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Bhooshan Shukla Profile picture
@docbhooshan
Mar 27 • 5 tweets • 2 min read • Twitter logo Read on Twitter
Indian Psychiatric Society, West Zone. Annual CME.
29 and 30th April 2023. Nanded.
Interesting line up of topics and speakers. Don't miss #India #Psychiatry
It will be intolerably hot in Nanded at the end of April so you will remain in the air-conditioned hall. Good academic activity guaranteed.
For me the most interesting session will be on Cytochrome P450 by Dr Govind Kulkarni. He makes this seemingly nerdy topic into baby food. Practical and clinically usable insights for safe and effective pharmacotherapy.
Also note - menarche to menopause symposium has only 1 male speaker.
Rational Polypharmacy by Dr N M Patil should be a treat. NM sir is favourite of students for all the right reasons.

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More from @docbhooshan

Bhooshan Shukla Profile picture
Mar 29
I asked this question because IQ is a much maligned psychometric test now a days.

Unfortunately, we psychiatrists and clinical psychologists who use this test almost daily (for children) have not done enough work to spread correct information about it. #Thread
Most people (including doctors) are unaware what actually goes into IQ test, how it has evolved and why it exists.

There is wealth of information available on wikipedia about IQ. If you like technical info, you can read it here -
en.wikipedia.org/wiki/Intellige…
Simplified version of the information-
1. IQ test was invented for ONE purpose - to assess if a child can be educated in "normal" school or needs special arrangements. It does this effectively.
Read 9 tweets
Bhooshan Shukla Profile picture
Mar 20
Helping a child come to terms with divorce of parents is now a unfortunately frequent work at clinic.

The way death of a parent and divorce forces growing up in a child is astonishing and painful.

That carefree joy and curiosity that we so firmly associate with childhood..
dissolves in matter of days.

Sometimes children who have seen a marriage breaking apart for years, actually welcome the divorce. Some even try their best to push for it. For them it is a relief of sorts.
I always wonder how they will grow up to be parents. How will this affect them. I know the answers given in books and research papers and I also meet parents who have faced this in their childhood.
Read 6 tweets
Bhooshan Shukla Profile picture
Feb 1
One key emotional skill in parenting -
To stop yourself from giving logical explanations when your child is experiencing negative emotions like fear, anger, sadness, disgust, etc.

It comes from parental need to get child out of misery as soon as possible.
#Thread
Out ability to use words with precise meaning and our ability to retrofit logic onto any event gives undesirable outcomes in parenting young kids (and human kids remain young for a loooong time).
When a cub is hurt and runs to mother with that wound, mammalian mother will take the cub close to her (cuddle), inspect the wound, lick the wound (cleaning and dressing) and lick the cub till it is soothed.
Read 17 tweets
Bhooshan Shukla Profile picture
Jan 30
College students (engineering/psychology/arts) keep approaching for help to develop "app" as their college project requirement.
In last 15 years, I have not come across a SINGLE idea that actually needs app.

It is not the student's fault. Their professors are outdated dinasours
Profs don't know that "information" is no longer delivered thru apps.
YouTube cornered that market decade ago.

Apps are for specific service!
Now I am approached for advice to develop an app for "sex education" for teenagers!

Who even comes up with such ridiculous stuff?
No wonder our education is shambles.

All profs need to earn at least 51% of their salary with market viable projects and actual sales. Colleges should pay no more than 49% of UGC approved salaries. There is no other way to wake them up and see real world.
Read 4 tweets
Bhooshan Shukla Profile picture
Jan 27
This is serious -

A close friend / relative yourself is diagnosed with a health condition that you knew almost nothing about e.g. OCD

Being an educated person, you decide to do your own "research" about this.

What usually happens next is important. It can harm you.
A thread -
You spend next few hours / days reading up everything available on internet, especially about cause and treatment.

If at the end of this reading you start feeling very confident that you know all there is to know about this condition and you are ready to advice /take decision,
about what should happen next with the patient, you are the most dangerous turn on this road.

In a similar situation, experienced doctor's decision making is a lot different from what yours is likely to be.
Read 22 tweets
Bhooshan Shukla Profile picture
Dec 13, 2022
A friend asked me - there are so many people who have these stress related issues - physical health, mental health, relationships and sexual health as well. How come psychiatrists aren't able to solve their problems? Why medicines haven't been invented for this?

Long answer-
Stress is concept from physiology. Every system has a reserve and some mechanisms that come into action when more than optimum or ordinary is demanded from the system.
E.g. you consume huge amount of sugary sweets and your metabolism has to deal with this extra load.
It is a temporary stress and system can deal with it with some effort.

If this becomes a way of life or a very frequent occurance, system can not cope with it without showing signs of breakdown.
Read 11 tweets

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