Modern science and specialisiation is a real BOON to us all and we are today are luckie than th...
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Modern science and specialisiation is a real BOON to us all and we are today are luckie than those in past by having to serve us all the best doctors and technology .It is costly according to the market forces but overall we are in good hands today.The rsults are not gurannteed in Medicine one only give ones ' best efforts ,know how,skills and humbly accepts a second opinion and this team efforts is saving lives today .Only when unexpected happens we all high light the worst in the best possible way to warn the erring medical team that THIS is NO ERRORS branch and negligence will not be tolerated.
Each patient expects true honest evaluation of his /her complaints . STILL TODAY THERE ARE TOO MANY DOUBTING THOMASES AND THEY FORGET THAT IT IS THE FAITH OF THE RELATIVES-patients THAT MAKES THE DOCTORS WORK BEST .Yes!The Relatives are and should be the deciding factor in the care descisions of the diseased .They are the ''producers and directors'' of this real time show.They decide which doctor and what treatment to get .THAT IS CORRECT and GOOD too.
ONLY do give a gift to your doctors --some good faith - tempered with gentele enquiry at each step of a major expensive treatment.DOCTORS today too are facing competetion and that has taught them to give all treatment options to the patients.Some care has to be taken from patients side too and are they free to give a transparent feed back or even question the doctor ON WHOM ONCE THEY HAVE KEPT FAITH.
That was a hint for patients and his her relatives now the hint to the care givers too -The experts DOCTORS whom we trust .No other profession works so hard to self evaluate or face so much pressure as a critical care doctor.
(Joke!!-Do you all even remember the doctor who saved Laxamanas' life when even Lord Rama panicked.The chemist and the relative who brought the whole chemist shop down to the ground is revered today..but atleast some thing for the doctor from the Ravanas' camp who served the enemy and saved him at a crucial juncture??)
Each doctor should continuously monitor his/ her prescriptions and the result of each drug he/she prescribe for each symptom for each different type of patients. Lifestyle change, position of sleep-activity-rest, nutrition - diet advice is the primary duty of all those who advise.
some examples given here...
(PLEASE DO NOT SELF MEDICATE WITHOUT CONSULTING PROPER SPECIALIST FOR EACH OF YOUR COMPLAINTS !!)
Patients have to be seen as a whole and not through a key hole of a medical super speciality. Basic pharmacology of each new or old drug and its effects of our body’s patho-physiology have to be re-read periodically for good results. Proper time, way, dosage, individual response and interactions with other drugs given simultaneously have to be considered.
- VITAMINS--Iron and calcium as all analgesics, anti hypertensives, anti-ischaemics cause constipation. They should be given after stools are passed. Bowel movement are aided by diet, food additives like amla powder-triphala, senna with isapghol each according to a patient’s requirement. Some Iron preparation claim lesser constipation.
- URINARY INFECTION STONES-Patients having stone have one diet advice-drink as much water so as to have clear water like urine every time - quantity as per patient's need. Avoid anything grown under soil-tubers limited and all skins even of daals (Uric acid). As such phytates of all vegetables have unabsorbable calcium.
- TUBERCULOSIS IS A KILLER WHICH KILLS ONE INDIAN EVERY MINUTE!!HELP WITH DETECTION AND REGULAR FULL TREATMENT OF THE SUFFERER.--All patients on anti Tuberculosis treatment should receive famotidine 40 mg or anti emetic. First take care of stomach and nutrition. Give these in the (Early) morning at 6.30 am followed by Rifampicin 7 am then food followed by each of INH, Pyrazinamide divided in half 750+750 given after half hour interval esp. dispersible forms with sufficient water - (between 7.30 am and 9 am).
- ACIDITY -All antacids should be given 7 pm on empty stomach.IF NEEDED AGAIN 7 AM EMPTY STOMACH Patients are given diet advice - never fill your stomach and sleep on left side. Sleep with head end of bed raised by block under the bed legs. The gaseous distension is relieved as both the exits from stomach are on right side!! In severe cases repeated 7 am too, till received. Take only till symptoms persist and can be taken SOS if symptoms recur or till some drugs are on.
- CHEST BURNING-ECG NORMAL-For Reflux, tab Itopride 50 mg 7 pm / 7 am, is better than any ‘large doses of antacids. ‘We have to treat the cause not the effects. Acidity is NOT due to Acid - wrong amount of acid for wrong duration for bad number of times due to bad proanal motility which is the law of the GUT breached - is the main cause of acidity symptoms. Oesophageal clearance is the most important thing. Avoid Milk and its preparations at all cost - NEVER TAKE ANY MEDICINES WITH MILK. It actually causes increase gastrin and acidity plus decreases absorption of most drugs!!
- PAIN -KILLERS--All WATER-dispersible drugs -diclofenac or even Aspirin etc.DISSOLVED with 200 ml water if needed after antacid drugs AS ABOVE are problem free, if taken after some dry food.USE ANALGESICS ONLY WHEN NEEDED .USE LOCAL OILS AND BALMS OINTMENTS ETC WARM BATHS FOR RELIEF.
- DIGESTION-All those who REALLY require enzymes for digestion should be given those preparations having more than 14000 lipase activity, half an hour BEFORE food. Most patients require carminatives, food additives like garlic, ajwain, jeera etc. or promotility drugs - itopride to relieve their distension. Mild exercise before and after food will avoid over medication. Food and the way it is cooked or consumed, is the cause of disease and its cure in most of the gastric complaints. Only persistent ones with warning signs need endoscopy or SCANS OR more.
- CONSTIPATION--DO NOT PUSH AT ALL WAIT!!Sitting on a commode and never ever straining at all cost is most important for all. Amla, triphala or any high fibre supplement with promotility one like senna in severe case is enough. Avoidance of urge to pass, early morning mild activity and taking advantage of gastro colic reflex - drink water - eat food - distend stomach to stimulate stool stored in transverse colon.
Tegaserod 6 mg od/bd or in bad case Cisapride(HEART !!) for few days is given at night. Kathol (Pulses) or all legumes well made taken at breakfast are the best nutrition too.
- DIABETES-INSULIN-The most painful sensitive area of body is the inner or whole of the thigh. The Abdomen and its fatty apron below the umbilicus is the most convenient location - least painful too-easily seen from top-easily pinched up for introducing the needle no. 27!
- LESS WEIGHT-NUTRITION-Why we prescribe high protein diet supplements to those who really cannot afford? The 200 gms of the 200 Rs. Powder of whey or milk or soya gives hardly 40 gms per 100 gms protein! A channa or peanut will give 24 gms per 100 gms and if made into a sukhdi or jaggery mixer is better in every way. Almonds and Kajus give only 20 gms per 100 gms consumed!
- WEIGHT REDUCTION -Count Calories is the mantra apart from metabolic care of patient’s nutrition NOT illogical ‘fatwas’ from uncaring doctors! Exercise immediately after diet and proper exchange know-how can make the life of a diabetic more bearable. Avoiding all tasty foods and nuts legumes daals which have 400 or more calories per 100 gms is the key for diabetics and weight watchers. Taste is all for the tongue not for filling the stomach is the hint given.
Let us all use our ears and minds to find better ways to palliate patients as relatives and doctors or care givers., Many of patients do not have a disease.Only those with persistent problems or warning symptoms should be investigated by a professional protocol decided by peer reviews and caring mind always alert to exceptions.
This seems to be the only way for doctors and their science to reinforce their status in the hearts and minds of all THOSE WHOM THEY SERVE .
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thanks .You may forwrd it if you liked it.
I have posted this a long time ago but very few saw or commented on the blog..today too many just fold this paper i have prepared in four languages and just ask for more medicines..media too has ignored many articles of many ethical doctors at all levels at all places ..all want fast cure and ''naturopathy'' too in form of some juices or some special name to follow..science waits for it to be discovered as IT self goes ahead to find things anew and shed even what it had learned in the past..for betterment of human race..but we do not have a large following..
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Dear Santhemant,
Your detailed advice that any body can follow fo the various ailments is highly educative and there is no doubt that if one follows the same,he can keep from harms way. Such basic facts require to be spread among even the educated masses who un-aware of the body mchanism keep worrying even for some small ailments and make their life miserable or kep urging the doctor to cure their illness.It is agood work worth the appreciation.
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Ravvi ji thanks for visit and comments.many topics i have covered in these my blogs.pl go through .
http://santhemant.sulekha.com/blog/post/2007/06/how-not-to-get-piles-naturally.htm
http://santhemant.sulekha.com/blog/post/2007/02/meditation-v-s-medication.htm
http://santhemant.sulekha.com/blog/post/2008/05/aging-why-how-to-avoid-by-help-of-science.htm
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well said doc...makes sense..
with altering doc patient relationship this si timely
Madhvi
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Very, very informative post. The fact that we own a chemist shop and did know some of the points mentioned in your post tells me the depth of your research.
You could, if you have the time, elaborated the themes and make them into separate posts.
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