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Telemedicine center becomes effective at Phalebas

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PARBAT— A telemedicine center, brought into operation at Thanamaula of Phalebas Municipality-8 in Parbat by the local Char Bhanjyang Service Center has been providing its services to a good number of people.

Locals have been benefited by the operation of center which provides telemedicine services and health counseling for epilepsy, mental problems and other health issues related to urinary system, skin and neurology.

As stated by Char Bhanjyang Health Center’s chief Roshan Gurung, health services have been accessible to the locals with the operation of the telemedicine center.

Telemedicine is about remote delivery of health services by the means of telecommunication and technology through which healthcare providers and patients make a two-way communication, wherein the former listen to the patients problems, evaluate and make diagnosis, and recommend them required treatment or further steps.

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The center provides the services to patients through Skype where medical specialists and doctors from home and abroad are available for the patients’ convenience.
Local Arjun Kunwar (38) said he had been uncomfortable even for his day to day movement due to neurological issues.

But now the problem has been normalized following the treatment he acquired on the consultation of a foreign doctor. The center made it possible for him. He underwent a surgery of his throat nerve on the recommendation of the doctor he met on the Skype at the center.

According to him, there are other many people who have been living a normal life after receiving healthcare services from the center for different health- related problems.

The center refers patients to other health facilities, in coordination with the Western Regional Hospital Pokhara, if they need to be admitted to hospital.

It was established in 2066 BS on the initiation of Char Bhanjyang Tamu Society based in the UK. Up to 25 people visit it on a daily basis these days. It welcomes people from Kushma Municipality, Mahashila Rural Municipality, Bihadi Rural Municipality as well as neighboring districts Baglung and Gulmi.

Besides all these, the center conducts a free health camps in the presence of medical experts from abroad every year targeting the locals. It has been launching a Health Education Campaign for health awareness of people. The ambulance service is in the offing.

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Suicide can’t be predicted by asking about suicidal thoughts : Study

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Most people who died of suicide deny they experience suicidal thoughts when asked by doctors in the weeks and months leading up to their death, a major Australian study has found.

The findings, co-authored by clinical psychiatrist and Professor Matthew Large from UNSW’s School of Psychiatry, Sydney that published in the journal BJPsych Open The meta-analysis challenge the widely-held assumption that psychiatrists can predict who will suicide by asking if they are preoccupied with thoughts of killing themselves.

The study showed that 80% of patients who were not undergoing psychiatric treatment and who died of suicide reported not to have suicidal thoughts when asked by their psychiatrist or GP.

“If you meet someone who has suicidal ideation there is a 98 per cent chance that they are not going to suicide,” said Professor Large, an international expert on suicide risk assessment who also works in the emergency department of a major Sydney hospital.

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“But what we didn’t know was how frequently people who go on to suicide have denied having suicidal thoughts when asked directly,” he added.

“This study proves we can no longer ration psychiatric care based on the presence of suicidal thoughts alone. We need to provide high-quality, patient-centred care for everyone experiencing mental illness, whether or not they reveal they are experiencing suicidal thoughts,” Professor Large said.

About one in 10 people will have suicidal ideation in their lifetime. But the study showed suicidal ideation alone was not rational grounds for deciding who gets treatment and who does not, Professor Large said.

“We know that suicide feeling is pretty common and that suicide is actually a rare event, even among people with severe mental illness,” Professor Large added.

Suicidal ideation tells us an awful lot about how a person is feeling, their psychological distress, sometimes their diagnosis and their need for treatment but it’s not a meaningful test of future behaviour.

Suicidal feelings can fluctuate rapidly and people may suicide very impulsively after only a short period of suicidal thoughts.

But, people had good reasons not to disclose thoughts of suicide, fearing stigma, triggering over-reactions or upsetting family and friends, and being involuntarily admitted for psychiatric treatment, Professor Large said.

Professor Large emphasized that clinicians should not assume that patients experiencing mental distress without reporting suicidal ideas were not at elevated risk of suicide.

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