Editor in Chief Dr KK Aggarwal, Padma Shri Awardee                                                                               Dated:31 December,2019

Early symptoms of Parkinson's disease

The symptoms consist of tremors, slowness of all activities, stiffness of muscles and poor balance with tendency to fall. Anyone with these symptoms falls under the category of Parkinsons Disease and needs medical assistance.

New Delhi: Symptoms of full-blown Parkinsons disease (PD) are easy to identify. Essentially these consist of tremors, slowness of all activities, stiffness of muscles and poor balance with tendency to fall. Anyone with these symptoms falls under the category of Parkinsons Disease and needs medical assistance.

It is difficult to identify these symptoms at an early stage. Also, the symptoms start so insidiously, and creep in very slowly, which makes it difficult for the common people to detect the disease when it is setting in. ....read more


SGL2 Inhibitors in 2020

In 2020, the American Diabetes Association is making two paradigm-shifting recommendations in the treatment of type 2 diabetes.

1.Prescribe Sodium glucose co-transporter 2 (SGLT2) inhibitors or glucagon-like peptide 1 (GLP-1) receptor agonists to patients at high risk for atherosclerotic cardiovascular disease, heart failure, or chronic kidney diseasein addition to patients with already established disease, as previously recommended....read more


Why are most temples located in faraway places?

Most temples represent God or the spirit or the deity located in the temple or mandir situated in an area at the outskirts of the city. A spiritual atmosphere is one that is devoid of pollution and which promotes rajasik or tamasik behavior. The silence of the spiritual atmosphere reduces the internal noise and helps us onward in our inner journey. The inner journey of being in touch with one’s consciousness requires detachment from worldly pleasures and the withdrawal of the five senses of the body ....read more


HCFI Survey

In 2020 I would like the new healthy policy to


Medbytes

       


Healthcare News Monitor

Centre may cap trade margins for drugs in stages; companies oppose plans
Business Standard - Sohini Das

The Centre is considering rationalising trade margins for drugs first at 45 per cent and gradually lowering them and capping them at 30 per cent, possibly starting with one drug category at a time, such as antibiotics and pain and analgesics. Business Standard has learnt that some of the drug majors such as Cipla and Alkem, among others, have opposed the proposal because they have a sizeable business in unbranded generic medicines. While the trade margins for branded generics are standardised by trade, the margins vary in the case of unbranded generics.

Illicit opioid users at higher mortality risk due to various causes: Study
The Times of India- ANI

"People might be surprised that although overdose was the most common cause of death, it's far from the only cause of death that people using opioids outside a prescription experience at excessive rates," Sarah Larney, the lead author of the study told CNN. Larney who is a senior research fellow at the University of New South Wales' National Drug and Alcohol Research Centre in Australia further said: "Smoking-related illnesses such as cancer and cardiovascular diseases are common. Trauma is another major factor. People are exposed to car accidents, assaults and other causes of injuries at greater than usual rates, and suicide is also much more common than in the broader population." "It's really clear that although overdose prevention is critical, we also need to look at the range of poor outcomes that people are experiencing, and work to reduce other causes of excess mortality such as suicide, chronic diseases and infectious diseases." This research was a systematic review and meta-analysis of 124 studies carried out previously, with a few dating back to 2009. Data pertaining to illegal opioid usage was collected and analyzed for 28 different countries and was compared against the general population of similar sex and age group. The findings showed that men had a higher likelihood of dying from opioid consumption as against women. Liver related deaths were more prevalent in the male population while women were found to be at a higher risk of excess mortality from AIDS. Also, older individuals were more vulnerable than younger ones. Expressing her concern over AIDS-related mortality, Larney added: "Another surprise is that we didn't see any evidence that deaths due to AIDS are reducing over time in this population. In the other population groups living with HIV, deaths due to AIDS are decreasing due to better treatments, and better access to treatments among marginalized populations".

No negligence but incomplete consent form with BLANKS: Doctors Hospital told to pay Rs 3 lakh compensation
Medical Dialogues

Partly allowing a revision petition, the National Consumer Dispute Redressal Commission (NCDRC) has held treating doctors and hospital liable for ‘blanks’ left in the Consent Form by the patient. Pertinent to this, the court directed a private hospital in Kerala to award a compensation of over Rs 3 lakh to a patient on account of the incomplete consent form but held no negligence on part of the doctors for the shortening of patient’s right leg due to a post-operative complication. New Delhi: The case was first brought before the District Consumer Disputes Redressal Forum, Ernakulam in 2006 by a machine operator, who met with a road accident and was diagnosed for fracture of his right leg. He was advised to undergo surgery by putting a screw plate within 24 hours. Accordingly, he approached the Specialist Hospital wherein the treating doctors suggested to put a weight-bearing on the right leg and it was only after 4 days that the surgery was performed. However, the surgery allegedly led to shortening of his leg by one inch, reacting to which the doctors asked him not to bother about the defect. The patient then consulted doctors of Amrita Hospital, Ernakulam, where the doctor opined that the length of the right leg ought to have been corrected by the hospital and the doctors during the surgery earlier. He sought further expert opinions that pointed out that at the time of surgery the length of the right leg was not corrected and this caused bone overlap in the right leg.

Faridkot DC orders magisterial probe after doctor’s complaint: ‘Had to undergo spine surgery due to dug up road’
The Indian Express- Navjeevan Gopal

The Faridkot deputy commissioner (DC) has ordered a magisterial probe following a complaint by a surgeon that he had to undergo a spine surgery because of travelling by a road which has been dug up for the last six months for laying sewerage pipes. The complainant, Dr Sudhir Khichy, is working as a professor and heads the surgery department of the government-run Guru Gobind Singh Medical College and Hospital in Faridkot. In a written complaint, the 64-year-old doctor, who was re-employed after retirement, said that to go to his workplace and return home, he had to travel by Sadiq road, which was dug up for laying pipes six months ago. “The left place for movement of vehicles has been damaged by the contractor for various reasons,” it further said. “Due to this forced offroading, I developed severe disc prolapse of spine with weakness of my right leg. I had to undergo spine surgery in November. Now I am recovering from surgery,” said Dr Khichy’s complaint, adding that the conditions which led to the surgery were yet to be addressed. The doctor also attached a photocopy of his discharge slip. He underwent surgery at a private hospital in Amritsar.