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Dr.Bhooshan Shukla MD डॉ. भूषण शुक्ल Profile picture
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29 May, 5 tweets, 2 min read
Is India listening?
We have started our love affair with insurance driven healthcare in earnest.

We WILL suffer.
Japanese System of healthcare

en.m.wikipedia.org/wiki/Health_ca…
Singapore model of healthcare.

commonwealthfund.org/international-…
French model is much liked by rating agencies -

en.m.wikipedia.org/wiki/Health_ca….
Germany has an interesting mix of personal + govt + insurance funding

en.m.wikipedia.org/wiki/Healthcar….

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More from @docbhooshan

Dr.Bhooshan Shukla MD डॉ. भूषण शुक्ल Profile picture
30 May
#Thread
#Schizophrenia

A series of 7 short posts about schizophrenia. Written for Schizophrenia awareness week.
1
Is it one single well defined, well understood illness? Image
2
Some common types of schizophrenia described in #Marathi by fellow psychiatrist Dr Atul Dhage Image
Read 9 tweets
Dr.Bhooshan Shukla MD डॉ. भूषण शुक्ल Profile picture
22 May
#Thread

Amphotericin B and Mucormycosis bring up uncomfortable memory.

Memory of a family that was ruined because of cost of treatment

Jan1996.
I started my first house job in Nashik after finishing internship.
My very first patient was a middle aged man on ICU bed no 1.
He was operated for removal of mucormycosis balls from his maxillary sinus. He lost one eye to that fungus.
Uncontrolled diabetes caused by misconceptions about illness, insulin and faith in "alternative" ultimately led to this fungal infection.

I met him 4 days after operation.
Amphotericin B was not avaialble in Nashik then. It has to be brought from Mumbai.
Read 11 tweets
Dr.Bhooshan Shukla MD डॉ. भूषण शुक्ल Profile picture
19 May
One family or a few families together can not change curriculum or "system".

It is possible to neutralize toxicity of school system by clever use of time and choice.

It needs a deaf year for friends and family.

How to go about it?

A thread -
1. Choose a school that is closest to your home. Preferably walking distance. Commute is a killer.
2. Time is most important tool. Choose a school that engages kids for minimum time. State board schools are best in this area. Esp schools that run in 2 shifts.
3. Getting marks in school exams should not be a priority. Only 12th std matters to an extent.
4. Self learning + help from parents, internet should be preferred way. No tuition classes at all.
5. Understanding questions and trying to get into examiners mind is essential skill in
Read 12 tweets
Dr.Bhooshan Shukla MD डॉ. भूषण शुक्ल Profile picture
16 May
#Covid #Learning
#change

There is lot of learning from Covid pandemic. I am hoping for following three changes to become part of Indian medical system.

I am eternal optimist.

a thread -
Change 1 -

I would like to see doctors following guidelines in treating ALL illnesses. Not getting straight jacketed but respecting research driven guidance.
Too many doctors claim to be geniuses and create cocktails that are useless at best and deadly at worst.
This would not only safeguard good doctors in litigation but put responsibility on bodies that form guidelines. If they want to bask in glory, they need to be accountable as well.
A sensible doctor finds good guidelines supportive, protective, uses them to rationalize treatment.
Read 10 tweets
Dr.Bhooshan Shukla MD डॉ. भूषण शुक्ल Profile picture
13 May
#India
#covidvolunteers
If you are a non-professional volunteer during Covid times in India,
your own mental health may be under challenge.

Few thoughts on how to look after yourself and continue to be a valuable member of volunteer force.
1/n
Many telephone helplines and on ground help groups are working towards - advice on course of disease, finding beds/meds/food/support, arranging funerals and host of other services for the affected and their families.
This is excellent work. Much needed. People volunteering for such work online/on phone/on ground are noble souls.
They face uphill and sometimes hopeless task.
Manytimes their efforts draw a blank and sometimes patient passes away.
Read 20 tweets
Dr.Bhooshan Shukla MD डॉ. भूषण शुक्ल Profile picture
9 May
#Thread
#Covid info for all

Everyday brings more complexity and more confusing information in public and professional domain.

Here I make an attempt to bring some clarity in my own understanding of this issue.
Basics -
In a complex, complicated, evolving, changing, poor-data situation, best policy is to stick to absolute basics to minimise harm caused by foolish intervention.

What does it mean in practical terms for Covid?
1. Focus on prevention - mask up all the time, avoid socialization and closed spaces, avoid places where you meet mask-less people.

2. Long term - lose extra weight, get blood sugar in normal range, keep other illnesses in good control. This reduces risk if you get Covid.
Read 8 tweets

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