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Sunday, June 23, 2019

Why cant your doctor tell medicines on text/ call/ whatsapp?

Its very natural to understand that u dont wish to go to doctor  even if you or your child ja having serious problem for following reasons:

1. Its an added burdeon to time, travel and money
2. You dont feel the problem is serious enough to go to dr at the given moment.
3. You may feel that visiting doctor for a problem is not worth in a given  situation.
4. You may feel medical service should be free and all dr should give free service without examining patients.
5. Some one may feel that things can be managed at home without visiting a dr and one should go to dr only when things get serious or out of hand.
  Please read below

1. Read my article on your topic at kondekar.com all illnesses are not same each time. U may start that medicins but it may not work may work depending on diagnosis. And may have its adverse events.
2.Legally giving prescription without examining patients iis recently made a punsihable act. No prescrpition is valid 2 weeks after issuing it. All illnesses are not same and same meds may not wotk each time for similar complaints. Sorry for inconvenience.
3.So whatever u take is at ur risk and without any guarantees.
4.I  am not legally allowed to confirm your decision to take or stop it online.
5.Visit a nearest dr or hospital,  earliest.
6.Emergencies whether and when to visit a doctor and its decision is always to be done by parents or patients.

Friday, May 31, 2019

Does my child need antibiotics?

Fever Cough, cold, Flu? is it flu? will it need antibiotics?
Viral fevers of respiratory system are called flu. Flu is something that comes with nose throat symptoms and fever may be optional. if it gets to chest, there is danger of pneumonias and also serious issues.
In typical viral flu, fever may be there for a day or two at beginning and later runny nose or stuffy nose for two days... as nose starts settling cough pics up and may last for a week. Child intake gets reduced adding another danger.
Often A dr will add a fever treating medicine in beginning with an antihistaminic combination for few days and as cough starts the medicines may be switched over  to cough syrups; which may be sedatives and if there is more night cough bronchodilator cough syrups may be needed.
Antibiotics may become essential if Dr thinks about a bacterial disease or complication.
Key to adequate response to therapy is a detailed history, close watch on danger symptoms, Doctor's clinical acumen on picking up signs , deciding appropriate therapy based on current flu strains in community added the experience. Doses matter a lot in kids and cough syrups come with caution of life threatening dangers. Doses of drugs and compliance of patient decidesthe response.click for ask/details.
Please visit a doctor.

Thursday, May 9, 2019

How urgent is a dr appt... Is decided by parents. Emergency cases in children require hospital admission.

When you call a doctor for appointment,  please be sure the child is not having any danger to life. If u feel child is serious or very weak or u arr worried of danger to life,  please do not wait at home and take the child to hospital immediately for admission and supervised therapy. Taking a risk to wait for an appointment can at times worsen the disease,  more so when the wait is more.
When a patient is at home How urgent is a dr appt... Is decided by parents. Emergency cases in children require hospital admission.
THIS IS ONLY BECAUSE EVERY PARENT IS NOT A DOCTOR AND PARENTS ASSESSMENT OF SEVERITY OF DISEASE CAN'T BE SAME AS DOCTORS AND ITS NOT WISE TO WAIT AT HOME WHEN IN DOUBT.


When a doctor says no immediate danger to life means child can be saved with medical measures if acted in time. It doesnt always mean that child can be managed at home.








डॉं कोंडेकर संतोष वेंकटरमण@मुंबई Dr Santosh Kondekar is now also available at Shushrusha hospital Dadar West . Mumbai India. .

www.kondekar.com


DR SK is a qualified pediatrician with MD and DNB qualification, from India who has specialised himself in counselling parents and children about the knowledge and various aspects of child health, illness, treament, diseases and their doctors. Dr SK is working as a pediatric intensivist and respiratory and infections specialist at Seth G S Medical College and KEM Hospital Mumbai India 400012. He has clinical expertise in guiding doctors, patients and also managing various illnesses and / or clinical situations concerning child health and its aspects like: Growth, Development Social and behavioural pediatrics including ADHD Respiratory illnesses including cold,cough, asthma Cardiac illnesses including congenital defects and rheumatic diseases Renal diseases Gastrointestinal diseases including diarrhea, vomiting, infections. hematological illnesses including anemias and hemorrhages. and various infections caused by various bugs like bacteria viruses and fungus. and many other clinical situations, illnesses, diseases. He has special interest in tuberculosis and other infections affecting various body organs and systems. The answers posted at above website are sole opinions of Dr SK with or without references and personal experience. These answers are just hypothetical and logical assesment of the limited information provided by the parent to the doctor in the form. The doctor being not able to examine the patiet and / or being not able to have access to reports, is practically not in a position to make diagnosis orprove it wrong... or suggest any treatment. Treatment suggested by this doctor at this site is just a hypothetical suggestion in agiven hypothetical limited situation which the parent may use for his basic understanding or discussion with his doctor, and for understanding and following basic health norms. Donot follow any prescription just because it was mentioned at this site. The consultation didnot take place, as the doctor has not examined the patient, legally its impossible to give any online prscription. What the doctor had written here is not a prescription for the given hypothetical case.

Sunday, March 17, 2019

Danger symptoms in children: home observation


A child having difficulty recent or worsening,  related to activities of daily survival like difficult breathing,  not walking,  has a pain or swelling, not feeding not eating  or not passing urine six plus times in  day.. Is likely to requre immediate hospital visit.. Or admission to hospital.

Pediatric Urgent and Chronic Health Issues Up to 18 years Age
https://g.co/kgs/SQ7tac
Aakaar clinic, first floor, Laxmi residency, opp, Byculla Station Rd, Byculla West, Mumbai, 400027
098694 05747

https://g.co/kgs/SQ7tac
डॉं कोंडेकर संतोष वेंकटरमण@मुंबई Dr Santosh Kondekar is now also available at Shushrusha hospital Dadar West . Mumbai India. Monday to Friday at 7 to 9 PM. www.kondekar.com DR SK is a qualified pediatrician with MD and DNB qualification, from India who has specialised himself in counselling parents and children about the knowledge and various aspects of child health, illness, treament, diseases and their doctors. Dr SK is working as a pediatric intensivist and respiratory and infections specialist at Seth G S Medical College and KEM Hospital Mumbai India 400012. He has clinical expertise in guiding doctors, patients and also managing various illnesses and / or clinical situations concerning child health and its aspects like: Growth, Development Social and behavioural pediatrics including ADHD Respiratory illnesses including cold,cough, asthma Cardiac illnesses including congenital defects and rheumatic diseases Renal diseases Gastrointestinal diseases including diarrhea, vomiting, infections. hematological illnesses including anemias and hemorrhages. and various infections caused by various bugs like bacteria viruses and fungus. and many other clinical situations, illnesses, diseases. He has special interest in tuberculosis and other infections affecting various body organs and systems. The answers posted at above website are sole opinions of Dr SK with or without references and personal experience. These answers are just hypothetical and logical assesment of the limited information provided by the parent to the doctor in the form. The doctor being not able to examine the patiet and / or being not able to have access to reports, is practically not in a position to make diagnosis orprove it wrong... or suggest any treatment. Treatment suggested by this doctor at this site is just a hypothetical suggestion in agiven hypothetical limited situation which the parent may use for his basic understanding or discussion with his doctor, and for understanding and following basic health norms. Donot follow any prescription just because it was mentioned at this site. The consultation didnot take place, as the doctor has not examined the patient, legally its impossible to give any online prscription. What the doctor had written here is not a prescription for the given hypothetical case.
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Saturday, March 2, 2019

कुठली ब्लड टेस्ट सहसा तापाच्या आजारात करायला हवी?

New
https://m.facebook.com/story.php?story_fbid=1597143007095848&id=278943662249129

कुठली ब्लड टेस्ट सहसा तापाच्या आजारात करायला हवी?
बर्याच लोकांना डाक्टर कडे न जाता आधीच रक्त तपासणी करावेसे वाटते. कदाचित त्यांना डाक्टर ला मदत करायची असेल किंवा पहिल्या भेटीची फिस वाचवायची असेल, किंवा डाक्टर घ्या निदान कौशल्यावर विश्वास नसेल. काहिही कारण असो.. हा सल्ला  त्यांच्यासाठी आहे

१. प्रत्येक आजाराची टेस्ट येत नाही, प्रत्येक आजारात टेस्ट लागत नाही, टेस्ट असली तरी उपलब्ध नसेल किंवा ऊपचारापेक्षा खूप महाग असेल किंवा त्याची  गरज नसेल म्हणून कदाचित डाक्टर टेस्ट  सांगत नसतात.
२. प्रत्येक आजारात प्रत्येक वेळी टेस्ट पाझिटिव्ह येणे आवश्यक नसते.
३.सल्ल्याशिवाय टेस्ट केली तर उरलेल्या टेस्ट साठी परत रक्त घ्यायला लागू शकते.

फक्त ताप आहे असं असलं तरी कूठलेही तापाचे कारण त्यावेळी उगवू शकते. आणि जेव्हा विचार न करता टेस्ट करायच्या असतात तेव्हा डोक्याला सूचेल त्या किंवा समोर दिसेल त्या किंवा कानावर आलेल्या किंवा टिव्ही न्युज मधे पाहिलेल्या आजाराची टेस्ट भितीपोटी लोक करतात व करतात. टेस्ट केल्याने आजाराला एक नाव मिळायची शक्यता असते.

पण बर्याच वेळा टेस्ट रिपोर्ट काही असला तरी डाक्टर चे क्लिनिकल जजमेंट च ट्रिटमेंट ते स्वरूप ठरवते.

सारांश - डाक्टर ने तपासणी करून सल्ला दिल्याशिवाय टेस्टस करणे म्हणजे होकायंत्र/कंपास न घेता बोट चालवणे सारख आहे.

अशा सर्वांसाठी ही आहे रक्त तपासण्या ची लिस्ट:
ताप CBC CRP URINE ROUTINE BLOOD CULTURE, ऐपतीप्रमाणे
फ्लू/एच१,एन१ CBC influenza A antigen tests (नाही समजत होते रक्तातून - पण)
मलेरिया  MP Malaria antigen test
डेंग्यू NS1 dengue IgM dengue IgG
लेप्टोस्पायरा lepto Dri dot test or IgM ELISA test
टायफाईड widaal test after 5 days of fever and blood culture after 7 days
टिबी blood tests are not needed for TB diagnosis
काविळ serum bilirubin,SGOT/PT,  liver function tests all, HAV IgM, HEV IgM, HBsAg ऐपतीप्रमाणे
सहसा कूठलेही लैब डाक्टर घ्या चिठ्ठी शिवाय टेस्ट ला नाही बोलत नाहित. म्हणजे आमिरखान ला पण या टेस्ट मधून कूणाला कमीशन जाते असा भास नाही होणार.

माझा मोफत सल्ला आहे, डाक्टर होणे कितीही सोपं वाटलं तरी स्वताहून तपासण्या व इलाज करून नका.
केलात तर डाक्टर रागवत नाहीत पण बर्याचदा
तो मूर्खपणा ठरु शकतो.
#DrSK #whatsappDr9869405757 #ChildSpecialistMumbai

डॉं कोंडेकर संतोष वेंकटरमण@मुंबई Dr Santosh Kondekar is now also available at Shushrusha hospital Dadar West . Mumbai India. Monday to Friday at 7 to 9 PM. www.kondekar.com DR SK is a qualified pediatrician with MD and DNB qualification, from India who has specialised himself in counselling parents and children about the knowledge and various aspects of child health, illness, treament, diseases and their doctors. Dr SK is working as a pediatric intensivist and respiratory and infections specialist at Seth G S Medical College and KEM Hospital Mumbai India 400012. He has clinical expertise in guiding doctors, patients and also managing various illnesses and / or clinical situations concerning child health and its aspects like: Growth, Development Social and behavioural pediatrics including ADHD Respiratory illnesses including cold,cough, asthma Cardiac illnesses including congenital defects and rheumatic diseases Renal diseases Gastrointestinal diseases including diarrhea, vomiting, infections. hematological illnesses including anemias and hemorrhages. and various infections caused by various bugs like bacteria viruses and fungus. and many other clinical situations, illnesses, diseases. He has special interest in tuberculosis and other infections affecting various body organs and systems. The answers posted at above website are sole opinions of Dr SK with or without references and personal experience. These answers are just hypothetical and logical assesment of the limited information provided by the parent to the doctor in the form. The doctor being not able to examine the patiet and / or being not able to have access to reports, is practically not in a position to make diagnosis orprove it wrong... or suggest any treatment. Treatment suggested by this doctor at this site is just a hypothetical suggestion in agiven hypothetical limited situation which the parent may use for his basic understanding or discussion with his doctor, and for understanding and following basic health norms. Donot follow any prescription just because it was mentioned at this site. The consultation didnot take place, as the doctor has not examined the patient, legally its impossible to give any online prscription. What the doctor had written here is not a prescription for the given hypothetical case.

Thursday, October 26, 2017

Basic sample medicine and doses

Medicines and doses
ये रहे कुछ sample प्रेस्क्रिपशन

बुखार/सर्दर्द
Fever बुखार  syrup flexon or combiflam 5ml two times a day for a child of 10 kg and half tablet two times a day for a child of 20kg weight. For child less than 10 kg use crocin drops, no of drops equal to weight in kg of child.

जूलाब
Loose stools जुलाब syrup riniclausi or syrup darolac 5ml two times a day for child below age five years and three times a day for age above five years

उलटी
Vomiting उलटी domstal baby drops no of drops is weight in kg two times day. Tab domstal MD chewable two times a day for weight above 20 kg and for weight between 10-20 kg half tablet two times a day.

सर्दी
Nose running नाक बहना if child age below one year age use sinarest drops or solving cold drops by mouth and number of drops is weight in kg two times a day. For weight more than 10kg, syrup Allegra  or levocet three ml two times a day. For age above 20 kg tab levocet half tablet twice a day. Nasoclear mist spray helps clean the nose.

खांसी
Cough or खासी syrup levolin 2ml two times a day for age six month to one year. 5ml two times a day above age one year and 5 ml three times a day for age above five years.
Add syrup ephedrex five ml two times a day for children above one year age

पेट दर्द
Stomach pain पेट दर्द syrup gelusil mps and syrup gut clear 5ml three times a day or child more than 15 kg and two times a day if the child weight less than 15 kg.

ये सलाह डॉक्टर के सामान्य प्रेस्क्रीपशन के नमुने दाखल है. अपने लोकल डॉक्टर से वैयक्तिक लिखित  प्रेस्क्रीप्शन लेकर ही मेडिकल स्टोअर जाये. टेंपोरेरी एकबार डोस लेने से
भी अॅलर्जी या रेअक्षण का खतरा हो सकता है.
Please visit a doctor with the patient before you take/give any medicine.

Friday, June 23, 2017

basic information about h1n1 flu influenza infection in children

basic information about h1n1 flu influenza infection in children

 https://www.facebook.com/ChildSpecialistMumbai/posts/1101080920035395https://www.facebook.com/ChildSpecialistMumbai/posts/1101080920035395

डॉं कोंडेकर संतोष वेंकटरमण@मुंबई Dr Santosh Kondekar is now also available at Shushrusha hospital Dadar West . Mumbai India. Monday to Friday at 7 to 9 PM. www.kondekar.com DR SK is a qualified pediatrician with MD and DNB qualification, from India who has specialised himself in counselling parents and children about the knowledge and various aspects of child health, illness, treament, diseases and their doctors. Dr SK is working as a pediatric intensivist and respiratory and infections specialist at Seth G S Medical College and KEM Hospital Mumbai India 400012. He has clinical expertise in guiding doctors, patients and also managing various illnesses and / or clinical situations concerning child health and its aspects like: Growth, Development Social and behavioural pediatrics including ADHD Respiratory illnesses including cold,cough, asthma Cardiac illnesses including congenital defects and rheumatic diseases Renal diseases Gastrointestinal diseases including diarrhea, vomiting, infections. hematological illnesses including anemias and hemorrhages. and various infections caused by various bugs like bacteria viruses and fungus. and many other clinical situations, illnesses, diseases. He has special interest in tuberculosis and other infections affecting various body organs and systems. The answers posted at above website are sole opinions of Dr SK with or without references and personal experience. These answers are just hypothetical and logical assesment of the limited information provided by the parent to the doctor in the form. The doctor being not able to examine the patiet and / or being not able to have access to reports, is practically not in a position to make diagnosis orprove it wrong... or suggest any treatment. Treatment suggested by this doctor at this site is just a hypothetical suggestion in agiven hypothetical limited situation which the parent may use for his basic understanding or discussion with his doctor, and for understanding and following basic health norms. Donot follow any prescription just because it was mentioned at this site. The consultation didnot take place, as the doctor has not examined the patient, legally its impossible to give any online prscription. What the doctor had written here is not a prescription for the given hypothetical case.
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Tuesday, February 28, 2017

Autism : general understanding

AUTISM u may say is a type of personality or social interaction issue in otherwise normal child. That means you aren't with a case of serious autism which have issues with development and IQ.
Certifying it is a technical job once the Dr learns to understand medical terms involved in diagnosis making. Ministry of health of India has released a national program now with inclen diagnostic tool which is widely available on internet. Problem is not with diagnosis... But is with treatment. One needs to assess intellectual productive value of child along with speech and personality issues and these need to be tackled with various therapy programs, the choice of which though is subjective but should b decided on what works best. A combination never harms but many programs are less studied or less effective and may have been advertised too much. Definitions keep on changing every decade and that's just for technical issues . before 1984 these kids were part of a group called psychopaths. So don't go by name. See what your child is not able to do or be have at par with peers and then sit with doctors and therapists to help you bring out the change closest to normal. This requires serious periodic efforts from parents and family in earliest years of diagnosis. Complex issues need complex therapy. Each one of the modifiers... Doctors, patient, therapist and family need to keep updating various readings and skills without giving a panic response or without falling prey to advertised but low outcome strategies. When there can't be single magic Remedy.. Every one is likely to project his or her is the best. Its we all... Who need to decide and implements. What's working in given situation at times by repeated trial and Errors. Dr Kondekar

posted from Bloggeroid

Saturday, February 11, 2017

बच्चोको कब और कौनसी टिके या लस दी जाती है और क्यों?

बच्चोको कब और कौनसी टिके या लस दी जाती है और क्यों?

आजकल टिकाकरन कार्यक्रम और टिके नई तरह से मार्केट मे छा जाते है।इस वजह से काफी डाक्टर और पालकोंके बीच संभ्रम हो जाता है। इस वेबसाइट पे उसे निरपेक्षतासे समझाया जा रहा है।
सरल समझ के लिए टिका {इन्जक्शन} और डोस {पिने का}को एकसमान वैक्सीन नाम से उद्ध्रत किया जाएगा। आयुर्वेदिक स्वर्णप्राश टिका गौण माना जाएगा।
वैक्सीन इन्फेक्शन के प्रतिबंध मे मदद करते है; कई वैक्सीन जन्मभर तक इनसे संरक्षण देते है।
मिजल्स {गोवर\खसरा};मम्प्स{गालगंड};रूबेला{छोटी माता};चिकनपोक्स {फोडीवाली रैश};पानीसे फैलनेवाली पीलीया {काविल/हैपेटायटिस} तथा डिप्थेरिया {घटसर्प};काली खासी/पर्ट्यूसीस/डान्ग्या खासी और टेटनस {धनूर्वात} इन बिमारियोसे बचानेवाले टिके १०-२० सालो तक या जादा संरक्षन देते है।
कुछ टीके कम समयतक या कम मात्रा मे संरक्षन देते है। टायफाईड का ३ साल; फ्ल्यू का १ साल तथा निमोनिआ टीका १_२ सालही संरक्षन देता है।
टीके लेना या लेना यह प्रश्न बारिश मे छाता इस्तेमाल करना या ना करने के जैसा है। उसी तरह सारे टिके लगवाए या कम यह प्रश्न बारिश मे छाता छोटा या बडा पूछने जैसा है। लोग अपनी आय या कैपेसीटीनूसार निर्णय लेते है। भलेही हरेक टिका जरूरी है ऐसा डाक्टर्स और कंपनियां कहती हो; सरकारी टीम बडी परामर्श से बस कुछ हद तकही ये छाता या टिका कार्यक्रम मुफ्त मे उपलब्ध करा सकती है।
टिके सहसा अपनी समय पर दिए या लिए जाने चाहिए लेकिन डाक्टर से चर्चा कर कूछ दिन आगेपिछे हो सकते है।
बीसीजी का टिका टीबी जैसी बीमारीसे कुछ हदतक संरक्षण देता है। ये जन्मसे कुछ दिनो तक दिया जाता है। बच्चेका वजन १.८किलो से कम हो तो ईसे बाद मे दिया जाता है। बीसीजी पोलिओ और हेपेटायटीस बी साथ मे दिया जाता है।
अगले डोस प्रायमरी सीरीज कहलाती है। ईसमे१.५;२.५,३.५महीने उम्र मे डी पी टी और पोलिओ टिका रिपीट किया जाता है। ईसी का रिपिट डोस १.५सालमे बूस्टर १ और ४.५ साल मे बूस्टर २ कहलाता है। इस डीपिटी के साथ हेपेटायटिस बी और हिब मेन्दूज्वर का टिका मिलानेसे यह टिका पेन्टा का टिका कहलाता है। उसमे पोलिओ ईन्जक्शन मिलानेसे यह हैक्झा कहलाता है।

ईस सिरीज के साथ निमोनिया ईन्जक्शन और रोटावायरस डायरिया संरक्षण की पिलानेवाली लस एक्स्ट्रा किमत पर दी जाती है। शाएद कुछ साल बाद सरकार इन्हे फ्रि कर दे।
छह महिने की ऊम्रमे हैपेटायटिस बी का एक्स्ट्रा टीका।
दस माह ऊम्र मे मीजल या एम एम आर टिका व्हिटामीन ए का पिने का डोस दिया जाएगा।
११-१२ माह ऊम्र मे टिसिवी टायफाईड और हेपेटायटिस ए टिका दिया जाएगा। इसका सेकंड डोस अगले साल के अंदर यानी बूस्टर १के १-२ माह बाद होगा। चिकनपाक्स का टिका १६ माह ऊम्र के बाद।
१५ माह उमर मे एम एम आर
१६-१८ माह उम्र में बुस्टर
४.५से ५ साल ऊम्र मे बूस्टर २एम एम आर का;डी पि टि का; पोलिओ का और चिकनपिक्स का
१०साल ऊम्र मे डीटी का और १२ साल ऊम्र मे गर्भाशय कर्करोग प्रतिबन्ध के लिए।
फ्ल्यू का टिका पहलीबार दो टिके एक या अंतर से और बादमे हर साल।

posted from Bloggeroid

Saturday, November 19, 2016

Why and what to eat?


Choice quality quantity taste and contents of Diet

posted from Bloggeroid

Monday, August 22, 2016

dont expect a prescription online or phone... because


May be you can repair your a table by knowing how to use a hammer and screw, you may not do so for a smart phone; you know - its fragile.. The case with a child or human body is more delicate than this; its not only fragile but it is also dynamic. As a scratch can make the phone unusable, a wrongly spelt name or dose or duration of a medicine can be life threatening; More so; with a telephonic consultation where you are assuming that your assessment of the problem and doctor's assessment of the problem is exactly same. How can a parent/relative/guardian/politician know a child suffering from some disease; which a doctor probably took years of education and experience to understand and yet appears not so confident. - Dr SK Aug 2016
So, unless you are a qualified doctor; dont use online medical help for management... but use only for understanding.


 www.kondekar.com DR SK is a qualified pediatrician with MD and DNB qualification, from India who has specialised himself in counselling parents and children about the knowledge and various aspects of child health, illness, treament, diseases and their doctors. Dr SK is working as a pediatric intensivist and respiratory and infections specialist at Seth G S Medical College and KEM Hospital Mumbai India 400012. He has clinical expertise in guiding doctors, patients and also managing various illnesses and / or clinical situations concerning child health and its aspects like: Growth, Development Social and behavioural pediatrics including ADHD Respiratory illnesses including cold,cough, asthma Cardiac illnesses including congenital defects and rheumatic diseases Renal diseases Gastrointestinal diseases including diarrhea, vomiting, infections. hematological illnesses including anemias and hemorrhages. and various infections caused by various bugs like bacteria viruses and fungus. and many other clinical situations, illnesses, diseases. He has special interest in tuberculosis and other infections affecting various body organs and systems. The answers posted at above website are sole opinions of Dr SK with or without references and personal experience. These answers are just hypothetical and logical assessment of the limited information provided by the parent to the doctor in the form. The doctor being not able to examine the patient and / or being not able to have access to reports, is practically not in a position to make diagnosis or prove it wrong... or suggest any treatment. Treatment suggested by this doctor at this site is just a hypothetical suggestion in a given hypothetical limited situation which the parent may use for his basic understanding or discussion with his doctor, and for understanding and following basic health norms. Donot follow any prescription just because it was mentioned at this site. The consultation didnot take place, as the doctor has not examined the patient, legally its impossible to give any online prescription. What the doctor had written here is not a prescription for the given hypothetical case.
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Sunday, July 31, 2016

parents should not consider an infant or a child at par like an adult

Its important that parents do not consider an infant or a child at par like an adult that they may be given OTC Medicines as and when they feel like. Children are not like machines but are like pets.. . Who cannot talk and the problem perceived by an adult non medico is likely to be a mere exaggeration of what the adult may be imagining with his re-callable experience of sufferings.. most remembered in last few days. Also what a child may tell as a symptom may not be exactly same what the child may be suffering from as a toddlers language development may not be appropriate to describe the exact suffering of child. A doctor often needs to weight the told symptoms, felt feelings and clinical signs before declaring a child to be manageable from home. Deciding about medicines also depends on level of acumen of doctor, his expertise and recent trends of the symptom in recent days apart from his knowledge beliefs and his readings of recent advances and guidelines. Degree alone can't be enough. DR Kondekar sharing his experiences
Here are few common examples where wrongs are common:
https://www.facebook.com/ChildSpecialistMumbai/posts/869560286520794




डॉं कोंडेकर संतोष वेंकटरमण@मुंबई Dr Santosh Kondekar is now also available at Shushrusha hospital Dadar West . Mumbai India. Monday to Friday at 7 to 9 PM. www.kondekar.com DR SK is a qualified pediatrician with MD and DNB qualification, from India who has specialised himself in counselling parents and children about the knowledge and various aspects of child health, illness, treament, diseases and their doctors. Dr SK is working as a pediatric intensivist and respiratory and infections specialist at Seth G S Medical College and KEM Hospital Mumbai India 400012. He has clinical expertise in guiding doctors, patients and also managing various illnesses and / or clinical situations concerning child health and its aspects like: Growth, Development Social and behavioural pediatrics including ADHD Respiratory illnesses including cold,cough, asthma Cardiac illnesses including congenital defects and rheumatic diseases Renal diseases Gastrointestinal diseases including diarrhea, vomiting, infections. hematological illnesses including anemias and hemorrhages. and various infections caused by various bugs like bacteria viruses and fungus. and many other clinical situations, illnesses, diseases. He has special interest in tuberculosis and other infections affecting various body organs and systems. The answers posted at above website are sole opinions of Dr SK with or without references and personal experience. These answers are just hypothetical and logical assesment of the limited information provided by the parent to the doctor in the form. The doctor being not able to examine the patiet and / or being not able to have access to reports, is practically not in a position to make diagnosis orprove it wrong... or suggest any treatment. Treatment suggested by this doctor at this site is just a hypothetical suggestion in agiven hypothetical limited situation which the parent may use for his basic understanding or discussion with his doctor, and for understanding and following basic health norms. Donot follow any prescription just because it was mentioned at this site. The consultation didnot take place, as the doctor has not examined the patient, legally its impossible to give any online prscription. What the doctor had written here is not a prescription for the given hypothetical case.
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Wednesday, July 20, 2016

How much nutrients in what type of food? A wonderful information

Click Here for diet related composition informations http://www.fitjog.com/nutrition-charts/indian-food-nutrition-charts.php

posted from Bloggeroid

Friday, July 15, 2016

डाॅक्टरांनी फोन का नाही उचलला?

डाॅक्टरांनी फोन न उचलण्याच्या कारणांच्या काही शक्यता :-

डाॅक्टर दुसर्‍या फोनवर बोलत असू शकतात.

डाॅक्टर गाडी चालवत असू शकतात.

डाॅक्टर व्यवस्थित रेंज न येणार्‍या लिफ्टमधे असू शकतात.

डाॅक्टर टाॅयलेट / बाथरूममधे असू शकतात.

डाॅक्टर दुसरा पेशंट बघत असू शकतात.

डाॅक्टर आॅपरेशन थिएटरमधे वाॅश्डअप असू शकतात.

डाॅक्टर आयसीयू / आॅपरेशन थिएटरमधे एखाद्या प्रोसीजरमधे बिझी असू शकतात.

डाॅक्टर एखाद्या ह्रदय थांबलेल्या रुग्णाला सिपिआर देत असू शकतात.

डाॅक्टर एखाद्या अत्यवस्थ रूग्णाच्या नातेवाईकांना आजाराचे गांभिर्य, उपचारांची दिशा, परिस्थिती सुधारण्याची शक्यता वगैरे समजावून सांगत असू शकतात.

डाॅक्टर एखाद्या गंभिर रूग्णाला अँब्युलंसमधून शिफ्ट करताना माॅनिटर करत असू शकतात.

डाॅक्टर एखाद्या गेलेल्या रूग्णाच्या नातेवाईकांना ही दु:खद बातमी सांगत असू शकतात.

डाॅक्टर एखाद्या रूग्णाला नुकतेच निदान झालेल्या कॅन्सर वा अन्य दुर्धर आजाराची संवेदनशील बातमी सांगत असू शकतात.

डाॅक्टर स्वत: अपघातग्रस्त / आजारी / आॅपरेशन टेबलवर / आयसीयूमधे अॅडमिट असू शकतात.

डाॅक्टर हाॅस्पिटलवर चालून आलेल्या माॅबला तोंड देत असू शकतात.

डाॅक्टर स्वत:च्या आई ,वडिल ,नवरा / बायको ,मुलं ,भाऊ ,बहिण मित्र / मैत्रीण वगैरेंपैकी कुणाच्यातरी गंभीर आजारपणात धावपळ करत असू शकतात.

डाॅक्टर स्वत:च्या आई ,वडिल ,नवरा / बायको ,मुलं ,भाऊ ,बहिण मित्र / मैत्रीण वगैरेंपैकी कुणाच्यातरी निधनाच्या शोकात असू शकतात.

डाॅक्टर २ दिवसांच्या लागोपाठ ईमरजंसी ड्युटीनंतर निसर्गाने लादलेल्या निद्रेला वश झालेले असू शकतात.

डाॅक्टर फोनची रिंग ऐकु येणार नाही अशा डिजेछाप गोंगाटी मिरवणूकीतून रस्ता काढत असू शकतात.

डाॅक्टर सिविकसेंस नसलेल्या लोकांमूळे झालेल्या ट्राफिकमधे अडकलेले असू शकतात.

डाॅक्टर राजशिष्टाचारांतर्गत व्हिआयपी ड्यूटीवर असू शकतात.

एखादा ईमरजंसी रूग्ण अटेंड करतानाच्या गोंधळात डाॅक्टरांचा फोन कुठेतरी विसरलेला वा पडलेला असू शकतो.

अटेंड केलेल्या मेडिकोलिगल केसबाबत स्टेटमेंट देण्यासाठी डाॅक्टर कोर्टरुममधे असू शकतात.

हलगर्जीपणाच्या खर्‍याखोट्या आरोपासाठी डाॅक्टर पोलिसस्टेशन / अटकेत / कोर्टरुममधे असू शकतात.

डाॅक्टर स्वत:च्या लग्नासाठी बोहल्यावर ऊभे राहिलेले असू शकतात.

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टीप :-

या शक्यतांमधे व्याख्यान देत/ऐकत असणे, अभ्यास करत असणे, जेवण करत असणे, व्यायाम करत असणे, मेडिटेशन / योगा करत असणे, सिनेमा / नाटक बघत असणे, सुटीवर असणे, मुलांचा अभ्यास घेत असणे वगैरे भारतीय राज्यघटनेने दिलेल्या (क्षुल्लक) अधिकारांच्या शक्यतांचा विचार करण्यात आलेला नाही याची कृपया नोंद घ्यावी.😊😊😊

posted from Bloggeroid