Dr.Srinivasa Raju

Every one points that , "Against a WHO  recommended norm of 23/25 health workers (doctors, nurses, midwives) per 10,000 population, India has 19 health workers per 10,000 (doctors - 6, nurses and midwives - 13)". But the statisticians of our country for got the quantity of AYUSH doctors who contributed almost 40% of health care of our country. Allopathic DOCTORS: 8.4 LAC as per MCI records. of this 2 lac doctors are not active now. so,the ratio at present is  1Allopathic doctor per 2000 population( WHO's ideal ratio: 1doctor per 1000 population). AYUSH DOCTORS : 8LAC PRACTITIONERS. So, if we mix both allopathic and AYUSH doctors pool, our country is self sufficient and have enough recommended level of doctors i.e 1 doctor per 1000 population. so,there is no need of Half baked  doctors (BRHC ). what our country urgently need is lacs of  nurses and paramedics especially in rural areas.  The Planning Commission's high-level expert gr...

BROAD OUT LOOK Fevers broadly fall into three categories. Bacterial Infections Viral Fevers Parasitic Fevers Bacterial Infections: High fever with cough, sputum and shortness of breath, are typical symptoms of  respiratory tract infections. Urinary tract infections cause high fever with chills and rigour. Frequent urination accompanied by a burning sensation or discomfort in the abdomen are additional symptoms. In the case of infections of  skin or soft tissue swelling occurs in the affected region, while fever associated with vomiting, loose stools with mucus or blood and abdominal pain point out to  gastrointestinal infection. These infections need antibiotic treatment. Viral Fevers: Dengue:  High fever accompanied by severe headache, body pains, backache and joint pains mark this disease. A red rash can also occur. In rare cases the platelet count decreases and lead to bleeding episodes, known as dengue haemorrhagic feve...

This most dreaded complication which occurs when the fever resolves on 3rd. or 4th.day. due to plasma leakage in to pleural & peritoneal cavities. The period of maximum risk for shock is between the third and seventh day of illness . This tends to coincide with resolution of fever. Plasma leakage generally first becomes evident between 24 hours before and 24 hours after fever is over. Often people insist on a discharge from the hospital when the fever is over or do not want to get admitted once the fever is over. SO,DONT DISCHARGE THE PATIENT WHEN THE FEVER RESOLVES BUT OBSERVE CAREFULLY WITH ALL SUPPORTIVE BACKUP FOR ANOTHER 2 DAYS. Plasma leakage is the most specific and life-threatening feature of dengue hemorrhagic fever. This increase in vascular permeability develops rapidly, over a period of hours and thus a person can become worse over hours and die as in patients with marked plasma leakage, shock may develop, especially if supportive treatment is delayed....