நவீன விஞ்ஞான மருத்துவம்: January 2016

Sunday, January 24, 2016

கரூர் அமுதன் விடுங்க, சுகபிரசவம் ஆகற மாதிரி இருந்தாலும் சிசேரியன் பன்ற டாக்டர்களும் இது மாதிரி இருக்கத்தானே செய்யறாங்க. smile emoticon

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Mariano Anto Bruno Mascarenhas //கரூர் அமுதன் விடுங்க, சுகபிரசவம் ஆகற மாதிரி இருந்தாலும் சிசேரியன் பன்ற டாக்டர்களும் இது மாதிரி இருக்கத்தானே செய்யறாங்க. smile emoticon//

சார்
இது முற்றிலும் தவறு

அப்படி எல்லாம் யாரும் செய்வதில்லை

நீங்கள்

ஒரு நாள் மட்டும் ஏதாவது அரசு மருத்துவமனை பிரசவ அறையில் இருந்து பாருங்கள்
பிறகு உங்களுக்கே உண்மை தெரியும்

LikeReply124 mins

கரூர் அமுதன் செத்தவங்களை ICU வச்சு பணம் கறக்கும் ஆஸ்பத்திரிகலும் உண்டு சார்

LikeReply20 mins

Mariano Anto Bruno Mascarenhas //
கரூர் அமுதன் செத்தவங்களை ICU வச்சு பணம் கறக்கும் ஆஸ்பத்திரிகலும் உண்டு சார்
//

சார்
மீண்டும் பிழையான தகவல்

ஒருவர் இறந்து விட்டால்
அவரது உடல் நாற ஆரம்பித்து விடும்

இதய துடிப்பு இல்லாதவரக்ளை எந்த மருத்துவமனையில் வைத்திருக்கவே மாட்டார்கள்

எங்கிருந்து இது போல் தவறான விஷயங்களை கற்கிறீர்கள்

LikeReply19 mins

கரூர் அமுதன் ஹக ஹக பரவாயில்லை சார் சமாளிக்கிறீங்க

சென்னை மியாட் ஆஸ்பத்திரில
16 பேர் இறந்தது தெரியும் தானே

அது யார் தவறு சார்????

LikeReply15 mins

Mariano Anto Bruno Mascarenhas //
கரூர் அமுதன் ஹக ஹக பரவாயில்லை சார் சமாளிக்கிறீங்க
//
சமாளிக்கவில்லை சார்
உண்மையை சொல்கிறேன்

LikeReply12 mins

Mariano Anto Bruno Mascarenhas //
சென்னை மியாட் ஆஸ்பத்திரில
16 பேர் இறந்தது தெரியும் தானே
அது யார் தவறு சார்????
//
எப்படி இறந்தார்கள் சார் ??

LikeReply112 mins

கரூர் அமுதன் அத நீங்கதான சொல்லனும் சார்??

LikeReply11 mins

Mariano Anto Bruno Mascarenhas //
கரூர் அமுதன் அத நீங்கதான சொல்லனும் சார்??
//
அது தெரியாமல் எப்படி சார் யார் தவறு என்று சொல்ல முடியும்

LikeReply10 mins

Mariano Anto Bruno Mascarenhas சார்
ஒருவர் இறந்து விட்டாலே அதற்கு யாரையாவது காரணம் ஆக்க வேண்டும் என்பது முற்றிலும் பிழையான அனுகுமுறை
அவர் நோயால் கூட இறந்திருக்கலாம்

LikeReply19 mins

கரூர் அமுதன் 16 பேர் ஒரே நேரத்தில் என்றால்????

LikeReply8 mins

Mariano Anto Bruno Mascarenhas //
கரூர் அமுதன்
கரூர் அமுதன் 16 பேர் ஒரே நேரத்தில் என்றால்????
//
எந்த நேரம் சார்
அவர்கள் அனைவரும் ஒரே நேரத்தில் இறந்தார்கள் என்று உங்களுக்கு உறுதிபட தெரியுமா

அல்லது

முதலில் கூறிய இரு விஷயங்களை போல் இதுவும் கற்பனையில் விளைந்த அபாண்டங்கள் தானா ?

LikeReply5 minsEdited

Thenmozhi Rajendran Mariano Anto Bruno Mascarenhas சார்,..நீங்க சொல்வது முற்றிலும் உண்மைதான்.நம் மக்கள் தெரியாமத்தான் இப்படி எல்லாம் பேசுறாங்க,இதைப் பெரிதாக்குவதில் ஊடகத்தின் பங்கு அதிகம்

UnlikeReply17 mins

Mariano Anto Bruno Mascarenhas //
சார்,..நீங்க சொல்வது முற்றிலும் உண்மைதான்.நம் மக்கள் தெரியாமத்தான் இப்படி எல்லாம் பேசுறாங்க,இதைப் பெரிதாக்குவதில் ஊடகத்தின் பங்கு அதிகம்
//

மேடம்

பலருக்கு மருத்துவர்கள் மீது காழ்ப்புணர்வும், பொறாமையும் உள்ளது

அதுவே அளவு மீறியவுடன் வக்கிரமாக மாறி பொய் குற்றச்சாட்டுகளை கூற வைக்கிறது

சில அப்பாவிகளும் அறியாமையால் அந்த பொய்களை நம்பி விடுகிறார்கள்

LikeReply4 mins

கரூர் அமுதன் செக்ஸ டாக்டர் பிரகாஷ் கூட உங்கள் பார்வையில் நல்லவராகத்தான் தெரிவார் நன்றி

LikeReply2 mins

Mariano Anto Bruno Mascarenhas //கரூர் அமுதன் செக்ஸ டாக்டர் பிரகாஷ் கூட உங்கள் பார்வையில் நல்லவராகத்தான் தெரிவார் நன்றி//

கண்டிப்பாக இல்லை சார்
அவர் நல்லவர் இல்லை

அதே நேரம்

பொறாமை மற்றும் காழ்ப்புணர்வு காரணமாக மருத்துவர்கள் மீதும், மருத்துவமனை மேலும் பொய் குற்றச்சாட்டு சுமத்தும் வக்கிரபுத்திகாரர்களும் கெட்டவர்கள் தான் . .கேடு கெட்டவர்களே !

LikeReplyJust now

Do Pharmaceuticals Make MORE Money and More Profit when IGT Cut Off is lowered

From January 21 at 9:19pm

Other than changing lifestyles, one of the reasons is also because the indices for qualifying as a 'diabetic' have been lowered by the pharmaceutical/medical communities -so even people who wouldn't normally have been termed diabetic are considered so today. The only pro in this is it puts you on guard for preventing all the consequences!

// but suddenly I keep hearing this a lot more than I used to.//

YES

At present, Insulin Resistance in TN is more than 50 %

Increased Blood Glucose can cause a lots of complication

One Such Complication is Called Diabetic Keto acidosis, which occurs at high levels

So Previously, the target was just avoiding Ketoacidosis

But
Later we found that Increased Blood Glucose can also cause Vision Problems (Retinal involvement), Kidney Problems (Renal Failure), Heart Attack (Atherosclerosis), Stroke etc

So

To prevent these complications, we want to keep the blood sugar at lower level than what we previously were aiming for

Even now
If your aim is only preventing Ketoacidosis, but you are not worried about Vision Problems (Retinal involvement), Kidney Problems (Renal Failure), Heart Attack (Atherosclerosis), Stroke etc , you need to "treat" Blood Sugar 160

Any Doubts ?

Olympia Shilpa Gerald Mariano Anto Bruno Mascarenhas I agree; I have pointed out what you have said ,only without using any of the jargon- that revised guidelines are helping to catch and prevent complications much earlier.

UnlikeReply135 minsEdited

Olympia Shilpa Gerald Mariano Anto Bruno MascarenhasMy point is just that apart from the kind of food consumption and lifestyle changes that have happened today, these revised guidelines that are adopted(perhaps to catch complications earlier) are also contributing to peopl...See More

UnlikeReply231 mins

Mariano Anto Bruno Mascarenhas Yes . . .

That is right

Olympia Shilpa Gerald Mariano Anto Never said big pharma dont want to prevent disease- they love disease as you said. Which is why it does work out logically that more people included in the diabetic bracket only mean more medicines to keep the disorder and complications at...See More

LikeReply22 minsEdited

Mariano Anto Bruno Mascarenhas //Mariano Anto Never said big pharma dont want to prevent disease- they love disease as you said.//
Yes
So why should you treat Diabetes...See More

LikeReply21 mins

Mariano Anto Bruno Mascarenhas What you have missed is

When some one treats diabetes properly, pharma companies get LESS profit

They get more profits when diabetes is not treated and patient lands up with

Heart attack
Stroke
Renal failure
Visual problem etc

LikeReply20 mins

Olympia Shilpa Gerald Mariano Anto No I haven't missed that point, but these problems you have listed above as complications of diabetes, also occur due to a host of reasons external to diabetes too, isn't it? (Though I'm sure, diabetes is responsible for a substantial percentage of these complications) I accept the points you are making- I should revisit some well-argued pieces I have read on this issue, a long time ago

LikeReply13 minsEdited

Mariano Anto Bruno Mascarenhas //
Mariano Anto No I haven't missed that point, but these problems you have listed above as complications of diabetes, also occur due to a host of reasons external to diabetes too, isn't it?
//

Yes
But
With untreated diabetes the rate and severity is more

//
(Though I'm sure, diabetes is responsible for a substantial percentage of these complications) I accept the points you are making- I should revisit some well-argued pieces I have read on this issue, a long time ago
//

The logic is very very simple

LikeReply10 mins

Mariano Anto Bruno Mascarenhas //
Shankar Ganesh
Shankar Ganesh This has been the case for a long time, or why did this increase suddenly?
//

Till 1960s, we had famines

After 1970s only people started coming out of malnutrition - so called கால் வயித்து கஞ்சி state

It took a Well Working PDS 30 years to eliminate malnutrition

Once Malnutrition has been eliminated, we see Diabetes

Mariano Anto Bruno Mascarenhas Shankar Ganesh

First Treatment in Increased Blood Sugar should be exercise
Then Diet

90 % of people will have relief with these too

But

Our people are eating a wrong diet and taking tablets too

LikeReply1January 22 at 7:09pm

Shankar Ganesh unsure emoticon

LikeReplyJanuary 22 at 7:11pm

. . .

Mariano Anto Bruno Mascarenhas Olympia Shilpa Gerald

Disease process is an ongoing process

Diabetes --> Atherosclerosis --> Coronary Arterial Disease --> Ischemia --> Infarction --> Ventricular Insufficiency --> Death

Our Aim is to prevent the progression of disease process

For example, if the person comes at the stage of CAD, our Aim is to prevent progression to Ischemia

But

If the Patient comes at the Stage of Diabetes, our aim is to prevent atherosclerosis

LikeReply2 mins

Olympia Shilpa Gerald I am fully aware of that, and that is a worthy effort- but again as I pointed out, there is a communication gap between the medical community and the common person (which is not helped in anyway on how relatively impersonally doc-patient interactions are becoming today). If there is no means to reassure them why these guidelines are revised or why they are also seeing more people who are now 'diabetic', it leads to- as we are seeing- wonderment, alarm, panic, skepticism, even shunning of responsibility and sometimes dismissal of the doctor's advice.

LikeReplyJust now

. .

Mariano Anto Bruno Mascarenhas Now

Just like you have various diseases and stages

You have various Treatment Options too

1. Exercises
2. Food (Diet)
3. Tablets for Diabetes
4. Insulin
5. Drugs for CAD
6. Drugs for Ischemia
7. Treatment for Infarction

etc

LikeReply6 mins

Mariano Anto Bruno Mascarenhas Now

On Any Day

Treating Infarction is costly (and risky) that treating ischemia

And

Treating Ischemia is costly and tougher than treating CAD

And

Treating Atherosclerosis is Costly than treating Diabetes

LikeReply5 mins

Mariano Anto Bruno Mascarenhas So

For Pharmaceutical Companies to Make more profit

Every one should be untreated and then left to progress to Myocardial Infarction

If

Diabetes is treated early, Pharmaceutical Companies make LESS Profit

LikeReply4 mins

Mariano Anto Bruno Mascarenhas So
Olympia Shilpa Gerald

Your statement that //indices for qualifying as a 'diabetic' have been lowered by the pharmaceutical/medical communities -// is illogical

The indices have been lowered by Public Health Professionals

Given a Chance, Pharmaceuticals will only try to increase this

Am I clear

LikeReply3 mins

//

Olympia Shilpa Gerald I am fully aware of that, and that is a worthy effort- but again as I pointed out, there is a communication gap between the medical community and the common person (which is not helped in anyway on how relatively impersonally doc-patient interactions are becoming today). 

//

No Madam 

There is no communication gap at all 

This concept has been clearly told 

Only that Public do not want to read proper texts, but believes some nonsense web sites and crappy forwards , most of which are written by SCAMsters (SCAM - so called alternative medicine) 

//

If there is no means to reassure them why these guidelines are revised or why they are also seeing more people who are now 'diabetic', it leads to- as we are seeing- wonderment, alarm, panic, skepticism, even shunning of responsibility and sometimes dismissal of the doctor's advice.

//

This is the fault of the patient 

We can only say the facts 

It is for the patient to use their common sense to find the fact 

. .

//

Olympia Shilpa Gerald Mariano Anto I clearly used the words 'supposed to have been influenced by big pharma";

//

Yes

But

Even then 

Why would a big pharma spend money to LOWER their profit 

Your problem is very simple 

You wrongly assumed that treating diabetes gives more profit to the pharma companies 

The truth is treating diabetes gives less profit to the pharma companies 

//

 I accept this is a controversial statement to make- I am not saying it is a fact, but I am not rubbishing it outright - i want to read/find out more about that

//

Just read all my comments 

I have explained in detail 

. . . .

//Olympia Shilpa Gerald Mariano Anto You admitted yourself that we are treating blood sugar levels much earlier now- that is what I am talking about. That is a decision made by the medical community, policy makers etc,This is what I meant by revised indices//

This is Correct 

But

The issue of contention is whether 

This reduces the profit of Big Pharma or increases the profit of Big Pharma 

This reduces the profit of Big Pharma 

.
Let me summarise

1. Indices have been lowered - YES. No Doubt

2. This has been lowered by Big Pharma - WRONG

3. Indices have been lowered for Big Pharma to get profit. - WRONG. When Indices are low, profit of Big Pharma comes down

4. There is a communication gap between the medical community and the common person - Yes. But it is not because the medical community does not say, but because, even when medical community explains in detail, the common man is in denial mode smile emoticon smile emoticon

5. If there is no means to reassure them why these guidelines are revised or why they are also seeing more people who are now 'diabetic', - WRONG . There is a mean to reassure and this has been done

.
//
Olympia Shilpa Gerald Dear Sir, I respect your argument and perspective and see a lot of good reasons on it- but I dont see why that should deter be from reading the perspectives of the proponents of the original debate on this issue
//
Madam

You can very well read the perspectives of the proponents of the original debate on this issue

Who said you cannot

But

If any one says that treating diabetes gives more profit to Big Pharma than Bye Pass Surgery, he is either a fool or a fraud and why should you be fooled by a fraud smile emoticon smile emoticon smile emoticon smile emoticon

.
Olympia Shilpa Gerald

There are five levels of care

Primordial
Primary
Secondary
Tertiary
Quaternary

Cost increases as you move from primary to Quarternary

Big Pharma likes High Costs smile emoticon smile emoticon

So
If any one says that Primordial prevention gives more profit to Big Pharma than Bye Pass Surgery, he is either a fool or a fraud

. .
Mariano Anto Bruno Mascarenhas Olympia Shilpa Gerald

I don't know who the <<proponents of the original debate >> are

But I am willing to bet a Five Star Chocolate that he belongs to Alternative medicine group

Ready for the Bet

Shankar Ganesh will be the referee smile emoticon smile emoticon

.
. //

Olympia Shilpa Gerald I never said "treating diabetes gives more profit to Big Pharma than bye pass urgery" haha. I've again said big pharma involvement is a supposition'!!!

//

OK

//

 But I will not dismiss it outlright- sometimes we simplify things too much as here. 

//

Madam 

It is very very simple 

When you prevent a disease, the pharma company loses 

You are only complicating simple things

Let me put it bluntly 

What you said is as absurd as saying that Helmet Rule was brought in because Neurosurgeons want to make more money ? 

//

As I said, I'd rather discuss this by revisiting the pieces (no, they're not internet crap)

//

May be Offline Crap

. . . . . . . . . . . . . . . . .