Tuesday, January 31, 2023
Wednesday, January 4, 2023
WITH MORNING CHAI KI CHUSKI….FROM THE HEART OF A PROUD FAMILY PHYSICIAN
WHILE GOING THROUGH NEWSPAPERS TODAY MORNING,I READ
REPORTS ABOUT INCREASING INCIDENCE OF CARDIAC AND OTHER LIFESTYLE DISEASE
POST COVID. SURPRISINGLY BUT OBVIOUSLY ALL THE QUOTES WERE FROM SUPERSPECIALIST
OR SPECIALIST. NONE FROM THE PRIMARY CARE PHYSICIAN!
WHILE WE TALK ABOUT THE RISING INCIDENCE OF LIFESTYLE DISEASES,
VIRAL FEVERS, POST COVID ISSUES, PREPAREDNESS FOR FUTURE VIRAL OUT BREAKS ETC,
IT IS VERY IMPORTANT TO TALK ABOUT PREVENTION, PROPER LIFESTYLE, AND ALONG WITH ALL
THE ROBUST AND EFFICIENT PRIMARY CARE IN THE COUNTRY.
IN A COUNTRY LIKE THIS INDIA, THERE IS A DIRE NEED TO
STRENGTHEN AND IMPROVE PRIMARY CARE AND HAVE MORE NUMBER OF GOOD QUALIFIED
PRIMARY CARE FAMILY PHYSICIANS.
WE HAVE GOT 2 SITUATIONS, IN THE VILLAGE THERE IS LESS
AVAILABILITY AND QUALITY STILL REMAIN A CONCERN WHERE IT IS AVAILABLE
AND IN METROS, TIRE 2 AND 3 CITIES, THERE IS A PROBLEM OF
ABDUNCE. FAMILY PHYSICIANS ARE AVAILABLE BUT THERE IS A DANGEROUS TREND OF VISITING SPECIALITY DIRECTLY.
IN SOME BRANCHES LIKE PEDIATRICS, GYNECOLOGY VISITING
FAMILY PHYSICIAN IS SIMPLY OUT OF PRACTICE. IN OTHER SPECIALITIES ALSO PEOPLE
TEND TO VISIT SUPERSPECILIATY FOR SIMPLE REASONS LIKE HYPERTENSION, OR DIABETES.
TRIVIAL COMPLAINTS LIKE HEADACHE, ACIDITY ETC WITHOUT EVEN CONSULTING PRIMARY
DOES THIS MEAN THAT WE DO NOT NEED SPECIALISTS OR SUPER
SPECIALITY HOSPITALS? THE ANSWER IS OBVIOUSLY NO. WE NEED ALL. IN THIS EVER CHANGING FIELD OF MEDICINE, WITH NEW THREATS COMING REGULARLY WE NEED WELL EQUIPPED CENTER TO DEAL WITH THEM EFFECTIVELY AND FOR MANY COMPLEX DISEASES THEY
ALL ARE ESSENTIAL.
BUT NEED TO STRIKE A BALANCE. BASIC AILMENTS AND MOST OF
THE LIFESTYLE DISEASE PREVENTION AND LESS COMPLEX DISEASE MANAGEMENT BY
PRIMARY CARE PHYSICIAN AND REFERENCE AS PER NEED.
WHY THIS HAS HAPPENED?
· HIGHLY DEMANDING SOCIETY, EVERYONE WANTS
QUICK FIX, FAST SOLUTIONS, NO PATIENCE…. ·
· INCREASE AFFORDABILITY IN MAJOR CITIES
· EASY AVAILABILITY OF SPECIALISTS AND SUPER
· PRESSURE TO PERFORM…FAST LIFE STYLE..NO TIME FOR ILLNESS
· INSURANCE COMPANIES ONLY COVER IN-PATIENT TREATMENT AND HOSPITAL-BASED TREATMENT IN MOST THE CASES AND NO PRIOR REFERENCE BY FAMILY PHYSICIAN IS ASKED.
AND MANY MORE……..
SOME BLAME ON US ALSO
· SOME FAILURE TO ADAPT TO CHANGES IN HEALTHCARE·
· GETTING MORE EQUIPPED AND ADAPTING TECHNOLOGY ·
· NO NEW DOCTORS ARE JOINING THE FAMILY PRACTICE
BECAUSE LESS REWARDING BRANCH
THIS IS A TIME FOR INTROSPECTION BY ALL STAKEHOLDERS.
FOR A HEALTHY SOCIETY, QUALITY CARE AND HEALTHCARE FOR ALL AND YET AFFORDABLE, PRIMARY CARE MUST BE PROMOTED AND STEPS ARE REQUIRED FOR THIS BY ALL.
THANKS FOR READING.
Wednesday, August 31, 2022
TIME HAS COME FOR YOUR ANNUAL FLU VACCINATION. TALK TO YOUR DOCTOR AND GET IT TODAY.
USEFUL FOR CHILDREN AND ADULTS.
THOUGH ADVISABLE FOR ALL, THOSE WHO HAS LIFE STYLE DISEASES AND SENIOR CITIZENS AND CHILDREN NEED IT THE MOST.
THIS IS A ANNUAL VACCINE-NEED TO BE TAKEN EVERY YEAR.
Saturday, July 3, 2021
Tuesday, May 11, 2021
We are all passing through testing times of covid pandemic.
Not seen before,not heard before. And we are surround by information all the time,most of them negative.
We heard lots of things about what authorities should do, what other do all the time,complaints complaints all the time.
I know we had tough times,we have lost so many precious lives also including front line workers like drs and paramedics.
Every one of us is tired,burnout mentally.
We doctors are working all the time,no restriction on our movement ,still tired.
Senior citizens and kids are tired because they are confined to home,activities,social gathering are not advisable,schools and colleges are shut.
House wives are over worked,meeting expectations of all ,all the time....and no entertainment,break etc.
What to do ? 2nd wave is here,hearing discussion on 3rd wave ? do you think life is going to end ???
THE ANSWER IS BIG NO ....
Just sit back,detach yourself from the sources of information and think what you can do with best of your ability in current times.
You know the problem,you know your abilities...swung in to action.
Try to help each other by smallest thing that you can do.
If already infected with covid: share your experience with other who are just infected. Boost their morale, talk to them,motivate them. Give them tips for smooth recovery.
If already vaccinated : motivate other to get vaccinated.
If someone is having fever or suspicious symptoms ask him to self isolate and seek medical help immediately. Still we get patient who are sick more 4-5 days and do not take medical advice due to fear of covid and isolation etc.. Please encourage all such persons to seek medical help at the earliest to contain spread.
You see someone interacting with you without mask or not wearing properly,taught him/her right way.
Most importantly promote ring vaccination. Define your circle
- colleagues at office
- Domestic help
- vegetable vendors/grocery suppliers etc
That is the way to go forward in life.
We all know famous quote " tough times never last,tough people do"
Do what best you can do for yourself,your family and society at large with best of your capacities.
I am sure together we all fight and end this pandemic soon.
Keep supporting us. Thanks.