Author Archives: Dr. Pragnesh Vachharajani

The Psychology of Alternative Medicine: An Interesting Observation – Guest Blogger Dr. Pragnesh Vachharajani

I am sure we all see this day in and day out as doctors. The society is full of socio-medical advisors; I at times will call them Super doctors. For any chronic conditions like diabetes, hypertension, heart problems, obesity etc. whenever you prescribe something the patients and relatives read it… 

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Should Family Physician Visits Be Made Compulsory for Patients in India, Before They Visit a Specialist for Routine Symptoms? – Guest Blogger Dr. Pragnesh Vachharajani

In India today, there is an increasing trend of patients consulting a medical specialist instead of seeing their family physician first. This trend is especially being seen in the major cities. With about 70% outdoor patients (adults and kids) consulting specialists directly for common aliments like fever, cough, and cold… 

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Quick Case: Left Retrosternal Goiter

By: Dr. Pragnesh Vachharajani
A 44-year-old male arrived for a routine office visit as part of an annual health check-up. His BMI was 26, and he had nothing particular in his history. But, on detailed questioning, he complained of chest pain on the left side of the upper chest and occasional difficulty in swallowing.

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Case Study: Hyperkalemia and ECG Changes

By: Dr. Pragnesh Vachharajani
A 70-year-old male presented to the ER with giddiness & presyncope for the past two hours. He was also having difficulty in breathing. No other history was known, except that he was diabetic.

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Quick Case: Accelerated Hypertension

By: Dr. Pragnesh Vachharajani
Patient Profile: Age: 50, Sex: Male, History: Nothing particular, Presenting complaints: Multiple migrating joint pains, feeling tired since 1 week.

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Telephonic Consultation: A Family Physician’s Perspective

(From a discussion held at a recent IMA meeting in Ahmedabad) Telephonic consultation is a day-to-day situation that every doctor faces in one way or another. However, most doctors remain confused on how to handle this. Problems related to telephonic consultation Calls can come anytime, anywhere; the doctor may not… 

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Case Study: Right atrium thrombus in a female patient

By: Dr. Pragnesh Vachharajani
A 35-year-old female patient presented at the family physician’s clinic at midnight, with sudden onset dyspnoea for about the past hour. She had a …

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