Smita Pani: Re: [World Malayali Club] Medical Advise

Dear Dr. Sundaran,

Thanks for your reply and advice. I will write 2/3 incidents to bring to your knowledge. During 1972 I had some itching problem and bit breathing (hard breathing during night) and I approached different doctors and advised me with various medications externally and internally. One of the Doctor admitted to me in a skin ward at Gauhati and I was unable to stay with them for reasons. I asked for discharge and not permitted to leave and put me under observations. Some how I was counting the days in the hospital. Luckily I was selected for a special

course and on that pretext I took discharge and left the hospital. After reaching Bangalore I consulted a doctor, I think he is from Andhra and asked me to go for a blood test. After the blood test he was astonished and asking me whether I had any collapse due to poor breathing or snoring etc during night time. Because my Eosinophil count was 44 and administered hetrazon tablet for 3 months with high doss and the next 3 months with lower doss. Subsequently my problems were subsided.

Another incident I had knee injury heavily and my knee cap was flattened with other findings and traumatic effusion. One Keralite doctor

Sent from Samsung Mobile

-------- Original message --------
From: "kumar jayant junjunu99@yahoo.com [worldmalayaliclub]"
Date:22/01/2016 20:22 (GMT+05:30)
To: worldmalayaliclub@yahoogroups.com
Subject: Re: [World Malayali Club] Medical Advise

DearDr.Sundaram,

You are from a noble profession. There is a saying that "The good that a man does is buried with his bones and the evil lives on forever".You have the done the best that you can, and you must be happy with that. Happiness is not something people give others willingly. We must create our own peace and happiness and I am happy that you have done that.

I am 70 years old myself, but I still keep working with my first love - Marketing and I have helped a lot of people too. Yes, there are people still who will criticize me for what they feel I have not done. That's not a problem with me. I have a concience and I know I have done my best, and no one can do better.

I am sorry, to hear about your losing your life partner. Coming into this world and going is not in our hands.

You re most welcome to keep corresponding with me on any subject when ever you please. Where do you live in Kerala. Perhaps when I visit next I can take you out for lunch.

Regards

Jayant Kumar

From: "'Dr.Sundaram M.K.' dr_sundaram@yahoo.co.in [worldmalayaliclub]" <worldmalayaliclub@yahoogroups.com>
To: worldmalayaliclub@yahoogroups.com
Sent: Thursday, January 21, 2016 5:27 AM
Subject: Re: [World Malayali Club] Medical Advise

Thanks Sir, Kumkumar Jayant,

I am specialised in Obstetrics and was very much in it till 2005. I found that however sincere you are you are in for trouble in this branch.

I was the treasurer of IMA professional protection scheme for three years. In our office I used to read all cases filed against doctors in various forums and 80% cases are against Obstetricians. We are the people who spend more time with the patients compared with any other branch of science.Still for very flimsy grounds cases are filed.(There are real neglects too.But most get punished.)

So I thought best time to stop is when tune is good. So far so good no problems since 1976. Large number of cute little one had their first cry in my hands, three generations.

I used to be a GP ever since I passed out in 1973. I continue to be so. I like this practice because of the firm bond I get from a large number of families around this small town of mine. This is my birthplace and my father too worked here as an old LMP.,LGO. Just to narrate one incident. My wife expired 8 yrs ago. One old muslim lady whom I know for many years, came to me for consultation. She was asking me "doctor you are alone now? why don't you get married again?". See they are so free with us...

Now things have changed a lot still I love this job whatever the odds are against me.

Sundaaram

On Thursday, 21 January 2016, 4:32, "kumar jayant junjunu99@yahoo.com [worldmalayaliclub]" <worldmalayaliclub@yahoogroups.com> wrote:

Dear Dr.Sundaram,
It's nice to see your response.
Its heartening that you are able to spend sometime to educate some of the Unknowledgeable illiterate. To many of us from the old school, the GP or Family Doctor
was literally God. Medical science has changed a lot and so has the way doctors practice. Corruption is there in every walk of life in India as well as abroad in the most developed countries. Corrupt patients pay corrupted money to good doctors.
To the corrupted corruption does not mean anything but money at any cost to the honest, money does not mean anything but he works with a commitment and his conscience.
Keep up the good work

From: "'Dr.Sundaram M.K.' dr_sundaram@yahoo.co.in [worldmalayaliclub]" <worldmalayaliclub@yahoogroups.com>
To: worldmalayaliclub@yahoogroups.com
Sent: Monday, January 18, 2016 7:26 AM
Subject: Re: [World Malayali Club] Medical Advise

I stick to my stand sir,
Experience without updated knowledge is worth nothing. "Your eyes do not see what your mind doesn't know is the dictum". Specialty and super specialty is bound to occur when the branch of the particular science expands. A basic degree holder cannot manage all health issues as present knowledge has grown leap and bounds. As house surgeons we used to go in all departments including Dental in our free hours and try to learn all branches of medicine as we were at that time preparing to become General practitioners. Initially we used to do even minor surgical procedures in our private OP. Now we do not do it. Now even law forbids us in doing so, so if problem comes we will be sued for extending beyond our capacity. It is not the fault of the receptionist why patients goes to wrong specialist. You come across very few of friends or relatives as examples to this phenomenon. I have for the last 20 or 30 years seeing this trend. Worse still it is not a poor uneducated man who goes to a wrong specialty, it is the educated people. Poor people go with mistaken hope that a super specialist can cure all of his problems. I just quote a example: My son in law showed me a bundle of prescriptions of a person who had arthritis, when I went to his house. The person is a retired Bank manager and his wife a teacher. He tells me that he has booked consultation of a neurologist at Mangalore (150kms. away and Kannur has number of senior neurologists) next week, as the present treatment he has no relief. I told him that his is an Ortho or a rheumatologists problem to handle not a neurological proiblem. You should have seen the expression in his face as if I am an Idiot to say so. I kept quiet. He went. Weeks after when I met my son in law I asked him what happened to him. He said the neuro at Mangalore referred him to ortho.He is lucky as the concerned specialist did an ethical job of referring if not he would have charged his fee and given some drugs.
I do not know what your problem was. But if you have a doctor in your area with basic MBBS degree as your family doctor, I am sure he would have given you proper advise what to do. In my practice I see many of my patients just coming and asking me what to do further.
I have read all articles in Manorama. They are half truth. They have blown out of proportions the use of Ventilators to anchor their stand. If they have true intention they should have made public the names of the hospitals and IMA requested them to give the names of doctors but they have not done so. They do not give the names of hospitals because of the simple reason that they thrive on the advertisements of these corporate Hospitals. You might have read the reply some respectable and senior specialist like Dr.Gangadharan giving their views on ventilators. Just because ventilators and modern gadgets are abused by some of the doctors who do unethical practice these equipments are really life saving.
I do not say all in modern medical profession stick to Ethical practice. There are many who do unethical things. This does not mean that whole of professionals are money mongers. Present day corruption is everywhere in the society and you cannot expect Medical field alone to be free from corruption. There are many specialists who give some basic drugs for patients coming to them, not in their specialty and collect their fee instead of referring them to concerned specialty.
And finally think that when you point your finger at another person your other three fingers are pointing at you, so let us try to correct ourselves and mean time try to correct other in our field of profession so that public get a better deal.

Dr.Sundaram

On Saturday, 16 January 2016, 4:28, "sashidharan1949 sashidharan1949@yahoo.com [worldmalayaliclub]" <worldmalayaliclub@yahoogroups.com> wrote:

Dr. Sundaran,

This is not an absurd statement. In the practical life what had experienced gives much more knowledge than your theories in the book.
As you said it is not that we categorised the specialities. It is by your profession and medical group who splitter in to 100 groups. If a person with skin problems and going to Rheumatology or a person going with headache to neurologist is not the problem of patient. It is due to unqualified persons working at the reception and who direct the patient to such specialist. Is there any hospital or clinics gives any advice to patient when they ask for doctors name / appointment etc. No one gives any advice there as such patients goes to various doctors with their little knowledge to get relief from pain.

With my own problems I knew where the unqualified doctors administered wrong treatment and medicines and that aggravated my pain and problems.

To have more knowledge on this kindly go to Malayala Manor am a daily where they publish a series of incidents and faulty methods by doctors / hospitals to extract money.

Regards,
sashidharan

Sent from Samsung Mobile

-------- Original message --------
From: "'Dr.Sundaram M.K.' dr_sundaram@yahoo.co.in [worldmalayaliclub]"
Date:25/12/2015 08:19 (GMT+05:30)
To: worldmalayaliclub@yahoogroups.com
Subject: Re: [World Malayali Club] Medical Advise

"Family Doctor or other Physician will never give advice for such queries. They write only unwanted medicines to commercialise and to get commission from the medical rep and companies. That is what more than 95% of qualified doctors are presently following"
Absurd statement by all means.
I do not know which profession this person does. I just ask him this question, how many colleagues of your profession including you stick to the code of ethics your profession demands. If you say 90% of doctors are corrupt I am very sure same figure is applicable to your profession too. When society is corrupt so will be the professionals. You cannot single out medical profession ans say all doctors are corrupt.
The main problem in health care faces is that the concept of Family doctor is no more there. People go to super specialist without knowing what his speciality is. A man with skin disease goes to Rheumatologist thinking that skin condition is "Vatham". Man with headache goes straight to Neuro surgeon. A super specialist if he wants to give a definite diagnosis has to ask for tests to get into proper diagnosis, as his decision has to be final by all norms.
Whereas your family doctor will examine you fully and from the history, your family history and findings can come to a provisional diagnosis and treat you. He may not call for lab tests. Even here we are forced to ask for tests for fear of litigation. Court wants proof of diagnosis. I just give an simple example.
10 yrs back; if a lady comes to me and says she has painful urination, frequent urination fever with chills, I examine her and have a provisional diagnosis of Urinary Infection and treat her. I do not ask for even urine test. 99% of cases my diagnosis used to be correct. If she do not respond then only I review my diagnosis and ask for lab tests.
Now for same case I ask for urine test in the first instance itself to confirm my diagnosis.Why, because if a I give a drug and if she gets some sort of allergy she may got to court and sue me saying that I gave her the drug without proper diagnosis confirmed by lab tests. Court will accept her plea... as I have no lab test.
Here also if she is my regular patient even now I give her drugs without urine exams because I am sure she will trust me.
In fact no one has got a family doctor now.

I have been working in my home town since 1973. I have a group of patients whom I know every history of their family their drug reactions and so on. I used to be invited to most of the family functions. Do you think I can cheat them by prescribing more drugs and ordering for extra lab tests?
I am sure most of you are not having a family doctor.
Many think that searching Google for diseases and treatment and arguing with a professional is a great thing.
We come across many of this type of patients in our practice who argue with us about drugs and diseases., without knowing that what he talks is rubbish. What I do now is I do not put up counter argument, I just tell him to go to a specialist and give reference.
Dr.Sundaram

On Wednesday, 23 December 2015, 4:07, "'R.P. George ' rgeorge5@yahoo.com [worldmalayaliclub]" <worldmalayaliclub@yahoogroups.com> wrote:

Start taking Flax Seed to boost HDL

Sent from my iPhone

On Dec 21, 2015, at 2:44 AM, raman Iyer araman1953@gmail.com [worldmalayaliclub] <worldmalayaliclub@yahoogroups.com> wrote:

My latest Lipid profile test show the following results :

Total Cholestrol - 101 mg/dl
HDL -Cholestrol - Direct- less than 15 mg/dl (never been above 35 for the last 2 years)
LDL- Cholestrol - 59 mg/dl
Trigylecerides- 203 mg/dl
TC/HDL Cholestrol ratio- 6.7
LDL/HDL ratio- 3.9
VLDL Cholestrol- 40.69 mg/dl

Pl advise whether the HDL Cholestrol reading is very alarming. Pl advise proper medication including naturopathy treatment, if any and any specific diet to be followed.

Regards,

A. Raman
Coimbatore