MAN PROPOSES GOD DISPOSES ……………

It proved in case of a 27 year young man who came to emergency at ivy hospital mohali with a self inflicted ( suicidal ) gunshot injury into head . patient fired over his right temporal region with his own pistol .patient was in unconscious condition with unrecordable bp & shock like condition . patient was resuscitated , urgent CT head revealed right temporal depressed comminuted # with bone fragments deep into parenchyma with through n through gunshot injury in both fronto temporal regions . metallic bullet was seen lying adjacent to sagittal sinus in left parietal parasagittal area . urgent right frontoparietal craniotomy with elevation of # with contusectomy was done . & bullet was also removed through left parietal parasagittal minitrephine craniotomy . patient initially managed on ventilation & later weaned off. Patients aphasia & left hemiparesis also improved with time . & patient went home fully conscious and alert . GOD still wants him to do some positive work in this world .
Many a times we as human beings propose something for ourself but god disposes it because god has kept something better for us .

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Robotic devices help stroke survivors regain movement

Robotic devices help stroke survivors regain movement
Posted July 5, 2010 by Zakeer Ahmed in Health, Surgery
Robotic devices help stroke survivors regain movement

The Amadeo Robotic Hand and Tibion Robotic Leg are helping to rehabilitate stroke victims

It's a long time since The Six Million Dollar Man graced our TV screens; indeed, many Gizmag readers may be too young to have heard of Steve Austin, the Bionic Man. Bionics and robotics have come a long way in the past few years, and while we're not yet creating bionic men and women, we can at least claim to make people "better, stronger, and faster." A robotic hand and bionic leg undergoing clinical trials at New York-Presbyterian Hospital/Columbia University Medical Center (NYPH/CUMC) are two promising neurorehabilitation devices that are helping stroke survivors regain movement in affected limbs by rewiring neural pathways.

Stroke is one of the top three killers in the developed world. Of those who survive, hundreds of thousands are left with devastating disabilities such as the loss of movement in an arm or leg, and the accompanying loss of freedom of movement they had taken for granted. Not so long ago these disabilities were considered incurable and therapy often focused on training people to use their "good side."

Fortunately, research has provided new insights into the brain and its ability to reorganize or "rewire" itself by forming new neural pathways which bypass damaged areas - the science of neuroplasticity. Neurorehabilitation harnesses the principles of neuroplasticity, and has produced some remarkable improvements in survivors of stroke and other brain damage.

Trials like those being conducted at NYPH/CUMC involve patients in repetitive movements that promote motor learning and neuroplasticity in affected limbs.



Amadeo Robotic Hand

The Amadeo, developed by medical engineering company Tyromotion, is the first device to focus specifically on hand rehabilitation and allows the patient to move each finger individually. The mechanism mimics the hand's natural grasping movement, making the patient's hand move with it. The range of motion and the force can be exactly adjusted to the patient's needs.

After attaching the finger tips to the finger and thumb carriages, patients move their fingers along small tracks to a set endpoint in an automated sequence. Patients can be actively or passively involved, and motor control and strength are increased over time.

Lauri Bishop, a research physical therapist in the Department of Rehabilitation and Regenerative Medicine at NYPH/CUMC says, "Traditionally hand rehabilitation has been done by having patients practice movements like buttoning a shirt. The robot makes this process more efficient. It also makes it easier to track a patient’s progress."



Tibion Bionic Leg

The Tibion is a thigh-to-ankle device worn during therapy to help patients get their stroke-weakened leg to work with their unaffected leg in walking, climbing stairs and getting in and out of chairs.

Sensors in the patient's shoe and the Bionic Leg collect data that is fed into a computer to determine what the patient is likely trying to do, and essentially customize the sensor network to the patient's way of walking. The Bionic Leg can be configured to either assist or resist the patient's movements, and therapists can progressively reduce the level of support provided until patients are able to move confidently without it.

"Prior robotic devices for helping patients improve their gait involved either therapists or robots moving the affected leg while the patient was suspended over a treadmill," says Ms. Bishop. "This bionic leg requires the patient to put weight on the affected leg, and to try to take steps on their own. The device isn’t a prosthesis, it simply supports the patient while our therapists help them teach new areas of their brain to replace the stroke-affected areas that normally control leg function."

Dr. Joel Stein, director of the Rehabilitation Medicine Service and Physiatrist-in-Chief at NYPH says, "The devices systematically help restore neural pathways for crucial movements like walking and gripping. By doing so, patients can regain freedom and independence and move on with their lives."

The hospital is seeking people who have been recovering from a stroke for six months or longer, who have difficulty with hand functions or mobility, to take part in the clinical research trials. If interested, email Lauri Bishop or call (212) 305-6095.

TIPS TO AVOID COMPUTER VISION SYNDROME

FOUR TIPS TO AVOID COMPUTER VISION SYNDROME
Posted August 2, 2010 by vrinda in Opthalmology
If you use a computer more than two hours a day, you could be suffering from Computer Vision Syndrome (CVS).



A CBS News Medical Correspondent Dr. Jennifer Ashton explained CVS is associated with symptoms that come with sitting in front of a computer, hand-held device, iPhone, iPod for hours every day.

"The most common symptoms are: eye strain, dry or irritated eyes, fatigue, and headaches," CBS News quoted Ashton as saying.



She provides some quick tips to keep eye strain at bay:

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1. Blink Often: When looking at a computer or hand-held digital device, it's common for you to blink two to three times less than you normally would.

This can lead to "dry eye." Blinking bathes your eyes in tears, and tears are naturally therapeutic for the eyes.

2. The 20/20/20 Rule: When spending long periods in front of a digital device, every 20 minutes, spend 20 seconds looking at something 20 feet away to allow your eyes to rest.

3. Ensure Proper Lighting: To help ease the strain on your eyes, keep bright lighting overhead to a minimum and position your desk lamp to shine on your desk, and not at you. Position your computer screen in a way that reduces reflections and glare from windows or overhead lights.



4. Location of computer screen: Optimally, the computer screen should be 15 to 20 degrees below eye level (about 4 or 5 inches) as measured from the centre of the screen and 20 to 28 inches from the eyes.

MISCONDUCT WITH DOCTORS

Misconduct with Doctors
Posted September 11, 2010 by Dr. Telly Jain in General
Becoming a Doctor isn't just cracking a simple Pre-Medical Test.

Involving rigorous studies for years aplenty,
sacrificing your family time,
staking your health at hazards aplenty,
neglecting your basic body needs of sleep, nutrition, and rest in sickness.

This is what you go through, before you transform from a young college lad into a responsible doctor.

Ever observed a doctor through the 'human' eyes, and not merely as an attendant??
If you ever get a chance, Do.
Coz, only then will you know how much they value your life.
Ever seen how a doctor tries his level best to save his patients life?

The only reason why they were called 'next to Gods' lies in the fact, that they 'sacrifice their lives to save yours', and not merely' because they 'save lives'.

And for all those who think, that Medicine is JUST ANOTHER PROFESSION
or
those who think, 'We work for the solo motto of earning a living"....

Let this be clear:

For Us, Medicine is NOT just another profession, but A LIFESTYLE.
A lifestyle we chose, coz we strongly felt (& Do feel) that this is a manner in which we can help the creations of God. To do our bit towards humanity.

And, Everybody does need to earn their living, but, If it had been 'merely' for earning a living,
Dudes, Open any book of ours, and manage reading even a single chapter outta them.
And then, let us see how long can you carry on, in this manner, say for 10 years of your life. (Remember, sans any salary.)

So Buddies, It's faith that we cater to, not money. :D

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

After years of studies, dedication, determination, when you go for the welfare of the humanity,
what you're served is thrashes and abusive language.

Why have Doctors become the easy targets of these social hooligans?

Because we are sophisticated ?

Because we (most of the times) label it to their emotionally depressed state due to their relative's sickness, and PARDON??

Because we feel guilty after every strike we do; coz it hurts us more than it does to you, to not treat the ones in need??

Because every political personality uses its power?
And there might be twenty-more-serious-patients waiting for treatment, and we decide not to ignore them??


Reasons might be many. As Incidents have been 'beyond count'. The frequency has risen exponentially. And the severity too.



Till when will we bear these atrocities??

Till when will we be insecure for our 'life'??


Solutions are many. Lots have been put at the platter of the policy and law makers. But, still a Law seems invisible.
Still the security remains distant.

Time is NOW, to fight for our dignity.
Fight for our rights.

No more Atrocities on Doctors, Please !!

Let's FIGHT ON !!

modern panchtantra story

MODERN PANCHTANTRA STORY
Posted September 23, 2010 by vrinda in Entertainment, Fun

Once upon a time, there was a software engineer who used to develop programs on his Pentium machine, sitting under a tree on the banks of a river. He used to earn his bread by selling those programs in the Sunday market.

One day, while he was working, his machine tumbled off the table and fell in the river. Encouraged by the Panchatantra story of his childhood (the woodcutter and the axe)

He started praying to the River Goddess. The River Goddess wanted to test him and so appeared only after one month of rigorous prayers. The engineer told her that he had lost his computer in the river.

As usual, the Goddess wanted to test his honesty. She showed him a match box and asked, ” Is this your computer ?” Disappointed by the Goddess’ lack of computer awareness, the engineer replied, ” No.“

She next showed him a pocket-sized calculator and asked if that was his.
Annoyed, the engineer said “No, not at all !!“

Finally, she came up with his own Pentium machine and asked if it was his.
The engineer, left with no option, sighed and said ” Yes.“

The River Goddess was happy with his honesty. She was about to give him all three items, but before she could make the offer, the engineer asked her, “Don’t you know that you’re supposed to show me some better computers before bringing up my own ?“

The River Goddess, angered at this, replied, “I know that, you stupid donkey! The first two things I showed you were the Trillennium and the Billennium, the latest computers from IBM !“. So saying, she disappeared with the Pentium!!

********

Moral :

If you’re not up-to-date with technology trends , it’s better to keep your mouth shut and let people think you’re a fool than to open your mouth and remove all doubt.
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Glasgow coma scale When used to score the effects of a head

Glasgow coma scale When used to score the effects of a head