Happy Doctors: Face of reality through our perspective

Today is National Doctor’s day and I am proud to be a Doctor & I take pride in treating people. I consider my life as a special mission to save lives and to do something good for the society. It is celebrated on July 1 all across India to honour the legendary physician and the second Chief Minister of West Bengal, Dr Bidhan Chandra Roy, as he was born on July 1, 1882 and died on the same date in 1962, aged 80 years.

However, in this year, the day holds a special significance considering the fact how our fraternity is working day and night during the COVID19 pandemic. Fighting the risk of infection by wearing PPE kits and serving the patients is what we are doing from the past few months. We are also taking risk of getting infected and infecting our families by this virus.

Theme of 2020:

The Doctor’s Day theme this year’s stands, “Lessen the mortality of COVID19”. It includes awareness about asymptomatic hypoxia and early aggressive therapy.

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To all those people who thinks that doctors are earning well:

Why do some doctors charge so much ?
Why are some hospitals so expensive ?
Yeah Aamir Khan Rajinikanth should charge the same price as Dino Morea and Uday Chopra
And movie ticket should cost the same in PVR multiplex with a recliner in Mumbai and gallery seat in single screen in jumritalayya
Does it sound crass ?
But it is fact of life
It takes money to Built hospitals will state of art technology and facilities
Good Doctors are a rare species like movie stars
It takes 40-50 years to make a good doctor
And when you buy shares of a hospital you expect returns on it
Govt spends 1.2 percent of budget on healthcare
It is reducing it every year
World average is 5.3 percent
It has washed off its hands from primary health and tertiary Health
74 percent of Indian health care is private money
Most of the tertiary health is done by private players
There is no system like NHS in India
There is no universal health coverage
When u let off the field for private healthcare then don’t except Charity from it
But having said that even the most expensive hospital in India is 10 times cheaper than USA or West
But Iphone or a Mercedes is more pricier in India than in West
Indian healthcare is cheap as our human resources are cheap
You can’t employ a doctor by paying ₹40000 (600 dollars) in US
That is the minimum wages for a doctor in India
You can’t hire a nurse for ₹15000 in U.K.
Our equipment comes from west
All our CT scans MRI Scans are imported
We pay same price as west in dollars and top of that we pay import duty
Then how we charge 1800 dollars for open heart surgery when it cost 100000 dollars in US
Cos our Doctors and nurses are paid less compared to west
Even the top most doctor in India gets less than an average doctor in NHS
We are happy when Google pays 1 crore to a fresh out of college IIM guy
But if a doctor buys a Mercedes after 20 years of hard work when his hair is greyed
We feel so upset about it and say look he is earning so much
It is Govt job to give healthcare to us
It is not job of private players or individuals
If Indian govt increases healthcare spend by 1 percent for next five years – we can provide 10 million jobs

Source: Vishnu vardhan (FB),

Picture Source:Google

World Tuberculosis day 2020: It’s TIME..

World Tuberculosis(TB) day is commemorated on 24th March to raise public awareness about devastating health, social and economic consequences of TB, and to step up efforts to end global TB epidemic. In 1882 March 24th, Dr. Robert Koch discovered TB Bacilli, which is responsible for this deadly disease. His discovery was a breakthrough in diagnosing and curing this disease.

Robert Koch

Dr. Robert Koch identified the specific causative agents of tuberculosis, cholera, and anthrax and also gave experimental support for the concept of infectious disease. For his research on tuberculosis, Koch received the Nobel Prize in Physiology or Medicine in 1905.

TB remains the world’s deadliest infectious killer. Each day, over 4000 people lose their lives to TB and close to 30,000 people fall ill with this preventable and curable disease. Global efforts to combat TB have saved an estimated 58 million lives since the year 2000. India is determined to eliminate TB by 2025, we need more participation from the community to spread awareness about the early diagnosis and completion of  TB treatment. So be a leader for a TB-free world.

We made a short film on the awareness of Tuberculosis in 2018. Our small effort to make this short film won us awards in the national and state level given by Indian association of preventive and social medicine (IAPSM). We won 2nd prize in the national level & 1st prize in the state level.

As doctors we do our job by trying to spread awareness in every way possible, be it in the hospital, in family, amongst friends or in the society by making such a video. I hope and intend to keep spreading awareness by means of short films or other modalities possible. kindly LIKE and SHARE the video as much as you can and contribute your part for a TB-free world.

Happy Doctors day: Few Inspirational Quotes

Today is National Doctor’s day and I am proud to be a Doctor & I take pride in treating people. I consider my life as a special mission to save lives and to do something good for the society.

Why is it celebrated?

National Doctors day is celebrated on July 1 all across India to honour the legendary physician and the second Chief Minister of West Bengal, Dr Bidhan Chandra Roy as per the info. He was born on July 1, 1882 and died on the same date in 1962, aged 80 years. Dr Roy was honored with the country’s highest civilian award, Bharat Ratna on February 4, 1961. Happy Doctors day to all the Doctors out there..

Theme of 2019:

The theme of this year is “Zero tolerance to violence against doctors and clinical establishment”. Every year the theme was announced by the Indian Medical Association. The theme will raise awareness about the violence happening with the doctors across India. The week of July 1 to Jul 8, 2019, will also be celebrated as ‘Safe Fraternity Week’.

Few Inspirational Quotes:

  • To me the ideal doctor would be a man endowed with profound knowledge of life and of the soul, intuitively divining any suffering or disorder of whatever kind, and restoring peace by his mere presence. ~ Henri Amiel.

  • He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all -William Osler

  • Treat the patient, not the x-ray. ~ James M. Hunter.

  • When a lot of remedies are suggested for a disease, that means it cannot be cured.  ~ Anton Chekhov.

  •  When you treat a disease, first treat the mind. ~ Chen Jen.

  • Diagnosis is not the end, but the beginning of practice. ~ Martin H. Fischer.

World Tuberculosis day 2019

Testimony of a person who won a war against MDR TB…

Today I am officially a mdr tb survivor.
I am a tb warrior.
I beat TB.
I’m TB free.
Glory be to God.
Glory be to the most high.
I am a living testimony.
But my journey with TB doesnt end here.
I will continue to fight with and for those infected and affected by this deadly bacteria.
We need better and less toxic treatment!!
We need shorter regimens!!
We need better preventive methods against TB!
We need to find all the missing TB cases that are out there spreading this deadly disease.
We have a long way to go but could be easily be fast tracked if more leading figures in the world come together to fight this war against Tuberculosis.


Courtesy: instagram @stop_tuberculosis

World COPD Day 2018: Never too early, never too late

Chronic Obstructive Pulmonary Disease (COPD) is currently the 3rd leading cause of death globally & 250 MILLION people around the world are suffering from COPD.

COPD is not curable, but treatment can relief symptoms, improve quality of life & reduce risk of death. Finding cases early on is very important to prevent disease progression, and this approach may reduce the burden of disease and mortality rates in future.

The main causes of COPD are:

  • Tobacco smoking
  • Indoor air pollution
  • Outdoor air pollution
  • Occupational dusts & chemicals

Some of the Common symptoms of COPD are:

• Shortness of breath.
• A repetitive cough.
• Increased phlegm or mucus production.
• Feeling tired.
• More frequent chest infections.
• Taking longer to recover from a cold or chest infection.

World Chronic Obstructive Pulmonary Disease (#COPD) Day is organized by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) in collaboration with health care professionals and COPD patient groups throughout the world. Its aim is to raise awareness about chronic obstructive pulmonary disease (COPD) and improve COPD care throughout the world

#World_COPD_Day2018

Beyond the Boundaries: Our Interventional team of Pulmonolgy

Beyond the boundaries: On 25th July, Our interventional team of Pulmonology has performed ‘Cautery and Balloon dilatation’ using rigid bronchoscopy for treating Tracheal stenosis. Proud day for us as this is the first time we have performed this procedure in the entire district of Mahbubnagar.

Case Details:

A 28 year old male patient met with a road traffic accident in December 2017 and suffered from Subdural Hemorrhage & was mechanically ventilated for 8 days. He recovered from the head injury, but later developed ‘Tracheal stenosis’ as a complication of Endotracheal tube Intubation. He presented to our Pulmonology Out Patient Department with a complaint of dyspnea & hoarseness of voice.

At SVS Hospital Mahbubnagar, Our Interventional Pulmonology team with the support of Anesthesia treated this patient by cauterizing the granulation tissue in the trachea causing stenosis by ‘Rigid bronchoscopy’ followed by ‘Balloon dilatation’ of trachea.

Beyond the boundaries_interventional pulmonology team_SVS hospital (18)

Pre & post procedure results..

This relieved his symptoms and he was successfully discharged from the hospital.And he is asked to visit us for regular follow up…. This is the first procedure of its kind done in Mahbubnagar district , free of cost..  Hope we do more interventions like these and save people!! My hearty thanks to everyone who helped us in achieving this .. Stay tuned!!

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Happy doctors day: A poem by a Psychiatrist

National Doctors day is celebrated on July 1 all across India to honour the legendary physician and the second Chief Minister of West Bengal, Dr Bidhan Chandra Roy as per the info. He was born on July 1, 1882 and died on the same date in 1962, aged 80 years. Dr Roy was honoured with the country’s highest civilian award, Bharat Ratna on February 4, 1961. Happy Doctors day to all the Doctors out there..

Doctor’s poem: A poem by a psychiatrist

Welcome my dear patient,Confide in me your suffering.
My decades of long study, and my hard, exhaustive training, is always at your service.
But understand this, my friend That I am not God, but neither am I the Devil!
My sleep at night, I give up, and my time with my family too.
I sacrifice my own health, sometimes, in order to heal you.
These sacrifices I don’t regret.
But understand this, my friend That I am not God, but neither am I the Devil!
I shall treat your illness, every night and day.
But will you get well by it? I confess, I cannot say.
“What do you mean?” You ask.
My answer is, my friend That I am not God, but neither am I the Devil!
You may get better, your health, vigor renewed,
Your eyes will then be filled, with tears of gratitude.
I do not deserve those tears.
Offer them to God,my friend, for I am not God, but neither am I the Devil!
I merely give you medicine, as my Teaching would tell me to.
But God is really the one who restores health back to you.
He deserves the credit.
Understand this,my friend That I am not God, but neither am I the Devil!
The same medicine that healed you, may, also sadly,
Unexpectedly and without warning, cause illness in another.
It’s all Destiny and God’s will.
That’s the truth,my friend That I am not God, but neither am I the Devil!
Illness, health, life & death, are decided by Fate, you see.
They cannot be guaranteed, neither by you, nor me.
As your well-wishing PSYCHIATRIST AND DOCTOR, I can only try my best.
Accept this, my friend That I am not God, but neither am I the Devil!
So shower me, my dear patient, neither with praise nor hatred.

Try to understand & remember,
This cardinal truth instead, I am a human being like you,
Imperfect &mortal, my friend That I am not God, but neither am I the Devil!

Source of the poem: Google

Nipah Virus(NiV): Everything about this deadly virus

There has been reports of Nipah Virus outbreak in Calicut Kerala with a death toll of 14. The mortality rate has been quite high – more than 50%. So, Let’s know more about this deadly virus.

1. What is Nipah Virus?

Nipah Virus (NiV) is an emerging infectious disease which first appeared in domestic pigs in Malaysia and Singapore in 1998 and 1999.

There is evidence of Nipah infection among several species of domestic animals including dogs, cats, goats, and horses. Sheep may also be affected. However, since the initial outbreak it has primarily affected humans in different parts of the world.

The disease causes respiratory and occasionally nervous signs in pigs. It has devastating zoonotic potential. The organism which causes Nipah Virus encephalitis is an RNA virus of the family Paramyxoviridae, genus Henipavirus, and is closely related to Hendra virus. Hendra virus, formerly known as equine morbillivirus pneumonia or acute equine respiratory syndrome, is an acute, viral respiratory infection of horses and humans that has been reported in Australia.

Nipah Virus infection, also known as Nipah Virus encephalitis, was first isolated and described in 1999. The name, Nipah, is derived from the village in Malaysia where the person from whom the virus was first isolated succumbed to the disease.nipah

2. Where is the disease found?

There have been Nipah Virus infection outbreaks in pigs Malaysia and Singapore, and human disease in Malaysia, Singapore, India, and Bangladesh. Evidence of the virus without clinical disease has also been found in fruit bats in Cambodia, Thailand and Madagascar.

3. How is Nipah transmitted and spread?

Fruit bats, also known as‘flying foxes,’ of the genus Pteropus are natural reservoir hosts of the Nipah and Hendra viruses. The virus is present in bat urine and potentially, bat feces, saliva, and birthing fluids. Perhaps as a result of deforestation programmes, the Malaysian pig farms where the disease first originated had fruit trees which attracted the bats from the tropical forest, thus exposing domestic pigs to bat urine and feces. It is thought that these excretions and secretions initiated the infection in pigs which was then followed by a rapid spread through intensively reared pigs. Furthermore, transmission between farms may be due to fomites – or carrying the virus on clothing, equipment, boots, vehicles, etc.

4. What is the public health risk associated with this disease?

Nipah Virus is a zoonotic disease. Transmission to humans in Malaysia and Singapore has almost always been from direct, contact with the excretions or secretions of infected pigs. Reports from outbreaks in Bangladesh suggest transmission from bats without an intermediate host by drinking raw palm sap contaminated with bat excrement, or climbing trees coated in bat excrement. In Bangladesh and India, there have been reports of possible human-to-human transmission of the disease so precautions are necessary for hospital workers caring for infected patients.

Precautions should also be taken when submitting and handling laboratory samples, as well as in slaughterhouses. Typically the human infection presents as an encephalitic syndrome marked by fever, headache, drowsiness, disorientation, mental confusion, coma, and potentially death. During the outbreak in Malaysia, up to 50% of clinically apparent human cases died. There is no specific treatment for Nipah Virus. Supportive care is the general treatment for this disease.

5. What are the clinical signs of Nipah Virus?

Nipah Virus in pigs affects the respiratory and nervous systems. It is known as porcine respiratory and neurologic syndrome, porcine respiratory and encephalitic syndrome (PRES), and barking pig syndrome (BPS). It is a highly contagious disease in pigs; however the clinical signs vary depending on the age and the individual animal’s response to the virus. In general, mortality (death due to the disease) is low except in piglets. However, morbidity (illness from the disease) is high in all age groups. Most pigs develop a febrile respiratory disease with a severe cough and difficulty breathing. While the respiratory signs predominate, encephalitis has been described, particularly in sows and boars, with nervous signs including twitching, trembling, muscle fasciculation, spasms, muscle weakness, convulsions, and death. Some animals, however, remain asymptomatic. Natural infection of dogs with NiV causes a distemper like syndrome with a high mortality (death) rate.

6. How is the disease diagnosed?

The disease is difficult to diagnose based on clinical signs alone, however confirmation can be made through prescribed laboratory tests (OIE Manual of Diagnostic Tests and Vaccines for Terrestrial Animals).

7. What is being done to prevent or control this disease?

Prevention and control measures focus on immediate eradication by mass culling of infected and in-contact pigs and on antibody surveillance of high risk farms to prevent future outbreaks. After culling, the burial sites are disinfected with chlorinated lime. It is also recommended to use sodium hypochlorite (bleach) to disinfect the contaminated areas and equipment. Other important control measures have been a ban on transporting pigs within the countries affected, a temporary ban on pig production in the regions affected, as well as improvement of biosecurity practices. Education and use of personal protective equipment (PPE) by persons exposed to potentially infected pigs is highly recommended. Also, improved hygiene at pig operations is suggested.

One of the most important biosecurity measures for affected areas is to decrease the likelihood of the bat reservoir coming into contact with pig product ion facilities. Research into development of vaccines has been ongoing in Australia and France.

Precautions to be taken:

1. Be highly suspicious about any fever with respiratory symptoms of 2 or 3 days suddenly showing signs of encephalitis

2. Ensure you wear a mask during any interaction with patients in OPD / wards. Usual surgical mask is enough, but don’t use it for too long. Change mask!!

3. Proper hand washing and hand hygiene is very important. Ensure there’s no laxity in this…

Stay tuned for more updates…

Source: WHO, Google, NDTV etc.,

World Asthma day 2018: Spreading Awareness..

Today is World Asthma Day and the theme for this year is ‘Never too early, never too late. It’s always the right time to address airways disease.’ First Tuesday of May is commemorated as world asthma day in order to raise awareness about Asthma. IMG-20180501-WA0000.jpg

Why is it celebrated as World Asthma  day?

World Asthma Day makes the people to provide each and every knowledge about the Asthma and to get them every preventive measures for their own health. It makes the people to come together to spread the knowledge about the prevention, causes and control of the Disease. 

It is Organised by Global Initiative for Asthma (GINA), this year marks the 20th annual World Asthma Day in collaboration with the World Health Organisation (WHO). The WHO states that a total of 235 million people are suffering from asthma. As a part of World Asthma Day, We Pulmonology residents from SVS medical college, Mahbubnagar gave an awareness talk in a Multinational Company about asthma and the risk factors related to it. I am going to discuss more about asthma in this post…

What is asthma?

Asthma is a chronic lung disease which causes difficulty in breathing, wheezing, Chest tightness, Coughing and affects sufferers to varying degrees, asthma is caused by swelling and inflammation of the bronchial tubes, sometimes in reaction to allergens, exercise, stress or changes in temperature.

Is it curable?

As a health condition, asthma cannot be cured but can be controlled by bringing in a few lifestyle changes. It is not usually curable but can be controlled to certain extents, depending on how it affects the sufferer. If it is controlled then sufferers can live relatively normal lives, although some triggers may have to be avoided.

What are the causes of asthma?

  • Exposure to Indoor allergens  like Dust mites, pollution and pet dander etc.,

  • Outdoor allergens (such as pollen etc.,)

  • Tobacco smoke

  • Chemical irritants in the workplace

  • Air pollution.

How is controlled?

Asthma is controlled by prevention medications for symptoms and relief medication for flare-ups of asthma symptoms. Education and understanding are keys to effective control of asthma, which can be fatal if not managed properly.

World Asthma Day educates and raises awareness of the condition in the hope of relieving suffering and reducing deaths.

Key facts about Asthma:

  • According to the World Health Organisation (WHO) report, India has estimated 15-20 million asthmatics.

  • Some 235 million people currently suffer from asthma. It is a common disease among children.

  • Most asthma-related deaths occur in low- and lower-middle income countries.

  • According to the latest WHO estimates, released in December 2016, there were     383 000 deaths due to asthma in 2015.

 

Few Tips to prevent Asthma Attacks:

  1. Regular exercise:  Exercise helps by strengthening your breathing muscles, boosting your immune system and helping to keep a healthy body weight. The key to exercising safely is to make sure your asthma is under control before you start. .

  2. Avoid Triggers: If you are allergic to certain foods, you should avoid them. Allergies can trigger Asthma.

  3. Eat plenty of Fruits & Vegetables & foods that are rich in Vitamin-C & E, Beta carotene, Flavinoids, Magnesium, selenium & Omega 3 fatty acids which are found in Fish like salmon, Tuna and sardines and some plant sources, like Flaxseed.

  4. Avoid Trans-fats & Omega 6 fatty acids. There’s some evidence that eating Omega6 fats and Transfats which are found in some Margarines and processed foods, may worsen asthma.

  5. Most important tip is that make sure that you take your asthma medication as prescribed by your doctor. Many people think they can skip their asthma preventing (controller) medications when they don’t feel any symptoms – that’s not true. Asthma is a chronic (long-term) disease. If you have asthma, you have it all the time, even when you don’t feel symptoms. You have to manage your asthma every day, not just on days when you feel symptoms.

  6. Learn how to use your inhaler properly

  7. Quit smoking and avoid second-hand smoke.

Behind the mask: A short film by Post graduates of Svs medical College, Telangana

This Video is made to raise awareness in the community regarding TB on the occasion of WORLD TB DAY – MARCH 24, 2018. As India is determined to eliminate TB by 2025, we need more participation from the community to spread awareness about the early diagnosis and completion of treatment of TB. So be a leader for a TB-free world.

This Video is also being considered for a TB awareness campaign under the aegis of IAPSM, kindly LIKE and SHARE the video as much as you can and contribute your part for a TB-free world.