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GENERAL PRACTITIONERS’ SECTION

LIVING BETTER WITH ELECTRONIC GADGETS
OP Kapoor

 
What looked impossible or as a dream a few years back, it is now become a reality.Many of your patients, can now, live a normal life or a much better life electrically. The following are a few examples:-

1.
Parkinson’s Disease : Patients of Parkinsonism, who have become resistant to drugs, can now be operated upon and with a sub-thalamic stimulation, can live a much better and a near normal life for years. You might have seen a couple of such patients. You can motivate such patients, explaining them that the cost of these modern interventional procedures is as much as interventional cardiac procedures or a bypass surgery.
2.

Heart : A number of people, who used to die in the past because of varying degrees of heart block, or bad cases of sick sinus syndrome, or neuro cardiogenic syncopes, or tachy arrhythmias can now lead a near normal life with the help of pacemakers. Similarly, patients of advanced cardiac failure, not responding to drugs, can live on biventricular pacing.

3.
Kidneys : Patients of chronic renal failure, who ultimately have to go on long term dialysis, will certainly need electricity to live. Therefore, such patients, especially those living in the remote parts of India, where there is no electricity, will have to shift to cities, where there are no electricity problems, though peritoneal dialysis remains an alternative for these patients.
 
MANAGEMENT GUIDELINES FOR ACUTE ISCHAEMIC STROKE

‘Practising clinicians and their patients will benefit from the clear recommendations for proven interventions, and researchers will benefit from the identification of clinically important questions’

The American Stroke Association and the European Stroke Initiative have recently published guidelines for the early management of patients with acute ischaemic stroke. In a rapid review in The Lancet Neurology, Catharina Klijn and Graeme Hankey summarise both sets of guidelines, which emphasise that stroke is a medical emergency and therefore time is of the essence in acute stroke care. The authors find that the two sets of recommendations are in general agreement about the treatment and management of patients with ischaemic stroke.

Lancet Neurol 2003; 2 : 698-701
 

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