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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.