SP Kalantri

Showing: 301 - 310 of 326 RESULTS
Evidence-based Medicine

Ignorance or Ineptitude

Every Wednesday morning, physicians and medical residents in my department gather in the seminar room to discuss morbidity and mortality data of the previous week. Our residents tell us how many patients were admitted to our wards, how long did they stay, how many went home and how many couldn’t. A resident tells a story …

Evidence-based Medicine Technology

CT in a Village

Very soon, our teaching hospital, located in a village in central India, shall use a new computed tomography (CT) equipment for obtaining high-quality radiologic images. The previous CT scanner- it had served us well for 10 years – was living a borrowed life. The hospital, therefore decided to invest into a new CT scanner. The …

Medical Errors

On Missing Malaria

Parsimonious. My teachers taught me this principle at the bedside during my residency. A single diagnosis should explain all symptoms and signs whenever possible. That was in 1980. Physicians relied on their brains and stethoscopes. They took detailed histories, examined patients thoroughly, ordered few tests, discussed differentials, and took pride in getting the diagnosis right. …

Doctors Drug Industry Drugs

Doctors and drug industry

Are the medical professionals so poor, as a BMJ editorial asked long ago, that they cannot afford to buy their pen, pad or pizza? And are the doctors so ignorant about the new therapies and new drug discoveries that they need help from medical representatives and the drug industry? Very few doctors learn during their …

MGIMS

1985 batch reunion

“It was the best of times, it was the worst of times, it was the age of wisdom, it was the age of foolishness, it was the epoch of belief, it was the epoch of incredulity, it was the season of Light, it was the season of Darkness, it was the spring of hope, it …

MGIMS

Physicians meet- only to part

Reminiscences- this weekend was filled with them. On December 19- thirty years since the first resident obtained her MD Medicine from the institute -a third of the hundred residents from the department of medicine gathered in Sevagram. Beginning 1979, exactly hundred residents had completed their MD training in the Medicine department, a number that aroused …

Hospital MGIMS

Medicine is Skin Deep

Sunday morning. I was rounding with my residents. We moved as a group to the ICU, stopping at each bed. A middle-aged woman with a heart attack. A boy fighting malaria. A young man battling HIV and TB. We checked their vitals, reviewed test results, and adjusted their treatment. At bed 7, a young woman …

Hospital

Violence in hospitals

Last week, a previously healthy 50-year-old man died in our hospital following a massive stroke. A CT scan revealed a deep intracerebral hemorrhage. Sudden death evokes a torrent of emotions—shock, denial, frustration, anger, and grief—not necessarily in that order. Shortly after the patient’s death in our ICU, a furious mob of nearly 50 people bypassed …