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    • Links for 2012-03-28 [Digg] March 29, 2012
      Bleeding During Catheterization of Male Urethra I was called at 10.30 PM to attend a case of bleeding from urethra following urethral catheterization in a semiconscious male, admitted to the medicine ward. I went and saw a healthy male in sixties bleeding from urethra. The foley's catheter, a narrow silicon tube used for draining the retained urine was […]
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      A Common Blood Pressure Lowering Drug Verapamil may Slow Or Reverse Diabetes A common medication for high-blood-pressure and angina, verapamil, a calcium channel blocker has been seen to protect or reverse diabetes-related death of pancreatic beta cells, those responsible for secretion of insulin; according to a University of Alabama at Birmingham study publ […]
    • A Common Blood Pressure Lowering Drug Verapamil may Slow Or Reverse Diabetes March 24, 2012
      A common medication for high-blood-pressure and angina, verapamil, a calcium channel blocker has been seen to protect or reverse diabetes-related death of pancreatic beta cells, those responsible for... [[ This is a content summary only. Visit my website for full links, other content, and more! ]] […]
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Heart Attack in Women below 55

Posted by Dr.Prahallad Panda on 25th February 2012

The classical symptom of heart attack that forces one to get consultation with a doctor the chest pain is often missing in women below 55, which even can bias a doctor to settle for some other diagnosis, rather than the heart attack.This is according to a study of more than one million people in the US.
Read more; http://clinicianonnet.blogspot.in/2012/02/symptoms-of-heart-attack-in-women-below.html

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Vitamin D Can Have Several Protective Effects

Posted by Dr.Prahallad Panda on 30th January 2010

You are in my Heart till the sun will never sh...
Image by Thai Jasmine via Flickr

Present day life style of moving in air conditioned cars and remaining confined to AC rooms has been associated with increased incidence of cardiac diseases. It has also been seen that there is increase in cardiovascular events during the winter, particularly so, in the regions located in the high latitudes. Now researchers have found out that, these people have low vitamin D level in their blood; and correlated it to the increased incidence of heart diseases, asthma and many more diseases.

Vitamin D is synthesized in the skin by the activity of ultraviolet rays received from sun. Recent day life style leaves a little room for sun exposure. So there is low level of this vitamin in blood. Over protected children, not engaged in outdoor activity also get less exposure to sun and consequently a low vitamin D level in blood. Low vitamin D level decreases endothelial function. This decrease causes insulin resistance in type II diabetics and worsens diabetes status. It helps in formation of atheroma; a plaque composed of bad fat, calcium and some blood components; which may get deposited in the inner cell layer, the endothelium of coronary arteries. There is increase in blood pressure due to increase vascular resistance. All these factors combined together may be responsible for heart attack; whose incidence rises, particularly in the winter days in the region of high latitude.

Milk and cereal grains are often fortified wit...
Vitamin D Fortified Food

Let us have a little sun each and every day by indulging in some outdoor activities.

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A PANACEA CALLED ASPIRIN

Posted by Dr.Prahallad Panda on 30th June 2009

March 6: Aspirin.Molecule of Aspirin

Aspirin appeared and used fro treatment of headache alone or in combination with paracetamol and caffeine long time back .It was very much an effective remedy.But is notorious to cause stomach problem in form of gastritis, ulcers and bleeding.Then it was not used for many years till its beneficial effect in myocardial ischaemia and infarction was rediscovered.In low doses, as low as 75 mgs per day is prescribed to myocardial infarction patients to keep their blood more fluid i.e. to prevent thrombosis.It is also prescribed in combination with other thrombolytic agents.The advantage it has is low cost and easy availability. It is said that if heart attack is suspected and nothing is found a tablet of aspirin will prevent much damage to heart muscle.The potential side effect ,gastrointestinal bleeding can be prevented by other anti-ulcerogenic drugs. 
Researchers also say that aspirin helps in early diagnosis of colon cancer.The hall mark of colon cancer is painless  bleeding per anus besides other symptoms.the bleeding tendency is probably facilitated by aspirin.
It is still the drug of choice for a very important disease called Rheumatic arthritis having much dreaded sequelae  of rheumatic heart disease.
So in right doses and judicious combination it is a panacea for health.

myocardial infarction - Myokardinfarkt - scheme1) Blocked Coronary Artery,2)Ischaemic heart muscle.


Pain in acute myocardial infarction (front)Distribution Of Pain Of Heart Attack.
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WORNING SYMPTOMS OF HEART ATTACK

Posted by Dr.Prahallad Panda on 23rd April 2009


Generally speaking heart attack means assault on it’s muscles.Heart can be thought as a muscular pump,maintaining blood circulation throughout the body providing nutrition and oxygen .The heart also get supply from it’s own blood vessels to survive and function.Due to various reasons importantly blockade to it’s blood vessels, may be partial or complete, deprives it of the oxygen and other things.This blocked most commonly occurs due to deposition of bad fat on it’s wall called atherosclerosis . This causes heart muscles to scream for oxygen and nutrition and may progress to death of a portion it, called myocardial infarction.The symptoms experienced are in form of some sort of squeegeeing sensation of chest more towards left,severe to milder pain in left lower chest which may seem traveling to neck,arm, upper abdomen and right side of chest.Patient may be sweating, fainting,vomiting and laboring to take respiration.Patient may go to immediate shock and even death instantaneously.More often patient becomes breathless on accustomed exertion, a common warning sign not to be ignored.Immediate rush to the local doctor in the first place instead of searching for expert may save life and lessen the damage .

The message is that the local doctor is the savior

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