Category Archives: Health

Why cesarean sections are rising in private practice in India?

In the recent time, particularly in private practice the toll of cesarean sections are quite high in various parts of India. This author tried to speculate why cesarean sections are rising in India and here are the understandings of this author (which are also enriched by some real life experiences).

First question is whom to blame for this rising trend of C- sections in the private practice, the doctors or the patients. The answer might seem like to both, but I feel doctors. Why? Some people might cite that the ladies today are too softie and want everything smoothly with out undergoing the labor pain. But I feel that it’s not wrong for a woman to avoid pain of all sort in life and even labor pain. Besides alleviating pain, since family sizes are shrinking these days and becoming restricted to 1 to 2 children a vaginal delivery might be perceived as risky health practice by some pregnant mothers and their families, who feel cesarean can be a safe alternative to achieve a complication free birth.

The point to understand in this regard is that patients can actually demand anything based on their understandings, but that shouldn’t be an alibi for doctors to incise a woman’s tummy. Ethically doctors are supposed to explain the pregnant lady and her family about the pros and cons of the cesarean section and also stating when such an operation is really indicated. Unfortunately, these ethical issues are only limited to legal papers and texts with not much real life utilisation. Therefore, in my opinion the doctor should explain clearly the issues of delivery with out any word game during conversation to bend the patient and her family members mind set towards an unnecessary cesarean section.

Next question is why doctors in private practice incline more towards a c-section. I feel ‘money making’ will be a partly correct answer, a better phrase would be ‘easy money making’. When a doctor opts to do a cesarean section he doesn’t need to monitor the patient for long hours (unlike normal vaginal delivery). For long hours of observation, more staff are needed and more time needs to be dedicated, which counts as a negative feature for private practitioners. Not only that for conducting normal vaginal delivery doctors need to be available 24×7 because a pregnant patient may go into labor anytime, and private practitioners wouldn’t probably prefer to compromise their nights sleep regulalrly for their entire life, unlike their days when they worked as a resident trainee doctors. Elective cesarean is just like regular outpatient practice, where the cesarean operation can be done at any time convenient to both the doctor and patient.

A third query can be why then women who want a normal delivery with no indication for cesarean section voluntarily go to the government run hospitals where normal delivery is generally offered for eligible cases. This is a complex issue to answer. Many people don’t find the state run hospitals clean and hygienic enough. These hospitals are often accused for baby missing complaints after delivery. Sometimes, cats and other non-human species can find their way inside the hospital wards, and this author witnessed such multiple times. Unlike private practice setup where a woman can get treated under a particular obstetrician of her choice, in state funded hospitals less likely all women will be delivered by senior experienced obstetricians  and things might worsen particularly in night time when the lonely unsupervised trainee doctors makes a mess of situations like when shoulder of a baby which gets stuck in birth canal or the mother starts bleeding uncontrollably. Statistics is always good on paper and presentation, but in real life the loss of life or permanent complication of a mother and/or her baby is cent percent for that individual and her family. Its not wrong for a pregnant female to get delivered under skilled confident doctors rather than unsupervised learners. And at this particular point a cesarean section in private is possibly justified unless the government can make any drastic change in the trend.

Lastly, what can be the solution to avoid the unwanted indication-less c-section problem. Bringing in strong laws is obviously an option to compel private practitioners to follow the conduct of medical ethics. Besides that the country should adopt better recruiting, training and licensing system for doctors from nations that are best in obstetrics care in the world. Also the patients and their family members should be made aware about the wrong doing of unnecessary cesarean sections, so that they can demand a normal delivery when there isn’t any indication for Caesarean section. Furthermore, patients should be given legal right to record their doctors counselling about what mode of delivery should they choose so that at a latter time they can take it to the court as a piece of evidence.

Let’s hope, some day the social media loving policy framers will start tweeting on this topic too to get fame (which seems too delicious to them, ‘the Narcissistic farts’), and bring in some fragments of happiness to their citizens.

 

P.S.: Views and opinions expressed in this post are author's individual, not meant to hurt anyone in any form. If such has happened unknowingly, please understand it as a mere accident and not intentional.
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Does exposure to cold causes common cold?

Many a times, we find that if we don’t take proper protection from cold, we might catch a flu and have runny nose and fever for about a week. That means we can get a viral due to cold sometimes.

“Getting exposure to cold means getting a cold” – is not the rule, if it was so then 99% of the inhabitants of the cold weather nations should have got flu 24*7 and 365 days. However, that don’t happen. Cold weather don’t necessarily mean you will get a ‘common cold’, a dirty viral illness which can spoil your new year celebrations.

Then how is cold associated with common cold. You can get cold, no matter you live in warm or cold climate. When your body is not protected properly from the harshness of severe weather or when you are exposed to situations above your tolerance duration like a bath in ice cool water for more time than you can really tolerate or staying in wet cloth for long hours, allowing your body heat to evaporate fast. Such cold exposures which don’t help to maintain you core body temperature, disturbs the way your immune system defend your body from common cold. So the temporary weakening or malfunction of immune system due to decreased body temperature will fail to protect the body from viruses that can cause common cold. Hence it is true that sometimes cold can give you a common cold.

Hope you don’t get a single episode of common cold this year.

Chronic kidney disease and protein diet

wpid-wp-1412484257914.jpegGenerally in advanced cases of kidney failure, protein diet restriction is advised.

Why?

The protein products like meat and fish, which we eat get degraded in our body and these degraded metabolites act as toxins, since the chronically ill kidneys can’t flush them out of the body. Healthy kidneys would be successfully removing such toxins.

When  these metabolites of protein accumulate they can aggravate the nitrogenous compound load on kidney and worsen the feeling of nausea, vomiting and other uremic symptoms. Furthermore, they can damage the kidney by increasing its filtration and more proteins might drain out of the body. It’s bit complex to understand properly.

Is there any negative consequence of protein restricted diet?

Yes. As protein is an essential component of our health since our muscles and various other organs are made of protein, lack of protein can cause an under-nourished health condition (referred as protein energy malnutrition). Therefore, total or absolute protein restriction is also not desirable.

How much protein should you consume if you have a chronic kidney disease?

Ask your health care provider how much protein should you consume. Based on individual person’s health status the requirement might vary from person to person.

Pericarditis after myocardial infarction (heart attack)

Pericarditis is inflammation that occur in the heart wall known as pericardium.

Normally pericarditis is treated with NSAIDS (non-steroidal antiinflammatory drugs like ibuprofen).

However in case of pericarditis developing after a myocardial infarction (heart attack) NSAIDS are not used for treatment as there may be risk of aneurysm formation and rupture of heart muscle, during the initial phase of recovery after a myocardial infarction.

Henceforth, opiate based drugs may be used to treat pericarditis developing after myocardial infarction.

Pericarditis that develop following a myocardial infarction generally tend to occur after 1 or 2 days after the latter. Patients with possible pericarditis might complain of chest pain that increases in certain body positions and/or on inspiration.

When can you start regular physical activity after a heart attack?

Heart attack is one of the worst health nightmare you can imagine of. Not all heart attacks are same and severity of it varies from patient to patient. Most people after surviving a heart attack and following their discharge from hospital are haunted by the question when can they return to their daily normal active life.

Well as discussed above the time may vary depending upon the severity of the heart attack. Generally the oxygen deprived wall of heart takes about 4-6 weeks to  get healed by means of fibrosis. Therfore, one should take rest for this period in minimum following which he or she can gradually return to active life. Sexual life can also be resumed then.

Before wrapping up this discussion I must say that it’s wise to get guided by your doctor because of the above mentioned reason that not every heart attack is of the same type and severity. Different people have different health problems, henceforth such prescriptions are also different.

Take care of your little beating heart ♥ !

Polio vaccine: oral or injection – by which route should it be given to the children?

Oral polio drops are most popular for its use in various immunization camps organized by various health organizations around the world, particularly in 3rd world nations. However, where economic constraints are not an issue polio vaccine injections are also used.

The oral vaccine rarely causes vaccine associated paralytic polio, in view of which certain developed nations are not using oral polio vaccine anymore, instead using injectable polio vaccine.

Another reason why some nations less prefer the oral polio vaccine is because of the risk of spreading of wild live polio viruses. Oral polio vaccine contains live polio viruses, whereas injectable ones contain killed dead polio viruses.

In certain developing nations where injectable polio vaccine is given, advise is also given to get the oral vaccine too, as part of various polio irradication initiatives that are taken by various health organizations.

Cannabis kills cancer cells

God or mother nature probably created everything on earth for a good reason to continue the flow of life. Unfortunately we humans are always the main culprits to make wrong use of things that we got from mother nature. The plant cannabis had always been used by man as a substance abuse drug and so many crimes have taken place in relation to its abuse and farming.

Now at the dawn of 21st century we are getting the clues about the good side of these substance abusing agents. Already opium’s goodness is established in decreasing pain in terminally ill cancer patients etc. Recently US government confirmed that cannabinoid a component of  cannabis can kill cancer cells in mice and rats, however there effectiveness on human cancer cells are yet to be proven. Nevertheless, this doesn’t mean cancer patients should start taking cannabis. You need to wait with time until some definite info in this regard becomes available.

Read an excerpt:

The US government has confirmed that cannabis can kill cancer cells after the drug did so in tests on mice and rats, according to the National Cancer Institute.

The development will provide further ammunition for pro-legalisation campaigners.

On its website The National Cancer Institute, part of the US department of health, said: “Laboratory and animal studies have shown that cannabinoids (the active ingredient in cannabis) may be able to kill cancer cells while protecting normal cells.

“They may inhibit tumour growth by causing cell death, blocking cell growth, and blocking the development of blood vessels needed by tumours to grow.”

The studies in rodents show that cannabinoids may reduce the risk of colon, liver and breast cancer, and could make chemotherapy more effective.

But researchers added: “At this time, there is not enough evidence to recommend that patients inhale or ingest cannabis as a treatment for cancer-related symptoms or side effects of cancer therapy.”

In many US states where cannabis is already legal for medicinal use, cancer patients have long been using the drug to ease pain.

The Cancer Research charity reacted cautiously, saying there was no evidence of a similar effect in humans.

via US government says cannabis kills cancer cells – Telegraph.