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Showing posts from March, 2017

Medi News-march2017

1.  Heartburn drugs up risk of diarrhea, inflammation of colon... A study finds that gastric acid suppression drugs increase the risk of recurrent Clostridium difficile infection which causes diarrhea and life-threatening inflammation of the colon. 2.  Inhalable, dry-powder form of oxytocin to prevent PPH. Every year, over 300,000 women in low and low-middle income countries die during pregnancy and childbirth. Postpartum haemorrhage (PPH) is the single largest cause of these deaths.

National Health Policy 2017.

To better the health land scape of the country, the govt must put its focus and finances on primary&preventive care. Primary care facilities need to be upgraded, provided with basic diagnostic facilities and funded to be able to lure doctors and nurses to work in remote corners of the country. Another turn around measure is that all MBBS doctors should be trained as Specialists in any one of the clinical subjects .the govt be  able to provide postgraduate training to every single newly qualified doctor. In fact, it should be a mandatory requirement before any doctor is given independent practicing privileges. another crucial thing to be happened in our country is understanding the doctors! the govt,policy makers, legislature,media and judiciary  need to understand that doctors can only provide patient-centric care when they have a reasonable workload and have a socially fulfilling and economically productive life.  Another  important aspect the govt  must address is strain

Stent update-2017.

IMA recommends an  everolimus-eluting stent (EES),  either with a durable or bioresorbable polymer or Resolute zotarolimus-eluting stent (R-ZES). Any stent approved by DCGI is good. The responsibility is on the DCGI and the expert committee under Technical Drug Advisory Board (DTAB).  The DCGI also has a PvPi program  (9717776514  phone number). If the department receives any report of side effects of any device, the device can be immediately taken off the market.  Till today, the very fact that Indian stents can be marketed means no adverse effects have been notified to PvPI so far.  

IMA-HBI Banish the west Bengal CE act

Hospital board of  India -A.P. state, unequivocally condemning the west Bengal CE act-2017. ·         As every case is different, its not practically possible to fix rates by the doctor or any other third party. We can fix the rates of disposables, medical devices and the medicines but not medical treatment. ·         We know,health is the sensitive issue and the govt has responsibility to see that quality care should be available at affordable prices. For this, the govt must upgrade the infra and medi services at all PHCs,CHCs and district hospitals. Simply passing the onus on the shoulders of private doctors is just escaping from the reality and the responsibility. ·         Govt or any other monitoring body’s intervention in medicare  and hefty  criminal penalisations leads to distrust between the hospitals, patients, insurance companies and the govt. results in  inspector raj,defensive practice,cost escalation,corporatization and lastly crippling of health care in entire co

To cut or Not to cut?!

what is the issue?  Until 2010, cesarean—or C-sections—were limited to  8.5%  of all deliveries in the country, just under the recommended level of  10-15% , according to a WHO report . insufficient Data?  no national survey has thoroughly measured the rate or cost of C- sections so far. Allegations hurled at medical fraternity: 1.  Private hospitals tend to be the most scalpel-happy as this yield good money. C-sections are   lucrative procedures to make up for the cost of their education. 2. The charges for the procedure, hospital stay and anesthesia can range from about Rs5,000 (less than $100) in a government hospital to upwards of Rs40,000 ($650) in private hospitals. what is the reality? 1.    the decision to have c-section is not just in the hands of a physician. some patients prefer  to deliver on auspicious dates, and some are afraid of pains and force the doctor to do  C section. 2.  A combination of dietary and metabolic changes, coupled with less physical