Kritthaphat N. asked:


When someone in your family has unexpectedly acquired certain kind of disease and you are caught unawares, most probably you will be overwhelmed by it due to the lack of knowledge how to take care and handle that particular situation. Life for everyone in your family can be a struggle. Good thing is that there are so many health care services nowadays that offer their health care services for people who need it, thus giving them the chance to live a normal life while also allowing the members of the family who are not sick to continue their lives.

Millions of people with some form of physical limitations are more likely the ones who will avail of health care services. However, getting health care services can cost you a lot of money especially if you are unprepared. Good thing is that Medicare - a social insurance managed by government to grant health insurance coverage for citizens age 65, is there to save them from paying too much on their medical expenses. The kind of health care services that the Medicare provides for people include outpatient treatment, doctors and other hospital services and other pertinent services that has something to do with the patient’s needs.

Health care services may include the employment of medical and health professionals to take care and oversee the facilitation of health care services for their patients. Some of these health care services can be done at home, such as performing some form of physical therapy that does not need a special kind of medical equipment. However, the hospital is still the best place to get the best health care services because this gives your doctor the chance to see the physical manifestations of your illness and therefore the chance of you being correctly examined and diagnosed is high.

It is a known fact that the health care services in the United States is one of the best in the world that’s why even the Europeans and Canadians come to the US to avail of these. Canadians in particular took advantage of this because of its benefits that includes lesser prices and great numbers of good hospitals that provides high standard medical procedures. Because of this, many Canadians travelled to the US in search for shorter hospital queues and better health care services. Another reason why Canadians seek health care services in the US is because there are certain types of health care services that are not readily available at the Canadian hospitals.

Health care services is not limited to the care of those who are infirmed, even if you are physically well, there is a chance that you might still need the help of health care services. They also make sure that major problems that has something to do with health and ailments are properly addressed and given appropriate resolutions. Basically they provide top-notch quality of health care services to their patients and that is one thing that they will not put into compromise no matter what. To provide better health care services, health institutions should have high-quality medical equipment and competent health workers.

HBF Health Funds asked:


Funny thing pain, if you’ve never had a severe pain then the suggestion of taking simple analgesia and resting the affected area all seems quite reasonable. I was reminded of this when I read recently of a doctor’s advice to someone who was suffering from sciatica. Having personally experienced sciatica, it’s a condition I would not recommend to anyone who wishes to walk, sit, laugh, sleep, or to just simply pull up your trousers. It’s a bit like a dentist drilling your teeth without an anaesthetic, but it affects your whole leg. In other words the pain is consuming, exhausting and without respite. Clinical studies do show that in the majority of cases the pain will eventually subside and surgery may not be necessary, but in the meantime the patient has to deal with the pain or deal with the medication required to dull the pain. Remember, pain-killers are not selective to the area affected. They affect the whole of the nervous system and elsewhere so there may be significant side-effects from these medications.

Dealing with severe pain can be a complex issue, but I suggest that you have to treat this sort of pain fairly aggressively as acute severe pain is relatively easier to treat than chronic severe pain. In the early stages of an injury or insult to an area of the body, most of the pathological processes are happening at the site of the injury or insult. Throughout time the brain begins to modulate this pain and so no only do you have the injured area to deal with, but you also have complex neural pathways within the brain to deal with as well. This often means a far more complex management plan and a far more protracted recovery time. Specialists are very skilled at dealing with these issues but they do rely heavily on the stories their patients give them. That means being honest in answering their questions and not being heroic with a grin and bear it grimace! Often the use of a pain scale is helpful with zero being no pain at all and a 10 being the worse pain you have ever experienced.

Another health issue we commonly down play is influenza. Over the years I have frequently heard people say that they would not have the flu vaccine because either they never get the flu or that they had it last week for a couple of days and then it was all over! Influenza is a serious debilitating disease that will usually last from 10 days to two weeks and often leave you flat on your back exhausted. It’s not a happy 10 days either as patients do not have the energy to read a magazine or even watch a DVD. You will literally feel ancient with every movement being a real challenge and that doesn’t include the aching all over or the fevers and sleepless nights. The influenza virus is also extremely contagious and most people are unaware that if you spread it to someone who is more frail than yourself that you may actually be putting their life at risk.

With the ‘flu the big challenge is to vaccinate as many people in the community as possible, including children, those employed and unemployed, the elderly and the infirm, to reduce the chance of an epidemic occurring. Recent research has also showed that vaccinating pregnant women in the last trimester of their pregnancy will help protect their new born infants born during the ‘flu season.

Medicine has evolved over the last 40 years, but the change has been fairly slow with doctors by nature being very cautious and conservative people. But we can’t leave the doctors to take all the initiatives. As patients we need to be good listeners in our approach to health by heeding all the great health messages that keep being given to us about vaccinations, smoking, alcohol, exercise and healthy eating. We also need to be good communicators and tell our doctors how we are feeling with conditions such as pain. If the team treating you doesn’t have the best information then it may be that you will not end up getting the best treatment!

 

R.Gitcher asked:


When the topic of women’s health care is raised, the first disease that comes to mind is probably breast cancer. But surprisingly, that’s not the number one health care issue confronting women today. In fact, heart disease kills more women each year than all forms of cancer combined. By knowing the most significant risks in women’s health care and what you can do to combat these health care issues, women of all ages can take a proactive approach to leading healthier lives.

The #1 Women’s Health Care Issue: Heart Disease More than 489,000 American women lose their lives each year as a result of heart attacks, strokes, and other cardiovascular diseases. In fact, more women than men die from heart disease each year. Until recently, little research focused on women and heart disease, but the good news is that’s no longer the case. From research into the effects of hormone replacement therapy on heart health to studies of how cholesterol-lowering medications work in women, there’s an unprecedented increase in the amount of information available to women working to live with and ward off heart disease.

Experts at the Mayo Clinic offer simple common sense advice to women (and men) in the fight against heart disease: don’t smoke, eat a diet low in fat and rich in fruits, vegetables, whole grains, and low-fat dairy products, exercise at least 30 to 60 minutes a week, and maintain a healthy weight.

In addition, they encourage women to see their family doctor each year for a physical which includes blood pressure and cholesterol screenings. Studies indicate that there is a 46% increase in stroke risk for women for each 7.5 mm HG increase in their diastolic blood pressure, so monitoring blood pressure and controlling hypertension are vital.

Women who suffer migraines, are pregnant, have atrial fibrillation and those with the auto-immune disease Lupus also appear to run a greater stroke risk. Diabetes is another women’s health care issue with a direct impact on heart health. The American Heart Association notes women with diabetes have a two to six times greater risk of heart disease and heart attack and are at a significantly greater risk of suffering a stroke. All of these risk factors make an annual visit with your doctor one of the best ways women can manage and improve the health of their hearts.

Cancer Concerns: The Second Deadliest Health Care Issue Women Face While breast cancer is often at the top of the list of health care issues for women, several other types of cancers also pose a significant threat to women’s health. In this country, one in eight women will be diagnosed with breast cancer during her lifetime according to current data which means that a little more than 2 million women are currently living with breast cancer in the U.S. But melanoma, a form of skin cancer, actually kills more young women than any other cancer according to statistics provided by the Skin Cancer Foundation. In fact, melanoma is the most common form of cancer in women between the ages of 25 and 29 and its incidence has tripled in women under 40 in the last thirty years.

Ovarian cancer is another women’s health care concern. Usually symptomless until it is widespread, this disease is the fourth most frequent cause of death for American women. The American Cancer Society estimates 26,000 new cases of ovarian cancer diagnosed each year. Unfortunately, there are few definitive screening tests that detect this disease, but experts advise a thorough annual gynecological exam and for women to be alert to pelvic pain and pressure, low back discomfort, mild nausea, and an increase in constipation or gas. A serum CA-125 blood test can detect certain forms of ovarian cancer, but the test is not accurate enough to be used as a routine screening tool.

The rate of women suffering from cervical cancer has dropped a great deal over the years, thanks in part to the increase in the number of women who get an annual Pap smear which can indicate the presence of abnormal cells on the cervix. It’s a strong argument for making sure you never skip your Pap smear. Women who have had Human Papillomaviruses (HPVs), herpes simplex virus, those with suppressed immune systems, and those who have had multiple sexual partners run a greater risk of cervical cancer. On the prevention front, a recent trial of a vaccine against cervical cancer was 100% effective in the short term at blocking the disease.

Psychological Well-being: A Growing Health Care Issue for Women In the field of women’s health care, psychological problems, which include eating disorders, depression, and anxiety disorders, affect millions of American women. From coping skills to medications to alternative and complementary medical approaches, there is a growing body of knowledge being brought to bear on this important health care issue.

More than 19 million people in the United States, the greatest percentage being women, live with anxiety disorders that disrupt their lives. The different types of disorders within this group include generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, and phobias. Treatment options include talk therapy and a wide range of medications that can quell the symptoms of the condition. Many women also combine alternative approaches to treatment such as acupuncture, meditation, and diet modification with traditional forms of treatment.

According to the American Psychological Association, women are almost twice as likely to suffer from major depression as men. In fact, some experts in the field have called depression the most significant mental health risk for women, especially those in their childbearing and rearing years. Studies have found that married women and mothers are especially vulnerable to depression. It’s important for a woman who feels she may be suffering from depression to be carefully evaluated by a physician because the source of the depressive symptoms could be birth control pills, hormone replacement therapy, or thyroid disease. Treatment for depression, like most other psychological conditions, includes talk therapy and medications. Some women also find relief in alternative medicine with herbal supplements, meditation, and other complementary techniques.

Though many of the women who struggle with eating disorders are in their teens and twenties, these conditions also affect women at other stages in their lives. Anorexia, bulimia, and binge eating are the most well-known forms of eating disorders. Statistics show that one out of every one hundred girls between the ages of 10 and 20 is anorexic, 4% of college-aged women are bulimic, and 1% of women are binge eaters. The root causes of these diseases include stress at home and at school or work, depression and anxiety, major life changes like a divorce or death, and physical and sexual abuse. Breaking out of the cycle of eating disorders requires a combined approach to this health care issue including psychological treatment, nutrition counseling, and in some cases, hospitalization.

A Holistic Approach to Women’s Health Care As women become more proactive about their health, many seek a holistic approach to improving their well-being and fighting disease. But coordinating information among several health care providers, keeping on top of the latest breakthroughs in health, and finding the United States’ best doctors is a daunting task for any women.

Some are turning to private professional health care advocates, like those available at PinnacleCare, to help them achieve their goal of a whole-woman centered approach to health care issues. From compiling and electronically storing comprehensive medical records to researching treatment options and providing accelerated access to the United States’ top doctors, PinnacleCare’s health advocates make a holistic approach to health care possible.

"I passionately believe that what our PinnacleCare Members experience is the way healthcare ought to be delivered," explains John Hutchins, PinnacleCare’s Managing Director. "The healthcare system has gotten so complex that most people are at a loss to find their way through it without professional guidance and objective counsel."

 

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Pardeep Kumar Sharma asked:


SOCIAL JUSTICE THROUGH HEALTH CARE

We hardly come across a person who may be fully satisfied with the health care delivery system run by either the government or the private sector. This is true not only for developing but for all the developed countries as well. Every law abiding, contributing individual has some legitimate expectations from the state. Disenchantment with present dispensation of health care compels people to seek better options across the borders. Even the present flow rate of patients from developed to developing countries has assumed the proportions of Medical tourism. Medical tourism is not a one-way traffic. Poor from India are known to visit Rashid Hospital at Lahore for kidney transplants. Medical tourism will definitely bring in world class equipment and services in our corporate hospitals. These corporate tertiary care hospitals can act as excellent referral hospitals. Lack of enough clinical material, as the patients are often referred to in medical parleyences is prompting the doctors from developed world into medical adventurism. Very recently two NGO’s headed by renowned plastic surgeons of Indian origin were in India, claiming to their credit hundreds of cleft lip and palate surgeries conducted in one week. During my brief interaction when I asked them one basic question that how do you justify single step surgery by a single specialist for a clinical entity that require 3-5 set up surgeries by 10 specialists over a period of 20 years, there was no answer. On record local doctors conduct all these surgeries. These NGO’s bring in a battery of trainee resident doctors for hands on training. Dumping of questionable services and drugs continues unabated in the absence of stringent regulations. Clear-cut up to date guidelines by health authorities have yet to be issued to safe guard the health interests of this nation. Most of the drugs banned in developed countries are still being dumped in the Indian market. Commerce alone dictates the policies of multinational companies in health sector of developing countries. State and national medical councils, the watch dogs of our national health interests are controlled by elected representatives from among the doctors. Competitive populism for being elected to these high offices takes away the very sting off these regulators. In this ‘market forces’ driven health sector, apart from other factors, size of the population, economic prosperity and literacy levels dictate the out look of key players. Subjective as well as objective assessments of the health care operations leave people confused with huge piles of data and endless interpretations. At the tail end of govt. health care delivery system is the rural dispensary or the slum revamping center, and the end user an illiterate or semi literate villager or a slum dweller. Dispensary is the humane face, the welfare state can present to its people. In yesteryears the service providers were from among the same social class they used to serve. Doctor can be a friend, philosopher and guide to the locals. Unfortunately the economic and social disparity between the service providing doctors and the service user population has grown enormously. Ad-hocism in health care delivery should be done away with immediate effect. Doctors and paramedical staff appointed on yearly contract basis are not showing any interest in the national programmes. Established private health care providers also have not shown any meaningful commitment for national programmes. Middle class itself has fragmented. Now it is fashionable to assign economic values to any issue like gender, but for social responsibility and justice. In this era of fast paced growth, the unorganized, silently suffering millions can not be wished away. Once reading on biodiversity I stumbled upon a very interesting quote, “only the species with economic importance will survive”. In our active pursuit for magnetizing economy, we assigned economic values to any thing except for morals. Commercialization of education has produced a new breed of professionals who have scant regard for professional ethics. Privatization is the buzzword with governments, because it takes away government responsibility. Private sector players are eyeing many ‘viable’ health institutions. There are no takers for commercially non-viable rural institutions. Rural health institutions dispense social medicine. Very recently one of the key players from private sector health care quoted the cost of developing one bed in corporate hospital at Rs. 30-60 lacs. These corporate health services are definitely out of each of the common man. These type of hospitals are definitely required for a nation with the present rate of growth but ‘bharat’ definitely needs different kind of hospitals. There are very strong social under currents against the exploitive private healthcare, inadequate government sector health care resources and the indifferent approach of welfare state. Health for all is a very lofty but expensive proposition. There are ways and means to reduce the pressure from government institutions. Private-public partnership, health insurance, monitoring and regulation of private sector health care can all make the things bit easy. Preventive health care education can go a long way in improving the public health. Community participation in health care has produced few but wonderful examples. Complementary community participation can make up for minor but critical deficiencies in the government run health care system. Setting up of health system corporations with World Bank assistance has already improved the working of govt. sector health care institutions considerably. Community participation through NGO’s can still improve the system, but most of the meaningful NGO’s turn their back on govt. run health care institutions because of their doubts on the integrity of government officers. Government health care institution are increasingly seen not as caring hospitals but like police stations, where medico legal reports are written and postmortems conducted. Most of the government doctors’ time is spent in courts appearing as medico legal experts witnesses. Emergency, post mortem, and then the VIP duties in addition hardly leave the doctors free for any meaningful job at government hospitals. There is an urgent need to have separate curative, preventive, legal, administrate and health intelligence wings. Government hospitals attract the poorest of the poor, mostly people from the unorganized sector. Their contribution to national GDP is by no means small. With the present growth rate, upward social mobility is seen in every strata of society. Many segments of this unorganized sector can be organised so that they also enjoy the patronage of welfare state in the form of health insurance policies. Apart from direct benefit to these segments of society, the state will benefit from the ‘off loading’ of burden from government run health care system and loading it on insurance driven private sector health care institutions. Poorest of the poor will repose faith in welfare state. Sanjivini, health insurance policy with the Punjab Milkmen Cooperative Societies is already a big success. ECHS (Ex servicemen Contributory Health Scheme) is an other success story. These success stories can be replicated with countless groups like, panwallas, dhabewallas, autorikshaw drivers etc. Simply organize the unorganized sector. There is no dearth of role models from among government doctors also. Their inclusion rather than drift after dissent from the present dispensation of health care will immensely improve the system. Stability of tenure is an excellent incentive government can give to its doctors without costing anything to exchequer. Yet tenure beyond decades should be discouraged as it leads to development of vested interests of the old incumbents and denial of chance to the youngsters. Resource mismatching is a major problem in the govt. run health care system. There are dispensaries where specialists are posted and still many more civil hospitals where non-specialist are posted. These mismatching result in defective and inefficient health care. Nodal Hospitals can be created for round the clock emergency services by cannibalizing defunct and sick institutions where equipment worth crores is lying unused and salary bills are bleeding the exchequer white. Most of the medical officers retire in the same administrate rank. This undue stagnation has forced many a brilliant doctors out of service. By simply seeking options for place of posting, honestly implementing with minimum displacement on merit can also revitalize the govt. doctors’ cadres. Private sector health care delivery system is a totally market driven commercial enterprise. So called ‘market forces’ have least respect for ethical and moral value systems. Multi level marketing chains have evolved in the name of referral systems. End result is exploitation of the unsuspecting common man, who still regards his healer a holy person. This ‘incentive’ system is strengthening the hold of unqualified, unscrupulous and unregistered medical practitioners on illiterate masses. Not many qualified doctors are unscrupulous. A large section of private health care providers feel genuinely threatened by blackmailers of all sorts. Consumer protection act is a very convenient beating stick in the hands of their tormentors.

Under the constant threat of being blackmailed, the private health care providers are becoming more defensive in attitude. More patients are being referred to tertiary care institutions for this reason only, thereby flooding the referral institutions. People have a common feeling that sickness is an invitation for exploitation at the hands of private health care providers. Even the charitable hospitals are charging as heavily as fully private hospitals. Medical profession is fully responsible and capable of self-correction. Medical councils and associations can jointly evolve a fail-safe mechanism to keep their black sheep under check even without government help, but the buck stops with the government. Welfare state is duty bound not only in providing health care delivery system but also proper health care administration and social justice through its health care delivery mechanism.

Name : Dr. Pardeep Kumar Sharma

Email-ID : omfspardeep@yahoo.com.

(M) : 0988456296

Date of Birth : 12.02.1962

Education Qualifications : BDS (Bachelor of Dental Surgery)

MDS (Master of Dental Surgery in Oral and Maxillofacial Surgery)

Educational Institutes Attended

Govt. High School Bargari : Matriculation (1969-1977)

Distt. Faridkot, Punjab, India

DAV College Chandigarh : Pre-University (1973-79)

(Punjab University)

Barjindra College Faridkot : Pre-Medical (1980)

Dental Wing, Medical College : BDS (1981-1986)

Patiala

Dental College and Hospital : MDS (2003-2006)

Amritsar

Professional Experience

House Officer, Christian : 1987-1988

Medical College & Hospital,

Ludhiana

Research Officer, All India : Jan. 1989 to June 1989

Institute of Medical Science

AIIIMS, New Delhi

Dental Officer, Indian Armed : July 1989 to August 1994.

Forces in the Rank of Capt.

3

Medical Officer (Dental) : w.e.f. Nov. 1995 till date

in Punjab Civil Medical Service

(PCMS)

Research papers Published

“Role of Programmed cell death in dental anomalies associated with cleft lip and Palate”. “Medical Hypotheses” Churchil Living Stone Publishers London-1991

Post traumatic polatoglossal adhesion, a case report stomatologica India (1990).

Research Project Undertakes

“Malocclusion and associated Factors among Delhi Children” a study sponsored by Indian Council of Medical Research (ICMR).

Areas of Interest : Environment, Health, Defence, International Affairs and Rationalism