Dr.Srinivasa Raju

Myth: that doctors are solely responsible for shooting-up of drug expenditure. Tragedy  : PM Modi ji unnecessarily pointing his finger towards doctors for his govt's inability. So, as a responsible citizen and member of the prestigious association(IMA),every doctor has to search for the truth and appraise the public,media &our honourable PM sir.                                             What is the Reality? There is no problem with doctors and their drug prescriptions but its found through some authentic investigative study, that huge  problems in drugs manufacturing& marketing  which leads to escalation of NLEM generics ! India has more than 67,000 drug formulations,but not enough quality control mechanism. Even though 11% of our drug formulations are of poor quality (as per 2014 study) our beloved govt couldn't respond with needy measures. The sale of drugs in a medical store is more "off the counter" than through prescription. In

                Generic drugs prescription The current law situation is ““Every physician should prescribe drugs with generic names legibly and preferably in capital letters and he/she shall ensure that there is a rational prescription and use of drugs” 1.       Every physician means all of us 2.       ‘Should” means may and may means optional or preferable 3.       Drugs with generic names means the chemical name of the drug 4.       Legibly : means readable a.       It does not mandate electronic prescription b.       It does not mandate or it would have been shall and not should c.       It does not include the word “only’ it only manes naming the chemical name of the drug In India. chemical generic name of the drug is available in three formats Generic generic Generic trade And generic brand All companies make all three versions. Generic brands are the costliest with no difference in quality IMA Stand 1.       Choose drugs from national list

అయ్యా ఈ  మందులు చూసివ్వండయ్యా ... కొనలేక చస్తున్నాం "అంటూ ఒకతను  లింగయ్య మందుల షాపుకి వచ్చ్చాడు . అందులో పెద్ద అక్షరాలతో నీట్ గా మందుల పేర్లు వ్రాసివున్నాయ్ . చూడగానే లింగయ్య  ముఖం చింకి చాటంత  అయింది .మందులిఛ్చి అతన్ని పంపేసి, నా  వైపుతిరిగి , అందులో వ్రాసినవన్నీ జనరిక్ మందులే, వీటిపై సుమారు 1000శాతం మార్జిన్ ఉంటుందని నవ్వుతూ చెప్పాడు  . మరి ప్రధానమంత్రి గారేమిటి , జనరిక్ మందులు చాలా చౌకగా ఉంటాయని,వాటినే వ్రాసేటట్లుగా డాక్టర్స్ పై వత్తిడి పెడతామని చెప్పారు? నిజమే! అవి మన మందుల షాపులకి చౌకగానే వస్తాయి .మందులు తయారు చేసే కంపెనీలు  రూపాయి మందుని మనకి రెండురూపాయలకు అమ్ముతారు . మనం వాటిని 20 రూపాయలకి రోగులకు అమ్మేస్తాం. అదే బ్రాండెడ్ మందులైతే ,కంపెనీలు రూపాయి మందుని  మనలాంటి షాపులకి 25రూపాయలకి అమ్ముతారు. మనమేమో, 7 రూపాయలు (30%) లాభం వేసుకొని రోగులకు అమ్ముతాం . అరె ,  జనరిక్ మందుల అమ్మకాల్లో ఇన్ని  లాభాలు ఉన్నాయా? మరి? జనరికా ? మజాకా ? నీకేం బోధపడిందో ఇప్పుడు చెప్పు... దీనికి పెద్ద బుర్ర కావాలేంటి ? బ్రాండెడ్ మందులపై లాభాలు కంపెనీలకి,జనరిక్ మందుల అమ్మకాలపై లాభాలు రిటైల్ మందుల

Doctors with PG from five English-speaking countries can now teach in medical colleges in India Human Rights Commission directs Medical Council to suspend or cancel licence of negligent surgeon ICMR plans to launch national registry of serious psychiatric illnesses. Rs 15 lakh fine for medicos who leave their postgraduate course midway. ICMR advises tertiary care hospitals to avoid at least three antibiotics- The Indian Council of Medical Research (ICMR) has advised tertiary care hospitals to avoid at least three antibiotics — Carbapenems, Polymyxin and Colistin — used to treat multi-drug resistance. 12 states, 4 union territories favour exit test for MBBS students Medicos left in the lurch as Gian Sagar Medical College closes.

“Several patients who undergo angioplasty return with the symptoms. That’s because the patient did not need an angioplasty. After the first heart attack, certain heart muscles die and cannot be recovered. But cosmetic angioplasties are still carried out throughout India.”  “Angiography can only detect blockages, and often gives false positives in female patients. Nuclear medicine can also show if the heart muscle is already dead and helps avoid unnecessary surgeries. The tests are also painless and non-invasive, and it costs about a third of an angiogram.” Nuclear medicine relies on radioactive isotopes to assess the blood flow in the heart. A technician inserts radioactive isotopes such as thallium intravenously. The isotope marks the blood flow and a gamma camera maps it. The test includes readings in active and resting positions. “Besides thallium, we now also use technetium, the lightest element of radioactive isotopes. It does not leave behind any radiation and is excreted

The Medical Council of India (MCI) has amended the Indian Medical Council Act, 1956 to make doctors holding postgraduate medical qualifications (MD, MS, DM or MCh) awarded in countries like the US, the UK, Canada, Australia and New Zealand eligible to teach in medical colleges in India. Till now, while students with medical degrees from the US, the UK, Australia, New Zealand and Canada were exempted from the Foreign Medical Graduates Examination (FMGE) in order to pursue medical practice in India, they were not allowed to hold teaching posts. Do these doctors with foreign PG medical degrees would take up low-paying teaching jobs in medical colleges?

Dr KK Aggarwal, IMA National President Advise on Generic drugs Every body must remember each pharma makes ,  Generic Generic drugs and sell it with generic name. Generic trade drugs and sells with un-promoted brands Generic brand drugs and sells it with promoted brand names Name of the drug is written in all three formats. Brand version of their drug may be ten times costlier, quality remaining the same. what is the harm writing Omeprazole ( Reddys lab) instead of Omez Both are same company, same quality but differential pricing. Our right to choose the company will remain. After all we can not get a generic generic drug from jan aushidhi unless we write jan aushidhi Dear friends, we should only write the cheapest molecule drug available from the same company without compromising the quality. IMA 1. Write CAPITAL Write Legible Write NLEM Write Generic Generic of Jan Aushidhi or a standard company...

From  National IMA president: To All presidents&secretaries&executive teams of local&state branches, The following actions may be taken up at state and local branches level: - 1. Black badges to be worn by all members. 2. All hospitals and clinics to display black cloth in their notice board with explanation. 3. All state branches to send uniformly formatted e mail opposing the Act to the Chief Minister of West Bengal.  4. The details of the Act to be communicated to all members during a protest meeting/ executive of the local branch. 5. Signature campaign: An All India signature campaign to be started. Each State to mobilise maximum number of signatures with credible e mail ids and address details. The petition must be addressed to the Chief Minister of West Bengal. A copy may be retained at the state branch. A Xerox copy may be sent to IMA Headquarters. 6. A social media signature campaign is to be initiated from IMA Hq. The state branches may facilitate this initiat

420 medical colleges,55000 MBBS seats, 30000 PG seats. 60doctors & 130 nursing staff per one lac people.  In fact one million modern doctors & one million AYUSH persons and 2.5million nursing staff registered in the country! Hold  your breath... 5million quacks make rampant and mutilate the health scape of the nation!!   60% of MBBS seats & 65% of  nursing colleges in  South india along with maharashtra (30% population). what  a disproportion ? Just 25% doctors &25% nurses   in rural, serving 70% of indian population! how skewed?         2.19 nurses and midwives per doctor compared to Sri Lanka’s 3.94 and Thailand’s 5.07. So, We suggest : The doctor population ratio is not the only criteria for better health parameters. It is the combined number of doctor, nurse, midwife and community health workers available per 1000 population which is more important.  Compared with countries like Sri Lanka, India has better doctor population ratio. But the nurse,

IMA  217th. CWC MEET @Hotel Oberoi on 15th.&16th. April at Kolkata.    IMA national protest-black ribbon day on 27th.april. It was decided in the CWC to organize massive National Protest Day on 27 th April 2017 and it was  declared by the National  president and hony secretary general IMA. All state ledears in the country opposed the the draconian West Bengal CEA Bill and also decided to approach High Court and Supreme Court against this Bill. All local and state IMA branch executives should sensitise the media and the political l parties and social organizations about the vagaries of the medical fraternity and should convey our anguish and strong protest against impractical and draconian regulations mooted by various state govts and the central govt. All IMA members are directed to not charge any health care service  fees except for consumables and disposables from colleague members   . IMA strongly advised all its members to strictly follow the ethics regulations of

1. Remarks such as “If you (doctors) do not want to work, then resign. You are not factory workers who resort to such protests. Shame on you. How can doctors behave in such a manner?” by none other than Chief Judge of Bombay HC  “YES SIR, WE ARE FACTORY WORKERS. OUR FACTORY IS CALLED HOSPITAL & WE REPAIR BROKEN HUMAN BODIES. OUR LIFE IS DEARER TO US THAN OUR JOB, JUST LIKE ANY OTHER FACTORY WORKER.”   2. “No Surgery can claim 100% recovery”…, “In order to recover, the patient is expected to comply with the advice of the doctor”.. Above were the two important takeaways from a recent judgment made by the National Consumer Disputes Redressal Commission bench consisting of Justice Ajit Bharoake and Anup K Thakur in a revision petition of a case alleging medical negligence. Case Details : BALJIT SINGH V/.s KUMAR HOSPITAL & ANR., Punjab, REVISION PETITION NO. 1975 OF 2016, decided on 07 Mar 2017  3. “Not all anomalies can be detected by ultrasound study.” A case claiming Rs.17 lakhs

Scientists have published new research that suggests up to 60% of cancers could be caused by random DNA mutations, rendering those cancers completely unavoidable. The other 40%, however, could be prevented via diet, exercise, and other environmental factors. Mutations occur each time our cells divide.  that 66 percent of mutations are random, 29 percent are caused by environmental factors, and 5 percent are due to hereditary factors. Usually, these mutations take place in segments of DNA that aren’t very important. However, if a mutation occurs in a cancer driver gene, we might suffer from some bad luck.