Spice Route India Newsletter
Newsletter : Vol. 3, Issue 1, 24 November 2021
The editorial team of The Spice Route India Movement takes the pleasure in presenting the third issue of the newsletter to you!.
Although we regret the delay in bringing out this issue of newsletter due to the jarring second wave of the pandemic, it has allowed enough time for having stories from young physicians that are beyond COVID-19. We hope that this would be a change for all our readers and relatable as our practices have been getting back to normal.
While we celebrate Transgender Awareness Week this November between 13th - 19th, we are reminded of the values of autonomy, inclusivity, acceptance, empathy, and equality. As family physicians these are some of the values we are expected to deeply embrace in our practice. In this issue, there are many articles that make us think of this humane aspect of caring for our patients. Articles that talk about experiences dealing ........ continue reading
Greetings to all !
Our editorial team is ready with the third edition of The Spice Route India Newsletter. It was never an easy journey till date. To set off the newsletter was the biggest challenge. From a humble start in April 2020, we are now releasing with the third edition, and we have come a long way since then.
The newsletter is a unique opportunity to have a test and practice of your skills in scientific writing, reporting, editing and communication. For readers, the Spice Route India Newsletter gives opportunities to read about recent updates....................
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By engaging the young minds of budding family physicians of the country, we aim to nurture, guide and encourage them to take this discipline to greater heights
We aim to be able to provide high quality primary health care, which focuses on the body, mind and all the social aspects of well being Develop networking skills and partake responsibilities in all the National, Regional and International events pertaining to the discipline
I have often seen in hospital ICUs and in the neighbourhood , few people cracking jokes and making fun of the dead, especially of the elderly frail people who had been bed ridden for a while. They were mostly people with multiple comorbidities, memory loss and dementia. And I thought, doesn’t death deserve any respect??
Don’t laugh at the old man
Who now lies dead
Who had been sick for a while
And caused his .......
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Bonbibi, literally meaning the guardian of the forest, is a guardian spirit, revered by the people of the Sundarbans for protection against all jungle animals.
Santosh got up from his bed. Dawn was breaking. He rubbed his eyes and went outside. He liked walking around his village, especially at this early hour, when it was calm and quiet. He felt at one with nature. Even though life was a difficult one here, in his village Dinaganj, he never felt like leaving. Sundarbans had its charms.
"Santosh, where are you?", he heard his mother's voice. He turned towards his home, a mud-thatched hut. It had been badly damaged in the cyclone, but with help from some kind outsiders, they have been........ continue reading
Dr Ajay Kumar presently serving as the President of IMA Bihar chapter has worked in different posts from the rural area to the secretariat in the health department of Bihar. He has been an inspiring leader throughout his medical career. He always fought for the cause & welfare of his patients as well as medical professionals without fearing the consequences. He established his clinic in the year 1980 in Maner, on the outskirts of Patna & continues to practice here till date. Since his early days he has established a good rapport with his patients and that remains over the years. He has shown us that a Family physician can be a good social leader.
It was decided well in advance by my father when I was in class 8. My father and his family were indebted to the medical profession, which saved my mother's life in 1959 (her 7th pregnancy). I was inspired to be a doctor. I did my higher secondary schooling at the age of 16 with very good marks and was admitted to the Prince of Wales .........
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The national council of The Spice Route India movement was nominated in October 2019, a few months before the pandemic hit. Physical activities and events were planned, but alas, the lockdown was enforced in March 2020 and the rest is history.
But we decided to e-meet and we conducted our council meetings as well as monthly academic sessions online. These events helped us make our network and kept the pulse of the movement going.
Finally, in August 2021, we organized a physical event, at Bangalore Baptist hospital. Our National Chair, Dr Serin Kuriakose visited the city and we used this opportunity to have a meet and greet session with family medicine residents, young practitioners as well as senior leaders.
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The concept of “One Health” implies that the health of people is connected to the health of animals and our mutual environment. It was initially known as “One Medicine”- a term coined by Calvin Schwabe and is dedicated to improving the lives of all human and animal species through the integration of human medicine, veterinary medicine, and environmental science. One Health takes inspiration from the Greek father of Medicine, Hippocrates, and his based on his approach which recognizes that human health, animal health and environmental health are part of a whole body. This concept becomes increasingly important in the current scenario of COVID -19 pandemic where the disease originated in bats and was transmitted to humans through unknown intermediate hosts in the Wuhan Sea food market, China. The outbreaks of Nipah Virus, West Nile Virus, Ebola Hemorrhagic Fever..............
The term ‘One Health’ was first used .....
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Pause and listen to our community health workers
The following is a reflection of my experience working with community health workers (CHWs) so far. Here “community health workers” has been used to refer (like by WHO here) to individuals who are selected, trained, and who work in the community which they often come from. In the Indian context this may refer to ASHAs (Accredited Social Health Activists) as in the public health system, or “lay health workers”/ “outreach workers” / “field workers”/ “Health facilitators” etc. who have been part of NGOs that work for health of various communities.
Being mindful to the personal challenges that the CHWs may have–
CHWs are individuals who care for people, listen to the numerous challenges that people face, help them navigate through those challenges, and meet expectations of the program. At the same time, most are also dealing with similar difficulties themselves in their personal lives and ....... continue reading
Life in a medical college mostly revolves around friends, food, studies and practicing history taking of different patients – the latter two receiving utmost importance when the exams are round the corner.
It was my final year paediatric posting. Practical exams were coming up. One day a news spread like wildfire that a kid with Down’s syndrome had been admitted in the ward and would most likely be kept for the exams. We sprung to our feet. Ruffled through the pages of Paediatric text book for systematic clinical examination, definition of Down’s syndrome, points to be asked in history and detailed head to foot examination. Somewhere along the description it was written- “these children are cooperative, mostly happy and love music”. I could never have cared less for that statement at that moment.
Later my friends and I went to the ward to see ....... continue reading
Aging is an irreversible normal physiological phenomenon that takes place at a molecular level, reflecting not only physically but functionally and psychosocially as well. Falls are one of the major problems in the elderly and are considered one of the “Geriatric Giants”. Recurrent falls are an important cause of morbidity and mortality in the elderly and are a marker of poor physical and cognitive status. Evaluation of the morbidity profile among elderly people, and the impact of chronic conditions on functional disability and psychological well-being are an essential part of comprehensive assessment of the elderly. It has implications for providing health care for the elderly population and its costs. Hence this article aims to describe the burden of falls among the elderly, the risk factors associated with it as well as certain measures the health care professionals can take to prevent it .......
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Takayasu arteritis (TA) is a well-known yet rare form of large vessel vasculitis. It is a chronic progressive, inflammatory arteritis seen in young adults affecting large vessels, predominantly aorta and its main branches.
The diagnosis of TA has always been a challenge. By the time it is diagnosed, the patient usually suffers significant morbidity. This delay in diagnosis is attributed to the rarity and unfamiliarity of the disease, non-specific early symptoms and expensive imaging modalities to detect.....
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Palliative care improves the quality of life of patients and that of their families who are facing challenges associated with life-threatening illness, whether physical, psychological, social or spiritual. The quality of life of caregivers improves as well. Each year, an estimated 40 million people are in need of palliative care; 78% of them people live in low- and middle-income countries. Worldwide, only about 14% of people who need palliative care currently receive it.
Below we have highlighted a case report of a patient we managed. We describe the problems that were identified and how we addressed each of them.
54 year old male attended family medicine OPD with complaints of generalized tiredness and abdominal distension. He was diagnosed with Renal Cell Carcinoma with .......... continue reading
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