10 qualities that make a #doctor popular (among #patients)
Surprisingly, it is not the #NEETPG score, reputation of medical college, gold medals received in medical college or number of research papers published. After 30 yrs as a practicing doctor, I present my observations here
1. Ability to #listen: You will be #popular if you let your patients speak without interrupting them. You should start only after patients have finished saying what they have to. Also, they like it, if you don't interrupt or cut them short, while they are speaking.
2. #Smile: Patients love it, if you smile while receiving them. A serious face puts them off. If you get angry (even if it is their fault such as if they arrived late, or they have not followed your instructions), your popularity as a doctor would diminish. Smile relaxes them.
3. #Punctuality: Patients love it if they are seen on time. If you are getting late, it is better to inform them in advance. If OPD is busy or if you get stuck with an emergency patient causing a delay of 20-30 minutes, they don't mind. If helps to apologize as you receive them.
4. #Explanation: Most patients appreciate if you explain the cause of illness, seriousness of the disease, steps needed to keep their disease in control and treatment options. If they are told "just follow my advice", most likely they would switch to another doctor next time.
5. #Truthfulness: Patients love to be told the truth. We hesitate to break the #bad#news regarding their illness, but most patients like to hear the truth. It may require more than one meeting, if there is bad news to share. If you are pressed for time, schedule another meeting.
6. Make patients feel they are in #control: Put forward all the options regarding investigations, medicines or surgery. Discuss the pros and cons but let the patient decide. Guide them but don't sound "authoritarian".
7. Write fewer #medicines: Most patients don't like taking a lot of medicines. They love it if you are economical with the number of drugs. Tell them how the medicines work and most importantly any adverse effects that may occur with them. Assure them about the safety & efficacy.
8. Cost-consciousness: If patients are aware that you are trying your best to cut down the #costs of #treatment, they like it. It could be avoiding a non-essential test or getting them done low-cost or choosing a less expensive medicine #brand or a procedure that costs lesser.
9. #Reassure the patients: Patients love to hear comforting words especially towards the end of discussion. Even if the prognosis is grave or the patient is critical, it helps to say "we will do our best" or "let us hope for the best". They don't like to hear "there is no hope".
10. Refer if someone else can do better than you: We can not be master in every aspect of our specialty. If someone is better than you, refer them at the appropriate time. It doesn't lower your reputation, but enhances the trust patient puts in you. #MedTwitter#doctors
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Doctors in India live 10 years lesser than average population- What can doctors do to save their lives?
1/n Yes, you heard it right. Studies from Kerala and Pune by Indian Medical Association revealed these shocking statistics- doctors die about a decade earlier that the rest.
2/n Life expectancy of a Malayali (native of Kerala) is 74.9 years but according to the IMA study, the mean ‘age of death’ of a Malayali doctor is 61.75 years. Indian doctor’s average lifespan is 55-59 years, almost 10 years lesser than that of the general population (IMA, Pune).
Resting heart rate (RHR): What is normal; health hazards of higher RHR; how to lower the RHR? 1. What is normal RHR?
Normal RHR in most adults ranges from 60-100 bpm. However, in well trained athletes, RHR is much lower, and it may be close to 40 bpm. #fitness#Heart#running
2. Is there a difference between RHR of men and women?
Yes. The average adult male RHR is 70-72 bpm, while the average for adult women is between 78 and 82 bpm. This difference is largely accounted for by the size of the heart, which is typically smaller in females than males.
3. Does the RHR vary according to the age?
In children below 10, RHR is higher. However, above 10 years of age, RHR ranges from 60-100 bpm, including in the elderly.
A study was done on about 26,000 people from >30 countries including India to assess whether alcohol drinkers had increased risk of getting affected by stroke or not. (Ref: #Neurology, Oct 11, 2022) #MedTwitter#neurotwitter
1. High level of alcohol intake was consistently associated with all stroke, ischemic stroke and intracerebral hemorrhage (ICH). 2. Moderate alcohol intake was associated with all stroke and ICH, but not ischemic stroke.
3. Low alcohol intake was associated with increased odds of stroke in India, but decreased odds of stroke in Western Europe/North America. 4. Wine consumption was associated with reduced odds of all stroke and ischemic stroke but not ICH.
Heart rate during work out: What is desirable and what is unsafe? 1. For an aerobic activity to be effective, the intensity should be at least moderate. The best way to measure the intensity of workout such as running is to check the #Heart rate. This thread is about heart rate.
2. What is resting HR?
Resting HR is the HR noted on waking up after a good night's #sleep before you leave the bed. For most adults, it ranges between 60-100/min. For physically #fit people, it may be lower, and may range between 40-60/minute.
3. Which is better- lower or higher resting HR?
Lower resting HR is better. It means- heart has to contract lesser number of times to do its work. Studies have found that a HIGHER resting heart rate is linked with LOWER physical #fitness, HIGHER blood pressure and body #weight.
Commonly used drug for acidity #Ranitidine may increase the risk of #cancers
1. Ranitidine (sold under the brand name Rantac, zinetac, aciloc) is commonly used for treating acidity. Analysis of ranitidine samples has shown contamination by a chemical NDMA (nitrosodimethylamine)
2. Ranitidine use caused higher incidence of pharynx, oesophagus, stomach, liver, pancreas and colorectal cancers. Ref: Cancers (Basel), Jan 2021 3. USFDA banned ranitidine in April 2020. In India, it is not banned, but was removed from National list of essential medicines in Sep
Conclusion: It is better to avoid use of ranitidine for treating acidity due to a higher risk of gastro-intestinal cancers with its intake. #MedTwitter#Acidity
A beginner's guide to long-distance consistent running
I had no sports background & had never run before. Started #running 2 years back (6 Nov 20) at age 49. Ran 5454 km in 2021, and 3604 in 2022 until today. 9058 km in 643 days (Av 14.1 km/d). Includes 591 10k+ runs and 106 HM
Running resulted in several benefits- 22 kg #weightloss (95kg before to 73kg now). HbA1C: 4.8; normal cholesterol & BP, resting HR 45/min. Physically active and mostly pain-free despite having #ankylosingspondylitis Not on any medications.
I wish to answer some common queries, mostly based on my personal experiences (and some based on my medical knowledge) 1. Can everyone run long distances? Yes, if there is no significant medical illness, anyone can run. If you have a health issue, get clearance from your doctor.