, 2011 by Maggie Mahar Below, a guest post by Dr. Clifton Meador. Over the years, Meador has practiced as a family doctor, an epidemiologist, a health care administrator and Dean of the University of Alabama Medical School. He also has published many books and articles including a tale set in the not too distant future […]

joe biden

NEW YORK ― During an impassioned speech in a packed room of more than 10,000 mental health professionals, Vice President Joseph Biden highlighted the urgent need for more general, child, and Veterans Affairs (VA) psychiatrists in the United States. “We need you more than ever. And quite frankly, we need more of you than exists […]

Kickbacks and bribes

David Berger, district medical officer, emergency medicine Author Affiliations daveberger@gmail.com Kickbacks and bribes oil every part of the country’s healthcare machinery, writesDavid Berger. If India’s authorities cannot make improvements, international agencies should act “The corruption strangles everything, Sir. It’s like a cancer.” Accompanied by apologetic shrugs and half smiles, statements like this are commonly heard […]

10 Ways Doctors Can Make the Most of Social Media

by BRIAN HONIGMAN Today, 24% of doctors use social media at least once a day to post or seek medical information according to Allied Health World. The use of social media by doctors is still in its infancy, which presents a huge opportunity to take advantage of these digital platforms and build scalable credibility for your career […]