SIMARAN
AAMARAN
AAYRAN (IRON)
KAARAN
UPAKARAN
Wednesday, 27 August 2025
Tuesday, 3 June 2025
Thursday, 29 May 2025
Saturday, 1 March 2025
BALANCE
Balance is something that modern societies have ignored, and they are paying a huge price for it. Whatever your intelligence, whatever your competence, education, and qualifications – if you do not have the necessary balance, you will not succeed. You will not go very far in your life.
The most important thing for people who are seeking to be successful – whether in the corporate sector, in politics, in the military, or any other field – is balance.
Only if you have a balance that is not disturbed by external situations, are you capable of making use of the competence and intelligence within you. Otherwise, even the most wonderful qualities that one may have will go waste, simply because of lack of balance.
Hatha yoga brings this balance.(Control/regulator) Homeostasis. Internal vs external environment
Above all Balance. (TxA2 & PGI2) CV Risk
Right Balance
Neither believe (trust) not disbelieve
Ease vs disease
आपके काम आना चाहिए/ आपके लिए काम करना चाहिए /
जो काम करता हैं (that has worked)/"यह तुम्हारे लिए काम कर गया।"
Tuesday, 10 December 2024
signs of a good doctor
1) Jo patient ko na loote
2) Jo hamesha patient ke bhalai ke bareme soche
3) Jo khudke benefit bareme km soche
4)
Monday, 9 December 2024
PRESCRIPTION (P-DRUG)
Hypertension Treatment
Country Differences:
- In the USA: ACE inhibitors (e.g., Lisinopril) are often the first choice for hypertension due to high prevalence of comorbid conditions like diabetes.
- In India: Calcium channel blockers (e.g., Amlodipine) are commonly preferred due to cost-effectiveness and better efficacy in salt-sensitive hypertension.
Doctor Differences:
- A cardiologist may prefer beta-blockers (e.g., Metoprolol) for a patient with coexisting heart disease.
- A general practitioner might choose a diuretic (e.g., Hydrochlorothiazide) due to affordability and simplicity.
In contrast, countries relying on the WHO Model List of Essential Medicines may prefer Hydrochlorothiazide due to its inclusion as a cost-effective option.
Impact of Treatment Guidelines
Treatment guidelines provide evidence-based recommendations that directly influence P-drug selection.
Example 3: Hypertension
- USA (ACC/AHA Guidelines): Recommends ACE inhibitors (Lisinopril) or ARBs (Losartan) as first-line P-drugs for hypertension, especially in patients with diabetes or chronic kidney disease.
- UK (NICE Guidelines): Suggests calcium channel blockers (Amlodipine) as the first choice for hypertension in older adults or Black patients.
- India: Diuretics (Hydrochlorothiazide) are often selected due to affordability and inclusion in national guidelines.
Understanding Clinical Guidelines
Example 1: Hypertension Treatment
- Doctor A: Interprets the American Heart Association (AHA) guidelines and emphasizes ACE inhibitors (Lisinopril) for hypertension in diabetic patients due to their protective renal effects.
- Doctor B: Focuses on the same guidelines but prefers ARBs (Losartan) because they are equally effective and have a lower risk of cough as a side effect.
"All diseases need not to be treated with a drug."
Example 1: Hypertension
- Non-drug approach: Lifestyle modifications such as regular exercise, low-sodium diet, weight loss, and stress reduction can be effective in controlling mild hypertension.
- Rationale: Drugs may not be immediately necessary, especially in borderline cases.
PDL MR COMMUNICATION
https://iris.who.int/bitstream/handle/10665/69177/WHO_EDM_PAR_2004.3_eng.pdf?sequence=1
Ethical criteria for medicinal drug promotion
https://iris.who.int/bitstream/handle/10665/38125/924154239X_eng.pdf?sequence=1&isAllowed=y
INDIAN MEDICAL COUNCIL (Professional Conduct, Etiquette and Ethics) Regulations, 2002
(AMENDED UPTO 8th OCTOBER 2016)
https://www.nmc.org.in/wp-content/uploads/2017/10/Ethics-Regulations-2002.pdf
https://www.nmc.org.in/documents/e_Gazette_Amendments/Ethics%20-%2010.12.2009.pdf
Code of Medical Ethics Regulations, 2002
https://www.nmc.org.in/rules-regulations/code-of-medical-ethics-regulations-2002/
LOK SABHA UNSTARRED QUESTION NO.4422 TO BE ANSWERED ON 19TH JULY, 2019 UNETHICAL PRACTICES 4422. SHRI SYED IMTIAZ JALEEL:
https://sansad.in/getFile/loksabhaquestions/annex/171/AU4422.pdf?source=pqals
Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002 (Published in Part III, Section 4 of the Gazette of India, dated 6th April, 2002) MEDICAL COUNCIL OF INDIA NOTIFICATION New Delhi, dated 11th March, 2002
https://wbconsumers.gov.in/writereaddata/ACT%20&%20RULES/Relevant%20Act%20&%20Rules/Code%20of%20Medical%20Ethics%20Regulations.pdf
Shastri Bhawan, New Delhi March, 2024 Subject: Uniform Code for Pharmaceutical Marketing Practices (UCPMP) 2024 — reg. Sir / Madam,
Subscribe to:
Posts (Atom)