Thursday, November 3, 2011

INTERESTING ARTICLES: Damjibhai Anchorwala: Switching to Success

INTERESTING ARTICLES: Damjibhai Anchorwala: Switching to Success: Damjibhai Anchorwala may have dropped his entrepreneurial anchors by selling his Anchor Electricals Company to Panasonic, this Kutchi, in...

Wednesday, September 28, 2011

Do Doctor's need coach? MUST READ


Source


ANNALS OF MEDICINE

PERSONAL BEST

Top athletes and singers have coaches. Should you?

by OCTOBER 3, 2011

No matter how well trained people are, few can sustain their best performance on their own. That
No matter how well trained people are, few can sustain their best performance on their own. That’s where coaching comes in.
I’ve been a surgeon for eight years. For the past couple of them, my performance in the operating room has reached a plateau. I’d like to think it’s a good thing—I’ve arrived at my professional peak. But mainly it seems as if I’ve just stopped getting better.
During the first two or three years in practice, your skills seem to improve almost daily. It’s not about hand-eye coördination—you have that down halfway through your residency. As one of my professors once explained, doing surgery is no more physically difficult than writing in cursive. Surgical mastery is about familiarity and judgment. You learn the problems that can occur during a particular procedure or with a particular condition, and you learn how to either prevent or respond to those problems.
Say you’ve got a patient who needs surgery for appendicitis. These days, surgeons will typically do a laparoscopic appendectomy. You slide a small camera—a laparoscope—into the abdomen through a quarter-inch incision near the belly button, insert a long grasper through an incision beneath the waistline, and push a device for stapling and cutting through an incision in the left lower abdomen. Use the grasper to pick up the finger-size appendix, fire the stapler across its base and across the vessels feeding it, drop the severed organ into a plastic bag, and pull it out. Close up, and you’re done. That’s how you like it to go, anyway. But often it doesn’t.
Even before you start, you need to make some judgments. Unusual anatomy, severe obesity, or internal scars from previous abdominal surgery could make it difficult to get the camera in safely; you don’t want to poke it into a loop of intestine. You have to decide which camera-insertion method to use—there’s a range of options—or whether to abandon the high-tech approach and do the operation the traditional way, with a wide-open incision that lets you see everything directly. If you do get your camera and instruments inside, you may have trouble grasping the appendix. Infection turns it into a fat, bloody, inflamed worm that sticks to everything around it—bowel, blood vessels, an ovary, the pelvic sidewall—and to free it you have to choose from a variety of tools and techniques. You can use a long cotton-tipped instrument to try to push the surrounding attachments away. You can use electrocautery, a hook, a pair of scissors, a sharp-tip dissector, a blunt-tip dissector, a right-angle dissector, or a suction device. You can adjust the operating table so that the patient’s head is down and his feet are up, allowing gravity to pull the viscera in the right direction. Or you can just grab whatever part of the appendix is visible and pull really hard.
Once you have the little organ in view, you may find that appendicitis was the wrong diagnosis. It might be a tumor of the appendix, Crohn’s disease, or an ovarian condition that happened to have inflamed the nearby appendix. Then you’d have to decide whether you need additional equipment or personnel—maybe it’s time to enlist another surgeon.

Monday, September 26, 2011

Most path labs unauthorized

Source

BERHAMPUR: Before undergoing any pathological tests,. Most of the you should check the genuineness of the pathological laboratory pathological laboratories mushrooming in every nook and corner of the state are not operated by trained pathologists, nor do they get valid license from the government to run the laboratory.
"Most of the pathological laboratories are run by non-pathologists, non-technicians and without proper license," said Nimai Charan Parija, president of Indian Association of Pathologists and Microbiologists (IAPM) here, on the sidelines of the Orissa chapter of annual conference of IAMP on Saturday.
He said the IAPM was constantly fighting against the illegal practice in various states of the country and urged upon authorities to crack down on unauthorized laboratories.

Monday, September 12, 2011

Doctors’ poison pill burns our pockets

It’s all well to talk about Bofors and 2G corruption. But what about the cuts taken by doctors who refer patients for tests and scans?  

In these heady days of Anna's triumphs, it is difficult to write about anything but corruption in India, and the subject is so vast, encompassing as it does every aspect of human activity, that the mind cannot think of other subjects on which to write.

Anna Hazare's campaign and the Jan Lokpal Bill have concentrated on corruption among government servants-the term extending from the prime minister to the lowest clerk in a tehsildar's office. This covers a wide swathe of economic and social activity of the people.

Friday, August 26, 2011

Dangerous Chemical: Dihydrogen Monoxide

A student at Eagle Rock Junior High won first prize at the Greater Idaho Falls Science Fair, April 26. He was attempting to show how conditioned we have become to alarmists practicing junk science and spreading fear of everything in our environment. In his project he urged people to sign a petition demanding strict control or total elimination of the chemical "dihydrogen monoxide."
And for plenty of good reasons, since:

  1. it can cause excessive sweating and vomiting
  2. it is a major component in acid rain
  3. it can cause severe burns in its gaseous state
  4. accidental inhalation can kill you
  5. it contributes to erosion
  6. it decreases effectiveness of automobile brakes
  7. it has been found in tumors of terminal cancer patients
He asked 50 people if they supported a ban of the chemical.
  • Forty-three (43) said yes,
  • six (6) were undecided,
  • and only one (1) knew that the chemical was water.
The title of his prize winning project was, "How Gullible Are We?" He feels the conclusion is obvious.

Source

Monday, July 4, 2011

Desire to serve still drives some doctors in India

In these days of crass commercialisation of healthcare, it may be hard to believe that a band of dedicated young doctors is giving up lucrative assignments and even risking their lives to serve in rural areas on a voluntary basis.

You may have never heard of a group called 'Doctors for You' (DFY), but this group created ripples in international medical circles this past week by winning the best 'Medical team in a crisis zone' award leaving behind strong contenders such as Medecins Sans Frontieres and Save the Children. The group got the award for medical relief it offered during the 2008 Kosi floods in Bihar. The award, instituted by publishers of the British Medical Journal celebrates an individual or team that has had an exceptional impact on a crisis situation.
The group deployed 110 of its members who treated 130,000 patients over six months through 300 mobile clinics, district hospitals and camps.

Tuesday, May 3, 2011

Tuesday, April 5, 2011

Wednesday, March 16, 2011

An interesting material ( copied from some where)

280 लाख करोड़ का सवाल
है ...भारतीय गरीब है लेकिन भारत
देश कभी गरीब नहीं रहा"* ये
कहना है स्विस बैंक केडाइरेक्टर
का . स्विस बैंक के डाइरेक्टर ने

यह भी कहा है कि भारत का लगभग
280 लाख करोड़ रुपये
(280 ,00 ,000 ,000 ,000)
उनके स्विस बैंक में जमा है . ये
रकमइतनी है कि भारत का आने वाले
30 सालों का बजट बिना टैक्स के
बनाया जा सकता है.

Monday, March 7, 2011