Dr.Srinivasa Raju

  Substance intoxication primarily works through external chemical hijacking of reward circuits , often weakening executive control and increasing dependency risk. Meditative states arise through intentional modulation of attention and autonomic systems , strengthening executive networks and emotional regulation over time. One bypasses regulation through chemistry. The other trains regulation through neuroplasticity. Important Scientific Nuance Not all substances are equivalent (e.g., psychedelics under clinical supervision show different neural patterns than alcohol abuse). Meditation is not universally benign; intensive practices can occasionally precipitate anxiety or depersonalization in vulnerable individuals. Context, dosage, and psychological predisposition matter significantly. Substance Intoxication vs. Meditation-Induced Altered States (Neuroscience-Based Comparison) Domain Substance-Induced Intoxication (Alcohol / Psychoactive Drugs) Meditation / Contemplat...

  AI in Healthcare Prompt Thinking for Clinicians Practical Lesson for Doctors Dear Colleagues, AI in healthcare is not a magic oracle. It is a probabilistic reasoning assistant . The quality of its output depends directly on the clarity, structure, and clinical precision of your prompt . Better Prompt → Better Context → Better Clinical Output Why Prompt Clarity Is Critical AI systems: Do not “see” your patient Do not infer missing data reliably Do not replace clinical judgment If inputs are vague, outputs will be vague. If inputs are structured, outputs become clinically actionable. Garbage in = Hallucination out. Structured in = Safe assistive reasoning out. The C.L.E.A.R. Prompt Framework for Doctors Use this mental checklist before prompting AI: C – Context (Clinical Background) Always include: Age, Gender Setting (OPD/IPD/ICU/ER) Key symptoms (duration, severity) Vital signs Relevant labs/imaging Comorbidities Current medications 🔎 AI cannot guess missing clinical context. L ...

                                                                    MEMORANDUM To: The Principal Health Secretary, Government of Andhra Pradesh The Hon’ble Health Minister, Government of Andhra Pradesh The Hon’ble Chief Minister, Government of Andhra Pradesh The Hon’ble Home Minister, Government of Andhra Pradesh The Home Secretary, Government of Andhra Pradesh Subject: Advocacy for Ease of Doing Medical Profession & Simplified Regulatory Framework for Small Healthcare Establishments in line with GOI Deregulation Reforms Respected Sir/Madam, In light of the Government of India’s Deregulation 2.0 initiative, particularly the reform measures aimed at simplifying medical practitioners’ registration/NOC processes and appointing a single nodal agency for healthcare licenses, we respectfully submit the following for consi...

 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...

If a private hospital refuses your RTI request (or the public authority PIO denies it), escalate through RTI's built-in appeals process, as mandated by Sections 19(1) and 19(3) of the RTI Act, 2005—success rates are high for patient records per CIC precedents. RTI Appeal Process File appeals even if the hospital isn't the direct target (public authority handles it). Stage Timeline Where to File Key Tips First Appeal Within 30 days of PIO response/denial (or 30 days silence) First Appellate Authority (FAA) of same public authority (senior to PIO, e.g., Director of Health Dept) No fee; attach RTI copy, PIO reply. Demand records under MCI Regulations 2002. FAA decides in 30 days. Second Appeal/Complaint Within 90 days of FAA order (or silence) Central Information Commission (CIC) or State Information Commission (SIC) via rtionline.gov.in or post No fee; cite CIC cases (e.g., Prabhat Kumar: private hospital records via regulator). CIC can impose fines on PIO for denial. Additional...

Are India’s corporate hospitals still ours? Or is healthcare slowly slipping out of reach for the common man? Have you ever wondered why hospital bills and insurance premiums in India keep shooting up? It’s not just inflation. There’s a bigger business game playing out behind the scenes. What’s really happening? When patients become line items and doctors become cost centers, something fundamental has already gone wrong. Some of the world’s biggest money players—especially from the US—are buying up major hospital chains in India. Healthcare in America costs a fortune, and now the same model is being quietly pushed into India. A few hard truths: Big hospitals, foreign control:  Large chains like Manipal, CARE, and Aster are now largely owned or controlled by foreign investors. Insurance–hospital nexus:  Companies like Policybazaar are moving towards owning hospitals themselves. They sell you insurance, and then make sure your money flows back into their own hospitals. Small ho...

Why am I, a doctor, speaking about RTI? Because healthcare is no longer held in the hands—or hearts—of doctors. It has shifted into files, fine print, and financial protocols. Medicine was once an art guided by judgment and compassion. Today, treatment follows algorithms, hospital empanelment rules, insurance clauses hidden in footnotes, and taxes that punish care as commerce. When decisions move from bedside to balance sheet, Silence is no longer professionalism. It is surrender. ✔️ Foreign PE/global investors do hold significant stakes in Indian hospital chains (Manipal, CARE, Aster, etc.). This is documented and ongoing . ✔️ Insurance–hospital integration is increasing (TPAs, insurer-owned networks, preferred provider models). This can push up billed costs , though direct ownership by insurers is still limited and regulated. ✔️ Consolidation pressure on small hospitals is real; compliance costs + insurance pricing disadvantage independents. ❌ “India will become like the ...