Monday, September 14, 2015

" Depression in young adolescents" A review


CITED AS-

KULHALLI, V.. Depression in Young Adolescents. The Indian Practitioner, [S.l.], p. 63-65, aug. 2015. ISSN 2394-3017. Available at: <http://theindianpractitioner.com/index.php/tip/article/view/77499>. Date accessed: 14 Sep. 2015.

http://theindianpractitioner.com/index.php/tip/article/view/77499

Friday, May 22, 2015

CHIKITSA AROGYASEVANCHI

This book is written by my respected colleague Dr Shyam Ashtekar.

It is a well researched, logically thought out book about the problems and possible solutions for improvement of health sector in Maharashtra.

I rate the book very highly in terms of its presentation, scholasticism and timeliness. This is not only due to my personal regard towards Dr Ashtekar. I welcome other persons to read the book and give the review.

The content of the book is very practical and utilitarian- a sort of field guide for politicians, policy makers, observers, researchers and students of health care sector. A superficial reading can also inform the reader about many facts and facets. A deeper reading can give a snapshot of todays reality.

Dr Ashtekar's effort is commendable. Rarely does anybody take so much effort- if taken up early and in the right spirit- the system can really be improved beyond imagination- Yours and mine.

Book details- CHIKITSA AROGYASEVANCHI
Granthali publication.
Available in most book shops in Pune and Mumbai and by order from www.bookganga.com

Wednesday, April 15, 2015

Writing for a news-paper

Nowadays I am writing a regular column for the newspaper 'Loksatta' and my colleagues want to know more about this writing process.

About 3 years ago, I wrote my first article for a newspaper and it was on 'depression in menopausal women'. I think my first boss, Dr Harish Shetty refered my name to the editor. I was very hesitant to write in Marathi. So the first time I sent the material in English and she translated it for me. The article came out very well. My concepts and her translation- an excellent combination.

Thereafter slowly I began to get requests to write more articles. But now I had to write in Marathi itself- another challenge. I speak Marathi very well but writing and typing was another thing. Generous use of dictionary and Google transliterate solved the problem. And the excellent editing inputs- 'kept the technical points at the same time maintaining the readability of the article' (in the words of one of my colleagues who was kind enough to review and give feedback).

I get a small honorarium for my efforts. I have never had to pay for getting articles published. In the initial years I did approach some newspapers with articles; but I learnt that writing is their job and they really dont need any articles from us. So I stopped sending such requests.

After writing articles, many persons and patients have contacted me for their troubles. This works both ways- I get some work and patients get to know where to find the person who can understand their problem and give them treatment. Somehow it adds to my credibility, so just by writing articles now I am supposed to be a better doctor also. Maybe now, that my thinking and knowledge are public- the judgement about my competence is easier. Or that the public is counting on the newspaper to have chosen 'only a competant doctor' to write.

I take my writing very seriously. I read all material on the subject. I review all patient histories relevant to the topic. I am meticulous about sticking to deadlines and word- limit. And I check what I have written. But of course I am not a writer- and my editor always manages to give a wonderful makeover to the article, putting the most appropriate words and phrases. Journalists are wordsmiths- and I have been lucky to have been guided by the best of them in writing my articles.

I feel it is a very good opportunity to revise the topic, learn new things and a different way of serving patients. I have really learnt a lot and will continue to learn from this experience. And I really agree that the written word has the unique power to communicate, impress, give relief and bring change.

Friday, January 16, 2015

TREATING 'CELEBRITIES'

Whenever my classmates hear that I practice in the Western suburb of Mumbai, they are keen to know which celebrities I have treated. This is because most of the Bollywood live and work in the Western Suburbs of Mumbai and there is a higher than usual probability of any doctor encountering one as a patient.

Well the first point is: I have to disappoint my classmates as I cannot name any patient due to my very uncompromising stance on patient confidentiality. Secondly, they get disappointed to know that famous people are not very different from 'non famous' patients in any way. Like all other groups 70% are just usual people who need treatment while 30% are unnecessarily troublesome. And that they suffer from much the same illnesses, side effects and concerns.

 I prefer not to treat famous clients generally. The main problem is: my time-management goes for a complete toss. Famous clients have round the clock comitments and they though they try hard to maintain control- sadly it is never possible. So the 6 o clock appointment becomes 7, then 8 then 9 and so on. Then for being able to accomodate their crazy schedules I have to reschedule other appointments- this I hate doing as I value all my patients equally. Well some famous folks feel very bad- and as they feel that everything can be set right by money and that is one thing they have in plenty- they try to pay the therapist an 'hourly charge'. But really its not about the money- the genuine therapist is also like a performer- I set an agenda for consultation and am eager to do it at assigned time. Waiting is like a 'false- start'- it causes me to lose the sharpness and interest in intervention.

Some famous people are pitiably foolish. They want their doctors and therapists to be in awe of them and wait at their beck and call. But this is very counter productive as medicine is a profession which requires human judgment based on objectivity. Maybe the famous person gets easy access to the therapist, can bully the therapist- but this causes subtle and sure harm. So we read about doctors who have been prescribing ever higher doses of sleeping pills because patient demanded, or got into relationships with patients because they were not able to assert their limits. The danger of thinking famous people are different is very real- both for patients and their doctors.