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Schizophrenic writings: Story of my Psych postings

Schizophrenic writings: Story of my Psych postings

Once a patient appeared in the Psychiatry OPD. She was childish though old enough and somewhat sweet for a psychiatric patient. She was humble and respected the doctor tremendously. “She is not much different from a baby” I said to my self.
“Look at the power of the mind, look what it can make out of people. I have seen people …

Mental Illness Among Healthcare Professionals

Mental Illness Among Healthcare Professionals

The healthcare field can be stressful, to say the least. From school and training to actual careers, healthcare students and professionals often suffer from anxiety, depression and other psychological ailments. Plus, there seems to be a stigma surrounding mental illness in healthcare professionals; it seems as though doctors, nurses and specialists are expected to treat mental illness, but never experience …

10 Golden Rules of Anesthesia

10 Golden Rules of Anesthesia

The 10 golden rules of anesthesia is universally accepted as basic safety requirements needed for starting anesthesia.

Assess the patient and Prepare the patient well
Starve him – even for Local Anesthesia
Anesthetise him on a tipping table for head down tilt in case of emergency.
Check your drugs and equipment personally
Keep an effective suction ready
Keep his airway clear
Be ready to control his ventilation
Have …

Malignant Hyperthermia (MH): Clinical features, Diagnosis, Management

Malignant Hyperthermia (MH): Clinical features, Diagnosis, Management

Definition: A hypermetabolic state that occurs in genetically susceptible patients on exposure to a triggering agent.
Triggering agents:

Suxamethonium or Succinylcholine (Depolarizing skeletal muscle relaxant)
All anesthetic volatile agents (eg. halothane)

Biochemical basis:
It is inherited as an autosomal dominant condition and caused by loss of normal Ca2+ homeostasis at some point along the excitation-contraction coupling process on exposure to triggering agents. Most likely site …

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