Lectures of "Indian Psychiatric Society South Zone and NIMHANS Digital Initiative for Academics and Nurturing Skills (INDIANS)" are shared in this platform.
Sir , How much percentage of intellectual disability is required by the child for family pension transfer to the permanently intellectual disabled child of the deceased government employee ? Plz reply.
You are classifying different type of self harm. But no doctor every think about why someone has such thought. It is plain simple that he is sad. Very sad from life
PTSD should have been explored in history of present illness.. Any management he had during the 3 years wasn't mentioned in the history of present illness..
I was (Age now 53)taking medicines for bio polar disorder since 10 years ie Lithosun 300 mg& Dicorate 750 mg& Zonalta 8 recently added and now I am normal.Shall I have to use these tablets life long.K.Venkateswarlu, Vijayawada
very good presentation ...One v imortant point I have learned is that Delirium is basically an anticholinergic state so we can give good doses of antipsychotics as EPS chances are inherently reduced.
Thanking you sir! Suffering bipolar disorder from 2015 ! And a patient of NIMHANS from 2016! But I am doing well now with medications! I was an optometrist by profession worked in private sector ! But for Govt exam preparation for full time left my job in March this year! But I come to know 1month before that bipolar disorder is a mental disorder comes under MI disability! How to get a disability certificate! Is it get in Nimhans?
Kindly consider my appeal on reservation for the PWD, 4th category(category : D) which includes mental illness. People suffering from the mental illness have extra ordinary power for example Nikola Tesla, Charles Darwin ,Albert Einstein, Abraham Lincoln, Isaac Newton,and many unknowable personalitie were severely suffering from O.C.D./Other mental illnesses, so l request you to please read that is given few centimetres below.............................................. Kindly look into the matter as PWD Act 2016 provide the reservation to Mentally ill people. UPSC & most of the recruitment agencies of India not applied it. Further in 2021 identification for the post for M I (mentally ill) have been (defectively) done by central government . Please respond and help to resolve the issue & send acknowledgement .
Kindly consider my suggestions for 4th category which includes mental illness. People suffering from the mental mental illness have extra ordinary power for example Nikola Tesla, Charles Darwin ,Albert Einstein, Abraham Lincoln, Isaac Newton,and many unknowable personalities were severely suffering from O.C.D./Other mental illnesses, so l request you......... Please read that is given few inch below.............................................. Kindly look into the matter as PWD Act 2016 provide the reservation to Mentally ill people. UPSC & most of the recruitment agencies not applied it and only age exemption provided. Kindly do something on these matter. further in 2021 identification for the post for M I (mentally ill) have been done by central government . Please respond and help to resolve the issue & send acknowledgement .Please can you informed me action taken in this regard by yourself.
Preface: my feedback is coming from a western[North American] pov. dr. Mahendra, good job! You took the criticism very well, and were so polite with the comments that were given to you even though some of them only reflected on the ignorance of the actual attending making the comment to see below. I was quite impressed with your review of possible medical ideologies outside of psychiatry to explain her symptoms. Such a type of “outside of the box“ view of a patient’s presentation is very atypical at least here in the United States however from personal experience thinking outside of the box often does lead to uncover ease of medical diagnoses that were missed by other specialists. hopefully some feedback was given in regards to how to present an H&P, i’m not sure how her attendings did not at any point rectify her during her training to consolidate positive/negative pmhx or ROS, that is there is no need to say “there is no history of” repeatedly 20+ times. Thus it would’ve sufficed with something like “ review of systems was negative apart for a weight loss of 30 kg, persistent Globus sensation in the throat, and depressed mood” Or some thing I can to that extent because the format used of no history, no history, no history, no history, no history sounds like a broken record and loses the attention of the audience (at least by Western standards). Likewise with the physical exam; one could truncate and only mention the pertinent positives and negatives. Rather than going down a whole entire physical exam. One of the attendings inquired about looking at the “ laryngeal recess” which I can’t imagine a psychiatrist has a flexible nasolaryngeal scope to look at that laryngeal recess so I’m not sure why he posed that question. Such scopes are really limited to specialists here in the United States and even with that they are quite costly medical equipment, so I don’t know how an average clinic would have such a medical instruments not to mention how often it would even be used in the psychiatric office. Perhaps he meant oropharynx?
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