How to prevent and save from the Rashomon" effect in Health care? For 50+ senior citizens , screening should shift from “disease detection” to cardiometabolic risk stratification, cancer surveillance, organ reserve assessment, and functional aging metrics . Below is a clinically sound, India-relevant 50+ screening protocol : Core Annual Tests (All ≥50 Years) 1️⃣ Cardiovascular Risk Panel Blood Pressure Fasting Blood Glose / HbA1c Lipid Profile Resting ECG Purpose: Detect ASCVD risk, silent ischemia, arrhythmia 2️⃣ Renal & Metabolic Panel Serum Creatinine + eGFR Serum Electrolytes Liver Function Test Uric Acid Purpose: CKD, NAFLD, metabolic dysfunction 3️⃣ Complete Blood Count (CBC) Anemia (common in elderly) Hematologic malignancy red flags 4️⃣ Thyroid Function (TSH) Subclinical hypothyroidism common after 50 Impacts cognition, weight, lipids 5️⃣ Vitamin B12 & Vitamin D Neuropathy, cognitive decline Sarcopenia, falls risk Cancer Screening (Evidence-Based) Colon Cancer Sto...
Despite High Court stays in Andhra Pradesh (and similar precedents elsewhere) exempting or limiting municipal trade licence fees on hospitals/clinics (as they are essential services, not typical "trades" under municipal acts), many hospitals in AP continue receiving demand notices from local bodies like in Kurnool (where fees hiked sharply, e.g., ₹8k to ₹50k for nursing homes) and KADAPA. This appears to stem from inconsistent enforcement, lack of uniform circulars, or municipal overreach pending final adjudication. SO,WHAT TO DO? Recommended steps for affected hospitals: Immediately reply to the notice in writing, attaching copy of relevant High Court stay order(s) / judgment(s) and politely requesting withdrawal/quashing of the demand. File a contempt petition in the High Court if the municipal body persists despite knowledge of the stay (or seek fresh interim protection via WP if needed). Coordinate through IMA/AP chapter or local medical association for collective re...