Wisdom Quotes (Dr Arun Jain)
If you don't find God in the next person you meet, its a waste of time looking for him further.
There are only two ways to live your life. One is as though nothing is a miracle, the other is as though everything is a miracle.
DR GOOD DR BAD
Situation : An HIV positive pregnant woman comes for advice.
Dr Bad: Take only iron and folate supplements
Dr Good: You need iron, folate and multivitamin supplementation
Lesson : Multivitamin supplementation is essential in HIV-positive pregnant women as it has been found to substantially decrease adverse pregnancy outcomes and increase T cell counts.
A patient with PUO developed enteric perforation.
OH my God! Why did you not suspect the possibility of typhoid earlier?
Make sure: In India, enteric fever is one of the possibilities in every case of PUO.
Precautions in clinical practice
A patient was brought to the emergency room and was found to be in asystole. The patient was immediately intubated and cardiac massage was started. Adrenaline 1 mg/i.v. was given every 3 minutes. Atropine i.v. was also added. No response was seen. The Doctor on duty then gave the patient intracardiac adrenaline. Patient did not show any response and finally the efforts were terminated and patient declared dead.
Various trials all over the world have shown that use of intracardiac adrenaline offers no advantage. Rather has shown to cause injury of the myocardium. It can also lead to cardiac rupture. Hence this step should be clearly avoided in Cardiopulmonary resuscitation of patients during clinical practice.
Effective asthma control requires long-term anti-inflammatory controller medications for patients with mild-persistent to severe-persistent disease, and quick-relief bronchodilator medication for all patients with asthma to control intermittent symptoms of cough, wheeze and bronchoconstriction, as well as acute exacerbations. J. Am. Osteopath. Assoc. 2004 July;104(7):288-293.
Formula to know
Formula: 30 calories per kg body weight, to maintain
Two psychologists meet at their twentieth college reunion. One of them looks like he just graduated, while the other psychologist looks old, worried and withered.
The older looking one asks the other, What's your secret? Listening to other people's problems every day, all day long, for years on end, has made an old man of me.
The younger looking one replies, 'Who listens?'
Letter to the editor
Respected sir, emedinews has been a great initiative from the pioneer in medicine (dr.k.k. aggarwal) who has always been an ardent, dedicated scholastic teacher whose few words have always dropped the nectar of knowledge. Dr Aggarwal has always been with the novice ideas & i remember the old days when i was under echocardiography training at moolchand. at that time no centre in india had an as extensive library on echo with real time vcds collections. a rare thing in those days. i would request dr k.k. aggarwal to start online cme & webcasting with due cme hours accreditation from Delhi medical council.
If we have followed the western pattern then let us complete it. Such a pattern is being followed by American medical association, American heart association & many medical schools. "leaders pave a path for the benefit. "Regards to Dr Aggarwal & all the seniors who have dedicated their lives for advancements in profession. (email@example.com)
Clinical Context (Dr GM singh)
More than 10% of older adults experience current major or minor depressive disorders with a high morbidity and mortality rate, and preventive measures should include use of predictors to identify subgroups of patients most at risk for incident depression. Studies have suggested that preexisting subsyndromal depression and a high burden of medical illness are risk factors for major depression.
1. Four factors most predictive of incident major depressive episodes in elderly patients are minor or subsyndromal depression, functional impairment, and a history of major or minor depression.
2. Effective treatment of 5 individuals with these risk factors would prevent 1 new case of incident depression.
Wisdom quotes (Dr. Arun Jain)
Change direction, or you may end up where you are heading.
When you are in doubt do it.
Advertising in emedinews
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emedinews: revisiting 2009
IJCP Group is organizing emedinews: Revisiting 2009, a day -long conference on 10th Jan 2010 at Maulana Azad Auditorium. It will be attended by over 1000 doctors. Topics will be top happenings in the year 2009. There is no registration fee however advanced registration is required. Top experts will deliver lectures. CME will be followed by lively cultural evening, doctors of the year award, dance and dinner. For regiatration mail email@example.com. We have crossed 550 registrations in 3 days.
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