Getting psychological help for children locally.
Indians settled in developed countries.
#Thread
Focus - mal treatement of child by a family member
Since I started practice in 2000, every year I receive 5-10 calls from Indians settled in EU, UK and north america about help for a child who is at risk from a family member (mostly father but occasionally mother too).
This involves the parent being emotionally and physically abusive towards child (almost always under 10 years of age).
These families are highly educated and well settled.

One of the parent usually has an anger issue/alcohol problem or long standing mental health issue.
Child is target of these difficulties and frequent, serious beatings accompanied by verbal and emotional abuse is common. Mother also faces similar problem but is reluctant to report that.
"but he is so loving otherwise and always apologises for all of this afterwards. Please counsel the child to not trigger him."

When I hear this, my heart sinks.

It is clear that responsibility of father's behaviour is already put on the child. Unfair and impossible task.
Social services for families and children are well established in all developed countries. But we Indians have 2 misconceptions about them -
1. They are for black population and drug addicted white population
2. Main job of social services is to take kids away from families and arrest/deport parents.
When you read it here, it is laughable but this is what most Indians seem to think of social services. Their income level and education notwithstanding.

It is an urban legend among Indians and it prevents women from seeking help against abuse.
It is quite clear that patriarchy that is so deeply ingrained in our society fuels and sustains such convenient myths.

8-10% of reported cases usually result in an investigation where charges are pressed and children taken into care is far smaller proportion of reported cases.
But it is almost impossible to convince these battered women that help is available and they need to pick up the phone.

This is an experience of social workers worldwide. Persons in most need of help, stay away from it.
My questions to my Indian friends settled abroad -
1. Is this acknowledged problem in your friend/family circle?
2. Are you aware of these misconceptions prevalent in Indian population?
3. Are there any programs addressing this?
I am aware that informal helplines are established in few areas with high concentration of Indians but these efforts are inadequate.

So how does Indian diaspora plan to address this issue of children and women at risk?
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More from @docbhooshan

25 Apr
#Culture
#India
#Healthcare

One of the reasons of Covid fatigue for doctors in India is "multiple consultations".

So far in entire year I have not come across EVEN ONE patient who consulted ONLY ONE doctor.
Even asymptomatic people or people with mildest of symptoms contact multiple doctors.

This is how we are.

Therefore I am totally against working for telephonic helplines. If they really audit their calls..
they will realise that most callers are calling up helpline "just to confirm" what 10 other doctors + actual treating doctor has already told them.
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#Covid #healthcare
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First 🌊 of Covid was pure shock for all health systems and societies.

We had little knowledge of what hit us.

People died by large number in developed nations.
By the end of first few weeks we sized up the enemy very well. We also knew that there would be more waves.

As they say in 🎾 you are only as good as your second serve.
And this turns out to be truth about health care.

After doing okayish (?luck) in first 🌊, how is India facing second wave?
What has directed our response, if we can call that?

How do we compare with the world in terms of managing second 🌊,

You are the judge and the victim.
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If you are worried about catching Covid while at home, you can try these simple steps to reduce your worry -

1. Use small chunks of time (15-30 min) by allocating to specific activity

2. Do not re-work plans - e.g. if you are buying grosseries once a week stay with it.
3. Stop looking for more info - avoiding crowd + closed spaces and wearing mask all the time is enough.

4. Washing hands ONCE after returning home is good enough.
5. Watch your emotions - distract yourself from worry, anger, sadness by involving in physical activity, art, music, etc.
Read 9 tweets
17 Apr
#Thread
Yesterday @EricTopol tweeted about @TheLancet publication reporting "trasmission of SARS CoV 2 mainly via airborne route"

Little did he know that his sphere of influence reaches a city called Nashik in India and pensioners living in my housing complex in Pune, India.
By midnight, i started receiving questions and worried messages from my relatives in Nashik quoting this.
"Now Covid is airborne! we are doomed" was universal concern.
Then a neighbor called in the morning with same concern. Messages on her whatsapp group predicted doom.
Everyone wanted to know - What to do next?

Some had already closed their windows and ventilator gills to protect themselves from "virus air".
This is peak summer in India, temperatures are nearing forties (Celsius).My relatives don't live in air-conditioned homes.
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Dear Shri @maheshmkale ,

Congratulations to your father for making complete recovery from Covid.
Your video on plasma donation is doing rounds on social media.

Pl read thru this thread -
Plasma therapy in covid is of almost no additional benefit, prohibitively expensive, human resource intensive.

Here is excellent quality, published research on this issue - health.economictimes.indiatimes.com/news/diagnosti…
Countless relatives are now DEMANDING this therapy for their loved ones.

You can understand their plight to arrange for this therapy. You have been thru same recently.
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Last evening my eldest sister in law had a long chat with my wife on phone.

She asked her "how are you? This work is so difficult. How do you handle all this?"

My wife is Intensive Care Specialist. Doing Covid work since April 2020.

This is the first time anyone from extended
family asked about her well being.

She gets numerous calls everyday from multiple relatives and friends asking about medical advice, second opinion for their friends, vaccine queries, and what not.
At all times of day and night.

This is on top of her exhausting Covid work.
Whole of last year, like most of my doctor colleagues in India, she hasn't had unbroken 4 hours of sleep.

It is unimaginably difficult. Her hospital @symbiosistweets supports her really well and her own innate resilience has seen her thru so far.
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