FAQs - Family Medicine

Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will talk about acute uncomplicated cystitis in this video. Dr. Aggarwal says that the current recommendations is nitrofurantoin three times a day for 5 days or trimethoprim sulfamethoxazole twice a day for 3 days. Phosphomycin single dose is reserved for patients who cannot tolerate nitrofurantoin or Septran group of drugs.

The video talks about when antibiotics should be prescribed by Dr. George M. Abraham, Professor of Medicine, University of Massachusetts Medical School. Antibiotics are generally given in infections and they work against infections caused by bacteria and they do not work against infections caused by viruses. Influenza, Hepatitis A,B,C, HIV and several other viruses. He will further explain the various bacterial infections. He will also explain about antibiotic resistance and how it is a huge challenge currently.

In this video, Dr. J S Pasricha, Retired Professor, Department of Dermatology and Venereology, AIIMS, New Delhi will discuss about vitiligo. Vitiligo is commonly known as leucoderma or white spots. It is not a serious disease as it doesn’t affect the health of the person but it is more of a cosmetic problem. Dr. Pasricha will explain the different types of treatment to regain pigmentation on white patches. There is no treatment available to stop the activity of the disease.

The video will talk about the treatment of vitiligo by Dr. J S Pasricha, Retired Professor, Department of Dermatology and Venereology, AIIMS, New Delhi. He will explain the different types of treatment which is used to stimulate the pigment in the white patches but they have no effect in controlling the disease process. He will also explain about a short course of steroids to control the disease. The treatment is useful if the pigment cells are not lost and then can be regenerated.

Dr. J S Pasricha, Retired Professor, Department of Dermatology and Venereology, AIIMS, New Delhi will talk about the treatment of psoriasis in this video. Psoriasis is an uncomfortable disease and has remission sometimes. He will explain the regimen for managing psoriasis such as there should be proper cleaning of the patches and application of the ointment should be donw a few times during the day. Along with external application, internal medications is also given. He will further explain the course of medicines in managing psoriasis.

In this video, Dr. K K Aggarwal, Padma Shri Awardee, Editor-in-chief, IJCP Publications, will talk about Dawn & Durable Protest. He will talk about inter ministerial demands to be accepted by the government. The Ministry of Health in PCNPCDT should accept the amendments suggested. He will further highlight the point as to why inter ministerial committee should be formed and amendments are necessary and government should look into this matter and if not, then they would protest against it.

Dr. K K Aggarwal, Padma Shri Awardee, Editor-in-chief, IJCP Publications, will talk on fight for one voice in this video. He discusses that if IMA has to progress, then there should be a uniform code of conduct among the doctors, pharmaceutical industry and the medical establishments. If the patients are managed by non-doctors having a different code of conduct then it will be very difficult to provide service in the community.

In this video, Dr. K K Aggarwal, Padma Shri Awardee, Editor-in-chief IJCP Publications, will discuss about patient-doctor relationship as a contract of service. He state that it is a contract of service. Whatever is agreed upon will be a legal liability on both doctor and a patient. Any breach of duty resulting into a damage will be liable for compensation. Dr. Aggarwal will also discuss certain points regarding the doctor-patient relationship.

In this video, Dr. K K Aggarwal, Padma Shri Awardee, Editor-in-chief IJCP Publications, will discuss about what is an ideal bed occupancy rate? He states that the ideal bed occupancy rate should be less than 85%. More than 85%, would increase the risk of harm which includes hospital acquired infections like methicillin-resistant Staphylococcus aureus and clostridium difficile. 

He further states that in any hospital if the occupancy rate is more than 85% then it is not an ideal hospital to get admitted. Many hospitals have 3 patients in one bed, the resources available are distributed to many more patients, and hence all patients suffer. So government should take the necessary step regarding the bed occupancy rate and send the patients to nearby panel hospitals and take care of their expenses.

In this video, Dr. K K Aggarwal, Padma Shri Awardee, Editor-in-chief IJCP Publications, will talk whether non-medical persons can practice modern medicine after short-term bridge course. Modern medicine are not allowed to practice after short-term bridge course as they are scheduled drugs. These drugs needs to be monitored and they can have toxicity. He further says that any doctor who has just learned pharmacology during his MBBS, should not be allowed to prescribe medicines. He will further discuss about the internship in which the intern while prescribing drugs are monitored. Non-medical persons should not be allowed to practice medicine as it might cause harm to the society.

In this video, Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will discuss which is more serious LBB or RBB. He explains that right bundle block (RBB) is not an emergency and can get investigated over a period of time. But left bundle block (LBB) is abnormal and needs investigation immediately. He further adds that not to ignore LBB in ECG as it could be an acute myocardial infarct. In some patients, LBB could be the only sign of myocardial infarction if the patient is symptomatic.

In this video, Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will discuss whether doctors can sell medicines or no? He states that in one of the section of Medical Council of India, it is mentioned that it is not unethical for a physician to prescribe or supply drugs, remedies or appliances as long as there is no exploitation of the patient. If the patient doesn’t wants medicine from him, he cannot force the patient. Also, the doctor has to sell the drug at MRP and if it is cheap outside, then the doctor should allow him to buy it from outside. 

It is also mention that the doctor can arrange medicines for the patients and is duty bound to explain what medicines are been given to him.