Question of the day
I am a 40 yr old. Every time I have to make a presentation, I get terribly nervous, making it very hard for me to get through my talk. What do you suggest?
A. The diagnosis is stage fright. It's a common problem that doctors diagnose as performance anxiety. The best drug is propranolol in a dose of 10 to 20 milligrams to be taken about 30 minutes before public speaking. On can take a test run before big presentation. Alternatives are cognitive behavioral therapy, can coaching or classes in public speaking. Stage fright is not a symptom of social anxiety disorder, a more troublesome problem that produces distress during a broad array of interpersonal interactions. Social anxiety disorder also responds well to treatment, but beta blockers won't do the job.
Exercise tips for asthmatics during the winter season.
1. Get the asthma fully controlled during winter.
2. Cooling and drying of the bronchial airways can trigger an asthma attack.
3. Avoid strenuous exercise in cold dry air.
4. Avoid winter sports, such as skiing, snowboarding, or ice skating.
5. Use the bronchodilator inhalers, 20 minutes prior to exercise.
6. Keep the inhalers warm in order to avoid a cold aerosol spray.
7. Warm up and cool down after strenuous exercise.
8. When exercising in cold air, wear a scarf or facemask over the nose and mouth to warm the air one is breathing.
9. Drink plenty of liquids before and after exercise to prevent drying of the airways.
10. Exercise indoors when outdoor temperatures drop.
Mistake: A patient with diabetes showed deteriorating kidney function.
Reaction: Oh My God! Why was high A1C not attended for.
Make Sure that strict glycemic control is maintained in patients with type 2 diabetes in order to delay vascular complications.
Friend: I got a brand new Ford IKON for my wife!
Santa: Wow!!! That's an unbelievable exchange offer!!!
Funny clinical notes (Dr. Minakshi)
Patient's medical history has been remarkably with only a 40 pound weight gain in the past three days.
Vitamin E is the major lipid soluble antioxidant in the skin. Altern. Med. Rev. 2004 Nov.;8(4):359 377.
Dealing With Peripheral Artery Disease (Dr. Prachi Garg)
PAD can be managed by making certain lifestyle changes, notably getting enough physical activity.
1. Get regular exercise, at least three times a week. Activities should exercise the legs.
2. Stick to a healthy diet that's low in unhealthy fats and cholesterol.
3. Quit smoking.
Take medications prescribed by your doctor. They may include medications to thin the blood, control high blood pressure, and lower "bad" cholesterol.
Anthracycline Not Needed with Trastuzumab
Eliminating the anthracycline from chemotherapy when using trastuzumab may be just as effective long term and with less risk of heart failure and leukemia, according to highly anticipated data from the BCIRG-006 trial released here today
The 4th Global Conference on Recent Advances in Cardiovascular Sciences which will be held on February 3rd h to 4th 2010 at Delhi Institute of Pharmaceutical Sciences & Research, New Delhi. Dr. S. K. Gupta.
News and views ( Dr G M Singh)
1. Retinal degenerative diseases are the leading cause of incurable blindness worldwide. Stem cells appear to possess inherent neuroprotective abilities, at least in part by providing neurotrophic support to injured neurons. Advances in stem cell biology offer the hope of new therapies for a broad range of neurodegenerative conditions, including those of the retina.
2. A new urine test technique: simultaneously screens for hundred of proteins, several of which have been linked to obstructive sleep apnea (OSA) or habitual snoring. These findings open up the possibility of developing a relatively simple urine test that could detect OSA in snoring children. "This would alleviate the need for costly and inconvenient sleep studies in children who snore, only about 20 to 30 percent of whom actually have OSA."
3. Warfarin affects the synthesis and function of the matrix Gla-protein, a vitamin K-dependent protein, which is a potent inhibitor of tissue calcification. Use of warfarin in patients with AF is associated with an increased prevalence of MVC, MAC or AVC.