Gives a brief review as to how to prevent attacks on individual practitioners and private doctors. Gives a brief review of the precautions to be taken by doctors.
Who is a Counselor and What is Counseling?Adam Smith
There are some factors to consider to choose a counselor and his services will become an important need if and when one observe radical changes with oneself. Some losses and tensions are difficult to handle on own.
How to choose the correct Private Practice & How to be an excellent Practitio...Kusal Goonewardena
Presented by Elite Athlete APA Titled Sports Physiotherapist - Kusal Goonewardena.
With over 15,000 treatment sessions in sports physiotherapy in private practice Kusal Gooonewardena shares
1. How to choose the correct private practice to work in
2. How to become an excellent practitioner when you get there!
Hope you enjoy.
For more information goto www.EliteAkademy.com
With budget cuts and efficiency drives, hospitals are under pressure to save money in emergency services. This patient led investigation generated user insights and practical ideas that could make a difference
1. Top Caregiver Duties to Know.
2. Caregiving Tips and Tricks to Ease Caregiving Problems.
3. Assisted Living & In-Home Care Compared.
4. Understanding the role of caregivers.
5. Hiring a Private Caregiver.
6. Mistakes to avoid when hiring a caregiver.
Really putting such patients first means: 4 ensuring that such patients have continuity of care with a healthcare professional whom the patient knows and trusts; longer appointments as required;shared decision making and an agreed care plan; and easy access to care.
Who is a Counselor and What is Counseling?Adam Smith
There are some factors to consider to choose a counselor and his services will become an important need if and when one observe radical changes with oneself. Some losses and tensions are difficult to handle on own.
How to choose the correct Private Practice & How to be an excellent Practitio...Kusal Goonewardena
Presented by Elite Athlete APA Titled Sports Physiotherapist - Kusal Goonewardena.
With over 15,000 treatment sessions in sports physiotherapy in private practice Kusal Gooonewardena shares
1. How to choose the correct private practice to work in
2. How to become an excellent practitioner when you get there!
Hope you enjoy.
For more information goto www.EliteAkademy.com
With budget cuts and efficiency drives, hospitals are under pressure to save money in emergency services. This patient led investigation generated user insights and practical ideas that could make a difference
1. Top Caregiver Duties to Know.
2. Caregiving Tips and Tricks to Ease Caregiving Problems.
3. Assisted Living & In-Home Care Compared.
4. Understanding the role of caregivers.
5. Hiring a Private Caregiver.
6. Mistakes to avoid when hiring a caregiver.
Really putting such patients first means: 4 ensuring that such patients have continuity of care with a healthcare professional whom the patient knows and trusts; longer appointments as required;shared decision making and an agreed care plan; and easy access to care.
This is the slidedeck of our Health Smartees Webinar, presented by Saartje Van den Branden on Wednesday 12 March, 2014. The presentation elaborates on a Roche Customer Consulting Board case study.
How to Create a Supportive Environment for Mental Health Professionals Solh ...Solh Wellness
Discover expert tips to foster a supportive environment for mental health professionals. Enhance well-being and productivity with proven tips by Solh Wellness.
Legal, Clinical, Risk Management and Ethical Issues in Mental HealthJohn Gavazzi
The program outlines the fundamental differences between clinical issues, legal questions, risk management strategies, and ethical issues. While overlap exists, ethical questions arise when there are two competing ethical principles at odds. The course will reference both the ACA and the NBCC Code of Ethics. Clinical issues deal with treatment-oriented concerns. Legal issues concern state, federal, and case law, as well as statutes and regulations. Risk management typically focuses on reducing liability. Several case examples will be given to demonstrate how these issues overlap and are important to high quality of care.
Gives a very brief review of how to evaluate a case of squint in day to day clinical practice. How to diagnose a basic abnormality of the movement of eye.
Neuroprotection is a fairly misunderstood term in glaucoma. The ppt aims at making the reader understand the basics of neuroprotection and also the various agents available to aid it.
Performing Trabeculectomy is one thing...managing a failed bleb is all together another ball game. Describes the various precautions to be taken in preventing bleb failure and how to revive a failing bleb
Describes the basic of applanation tonometry, the factors affecting it and also how to perform the ideal tonometry. The slide are borrowed but it gives complete idea of mastering Applanation tonometry.
If the original owner of the slides has an objection i shall take down the ppt with due apologies.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
1. Important measures to be taken by
individual doctors to prevent
attacks
BY
DR INDEEVAR V MISHRA
GLAUCOMA & ANTERIOR SEGMENT CONSULTANT
MM JOSHI EYE HOSPITAL HUBLI.
5. Components of a private practice that
matter…
1. Administration
2. Employees
3. Behavior and work culture.
4. Counselling
5. Tackling the fussy/unhappy/difficult/frustrated/unrealistic patient.
6. Advertisement
7. Respect your limits
8. Socialization
6. What can be done to prevent it?
Administrative amendments..
1. Develop clinical and
administrative guidelines for
appropriate work environment.
2. You have to develop some
mechanisms to identify
troublemakers ‘before’ they
actually cause violence - Bold
code (say VIP or Caution or
something else).
• Being docs your instincts surpass
everyone.
7. Develop a protocol
and have regular
drills…
Courtesy – “Hospital Violence – what is the
way out?”, Dr P K Kohli, Advocate Roohi
Kohli, Medical times, May 7, 2017
8. Employees – Keep them Happy
1. Ensure the loyalty of your
employees.
2. Ensure their health, future and
house are secured.
3. Have a periodic (monthly) face to
face meet and frank discussions,
picnics, outings.
4. Try setting an example.
5. Never Disclose your intentions.
Never be too truthful.
9. Behavioral modifications…Staff and
you!
1. Walk and talk in a civilized manner.
Never talk the local slang to explain
the patient or the relative.
2. Employ staff with the caliber to adapt
and learn. Employ people with higher
“SOCIAL INTELLIGENCE”.
3. Don’t be frugal – Spend 100 bucks
more and be assured of the quality of
patient care by the staff.
10. Counselling
1. People cannot handle bitter
truth….but sugar coated bitter
truth is still palatable to them.
2. Spend time, awful lot of time
with your patients.
3. Hire a trained counsellor.
4. Know what not to say and
when not to say.
5. Visit and observe the masters
and learn. Spend some time.
11. Tackling fussy patients..
1. Feedback forms – Help the patients
vent their negative feelings.
2. Help the Angry and unsatisfied patients
vent out! Maintain calm demeanor and
they shall always return to you!
3. Always refer such patients to your
rivals.
4. Have a secret code for the unhappy and
troublesome patients.
5. Have a regular courtesy call arranged
for all fussy your patients.
12. Advertisement
1. Not a good idea nowadays to
project very highly of skills
and facilities available. Long
term negative effects out
weigh short term benefits.
2. Being humble will pay off in
WRONG run.
3. Ethical Advertisements are
the future for the doctors.
13. LIMITS!!
1. Better not to treat a politician or
celebs directly till you’ve crossed 20
years into practice…
2. Avoid the people associated with the
judicial system and the media unless
really necessary.
3. Try to remain grounded and cater to the
needy and genuine class of patients.
4. Avoid unnecessary exposure. Any
publicity is bad publicity.
14. Socialize and serve
1. Join social organizations (e.g. Rotary club, Lions club, Gymkhana
club) etc for socialization – Develop your own power circle.
2. Attend CMEs and Conferences and be up-to-date with the latest
knowledge.
3. Know your surroundings and maintain cordial relations with anyone
associated with the medical/paramedical/allied medicine/alternative
medicine.
22. What not to be done!!
• Never rely on any Body or association, even your own!
• Never take up challenging cases until you’ve made a name of yourself.
• Never hesitate to refer the case early.
• Never experiment.
• Never offer your services for free.
• Never strike…WE Are DOCTORS!!
NEVER TRUST ANYONE!!! ITS KALYUG!!!
The attack took place on a doctor in Dhule resulting in him loosing his vision in the left eye.
As you can see the attacks are un coordinated, doesn’t look pre planned and the there seems to be no leader leading the assault.
Most of these attacks are emotionally driven and that’s the area we need to target to prevent these attacks.
How do we play??A defensive strategy or an offensive strategy? . I would suggest to play on the back foot and when you are practicing alone to better to be safe than sorry.
The world preaches and we Indians find innovative ways of practicing it…
Areas where we need to be cautious and vigilant in a private practice are mentioned here.
Learn to trust your instincts and identify the problem creators and the fire starters right at the first instance. We are doctors and we are gifted with it …..learn to trust it. Limit their movement inside the hospital and make sure they stay at bay from you. Refer them out early.
Form a proper flow chart and have mock drills with your staff. It might sound ridiculous or over reaction ….but remember …there was an incident where the doctor was abducted in a car and beaten black and blue by the mob before being rescued. Apparently this doc was a victim of false rumour which could’ve been started by a rival. Unfortunately in today’s world the doctor practicing down the street from us is not our colleague but is referred as our rival.
You employees are our assets. Secure their future by securing their children,s education. Have a periodic face to face meets to sort out the misunderstandings.
Ensure you employ staff with high social intelligence. You may google the term. Also remember that we are doctors and the most qualified layer of the human population. So we should behave like one. It’s a monkey see moneky do world…give respect and you shall get it in return,
People cannot handle bitter truth ……sugar coated poop is still acceptable to them. Hire a counsellor who can sell a refrigerator to an eskimo…develop your own skills in timeand then fire her/him.
Fussy or unrealistic patients… refer to your rivals, gradify them an handle them with caution. Give them some way to vent out their negative thoughts like the feed back forms.
Lay low…don’t brag…don’t raise the bar for your ownself…. Long term negative effects out weigh short term benefits.
Employ a body builder as a staff…
Ensure you know the laws protecting the medical fraternity and the patients know that you know them.
A little investment in this automatic remote controlled lock shall benefit you. Its only 15000.
Choose the one to your liking and keep it besides yourself.