🧫 Mucormycosis: A symptom of everything that’s ailing our Healthcare System 🏨

💊 Rampant use of high doses of steroids is leading to uncontrolled blood sugar levels in many patients, suppressing their immune system, and encouraging this fungus called mucor to grow unchecked!

🤔 But is steroid overuse really the root cause?

🙈 Why should there be rampant use of high doses of steroids, with no monitoring of blood sugar levels?

🥵 Some of it may be attributable to the panicked patients and overworked doctors. However, there are deeper underlying causes why patients and doctors have been so deeply affected by this malady.

I see three causes:

Continue reading 🧫 Mucormycosis: A symptom of everything that’s ailing our Healthcare System 🏨

Old Strategies for a New Enemy

My big learning in this pandemic is that we need to use what we already know from years of managing respiratory diseases, rather than treat it like something very new.

We know that most viral infections get better with just supportive treatment.

We know that many doctors over investigate and over treat viral respiratory infections, including blood tests, X-rays, antibiotics, oral bronchodilators, alpha-agonists, and what not..

We know that many patients self-medicate, self-investigate, follow random advice from relatives and friends, and have many cultural taboos.

All of the above has just gotten much much more pronounced due to fear on all fronts..

At the same time, I know lots of doctors who are keeping the flame of rational empathetic medicine alive..

In my practice, only two things are new:

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COVID Diaries


I often ask my patients to record their measurements at home in a diary, and bring them to the next appointment. I find that this improves the self-efficacy of the patients and their family members in taking care of their illnesses, and helps us doctors take better care of them! At the same time it’s an ideal, and reality loves to wash away our best laid plans..

Some patients do check their parameters, some don’t. Some of those patients who do go to the trouble of measuring them regularly, may not record them! And those who diligently record them may forget to bring those readings when they come for a follow-up consultation! And some of those who keep meticulous records, stop after a few months.

I often tell my patients, “Your proper treatment will only start when you start maintaining a record, till then we’re just playing with your illness!” And truly, the home record is vital in adequately managing Hypertension and Diabetes Mellitus, and I’ve found it useful in other illnesses too, like Typhoid fever, and Food allergies.

I keep wondering how to inspire patients and family members to keep better records. I think I got some answers last year..

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🩺 Family Practice in the Next Decade: Leading from the Front! 💪🏽

Last month I got the opportunity to address a virtual gathering of Family Physicians, and share my predictions for the coming decade! 🤔

I believe that Family Physicians will be trusted and valued much more, as we continue to provide humane, personalised care, using appropriate technology and the Art of Medicine! 🤗👀

*Watch the session here:* https://youtu.be/B0Vcra10ezA (25 min, English)

Continue reading 🩺 Family Practice in the Next Decade: Leading from the Front! 💪🏽