CAN AYUSH / AYURVEDA DOCTOR PRACTICE SURGERY / MEDICINE USING ALLOPATHIC DRUGS ?
Posted by on Wednesday, 14th September 2016
A battle is being fault every second day as AYUSH OR AYURVEDA/HOMEOPATHIC/UNANI SIDDA/ ACUPUNCTURIST/ ACCUPRESSOR/REKI /RMP /COMMUNITY PRACTITIONERS/ALTERNATIVE MEDICINES HEALERS can be treated as ALLOPATHIC DOCTORS OR MODERN MEDICINE DOCTORS and inspite of being training only in their systmem OF THERAPY ,CAN THEY USE MODERN MEDICINES /DRUGS TO CURE DISEASES in Practice ?Can be appointed at same level in Govt.Hospitals by Government /Pvt Hospitals & Nursing homes using modern surgical procedures or medicines for treatment or Can be converted in to Modern Medicines Doctors? Regarding this SUPREME COURT UNDERLINES THAT NO ALLOPATHIC DOCTOR CAN WRITE AYUSH MEDICINES SAME WAY NO AYUSH DOCTORS CAN WRITE MODERN MEDICINES AND CAN NOT PRACTICE AS MODERN MEDICINES DOCTORS as Modern medicine is very Life saving but fatal too as any mistake can cause serious damage or kill the patient so cant be practised by simple knowing few pharma medicines and as its study is difficult and need a course of six years for undergraduate, 10 yrs for PG and 12-15 yrs for being superspecialist with hard to crack entrance examinations at every label sothat DOCTORS PRODUCED HAVE GOOD KNOWLEDGE TO BE RECOGNISED NATIONALLY AND INTERNATIONALLY.HENCE A STRICT MCI MADE TO LOOK AFTER ITS ETHICS,CURICULLUM AND TRAINING BUT AS MBBS DOCTORS HAVE NAME AND FAME WITH MONEY SO MANY PVT MEDICAL COLLEGES CAME AND UNDER TAINTED MCI WITH DR KETAN DESAI OR FOLLOWERS AS GOVERNORS SOLD EVERY ETHICS RECOGNISED MANY PVT MEDICAL COLLEGES WITH FAKE PATIENTS,GHOST FACULTY TEACHERS AND POOR LABS/OTS AND EQUIPMENTS TAKING CRORES AS BRIBE AND A MARKET OF BLACK MONEY OF THOUSAND CRORES IS EXISTING SO THERE IS SHORTAGE OF DOCTORS MORE FOR SPECIALIST AND SUPERSPECIALISTS. To counter this SHORTAGE ,our policiticians have recommended that ALL AYUSH DOCTORS SHOULD BE TRAINED A LITTLE AND CONVERT THEM TO MODERN MEDICINES DOCTORS AS THERE IS CORRUPTION AND KICKBACKS IN OUR POLITICS SAME WAY THEY THINK DOCTORS CAN BE MADE but who will get treated by these no educated QUACKS as Politicians and rich affordable always move to specialists and super specailist for their problems only poor and backward will be allowed to die in their hand ,secondly no country in world will recognise them,no one from foreign country will come to India for treatment whose modern medicines,at present time,is at par or excellant than UK/USA/Germany/France /Australia's Treatment Modalities. But our politicians for winning votes want otherwise,they have posted Ayush doctors with same payment scale in all government hospitals ,started a new ministry disregarding the fact that MOST OF THEM TREAT PATIENTS IN THEIR CHAMBERS IN CITY/TOWN/ MOHALLAS/ VILLAGES AND EVEN IN METROS BY MODERN MEDICINES ONLY PUTTING TOUGH COMPETITIONS TO TRAINED MODERN MEDICINES DOCTORS.GOVERNMENT NEVER TAKES ACTION AGAINST SUCH "QUACKS" AS STATED BY SUPREME COURT. IT IS CLEAR THAT TO BE MODERN DOCTORS MANY USE EASY AYURVEDA / HOMEOPATHIC / UNANI SYSTEM TO BE A DOCTOR WHERE FEES ARE CHARGED ONLY AND MANY STUDENTS ARE PASSED WITHOUT PROPER TRAINING BY PAYING BRIBES TO THESE AYUSH COLLEGES AND AFTER PASSING THEY ONLY USE MODERN MEDICINES AND WORK AS JUNIOR DOCTORS IN MANY SMALL AND BIG HOSPITALS/ NURSING HOMES OF MANY CITIES/TOWN ALMOST ALL OVER INDIA WHICH HAS BEEN TERMED ILLEGAL BY SUPREME COURT.IN INDIA ANY BODY CAN PRESCRIBE MEDICINES,WITHOUT TRAINING MANY "BABAS"/SADHU PRACTICE MEDICINES AND ARE HIGHLY RECOGNISED IN THE SOCIETY AND OUR LAW ENFORCEMENT AGENCY NEVER TAKES ANY ACTION,IN COURT JUSTICE IS SO MUCH DELAYED THAT NO ACTION HAPPENS IN 10-20 YRS SO TO BE A DOCTOR IS A FASHION IN INDIA IF ONE CAN'T READ MEDICINES THEN TAKE A TRAINING IN REKI, SABLOK, ACCUPUNCTURE,MAGNET THERAPY,ACCUPRESSURE, PHYSIOTHERAPY, OPTOMETRY,LAB ASSISTANT OR AS RMP NURSE AND PUT "DOCTOR "INITIAL BEFORE NAME AND "DOCTOR SIGN" ON YOUR CHAMBER/HOUSE/ MARKET/VEHICLE AND PRACTICE ,NO BODY WILL CHECK YOU AND IF CAUGHT, PAY MONEY TO HEALTH OFFICIALS/ POLICE/POLITICIANS OR COURT AND GET FREE SO TO PRACTICE MEDICINE IN INDIA IS VERY EASY AND IS A GOOD PROFESSION TO EARN .EVEN SENIOR DOCTORS WHO GET REFERRAL FROM SUCH "QUACK" DOCTORS,TRY TO PROTECT THEM FROM INSIDE BUT OUTSIDE THEY ARE AGAINST THEM IN THEIR ASSOCIATIONS LIKE "IMA". A NEW BATTLE FOUGHT IN KERALA HIGH COURT WHERE SURGERY AND OTHER PROCEDURES AS DELIVERY OF CHILD BY USING MODERN MEDICINES CAN BE TAUGHT TO THEM OR NOT AND LATER CAN THEY PRACTICE IT USING MODERN MEDICINES.During the hearing, allopathic practitioners argued, that such training and observations hardly benefitted people while being in clear violation of the spirit of the MCI Guidelines. Ayurvedic practitioners on the other hand argued such training and observations were a part of their curriculum and was being imparted to students for the last 20 years.Dr Rejith Anand, general secretary of Ayurveda Medical Association of India said that knowledge could not be monopolised by anyone, which emphasised the right of Ayurveda students to train in modern medicine and the future of Ayurveda students and even existence of Ayurveda colleges hangs in balance, unless the government takes a concrete decision.If the training is not imparted as per syllabus, the Central Council of Indigenous Medicine (CCIM) and even the state council is unlikely to give registration to students and affiliation to colleges.” The argument was met with a strong rebuttal from the allopathy doctors, who stated that no ‘observership’ of any kind could be allowed in modern medicine hospitals, and if such a thing happens, allopathic practitioners would oppose it. Dr A V Jayakrishnan, IMA State president highlighted that this went clearly against MCI guidelines which state that modern medicine students can only be trained in modern medicine institutions. Speaking to IE, he also questioned Ayurveda doctors’ claim of observing the procedure for an exposure in basic aspects of modern medicine, saying,‘’Our system is different from theirs. Then what is it they want to observe? Surgery, labour and autopsy are not exhibitions. Moreover, what use it will be for an Ayurveda doctor who does not practise modern medicine?’’ PLEASE WRITE YOUR VIEWS WHETHER MODERN MEDICINES DOCTORS SHOULD ALLOW THIS"QUACKERY" ? THE PRESENT TOUGH COMPETITIONS OF MODERN MEDICINES DOCTORS IN PRACTICE TO FACE SO CALLED "QUACKS / OR OTHER PATHY DOCTORS USING MODERN MEDICINES FOR TREATMENT" BE ALLOWED BY OUR POLITICIANS LAW ENFORCEMENT AND DELIVERING SYSTEM? OR CHANGING THEM LEGALLY INTO MODERN MEDICINES DOCTORS BRINGING NEW LAW IS JUSTIFIED OR NOT?
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NITI AYOG & NMC PROMPTING CORPORATES TO OPEN MEDICAL COLLEGES MAY RUIN OUR MEDICAL EDUCATION
Posted by on Tuesday, 6th September 2016
There is,no,need of any new medical colleges in this country by any agency profit making or non profit making . There are enough medical colleges churning out substandard , poorly trained medical graduates .Already most private medical colleges are owed by rich or politicians. So no need to start any more. The need of the hour is quality and not quantity. Most private medical colleges are having on roll staff and not regular staff. All their Data is highly inflated. The quality of knowledge which doctors aged 65 yrs have is not there in new graduates. So have a mercy on poor citizens and do not start any more Private college. Need is to,bring the existing medical colleges to the standard that a medical colleges needs to,have . Further more all other central and state run medical facilities needs to,be strengthened and made accountable . Referral and evacuation system from primary to,tertiary medical,facility should be developed . The tragedy here is even the primary centre is so poor in provinding services that one can simply shudder thinking if your own kith and kin was to seek medical service there . Our present medical colleges are ill equipped , they lack in facilities that a normal standard medical college must have . Faculty members are practice oriented and non committed lot . Reason they are paid starvation wages . Very high quality training , assured placement I. Government run health facility with adequate salary ,ban on practice and development of state wide interlinked clinical service network is the need . Medical record keeping at all centres from primary health centre to the apex tertiary care unit in the chain of evacuation needs to,be developed . Health of an individual who reports at a primary centre should become total responsibility of the state including transfer of the patient to a higher centre , computerised nationally linked web WAN ( wide area network ) should,be developed and be functional to all health care providers working at any place in the country , involved in the care and treatment of a patient . Private sector must also have responsibility to maintain electronic records of patients and the same be connected to state,system for retrieval of the information of the patient . Internship should,be closely monitored and supervised with maintenance of interns logs and they be examined for their work place based competencies before being given an internship completion certificate . I have seen interns being totally unaware and unfamiliar with any good clinical oriented work and working as independent doctor a most are busy to have training for PG and most rely diagnostic blood tests and radiological tools as x-ray,usg,mrict scan for diagnosis only. DR ASHOK PANGARIYA IA NOTHING BUT IMF USA man HERE CHOOSEN BY PM MODI WITHOUT SEEING HIS CREDENTIALS,HE OPPOSED INDIA BEFORE IMF AND USA MANY TIMES AS STATED BY SUBRAMANIYAM SWAMY ,HE IS HERE TO EARN CRORES,A NEXT CHELLA OF DR KETAN DESAI,HE HAS FORMED NATIONAL MEDICAL COMMISSION WHERE 60% SEATS WILL BE ALOTTED BY PVT MEDICAL COLLEGES ON THE FEE STRUCTURE DECIDED BY THEM,A MBBS SEAT WILL BE SOLD FOR 2 TO 5 CRORES AND PG SEAT FOR 10-15 CRORES AND MCH,DM FOR 20 TO 30 CRORES,ONLY MIDDLE CLASS PEOPLE OR LOWER CLASS PEOPLE SEND THEIR SIBLINGS FOR STUDYING MEDICAL SO NO ONE WILL BE ABLE TO READ HERE ONLY BIG BUSNESSMEN,NRIS,INDUSTRALISTS OR FOREIGNERS ,POLITICIANS,BUREAUCRATS,JUDGES EARNING IN CRORES CAN AFFORD IT,SO NOW THEIR CHILDREN WILL BE DOCTORS AND THEN THEY WILL MULTISPECIALITY HOSPITALS AND MEDICAL COLLEGES AS ADVISED BY NITI AYOG WHER POOR WILL STARVE OR WILL DIE WITHOUT TREATMENT ,so what Pangariya and other colleagues and Members of NMC ,politically selected, incompetant bureaucrats or policy makers or their stooges or 1 to 2 doctors will EARN IN CRORES AS JUSTICE KABIR AND DR KETAN DESAI EARNED .By replacing Planning Commission to Niti Ayog nothing happened but all persons replace by new faces with poor credentials who enjoy big salaries,foreign trips with free air fare and meetings in 5 storey buildings.Same way by changing MCi nothing new will come as present day many elected members have got no say,mostly president secretary and few top office bearers are followers of Dr Ketan desai so doing all illegal works,send their selected few Assessors to different pvt medical colleges in name of computer selection and recognise such colleges where most of their indoor and outdoor patients list is fake,even fake nearby villagers are admitted on day of inspections with more than 60 percent ghost faculty teachers who are present on the day of assessment only with very few icu,ot,lab and diagnostic facilities and meagre teaching facilities,class rooms,libraries,play ground etc BUT as crores paid and share provided to top office bearers so WHERE EVERY BODY IS BLIND,DEAF AND DUMB , THESE ARE EVIDENT ON MANY TV STING OPERATIONS,BY SUPREME COURT BY PARLIAMENTARY COMMITTEE which recognise MCI as A MOST CORRUPT BODY RESPOSIBLE FOR A BUSINESS OF THOUSAND CRORES OF MEDICAL EDUCATION.Taking steps from this and SC intervention to introduce NEET ,Niti Ayog thought new idea of forming a NMC where Big houses has been allowed to open new colleges with discreation to keep their own fee in 6o percent seats where for any deficiency in medical college be it infrastructure of fake patients or ghost teachers or lack of medical educaton for up to 03 yrs by paying simple penality MEDICAL COLLEGES WILL BE ALLOWED TO RUN ,where few its members will decide every thing and even court will not be able to interfere in their decision.Beside this they will bring a MBBS and PG exit exam so that more people help foreign countries to establish fake medical colleges there as foreign students till date are allowed only for such exit examinations as MBBS or PG students will have to pass four semisttars and part clearance examinations and pg entrance test but IAS ,IPS,Pangariya like economic graduated passed a single post gradute exam or one PSC competition test with viva where every chance of selection by manipulation or favourism present but now these LESS EDUCATED AND IMCOMPETANT RULERS ,most of could not competer mbbs or enginnering PMT,PET TO BE DOCTORS OR ENGINEERS at their time AS PVT COLLEGES WERE NOT PRESENT THAT TIME WILL NOW GOVERN US,THE MOST TALENTED AND HARD WORKERS DOCTORS. Need of hour is that we replace MCI with good office bearers elected on good credentials rather than politically as selected from most state council and by centre and if they really work honestly and recognize PVT Medical Colleges on merit of good no of facilities where good no of patients are really treated,good faculties in enough number always present to impart good education rather all these on papers by DIGITAL ON LINE LIVE MONITORING NOT ON THE DAY OF INSPECTION BUT ROUND THE CLOCK ,VISIBLE TO ALL as offenders should be punished by a prompt judiciary rather than a RECOGNITION on payment.Fee should be decided by elected Government or MCI considering facilities of medical Colleges by grading and no need of many EXIT EXAM FOR ALREADY HEAVY BURDENED PASSOUT MBBS GRADUATE AS HE HAS TO TAKE EXAM FOR PG ENTRANCE TOO. Industralists or businessmen or politicians may be encouraged to open new medical colleges for imparting good knowledge by mind set of donations not for earning and multiplying their wealth as SUPREME COURT SAYS MEDICAL FIELD IS FOR EDUCATION AND SERVICE NOT FOR MINTING & PRINTING MONEY AS PREVALENT NOW A DAYS AND OUR NITI AYOG IS ALSO PROMOTING THE SAME. Would you like to share this with your colleagues? Email Be the first one to share this post
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CLOSTRIDIUM DIFFICILE-Antibiotic Diarrhoea,Restrict Use Of ANTIBIOTICS Unnecssarily
Posted by on Sunday, 4th September 2016
CLOSTRIDIUM DIFFICILE often called C-difficile, or C- diff, is a type of bacteria that causes symptoms that can range from diarrhea to life threatening inflammation of the colon.Since the commonest cause of this diarrhea is long term use of antibiotics , it is also called antibiotic diarrhea. In recent years C-diff has become more frequent, more severe and difficult to treat. Your risk is greatest if you are taking or have recently taken antibiotics. The risk is higher if you take multiple antibiotics for a prolonged period. Seen more in older age group, recently hospitalized for an extended period. C-diff infections are seen more in nursing home or longterm care facilities. It is found more among patients with weakened immunity and those who have some underlying medical illnesses. Patients who have had some abdominal surgeries or have colon disease such as inflammatory bowel disease , colorectal cancer or previous C-diff infection are also at risk. The antibiotic that most often leads to C-diff infection include fluroquinolones, cephalosporins, clindamycin and penicillins. These drugs can destroy some of the normal, helpful bacterias in your colon. Once established it produces toxins that attacks the lining of the intestine. The toxin destroys cells and produces plaques of inflammatory cells and decaying cell debris inside the colon. Some new strains of C-diff has emerged that are resistant to certain medications and are deadly. Stool tests like enzyme immune assay and tissue cultures are used to detect this infection.Flexible sigmoidoscopy is sometimes used to confirm the diagnosis. CT scan may be ordered if there is a concern about possible complications like pseudomembranous colitis. Bowel perforation and toxic megacolon are also some of the complication of C-diff.Severe diarrhea may cause dehydration and in some cases kidney function may deteriorate. If not treated promptly this can be fatal.Most common symptoms are, watery diarrhea 10-15 times a day, abdominal cramping, fever, pus or blood in the stool, nausea, dehydration, loss of appetite and weight loss. The first step in treating C-diff is to stop taking the antibiotic that triggered the infection. In an ironic twist, the standard treatment for C-diff is another antibiotic. Usually metronidazole , for mild to moderate and vancomycin, for severe symptoms are the drug of choice. Probiotics are given in conjunction with the antibiotics to restore intestinal flora.For people with severe pain, organ failure or inflammation of the colon , surgery to remove the diseased portion of the colon may be the only option. Would you like to share this with your colleagues? Email Be the first one to share this post
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WHY ART CALLED HAART WHAT IS COUNITY VIRAL LOAD
Posted by on Saturday, 3rd September 2016
WHY ART CALLED HAART WHAT IS COUNITY VIRAL LOAD
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ART is the acronym commonly used today to describe HIV antiretroviral therapy. Previous to this, clinicians and scientist would use the term cART (combination antiretroviral therapy), and previous to that the popular term HAART was used to describe "highly active antiretroviral therapy."
Whatever the acronym used, the term implies the use of three or more antiretroviral drugs, either taken individually or in fixed dose combinations. The aim of therapy is to ensure the suppression of HIV to so-called "undetectable" levels—meaning that the virus is not fully eradicated, but is simply beneath detection levels of current testing assays.
As opposed to single-drug or dual-drug therapy, the combination of three or more active drugs is known to effectively suppress the variety of resistant HIV that can exist within a viral population. Essentially, if one drug is unable to suppress a certain viral mutation, the others will likely be able to do so.
High levels of adherence are needed in order to maintain therapeutic drug levels in the blood. If these levels fall beneath the therapeutic threshold, resistant strains are provided an opportunity to thrive. The larger these resistant populations, the less effective the drugs will be in suppressing HIV replication—eventually leading to viral rebound and treatment failure.
Classes of ART
There are currently five classes of antiretroviral drug, each of which inhibit a specific stage in the HIV life cycle:
Entry or Fusion inhibitors (which include CCR5 receptor antagonists)
Nucleoside and nucleotide reverse transcriptase inhibitors (NRTI/NtRTI)
Non-nucleoside reverse transcriptase inhibitors (NNRTI)
Integrase inhibitors
Protease inhibitors
Other classes of antiretrovirals are being investigated, while newer-generation drugs aim to improve tolerability, reduce adverse effects and simplify dosing for those on therapy.
To this end, an increasing number of fixed dose combination (FDC) drugs are now available, combining two or more drug into a single pill or tablet. Some, including Atripla ((tenofovir + emtricitabine + efavirenz), Triumeq (abacavir + lamivudine + dolutegravir) and Stribild (tenofovir + emtricitabine + elvitegravir + cobicistat) offer all-on-one formulations for simplified, daily dosing.
Future of ART
With advances in HIV drug developments, ART is now being employed as a means to reverse infection rates in high prevalence HIV populations.The strategy, known as Treatment as Prevention (TasP), has been shown to reduce the risk of transmitting HIV by suppressing viral activity to undetectable levels. In doing so, the risk of transmission is reduced by as much as 96%.By ensuring widespread drug distribution, ART can lower the so-called "community viral load" (the median viral load within a community) to levels where the likelihood of transmission is significantly, even profoundly, reduced
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What are the relevant MCI Regulations for Issuance of Medical Certificates
Posted by on Saturday, 3rd September 2016
1.3.3 A Registered medical practitioner shall maintain a Register of Medical Certificates giving full details of certificates issued. When issuing a medical certificate he/she shall always enter the identification marks of the patient and keep a copy of the certificate. He/She shall not omit to record the signature and/or thumb mark, address and at least one identification mark of the patient on the medical certificates or report. The medical certificate shall be prepared as in Appendix 2.
1.4.1 Every physician shall display the registration number accorded to him by the State Medical Council/Medical Council of India in his clinic and in all his prescriptions, certificates, money receipts given to his patients.
1.4.2 Physicians shall display as suffix to their names only recognized medical degrees or such certificates/diplomas and memberships/honors, which confer professional knowledge or recognizes any exemplary qualification/achievements.
7.3 If he/she does not display the registration number accorded to him/her by the State Medical Council or the Medical Council of India in his clinic, prescriptions and certificates, etc. issued by him or violates the provisions of regulation 1.4.2.
7.7 Signing Professional Certificates, Reports and Other Documents: Registered medical practitioners are in certain cases bound by law to give, or may from time to time be called upon or requested to give certificates, notification, reports and other documents of similar character signed by them in their professional capacity for subsequent use in the courts or for administrative purposes etc. Such documents, among others, include the ones given at Appendix–4. Any registered practitioner who is shown to have signed or given under his name and authority any such certificate, notification, report or document of a similar character which is untrue, misleading or improper, is liable to have his name deleted from the Register.
Source: MCI Code of Ethics Regulations, 2002.
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