Dr Rajiv Desai

An Educational Blog

CHIKUNGUNYA

CHIKUNGUNYA Prologue: Few years ago, I have not heard the name Chikungunya but now a days, I am treating plenty of Chikungunya cases in my medical practice in India. The hall mark of Chikungunya is presence of multiple cases in a family/ neighbourhood/ locality /village /township.  Majority of patients have abrupt onset fever with severe joint pain (arthralgia) with/without joint swelling (arthritis). Even though majority recovered soon, some of them have chronic crippling arthritis lasting for months or years. Also, many patients of Chikungunya were erroneously diagnosed as typhoid/ malaria/ dengue and received wrong treatment. So I posted this comments on Chikungunya to educate masses. Synonyms and abbreviations:  Vector = arthropod = mosquito Chikungunya fever = CF Chikungunya virus = CHIK-V Chikungunya = chicken guinea = chicken gunaya = chickengunya The disease was first described by Marion Robinson and W.H.R. Lumsden in 1955, following an outbreak in 1952 on the […]

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MEDICAL NEGLIGENCE AND CONSUMER PROTECTION

MEDICAL PROFESSION VERSUS CONSUMER PROTECTION ACT:(DOCTOR V/S CPA): As a qualified doctor of 20 years experience,I am a better person to comment on this controversial issue.At the outset,I want to say that I deplore CPA and condemn criminal charge of negligence against a doctor. 1)The relationship between a doctor and a patient is a matter of faith and trust and CPA destroys this pious relationship. 2)There was a time when a doctor was considred next to the God because of his ability to relieve human suffering and this respect is destroyed by the notion of a doctor being looked upon as a grocery shop owner who gives treatment in return for money;thanks to CPA. 3)A human body has millions of biological variables and it is impossible for a humanbeing to know,how and why,all these biological variables will interact to produce a disease. 4)The Hippocratic Oath has become irrelevant in 21 […]

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TOBACCO AND SMOKING

Tobacco and Smoking cigarettes:INDIAN EVIL : The world must be shocked to know that indian politicians and indian media are more in favour of tobacco lobby than anti-tobacco lobby. Indeed,India is a rogue state.This is the truth. If anybody from the rest of the world analyse my life,he/she will conclude that india is a rogue state. Smoking cigarettes is the commonest cause of preventable death in the world. One out of five americans die prematurely due to smoking. Everyday 2500 indians die due to smoking and tobacco. Cigarette and tobacco industries defend themselves for providing employement to thousands. You cannot earn livelihood by killing innocent people because then,you become criminals. Smoking cigarette is not a personal matter as passive smoking also kills innocent bystanders. If attempting suicide is an offence,then,smoking is also an offence as it kills the smoker. There should be a picture warning on cigarette packets stating that […]

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HOMOSEXUALITY AND SAME SEX MARRIAGE

HOMOSEXUALITY AND SAME SEX MARRIAGE : Let me begin with the discussion on the most controversial topic of 21’st century,namely homosexuality and same sex marriage.I am a very strong heterosexual person and therefore my views on homosexuality could be biased but I will try to be neutral in my discussions and I offer unconditional apology if my views hurt homosexual community. Homosexuality is defined as an aberrant behaviour or orientation among persons of same sex towards eachother. Homosexuality among men is referred as Gay. Homosexuality among women is referred as Lesbianism. True prevalence of homosexuality is difficult to estimate but by most surveys, found to be 3 percent of population.The gay rights movement show exaggerated prevalence of 10 percent of population to prove that homosexuality is normal and widespread. The animal studies have shown that there is some biological basis for homosexuality as some species of animals and birds do […]

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ALCOHOL

ALCOHOL: Today, I will discuss the most controversial topic for about 12000 years,namely, Alcohol.The alcohol is consumed by 80 % of people at some time in their lives. Alcohol or Ethanol or Ethyl Alcohol is defined as an organic compound composed of carbon,hydrogen and oxygen atoms with the molecular configuration as CH3CH2OH. I will not discuss other alcohols like methyl alcohol,propyl alcohol etc etc. The human beings have been consuming alcohol in various alcoholic beverages since 10000 year BC…. I wrote my thesis on alcohol in the year 1986 for my MD exam and concluded that the life-span of a heavy alcoholic is reduced by 12 years; and one out of six deaths in a government hospital is related to alcoholism.I was novice and naive then and the sample size of my study was limited. Whisky is a short form of usquebaugh where uisce means water and bethad means of […]

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