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Friday, 3 May 2019

[www.keralites.net] How Doctors In The Noble Land , That Is India, loot...

How Doctors in the Noble land, that is India, loot

Most of these observations are either completely or partially true. Corruption has many names, and one of civil society isn't innocent either. Professionals and businessmen of various sorts indulge in unscrupulous practices. I recently had a chat with some doctors, surgeons and owners of nursing homes about the tricks of their trade. Here is what they said

40-60% kickbacks for lab tests . When a doctor (whether family doctor / general physician, consultant or surgeon) prescribes tests - pathology, radiology, X-rays, MRIs etc. - the laboratory conducting those tests gives commissions. In South and Central Mumbai -- 40%. In the suburbs north of Bandra -- a whopping 60 per cent! He probably earns a lot more in this way than
the consulting fees that you pay.

30-40% for referring to consultants, specialists & surgeons . When your friendly GP refers you to a specialist or surgeon, he gets 30-40%.

30-40% of total hospital charges . If the GP or consultant recommends hospitalization, he will receive kickback from the private nursing home as a percentage of all charges including ICU, bed, nursing care, surgery.

Sink tests. Some tests prescribed by doctors are not needed. They are there to inflate bills and commissions. The pathology lab understands what is unnecessary. These are called "sink tests"; blood, urine, stool samples collected will be thrown.

Admitting the patient to "keep him under observation". People go to cardiologists feeling unwell and anxious. Most of them aren't really having a heart attack, and cardiologists and family doctors are well aware of this. They admit such safe patients, put them on a saline drip with mild sedation, and send them home after 3-4 days after charging them a fat amount for ICU, bed charges, visiting doctors fees.

ICU minus intensive care. Nursing homes all over the suburbs are run by doctor couples or as one-man-shows. In such places, nurses and ward boys are 10th cl-ass drop-outs in ill-fitting uniforms and bare feet. These "nurses" sit at the reception counter, give injections and saline drips, perform ECGs, apply dressings and change bandages, and assist in the operation theatre. At night, they even sit outside the Intensive Care Units; there is no resident doctor. In case of a crisis, the doctor -- who usually lives in the same building -- will turn up after 20 minutes, after this nurse calls him. Such ICUs admit safe patients to fill up beds. Genuine patients who require emergency care are sent elsewhere to hospitals having a Resident Medical Officer (RMO) round-the-clock.

Unnecessary caesarean surgeries and hysterectomies. Many surgical procedures are done to keep the cash register ringing. Caesarean deliveries and hysterectomy (removal of uterus) are high on the list. While the woman with labour -pains is screaming and panicking, the obstetrician who gently suggests that caesarean is best seems like an angel sent by God! Menopausal women experience bodily changes that make them nervous and gullible. They can be frightened by words like " and "fibroids" that are in almost every normal woman's radiology reports. When a gynaecologist gently suggests womb removal "as a precaution", most women and their husbands agree without a second's r
thought.

Cosmetic surgery advertized through newspapers. Liposuction and plastic surgery are not minor procedures. Some are life-threateningly major. But advertisements make them appear as easy as facials and waxing. The Indian medical council
has strict rules against such misrepresentation. But nobody is interested in taking action.

Indirect kickbacks from doctors to prestigious hospitals. To be on the panel of a prestigious hospital, there is give-and-take involved. The hospital expects the doctor to refer many patients for hospital admission. If he fails to send a certain number of patients, he is quietly dumped. And so he likes to admit patients even when there is no need.

"Emergency surgery" on dead body. If a surgeon hurriedly wheels your patient from the Intensive Care Unit to the operation theatre, refuses to let you go inside and see him, and wants your signature on the consent form for "an emergency
operation to save his life", it is likely that your patient is already dead. The "emergency operation" is for inflating the bill; if you agree for it, the surgeon will come out 15 minutes later and report that your patient died on the operation table. And then, when you take delivery of the dead body, you will pay OT charges, anaesthesiologist's charges, blah-blah-

Doctors are humans too. You can't trust them blindly. Please understand the difference.

Young surgeons and old ones. The young ones who are setting up nursing home etc. have heavy loans to settle. To pay back the loan, they have to perform as many operations as possible. Also, to build a reputation, they have to perform a large number of operations and develop their skills. So, at first, every case seems fit for cutting. But with age, experience and prosperity, many surgeons lose their taste for cutting, and stop recommending operations.

Physicians and surgeons. To a man with a hammer, every problem looks like a nail. Surgeons like to solve medical problems by cutting, just as physicians first seek solutions with drugs. So, if you take your medical problem to a surgeon first, the chances are that you will unnecessarily end up on the operation table. Instead, please go to an ordinary GP first

Prof. B. M. Hegde, Editor-in-Chief, The Journal of the Science of Healing Outcomes,
Chairman, State Health Society's Expert Committee, Govt. of Bihar, Patna.
Former Prof. Cardiology, The Middlesex Hospital Medical School, University of London,
Affiliate Prof. of Human Health, Northern Colorado University,
Retd. Vice Chancellor, Manipal University,
Dr.B.M. Hegde, MD, FRCP, FRCPE, FRCPG, FRCPI, FACC, FAMS.
Padma Bhushan Awardee 2010,
has written two books on practices among medical practitioners. Every one should read them.

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Thursday, 2 May 2019

[www.keralites.net] Thyroid Problem

Do you know that thyroid problems are becoming more and more
relevant among women as they age?
You need to realise that thyroid has a major role to play in your
body related to metabolism, cell growth and regulating calcium
levels in blood. A change in the thyroid level can upset a lot of
things inside. I find myself obliged to tell you the tops signs of
thyroid problem which even doctors may miss.
1. Weight Loss or Gain - A change in the metabolism rate in
inevitable if you have an overactive thyroid. You find yourself
losing weight even when you have more food cravings because more
energy is getting burned. Hypothyroidism will cause low metabolism
rate and weight gain.
2. Mood swings and Fatigue - An upset thyroid will manifest in
abnormal mood swings and tiredness in some. So if you feel
depressed, forgetful or lethargic, don't worry. Just get your blood
test (Thyroid Function Test) done.
3. Aches and pains - Thyroid disease can cause joint pains, cramps,
stiffness, tingling or symptoms which are similar to those of
Carpal Tunnel Syndrome. Some even complain of throat pain or pain
in the thyroid area in the neck.
4. Changes in neck - If you find a swelling, any change in your
neck or hoarse voice then its probably your thyroid.
5. Hair loss and fragile skin - Many thyroid patients fail to
realise that hair loss is a side effect of thyroidism. If you lose
hair on the outer edge of the eyebrows or on body, do check you
thyroid. Dryness, flaky and itchy skin can also indicate thyroid
imbalance.
6. Bowel problems - Constipation or diarrhea, Irritable bowel
syndrome are found to be related to thyroid disorders.
7. Fertility issues - Women suffer from menstrual irregularities
and fertility issues due to their thyroid imbalance. Unfortunately,
some women fall victims to miscarriage without realising that it is
caused by their largest endocrine glands, the thyroids.

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[www.keralites.net] Home Remedies For Acidity

10 home remedies for acidity that really work!

Acidity foodsAll of us have suffered from acidity at some point in our lives. Either it is that extra gulab jamun at a family function or that spicy samosa during tea break. Whatever the reason may be, acidity can be quite an uncomfortable experience, and sometimes we are left with no option but to reach out for that bottle of antacid.But, did you know that there are alternative, n atural remedies that work just as well and don't leave you with the ill-effects of too much medication? Read about the new-age technique to relieve the symptoms of acidity.
Here are 10 things to treat acidity and its recurrence at bay:

Bananas: Are high in potassium which is an alkalizing mineral that has a high pH value. The higher the pH value, the lower the acidity, which isBananaswhy the banana is a formidable antidote for acidity. They also have a component that makes the stomach lining produce more mucous. This mucous protects the inner lining of the stomach, reducing the damage caused due to acidity. It is high in fibre content, which helps speed along digestion thus reducing the further recurrence of acidity. To make this remedy even more effective try and eat overripe bananas during an attack of acidity. They have higher amounts of potassium making it even more effective. Read about the health benefits of bananas.

TulsiTulsi: Has compounds that make it an effective digestive agent. It stimulates the stomach to produce more mucous and has potent anti-ulcer properties. It also reduces the effect of peptic acids in the stomach thereby preventing excessive acidity. They also reduce gas formation. Eat five to six basil leaves after your meal to get instant relief. Read about the health benefits of tulsi.

Cold milk: Milk has a high amount of calcium that helps it prevent acid build up and absorbs the excess acidGlass of milkproduced thereby reducing the symptoms; the fact that it is cold also provides instant relief from the burning sensation one feels during acid reflux. It is essential that one has this cold and without any additives like sugar. Mix it with a spoon of ghee to make the remedy even more effective. Read about the health benefits of ghee.

SaunfSaunf: Called fennel in English and popularly used as a mouth freshener, saunf has many hidden benefits. Among them are aiding digestion reliving constipation. Rich in volatile oils containing flavanoids, plamitic acid and many others, it is known to have very potent anti-ulcer properties (find out how you can deal with mouth ulcers naturally). Apart from that saunf acts as a coolant for the lining of the stomach helping it heal faster. In fact, this is why saunf is served after meals at restaurants. In case you've a sudden bout of acidity, boil a few seeds in water and leave overnight, drink this water when you feel uneasy
.
Jeera: It has properties that stimulate the production of saliva which helps in better digestion, improves Jeera metabolism and relieves gas and other gastric troubles (find out what you can do to boost your metabolism). In Ayurvedic traditions, it's believed to have a calming effect on irritated stomach nerves and helps in healing ulcers formed due to acid secretion. One can either chew on it to relieve acidity or a better method is to boil it in water and drink the water when it has cooled down. Read about the health benefits of jeera.

Cloves Clove: It is a natural carmitive and helps improve peristalisis (the movement of food down the stomach) and also increase the production of saliva. It has a pungent taste when bitten into, and the taste buds react to this taste and secrete excess saliva, which in turn aids digestion. In case you're suffering from acidity, bite a clove once so that the juice is released and then keep it in the mouth. The slowly escaping juice will immediately lower acid reflux and give you some relief.
Elaichi: In Ayurvedic traditions, cardamom is believed to be one food that balances all three doshas –Elaichi kapha, pitta and vata. It is known to stimulate digestion and relieve people of stomach spasms. It soothes the mucous lining of the stomach helping it ward off the effects of excess acid produced in the stomach. Due to its sweet taste and slight cooling effect it also relieves the burning sensation associated with acidity. To relieve acidity crush two pods of cardamom (with or without the skin), boil the powder in water and drink the cooled juice for instant relief.

Mint leavesMint leaves or pudina: These leaves have been used for ages as a mouth freshener and also for garnishing for various foods (read about the other ways to beat bad breath naturally)This humble leaf has amazing properties that make it just the medicine to treat acidity. It also lowers the acid content of the stomach and improves digestion. Plus its cool effect helps to reduce the pain and burning associated with acid reflux. If you feel an attack coming on chop some mint leaves, add them to a pot of boiling water and drink this water after it cools. Read about the health benefits of pudina.

Ginger: A regular ingredient in most Indian households, ginger improves absorption and assimilation of Gingeressential nutrients and aids in digestion. It also helps break down the proteins in your food. Ginger protects your stomach against ulcers by promoting mucus secretion thereby reducing the effect of the acid on the stomach. You can chew a piece of ginger for relief. If you find that too pungent, you can try boiling it in water and drinking the decoction. Another remedy is to crush ginger, mix it with a small piece of jaggery and keeping sucking on it allowing the juice to slowly reach the stomach. Read about the health benefits of ginger.
AmlaAmla: Is a kapha and pitta pacifier apart from having high amounts of vitamin C that helps in healing the injured stomach lining and oesophagus. Have one teaspoon ofamla powder twice a day to help keep acidity way. Read about the health benefits of amla.

So the next time you feel like you might suffer from a bout of acidity, ditch that bottle of antacid, and try some effective home remedies instead, after all they've been around for centuries.