Blog Posts
Teachers Need Real Feedback. Most teachers love to teach but how do we tell them where are they doing a good job and where they can improve. And how do you know when the learning has occurred. The current understanding in education is that 4 proper learning student it is important to understand what is learning and how is learning. The burden of learning is traditionally been on the student and the teachers considered it student fault if they are …
“First, it is slightly cheaper; and secondly it has the words DON’T PANIC inscribed in large friendly letters on its cover.” – The Hitchhikers Guide to the Galaxy Don’t Panic – There are many things that go through your mind when you face the challenge of an ominous symptom like a tremor. You may feel personally responsible in some way for having had developed tremors, thinking you could have done something to avoid it or that you deserve it for …
Another interesting Journal Club with discussion on some excellent articles. Below is a brief summary of the articles with a short commentary of the discussion. Submandibular Gland Needle Biopsy for the Diagnosis of Parkinson Disease Neurology. 2014 Mar 11;82(10):858-64 Background: Currently Parkinson disease has no confirmatory test and diagnosis is clinical. The characteristic change in brain has been described (presence of Lewy bodies described by Fredric Lewy in 1912) however Brain biopsy is not practical in clinical settings. Braak however …
Parkinson Disease was originally described in an essay by Dr. James Parkinson titled “An essay on Shaking Palsy” and so it was called for a few decades, the shaking palsy, before being referred to as Parkinson Disease by famous Dr. Charcot. Since original description on clinical symptoms of 6 “people” (3 clinic patients and 3 persons observed while walking on the street) there has been much added to our understanding of history and examination findings in PD and similar diseases. …
Alternative Therapies include herbal and nutritional supplements, exercise and massage techniques. A strong evidence for their benefit is lacking in general. Patients with Parkinson Disease (PD) routinely come across them and as many as 40% end up trying one of them. Here we will very briefly summarize the available scientific support for them, if any. Acupuncture, is an ancient Chinese technique based on idea of stimulating energy centers in body through needles. Although several small clinical trials reported modest benefit, …
Another interesting Journal Club with discussion on some excellent articles. Below is a brief summary of the articles with a short commentary of the discussion. Long term Safety and tolerability of Prosavin, a lentiviral vector-based gene therapy of Parkinson Disease Lancet. 2014 Jan 9. pii: S0140-6736(13)61939-X. Background: Parkinson Disease is treated by using levodopa that is taken up by the brain cells and converted into Dopamine thus correcting the deficiency. It is thought that rise and fall of blood levels …
Hello and Welcome to MD podcast. I am Danish Bhatti. This week podcast will be an interview with Movement Disorder experts on their approach to ataxic patient for diagnosis and management. I will be sharing my insights and approaches and we will review various other approaches. Diagnosing a patients etiology of ataxia is a tough job. And we will be picking some of the best brains to do it. The guests have not prepared and I have caught them by …
