Rajasthan Breast Oncology Group meet with SMS hospital and Sita Devi Plastic surgery department

Challenge to renew a removed breast

It is a challenge before cancer surgeons to renew the breast which is being removed. Researches are going on regarding this issue in the whole world and it is possible that such surgery maybe an option in the coming decade. Young woman with small breasts face problems and side effects in such kind of surgeries. 

Challenge to renew a removed breast

This information was shared by oncologist Dr. Sarika Lamba from Narayana hospital. Dr. Sarika was addressing a meet organized by SMS hospital, Sita Devi Plastic surgery department and Rajasthan Breast oncology group. She shared that the treatment of cancer depends on the stage of the patient. If the patient comes on time then this treatment is successful. If the cancer is found in its first stage then there is only 0.5 percent chance of it occurring again. If the cancer is at third stage then 20 percent of patients have it recurring again. Dr. Uttam Soni shared that stem cell cannot be used at present in cancer treatment.

The researches regarding stem cell is going on in the whole world. The key is to find out which stem cells help to cure cancer. At present only few stem cells have been discovered and used for treatment. But still there is no success in case of cancer. Also it is not clear as to which therapy is to be given to patient in few cases.

MCI Notification- Doctors would have to write medicines in capital letters

Prescribe and write medicines in capital letters only : MCI

To help the patients avail cheaper medicines rather than branded medicine the doctors would have to write the medicine generic name in English in capitals from now onwards. This notification was issued by the medical council of India New Delhi last month. The Central government has made amendments to Indian medical council regulations act as per 2016. The doctors would have to write the generic name of medicines in capitals for example if someone has fever then the doctor has to write paracetamol instead of Cronin. 

Differences between generic and branded 

Generic medicine is cheaper as it is not associated with any brand. In 2002 MCI had appealed doctors to write generic names of medicines but this became a big fight at that time. According to Indian journal of medical ethics 2007 report companies make two kinds of medicines ie generic and branded. But both have similar composition, quality, and performance. There is no difference in the process of making them also. The companies don't spend on any marketing or branding of generic medicines and sell them at a little profit. For writing branded medicines the companies give doctors gifts and commissions. This creates a price hike. Though national drug price control authority keeps a tab on prices from time to time. 

To give respite to patients the government has decided to open 3000 Jan aushadhi Kendra in the first phase. These centers will only sell generic medicines at low cost. At present, the share of branded medicines in the market is 75 thousand crore rupees whereas generic medicines have a market of 8 thousand crore rupees. The chemist will have the power to give generic medicines to patients even if they have brought a branded prescription. A software is being created for the same wherein as soon as the branded medicine name is put it will show its equivalent generic medicine name and price. 

MCI Notification Doctors would have to write medicines in capital letters

Sardar Patel Medical College Bikaner 1973 Batch doctors party

Alumni of Sardar Patel Medical College Bikaner 1973 Batch in Mahatma Gandhi Medical Hospital Jaipur

doctors reunion Party

Research on Dengue patients conducted by doctors at Kota Medical college

Research on Dengue patients under Dr. S.N Gautam of neurosurgery department

Now the whole world will learn about the research on Dengue patients conducted by doctors at Kota Medical college. This research will serve as a guideline in those cases where brain hemorrhage or hemorrhage fever happens due to Dengue. 

The research has been accepted for the international journal. It will be published in its next issue. The research was based on the theme that which Dengue patients can benefit from surgery and which can't. The result was that if the hemorrhage is deep inside the brain then there is no point in surgery and is very risky. Under Dr. S.N Gautam of neurosurgery department, this research was done by the doctors on 1600 dengue patients at the medical college. This is one of the first research in neurosurgery in the case of Dengue. 

Research on Dengue patients

Study Facts -

Around 1600 patients of Dengue visited the Kota Medical college between Jan and Dec 2015. Around 300 patients were admitted due to bleeding and other reasons. 

About 18 patients were diagnosed with Hemorrhagic fever and were admitted in neurosurgery. Last year Hemorrhagic patients in Dengue was 1.2 percent which is high and out of which 6 cases were operated and one died. 

Those patients who were saved by operation had the extradural or subdural hematoma. But the patient who died had deep hemorrhage which is known as the intracerebral hematoma. 

The research made it clear that while undergoing operation it has to be noted that the patient has been admitted on time, is less than 60 years and doesn't have other diseases like diabetes and asthma and their platelets should be at least 1 lakh. 

Operation process 

The first layer in the brain is bone, the second layer is dura and the third layer is the brain itself. The hematoma between fist and the second layer is called extradural hematoma, between the second and third layer, is called subdural hematoma and inside the brain is called intracerebral hematoma. 

The research has made it clear that intracerebral hematoma should not be operated. If the first layer has hemorrhage then neurosurgeons open the bone layer clean the bleeding and hemorrhage and then reseal the bone layer. If this hemorrhage is in the second layer then bone and dura also have to be opened. If it is inside the brain then after two layers the brain also has to be opened. 

Why does hemorrhage occur? 

When platelets become very low then blood clotting process becomes weak and bleeding starts and hemorrhage occurs. Platelets help in blood clotting.   

Mahavir Cancer Hospital on defaulting the land allocation rules

Token money land to Mahavir cancer hospital

Ramesh Meena of Congress Dal has put allegations on Mahavir Cancer Hospital on defaulting the land allocation rules time and again. He has requested to cancel the land allocation of the hospital from the state government. Ramesh Meena addressed to the media and said that 22166 square yards land was allocated to trust on the token money of Re 1. 

The rule to be followed by the trust was that free checkup and cure has to be provided to 25% poor and all BPL card holders. But these rules are not being followed. Flaws and loopholes have been found in committee selected by State government for the same.He warned that if the hospital administration doesn't follow properly then not only this issue will be raised in Vidansabha but also a protest would be carried out. 

Maj General Dr. S.C Pareek of Cancer Hospital said that the hospital is being run on trust's main motive no profit no loss basis. They have followed all the rules which were decided at the time of land allocation. He added that even after working for the betterment of society some people want to defame the hospital.  

No free treating poor patients by Jaipur Hospital after taking land from Rajasthan Government

RG Hospital Mansarovar land being taken on nominal rates and not giving free or cheap treatment to poor patients

A new case of hospital land being taken on nominal rates and not giving patients free cure has come forward. The hospital administration even sold off the land taken on nominal rates to other people. This complaint was registered at Lokayukta office. The person who bought the hospital also registered a FIR that no information of the hospital being under Trust was given to him before the sale deed. According to the case, nominal rate land was taken to open RG hospital at Mansarovar. 

Later the trustee handed over the hospital to four people of a family. Mahesh Sharma the trustee contacted Somendra Ghosh on lieu of not being able to handle the hospital operations. Somendra Ghosh registered a FIR that 20 lakhs were taken on the sale of the hospital stating that the hospital can be run for 10 years. Some days later Mahesh Sharma did an agreement stating that 80 percent collections would be of the hospital and 20 percent collection would be of trust. 

Lokayukta looked into this matter. The hospital was given 8750 square meter land at a nominal rate of 460 Rs. per square meter. For many years no construction was done on it. RG hospital's land has been taken on nominal rates but no free cure facility is given to patients. Also, thousands of rupees have to be spent on simple diseases. If proper action is taken then the people can get the proper cure at nominal rates here.