Monday, 21 March 2016

Medical research 
Is going on mainly to understand effect of drugs on diseases rather than finding out new drug for every thing. So basically we learn with time optimization of drugs.
So it is not important to know what drug to be used for disease but important is how much to be used disease-wise.
Drugs do not change much. It is our knowledge that keep improving.
There is no simple solution which fits all .
I find it extremely difficult to prescribe medicines before examining the patient.
Like lasix is a beautiful drug, and its usage keeps changing with disease and stage of disease...
It is unbelievably warm in March itself. 
It's just like summer in March, yet young children are coming with multiple layers of clothes at clinic. Most of them are coming for fever because of over-clothing, as young children do not have sweat as we do. It causes them fever.
Always remember, correct nursing is more important than medicine for our children.
You know what's the most common complaint of Parents?
No matter whatsoever reason parents come to clinic, it is pertinent to ask for an appetiser.
Once in a blue moon, some mother will speak about voracious appetite of her child.
So our all children have anorexia or it is mere faulty parenting...
We can never achieve good growth by forced feeding.
It is always technique and patience which pays in the long run.
All children love to feed themselves rather than being force-fed...
Hypothyroidism - fashion or fad...
It is quite common to inquire regarding thyroid disorder for your child especially when mother is already on thyroid medication. 
Although most of the mothers are having sub-clinical hypothyroidism (TSH in range of 5 to 10). There are chances of overt hypothyroidism, if mother has positive anti thyroid antibody.
It is not wise to attribute weakness or obesity to this mildly raised TSH.
Similarily in obese children who have normal height for age, are unlikely to be hypothyroid.
Long time back, thyroid medicines were used for obesity. But it was observed that unnecessary medicines may cause bone loss and rhythm disorders in heart. So better to -
Eat healthy Stay healthy...
Do not lose patience...As fever is going to last 5 to 7 days.Vomitings settle in a day or two...Diarrhea in young kids last 5 to 7 days...Cough lasts longer than what we think (usually two to three weeks...)Just learn Red Flag signs of such illnesses...Medicine is not just drugs but it is knowledge about disease pattern...Sometimes parents are in a hurry as they have to travel or they have to attend a marriage or exams are about to come...How does it matter as disease has its own swing...

Friday, 18 March 2016

Routine Check-up


I am happy that good things have started flaring...
Parents are now not demanding much medicine. It was a dream, which I nurtured my whole life.
Those were also days when parents asked for cold and cough medicines separately.
Thanks to good vaccination coverage, general awareness about viral infections and good anticipatory planning in any common disease...
Good days are setting in... 
Atleast for children...
No unnecessary bitter medicines or painful injections 😀😀