Live Long and Prosper---Doctor's lounge (3)

It was a late fall Monday, during my third year of medical school. I had just finished a horrifically boring month of Geriatric Psychiatry at the VA hospital, and now was doing a month of Adult Psychiatry at the local psychiatric hospital. It was a locked ward, and every day we had to be buzzed in to the unit, and be buzzed out at the end of the day.
There were three medical students working the ward. We each took turns taking new patients when they were admitted and working them up. It was my turn to work up a new patient that had been brought in Sunday night.
The senior resident handed me the patient’s folder. It was a thin folder, suggesting that this was her first stay at the hospital – generally a good sign. The resident quickly dashed that hope.
“Mrs. D was brought to the ER last night for severe depression. There was no suicide attempt; her family was worried because she was staying in bed and not willing to move for the past week. Since being brought to the ward last night, she hasn’t moved at all; she’s just lay in bed staring at the ceiling.” She smiled a crooked smile at me. “Good luck.”
I looked through her chart and ER notes. There was nothing particularly alarming or interesting. She had been on outpatient treatment for depression on and off for about five years. No suicide attempts. No significant medical or family history. She was divorced with two teen-aged children.
I walked to her room, the last door on the left, opened it up and looked in. The room was dark, and a large woman was lying unmoving on the bed, staring at the ceiling. Her breathing was slow and steady and she did not seem to be in any kind of distress. I knocked and entered the room.
“Hello, ma’am. I’m the medical student, Scott. How are you doing today?”
There was no response. Not even a twitch of muscle or a flicker of eyelids.
I pulled a chair next to the head of the bed and sat down. I tried again, “Are you in any discomfort? Is there anything I can do?”
There was no change. She continued lying in bed, staring at the ceiling.
I pulled out the history form, and asked the first question. “How long have you been feeling depressed?”
No answer. No movement. It was like trying to talk to a brick wall. It was time to try a different tack.
“Tell me about your children. How old are they?”
This time there was a brief twitch of the eyes, but no other movement.
“Are you and your children getting ready for Thanksgiving?”
There was another eye twitch, but nothing else. Clearly, she could hear and probably respond, but was choosing not to.
“You were brought to the ER last night,” I said, getting no response. “So you missed Star Trek, (Star Trek is an American science fiction entertainment series and media franchise) then.” This was Star Trek the Next Generation’s last season, and it was shown on Sunday nights in St. Louis.
Her eyes opened, and she turned her head my way. “Why? Did I miss anything important?” she asked. I laughed, and we spent the next hour talking about Star Trek.
Once up and out of bed, she recovered quickly and was home by the end of the week. We established a good rapport, and had many long talks. I was glad to see her get to go home, but also sad, because she was one of the few bright spots in an otherwise dreary rotation.
There was an important lesson to be learned: Where standard dialogue had failed, where even family concerns were not enough, Star Trek had triumphed.

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Emotional Difference Between Males and Females

Everyone knows that men and women are different, But, aside from external anatomical and primary and secondary sexual differences, scientists know also that there are many other subtle differences in the way the brains from men and women process language, information, emotion, cognition, etc.

One of the most interesting differences appear in the way men and women estimate time, judge speed of things, carry out mental mathematical calculations, orient in space and visualize objects in three dimensions, etc. In all these tasks, women and men are strikingly different. This may account for the fact that there are many more male mathematicians, airplane pilots, bush guides, mechanical engineers, architects and race car drivers than female ones.
On the other hand, women are better than men in human relations, recognizing emotional overtones in others and in language, emotional and artistic expressiveness, esthetic appreciation, verbal language and carrying out detailed and pre-planned tasks. For example, women generally can recall lists of words or paragraphs of text better than men.

Medical Reasoning Of Emotions:

The human brain has two distinct hemispheres, left and the right brain. Left brain is responsible for logic reasoning, planning, orderly thinking and the right half governs emotions, imagination and interpersonal skills. Both halves work together by exchanging information through a bundle of nerve fibers connecting them.

As a baby boy grows into school going child, more emphasis is laid on the use of left brain skills, leading to development of the right brain at a much slower rate. Men have less communication between two halves of brain due to the degeneration of neurons under the action of Testostorone. Thus men with less connection between two parts, tend to be predominantly governed by the left brain by being less emotional and more logical.Exactly, opposite things happen in case of baby girl.

So, Females are "more" Emotional Than Males.

Why is this so?

A recent medical research states that in case of boys, while developing in the mother's womb a hormone called testosterone is produced in excess, this hormone mildly damages the nerve fibers connecting the two halves and makes the connection weaker. This difference in connectivity of two halves in baby boys and girls have some intriguing aftermaths. Testosterone is the hormone which is responsible for Fertility in Males.

Man handle emotions differently:

Men are not emotionless, it's just that men handle emotions differently than women do. They usually don't talk about it. Most men dislike to share their innermost thoughts.

To end with, there is stigma about men and their feelings. Women are often accused of being too emotional and men the vice versa. However, sometimes women can be insensitive and men hypersensitive. The truth is, neither men nor women are emotionally centered and masterful. Both genders struggle with emotions. Its just that one masters slightly than the other. Remember men are not emotionless automatons. They articulate their fears, dreams, likes and dislikes with more sense of love and sensitivity.

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Texting,Its effects on Health and Possible Solution

They do it late at night when their parents are asleep. They do it in restaurants and while crossing busy streets. They do it in the classroom with their hands behind their back. They do it so much their thumbs hurt. The phenomenon is beginning to worry physicians and psychologists, who say it is leading to anxiety, distraction in school, falling grades, repetitive stress injury and sleep deprivation.

The rise in texting is too recent to have produced any conclusive data on health effects. “Texting can be an enormous tool,” Michael Hausauer, a psychotherapist in Oakland, Calif,said.“It offers companionship and the promise of connectedness. At the same time, texting can make a youngster feel frightened and overly exposed.”

Some of the medical conditions that are caused by excessive texting are as follows

1. Blackberry thumb:
Symptoms of "Blackberry thumb" include pain and numbness in the thumbs and joints of the hand.
2. Cell phone elbow:
Cubital tunnel syndrome results from prolonged flexing of the elbow.Medically known as cubital tunnel syndrome, cell phone elbow is numbness, tingling and pain in the forearm and hand caused by compression of the ulnar nerve, which passes along the bony bump on the inside of the elbow.
3. Guitar Hero wrist :
Wrist tendonitis occurs when the tendons in your wrist become inflamed. This leads to swelling, followed by pain or numbness. The swelling also causes decreased mobility. If you've played guitar for any length of time, or even if you jam on Guitar Hero with your friends, you may have experienced the pain of wrist tendonitis. A guitar player is especially prone to wrist tendonitis because of theposition in which the guitar is held. It may also be caused by excessive texting.

In the worst of cases, excessive wear and tear, plus long term inflammation of the joints can lead to arthritis. This can cause pain in the affected area and swelling as well as less strength and impaired range of motion.

Keep following things in your mind while texting to keep yourself pain free
1. Don’t sit in the same position for hours on end. Get up every half hour and take a break… stretch or walk about.

2. Watch your posture. At your desk your monitor should be at eye level, both arms and knees should be bent at a 90-degree angle with your feet resting on the floor.

3. Don’t hunch while texting - instead rest the mobile device on a flat surface like a table or desk and lean against the back of a chair to see the keyboard.

4. Use both thumbs.

5. Be active - those with good circulation will feel better than those with poorer circulation.

6. If you get sore stop texting and take an anti-inflammatory medication and a break from the conversation.

Take great care of yourself and keep enjoying texting within limits.

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Seven Medical Myths

Turkey makes you drowsy. Dim light ruins your eyes. Drink at last eight glasses of water a day. These are some of the medical myths that even doctors believe, reports the British Medical Journal.

Myth 1. People should drink at least eight glasses of water a day.
The source may be a 1945 article from the National Research Council, part of the National Academy of Sciences, which noted that a “suitable allowance” of water for adults is 2.5 liters a day, although the last sentence noted that much of it is already contained in the food we eat. “If the last, crucial sentence is ignored, the statement could be interpreted as instruction to drink eight glasses of water a day,” Dr. Vreeman and Dr. Carroll noted. “Existing studies suggest that adequate fluid intake is usually met through typical daily consumption of juice, milk and even caffeinated drinks.”

Myth 2. We use only 10 percent of our brains.
The belief that we use only 10 percent of our brains has persisted for nearly a century, the authors noted. Sometimes the claim is attributed to Albert Einstein, but no reference or statement has ever been recorded. The study authors found references to this myth as early as 1907 and noted that it’s often repeated by people advocating the power of self-improvement. “Numerous types of brain imaging studies show that no area of the brain is completely silent or inactive,” wrote the authors. “Detailed probing of the brain has failed to identify the ‘non-functioning’ 90 percent.”

Myth 3. Hair and fingernails continue to grow after death.
The claim has been repeated in movies and talk-show monologues, but it’s not true. The growth of hair and nails requires “a complex hormonal regulation” that stops after the body dies. The reason for the long-held belief may be that dehydration of the body after death, and subsequent shrinking of soft tissue, can create the illusion of growth of hair and nails.

Myth 4. Shaving hair causes it to grow back faster, darker or coarser.
This common belief is often repeated in the media and reinforced when coarse stubble appears on the body after shaving. A 1928 clinical trial showed that shaving had no effect on hair growth, a finding confirmed by more recent studies. When hair grows back after shaving, it seems coarse because it doesn’t have the fine taper of unshaved hair. It seems darker because it hasn’t been exposed to the sun like the previously unshaved hair.

Myth 5. Reading in dim light ruins your eyesight.
The idea that dim light ruins eyesight probably has its origins in eye strain, said the study authors. Bad lighting makes it hard to focus, makes you blink less and leads to dry eyes, particularly if you’re squinting. So reading in dim light is uncomfortable, but it doesn’t cause permanent damage.

Myth 6. Eating turkey makes people especially drowsy.
This myth stems from the fact that turkey contains tryptophan, an amino acid found in proteins and essential to the human body. Scientific studies show that sleep and mood are affected by tryptophan.

Myth 7. Cellphones create considerable electromagnetic interference in hospitals.
Anecdotal reports persist that cellphones create false alarms on monitors and malfunctions in infusion pumps. But the study authors found no evidence to support it.In contrast, a large survey of anesthesiologists found that use of cellphones by doctors was associated with a 22 percent reduction in medical error resulting from delays in communication.

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Funny Doctor's Stories-----Doctor's Lounge (2)

1. A man comes into the ER and yells, "My wife‘s going to have her baby in the cab!" I grabbed my stuff, rushed out to the cab, lifted the lady‘s dress, and began to take off her underwear. Suddenly I noticed that there were several cabs -- and I was in the wrong one.
>>>>>Submitted by Dr. Mark MacDonald

2. At the beginning of my shift I placed a stethoscope on an elderly and slightly deaf female patient‘s anterior chest wall. "Big breaths," I instructed. "Yes, they used to be," replied the patient.
>>>>>Submitted by Dr. Richard Byrnes

3. One day I had to be the bearer of bad news when I told a wife that her husband had died of a massive myocardial infarct. Not more than five minutes later, I heard her reporting to the rest of the family that he had died of a "massive internal fart."
>>>>>Submitted by Dr. Susan Steinberg

4. During a patient‘s two week follow-up appointment with his cardiologist, he informed me, his doctor, that he was having trouble with one of his medications. "Which one? " I asked. "The patch. The nurse told me to put on a new patch every six hours and now I‘m running out of places to put it!" I had him quickly undress and discovered what I hoped I wouldn‘t see. Yes, the man had over fifty patches on his body! Now, the instructions include removal of the old patch before applying a new one.
>>>>>Submitted by Dr. Rebecca St. Clair

5. While acquainting myself with a new elderly patient, I asked, "How long have you been bedridden?" After a look of complete confusion she answered..."Why, not for about twenty years -- when my husband was alive."
>>>>>Submitted by Dr. Steven Swanson

6. I was caring for a woman and asked, "So how‘s your breakfast this morning?" "It‘s very good, except for the Kentucky Jelly. I can‘t seem to get used to the taste," the patient replied. I then asked to see the jelly and the woman produced a foil packet labeled "KY Jelly."
>>>>>Submitted by Dr. Leonard Kransdorf

7. A nurse was on duty in the Emergency Room, when a young woman with purple hair styled into a punk rocker mohawk, sporting a variety of tattoos, and wearing strange clothing, entered. It was quickly determined that the patient had acute appendicitis, so she was scheduled for immediate surgery. When she was completely disrobed on the operating table, the staff noticed that her pubic hair had been dyed green, and above it there was a tattoo that read, "Keep off the grass." Once the surgery was completed, the surgeon wrote a short note on the patient‘s dressing, which said, "Sorry, had to mow the lawn."
>>>>>Submitted by RN no name

8. As a new, young MD doing his residency in OB, I was quite embarrassed when performing female pelvic exams. To cover my embarrassment I had unconsciously formed a habit of whistling softly. The middle-aged lady upon whom I was performing this exam suddenly burst out laughing and further embarrassing me. I looked up from my work and sheepishly said, "I‘m sorry. Was I tickling you?"She replied, "No doctor, but the song you were whistling was, I wish I was an Oscar Meyer Wiener!”
>>>>>Dr. wouldn‘t submit his name

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A Family Doctor in the Land of the Amish-----Doctor's Lounge (1)

An Amish man came in with a chief complaint of having his “right ear blocked for two years.” He had a big piece of cotton stuck in the ear after trying “sweet oil” and other natural remedies. I checked the ear and it was indeed packed with cotton and wax. After my nurse did extensive lavage, I rechecked the canal and found it clear. As I handed him the bill he said, “Doctor, can I have my cotton ball back?” I handed it to him and asked, “What do you want it for?” He responded, “Well, everything is so loud now.” Guess I'll be seeing him back in a couple of years.
Another time I came in after hours on a weekend to sew up a seven-year-old Amish child. He had cut himself in the forehead playing with sharp and dangerous farm implements. The father brought him along with three other children. I soon figured out that the “yes, we are patients in your practice” over the phone actually meant “we go to the other doc up the road, but he won't come in on weekends.” With a sigh, I had the father fill out the patient information sheet while I set up the suture tray.

I looked at the sheet and said, “Okay … Jacob, hop up on the table and let's take a look.” This kid was incredibly stoic. Not a flinch when I said, “Okay, Jacob, now you'll feel a bee sting as I numb you up.” Jacob never moved a muscle or said a word. I fixed him without a problem and told dad to call the office for a suture removal appointment in five days.

Seventeen days later, Mom brings him back in. The front desk can't find his chart anywhere. After ten minutes of searching in vain, I tell my staff to just put him in a room. I figured I would take his sutures out and find the chart later. As I am struggling to extract my now completely buried handiwork from his forehead (he's as stoic and wordless as ever), I say, “Sorry, Jacob, I know that this may hurt a little …” Mom cuts me off and with a big smile says, “Oh! It wondered me why you didn't find the record of him! This is Amos, not Jacob. My husband always gets them mixed!”

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Change of attitude makes all the difference

First, read this story from New York Times and then i shall explain what do i mean by "Change of attitude makes all the difference"

"In 1997, Ms. Van Deren had a lobectomy, surgery to remove a part of her temporal lobe that was implicated in a series of frightening grand mal seizures(epilepsy). The surgery cured her epilepsy, but with a cost: she has lost part of her memory and organizational skills. She also has lost sense of time and place, making her a formidable force in a lonely sport that requires participants to endure runs of 100 miles or more.
Since brain surgery, she just runs, uninhibited by the drudgery of time and distance, undeterred by an inability to remember exactly where she is going or how to get back."

After reading this short story few questions arises in mind, such as

1. What is Epilepsy?

2. What are its effets?

3. What is lobectomy? etc.

I shall answer each of them, one by one:

Firstly, What is Epilepsy?

Epilepsy is a neurological condition, which affects the nervous system. Epilepsy is also known as a seizure disorder. It is usually diagnosed after a person has had at least two seizures that were not caused by some known medical condition like alcohol withdrawal or extremely low blood sugar. Sometimes, according to the International League Against Epilepsy, epilepsy can be diagnosed after one seizure, if a person has a condition that places them at high risk for having another.
2. Symtoms of Seizure (epileptic attack):

a. Early seizure symptoms (warnings)
i. Sensory/Thought:
Deja vu ,Jamais vu, Smell, Sound, Taste
Visual loss or blurring Racing thoughts
Stomach feelings, Strange feelings
Tingling feeling
ii.Emotional:
Fear/Panic Pleasant feeling
iii.Physical:
Dizziness, Headache, Lightheadedness
Nausea, Numbness
iv. No warning:
Sometimes seizures come with no warning

b. Seizure Symtoms:
i. Sensory/Thought:
Black out, Confusion, Deafness/Sounds
Electric Shock Feeling, Loss of consciousness, Smell
Spacing out, Out of body experience,

Visual loss or blurring
ii. Emotional:
Fear/Panic
iii. Physical:
Chewing movements, Convulsion, Difficulty talking
Drooling, Eyelid fluttering, Eyes rolling up,
Falling down, Foot stomping, Hand waving,
Inability to move, Incontinence, Lip smacking,
Making sounds, Shaking, Staring,
Stiffening, Swallowing,

Sweating, Teeth clenching/grinding, Tongue Biting,
Tremors, Twitching movements,

Breathing difficulty,

c. After-seizure symptoms (post-ictal)
i. Thought:
Memory loss, Writing difficulty
ii. Emotional:
Confusion, Depression and sadness Fear
Frustration, Shame/Embarrassment
iii. Physical:
Bruising, Difficulty talking, Injuries
Sleeping, Exhaustion, Headache
Nausea, Pain, Thirst
Weakness, Urge to urinate/defecate.
3. Treatment:

Out of a number of possible treatments, I would like to mention one only which is concerned with the story mentioned above
Temporal Lobe resection:

A temporal lobe resection is an operation performed on the brain to control seizures. In this procedure, brain tissue in the temporal lobe is resected, or cut away, to remove the seizure focus. The anterior (front) and mesial (deep middle) portions of the temporal lobe are the areas most often involved.

Conclusion:

Above mentioned story was of Diane Van Deren, 49, who has become one of the world’s great ultra-marathon runners following surgery to remove part of her brain.
This is an amazing tale of science and the human spirit, and gives a glimpse into the challenges and difficult choices people with epilepsy must make to live normal lives.

IT WAS THE CHANGE OF ATTITUDE WHICH MADE HER "HERO" FROM "ZERO"

SO, KEEP ON MAKING GOOD CHANGESIN YOUR LIFE AND GET REWARDED.

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The Mystrey of Michael Jackson's death continues

As the dust settled on an emotion-filled Los Angeles memorial watched by up to one billion fans worldwide according to some estimates, attention returned Wednesday to the role of drugs in Jackson's tragic demise.
A dermatologist linked to the investigation into Michael Jackson's death denied giving the star dangerous drugs on Wednesday as mystery shrouded the King of Pop's final resting place.
Investigators are reportedly looking into five doctors who treated the superstar in the past and have zeroed in on a powerful sedative -- "Diprivan" -- discovered at Jackson's rented mansion after his death.Jackson's long-time dermatologist Arnold Klein on Wednesday denied he was the source of the drugs found but said he had often been concerned other medical professionals were supplying the singer with medications.
"I didn't give him this crap that they're talking about," he told ABC television's Good Morning America. "How am I going to prescribe Diprivan when I don't understand how to use it?"
"I say that anyone who makes someone an addict or gives a person potentially dangerous substances directly to them to use, like propofol is a criminal," Klein said, referring to the generic name for Diprivan.

Source: Yahoo News

Here question arises that what is Diprivan,what is its main action and how does it acts?


What is Diprivan?
Diprivan is used to start or maintain anesthesia during certain surgeries, tests, or procedures.Diprivan is a general anesthetic.
The structural formula is as follows

What is its main action and how does it acts?

Propofol (2, 6-diisopropylphenol) is a short-acting general anaesthetic agent with a rapid onset of action of approximately 30 seconds. Recovery from anaesthesia is usually rapid. The mechanism of action, like all general anaesthetics, is poorly understood. However propofol is thought to produce its sedative/anaesthetic effects by the positive modulation of the inhibitory function of the neurotransmitter GABA through the ligand-gated GABAA receptors.In general, falls in mean arterial blood pressure and slight changes in heart rate are observed when DIPRIVAN is administered for induction and maintenance of anaesthesia. However, the haemodynamic parameters normally remain relatively stable during maintenance and the incidence of untoward haemodynamic changes is low.DIPRIVAN reduces cerebral blood flow, intracranial pressure and cerebral metabolism. The reduction in intracranial pressure is greater in patients with an elevated baseline intracranial pressure.

Pharmacokinetics
The decline in propofol concentrations following a bolus dose or following the termination of an infusion can be described by a three compartment open model.

The first phase is characterised by a very rapid distribution (half-life: 2 to 4 minutes) rapid elimination (half-life: 30 to 60 minutes) and a slower final phase, representative of redistribution of propofol from poorly perfused tissue.

Propofol is extensively distributed and rapidly cleared from the body (total body clearance 1.5 to 2 L/min). Clearance occurs by metabolic processes, mainly in the liver, to form inactive conjugates of propofol and its corresponding quinol, which are excreted in urine.

When DIPRIVAN is used to maintain anaesthesia, blood concentrations asymptotically approach the steady-state value for the given administration rate. The pharmacokinetics are linear over the recommended range of infusion rates of DIPRIVAN.

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Articles

1. Proprioception-Proprioception-Pathway


2. Free-Medical-Dictionary


3. How-Did-Michael-jackson-die

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Book Review

1. How Doctor Think By Jerome Groopman


2. Bioterrorism-by-Pamela-Weintraub


3. How-To-Develop-Memory-By-Dominic-Obrien

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VIDEOS & ANIMATIONS

1. T4-BACTERIOPHAGE-ANIMATION-VIDEO


2. COCHLEAR IMPLANTAION-ANIMATION-VIDEO

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Fertilization

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Asthma_Video_Animation

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T4 Bacteriophage Animation - Video

T4 Bacteriophages targeting E coli




Brain, Hyptothalamus, Pituitary Gland, Endocrine System




Bacteriophage

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Cochlear Implantation-Animatory video

COPYRIGHT DISCLAIMER :

These videos provided in this blog are not my copyrighted materials. In case of copyright policy please contact us and we will remove the links. Friends,these books are only for educational purpose. so please dont misuse the copies.

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FCPS Past Papers

1. FCPS January 2009 mcqs

3. FCPS Radiology 2009 Mcqs

2. FCPS June 2005 surgery (iii) mcqs

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Proprioception---- (Proprioception Pathway)

Usually we think that there are five senses vision (sight), audition (sound), olfaction (smell), taction (touch), and gustation (taste). These senses are responsible for our interaction with the external world. In addition to these External senses there are few senses tat are called "Internal Senses". One of the most important internal senses is called "proprioception", or position sense.

Proprioception allows humans to control their limbs without directly looking at them.

Pathway For Proprioception:

Muscle Spindle & Golgi Tendons-------------->>> Dorsal Root Of Spinal Cord----------->>>> Spinal Cord-------->>>>> Spinocerebeller Tract------->>>>> Cerebellum

The cerebellum accepts information from every muscle and joint in the body, and calculates where the limbs must be in space.Like most physiological processes, proprioception can be improved with challenging practice, and can also be impaired by disease or disuse.Proprioception is also impaired by diseases or injuries affecting the musculoskeletal system, like an ankle sprain or diabetic neuropathy. Patients suffering from these types of conditions are predisposed to falls and repeat injuries, which compounds problems.

References:
Victor, M, Ropper, A et al. Adams and Victor’s Principles of Neurology. Seventh Edition. McGraw-Hill Professional: 2000, Chapter 9. ISBN: 0070674973

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How Doctor Think by Author: Jerome Groopman

On average, a physician will interrupt a patient describing her symptoms within eighteen (18) seconds.

In that short time, many doctors decide on the likely diagnosis and best treatment.
Often, decisions made this way are correct, but at crucial moments they can also be wrong -- with catastrophic consequences.
In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make.
Groopman explores why doctors err and shows when and how they can -- with our help -- avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health.

This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses.
How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track.

Author: Jerome Groopman

Publisher: Houghton Mifflin Company

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Free Medical Dictionary

Almost all medical students need a good,comprehensive Medical dictionay. Dictionaries in Hard copy are not that much used as they were used before. Now a days students preffer Electronic Medical Dictionaries. here i shall suggest you some of Websites from where you can download Medical dictionay.


1. Download.com , This is very simple dictionary. On this website you can also search other medical stuff & non medical stuff. Infact it's a store house of Downloadable stuff. One thing to be mentioned is taht this dictionary wors online. You should be connected to the ne when you search a word.


2. Getjar.com , This is an excellent website to download mobile stuff.This dictionary is very good and comprehensive and best thing about it is that IT IS FOR YOUR CELL PHONE. click on the link>>>>>>. select your mobile set number>>>>>..Download it>>>>Transfer it to your cell phone via data cable etc. >>>>> And enjoy medical dictionay anywhere.
It' features are



Medical Terms

Medical Abbreviations

Medical Definitions

Medical Information

Medical encyclopedia

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Bioterrorism By Pamela Weintraub

In the event of a terrorist attack, would you know what to do to protect your family? This lifesaving, comprehensive survival guide reveals all you need to know about the most dangerous biological weapons, their symptoms and treatments, how to avoid the greatest dangers, where to go for products and medication, and how to keep your family safe - at home, in the office, or at school - from the most feared weapons of biological warfare including: - Anthrax - Smallpox - Botulism - Ebola - Q Fever - Cholera - Yellow Fever - Venezuelan Encephalitis With a detailed, up-to-the-minute reference section on medical sources, antibiotics, HEPA filter masks and other crucial information, this calm, authoritative guide is an indispensable resource for these uncertain times, when the first line of defence against bioterrorism is knowledge.

Format: PaperBack

ISBN: 0-8065-2398-0

Publisher: Citadel

Retail price: Pound £ 12.00

(Rs. 1,498.92)

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HOW TO DEVELOP MEMORY by Dominic O'Brien

Dominic Obrien, revolutionized the way people memorize. 8 time worldmemory champion. He dominated the sport until others figured out how he did it.This is his most comprehensive book. It's goes in great detail and is a great read.The concepts are easy to understand, but many(like the number system) require a lot of practice.

But if you do your homework, you will be able to do things like memorize hundreds of phone numbers, dates, decks of cards, binary numbers etc. It took me months to get the techique fast enough and familiar enough to use it. But well worth it.Even if you don't have world memory champ aspirations, a lot of the techniques are quite simple and can be used to improve everyday memory(task lists etc.) But for that kind of stuff his other(in print) books will do.

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How did "Michael Jackson" Die:

According to news reports, emergency medical services were called to his home in Los Angeles, where he was found in presumed cardiac arrest. CPR (Cardiopulmonary ressecitation) was performed, and he was rushed to UCLA Medical Center, which was about six minutes away.

Other reports stated that he was training for a new show, opening in London next month, and had recently undergone a thorough and complete physical exam. He apparently was given a clean bill of health.It’s being reported that he died from sudden cardiac death, which according to the American College of Cardiology, is defined as, “the sudden cessation of cardiac activity so that the victim becomes unresponsive, with no normal breathing and no signs of circulation.” In these cases, there are often no warning signs, and loss of consciousness can occur between seconds to minutes due to lack of blood flow to the brain.

Coronary artery disease is the most commonly associated heart condition associated with sudden cardiac death, but other factors include structural heart disease, as well as smoking, obesity, an elevated blood pressure or cholesterol level, or a family history of heart disease.

It’s also inevitable that, with sudden cardiac death in a man in his 50s, speculation may turn to drug use, specifically cocaine or prescription drugs.

There’s no doubt that more information will be uncovered in the coming days to weeks, especially if prescription medications or illicit drugs were involved. But also keep in mind that sudden cardiac death can happen at any age, in seemingly healthy individuals.

Whatever the circumstances, there’s no doubt that Michael Jackson will be missed around the world.

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