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 Article 1:Click to view fell text

"Brugada Syndrome":  The first case-report from India .

    Satish Kumar*, A.K. Singh*, S. K. Singh*, D. C. Mathur*, A. K. Pandey.          

               * Bokaro General Hospital , Bokaro Steel City

Article 2: SICK DOCTORS

               Dr NK singh,MD,FICP,Dhanbad

PROBLEMS WITH DOCTORS:[BMJ-2001;323]

*Health of medical profession now causing concern

*Doctors reluctant to seek health care through usual mechanisms.

*They find difficult to adopt role of patient

*Consequences--

** Self -prescription,     

**Working through illness 

[ UNLESS YOU are  UNABLE TO GET OUT OF BED YOU'LL CRAWL IN AND WORK !],

 **Self -referral,

 **Late presentation with serious problems

INAPPROPRIATE SELF-CARE  leads to HIGH LEVEL OF STRESS /PSYCHOLOGICAL STRESS -high level of anxiety and depression/ HIGH SUICIDE RATE......

*SUPERHUMAN CONCEPT

*FEAR OF LOSING MEDICAL COMPETANCE

THIS RECENT STUDY REPORTS:

* THE PERCEIVED NEED TO PORTRAY AN UNREALISTICALLY HEALTHY IMAGE IS STRESSFUL AND BARRIER TO SELF CARE

*THE EMOTIONAL RESPONSE TO PERSONAL ILLNESS CAN PRODUCE AN OSCILLATION BETWEEN PANIC AND DENIAL

GENESIS OF STRESS PROBLEM

1 PSYCHIC

2 PSYChO-SOMATIC

3 SOMATIC

4 ORGANIC

                         *THE WORKING ARRANGEMENTS OF GENERAL PRACTIONERS REENFORCE A CULTURE IN WHICH THEIR OWN AND COLLEAGUE'S DISTRESS IN OVERLOOKED

HOW TO HELP SICK DOCTORS

- Practicing medicine can seriously damage your health . This fact is well known but help for sick doctors remains inadequate and patchy worldwide

-Canada was first to look into the matter in 1987. 1997 Norway invested $1.3 million in programmes to improve physician's health

-Programmes to identify specific stress inducing factors in doctor's workload

-We should remember-seeds of pathological behavior are sown during the vulnerable period of being a medical students...[Maladaptive coping mechanisms.

*BMA starts 24 hr telephone councelling for sick doctors

*Educational activities /Stimulate activities /Independent regional bodies

 



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