MEDICAL LEARNING 7

                                     MEDICAL LEARNING


                                                                                                M.D(Med),D.O.I.H,F.I.A.E,D.H.A,F.A.I.M.P(Cardiology)

   Senior Cardio-Metabolic Physician

   Senior Echocardiography Trainer

   Cont.: 8605657755


        Today I was sitting in OPD and my young resident doctor comes to me saying. Sir, I have a young man sanjay / 28yrs old for fitness, for a job of a quality controller in a pharmaceutical company. I find his BP 160/100. I made him rest and relax and the BP is still high. I made the nurse check BP, and it is 150/ 90. He cannot be made fit. What do I do? Sanjay insists that he had seen his BP in a camp, 3 months back and they had told him, he was normal.

                I went to see the patient, greeted him properly, made him smile and advised him some relaxing breathing. I was talking to him and congratulating him for a very good job that he has won for himself. Within this time I had finished his BP recording and the BP was 130 / 80. He was fit to join his job.

 Friends today most of us have BP apparatus in our house and we keep on checking our BP, and many times the doctors get panic calls for high BP. I had a huge number of such calls in the middle of night over last so many years.

                Recording BP is just not a mechanical job. It is a physiopsychomechanical process. You need to have your patient’s confidence and ability to keep him relaxed during BP recording. White coat hypertension is very well known and the doctors have been living with this. For every heart beat BP reading may be different. A little shoot out of adrenaline in the blood will alter and give you variety of readings. When you learn to record BP, please learn from your doctors how exactly should be your disposition to record a correct readings. Besides your mechanical technique it is important that the person should be in a relaxed and comfortable position. Please record BP readings at least 3 times and write down the BP which you feel is the most comfortable. 


Comments

Post a Comment

Popular posts from this blog

When you have a negative thought in your mind....Do this exercise.

When you have a negative thought in your mind....Do this exercise. 1) Sit down in a cool relaxed location. 2) Breathe in deeply.  3) Focus your attention on your heart,all the time thinking on the love in your heart. 4) Slowly breathe out,holding your total focus on your heart full of love. 5) Keep on repeating this 10 times with your eyes closed. Keep on doing this twice a day.When you master this,you can create peace,tranquility,calmness,love and happiness instantly.  Do this regularly you will master your positive life.
Read more

Learn to Ask and learn to Thank

 Universe has and gifts us everything in abundance for all of us.We only need to accept it,thank the universe and enjoy it.   The oxygen that we take in hospital costs us Rs 5000 a day. You can take in any amount of oxygen from the nature without paying a penny.But we do not hesitate to destroy the whole supply of oxygen from the place we live even after knowing that the absense or lack of this oxygen is making us unsurvivable.We only have to understand this and be careful and thankful to the universe.      Develop the attitude to ask and thank.Even a newborn child has to ask his mother I want milk.When its stomach is full,just observe the child goes to sleep or plays with the mother saying thank you.Every need and luxury that we need is at our disposable. Learn to ask and learn to thank.We do not have the abundance of universe only because we have not earned to ASK and we haven't learned to THANK.       Embrace this science and art of Ask and Thank,universe will make you abundant
Read more

Which Pathy is better.

People worldwide have this constant debate going on.The allopaths say Ayurveda and homeopathy are placebos.While the others say allopathy is a wrong science.        I have seen the Ayurveda practitioners treating themselves with allopathic drugs and vice versa.       I have seen myself treating and curing patients with whatever drugs that have come to my hands on a number of occasions. Health and pathy or drugs may not matter at all on a number of occasions.       Healing is an internal matter. It is for the physician or the Vaidya to understand the patient and alter his mind to cure himself.Many of the medicines may only be the vehicles to reach that destination. Better the vehicle better and safer is the journey.
Read more