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Heal-Thy India: Untold Secrets of Health Care
PK Sasidharan
SECTION 1: CHALLENGES IN OUR HEALTH CARE SYSTEM AND SOLUTIONS
CHAPTER 1:
Introduction to Health Care Issues in India
MALNUTRITION
DRINKING WATER
WASTE MANAGEMENT
CONSUMERISM
NEGLECTFUL ATTITUDE TO HEALTH CARE
LACK OF PRIORITIZATION AND HOLISTIC PROVISION OF HEATH CARE
DEFECTS IN MEDICAL EDUCATION AND BASIC EDUCATION
HEALTH ECONOMICS
CHAPTER 2:
Leptospirosis Epidemic in Kerala (2011): A Pointer to Our Health Care Mismanagement
INTRODUCTION
WHY LEPTOSPIROSIS?
Reasons for High Mortality Due to Leptospirosis
Strategies for Tackling the Problems like Leptospirosis: What is to be done at the Tertiary hospital/Medical College Level?
What is to be Done at the Community Level for Diseases Like Leptospirosis?
The Attitude of the Authorities Needs to Change
CHAPTER 3:
Malnutrition in India, Balanced Diet and Good Lifestyle
WHY MALNUTRITION IN INDIA?
WHY ARE WE CARELESS ABOUT OUR DIET?
WHAT IS BALANCED DIET?
Importance of Vegetables and Fruits
Importance of Adequate Water Intake
WHAT ARE THE THINGS TO BE AVOIDED IN FOOD?
THE GRAVITY OF MALNUTRITION IN INDIA
HOW MUCH TO EAT EVERY TIME WE EAT?
Use of Cooking Oil, which Oil to choose and the use of Fried Foods
Wrong Concepts about Diet
DYSPEPSIA OR GAS
DIETARY NEEDS OF VULNERABLE GROUPS LIKE PREGNANT WOMEN, CHILDREN AND HIV POSITIVES
Diet for Healthy Pregnancy
Diet for HIV Positive Women and other HIV Positive Patients
Diet and Diseases: The Unseen Relations
The Relation between Diet and Infection
Why HIV and Tuberculosis are more Common in India and Africa?
VITAMIN AND MINERAL SUPPLEMENTS
FOOD SAFETY: KEEPING FOOD SAFE
What are the things to be avoided while eating?
LIFESTYLE AND ALL DISEASES
CHAPTER 4:
Waste Management, Drinking Water Issues and Consumerism in India
DRINKING WATER ISSUES
THE PROBLEM OF CONSUMERISM
Socializing Disease Care without Socializing Health Care in India
What should Doctors Do?
CHAPTER 5:
Diabetes and Our Health Care: How to Prevent Diabetes?
TYPES OF DIABETES AND THEIR CAUSES
RESEARCH ON ETIOLOGY OF DIABETES
A NEW LOOK AT ETIOPATHOGENESIS OF DIABETES MELLITUS
THE ROLE OF STRESS IN DIABETES
THE ROLE OF GENETIC INFLUENCE
DIET IN DIABETICS AND DIETARY GUIDELINES FOR DIABETES PREVENTION
Misconceptions about Diet among Diabetics and the Potential Diabetics
EXERCISE IN DIABETES
STRESS MANAGEMENT IN DIABETES
CONSUMERISM AND DIABETES
THE PARADOX IN DIABETES STUDY AND RESEARCH
First Approach
Second Approach
CHAPTER 6:
Are Doctors Engaged in Genuine Health Care? What Actually is Health Care?
WHY ALL DISEASES
Why Communicable Diseases?
Why Lifestyle Diseases and What is Meant by Good Lifestyle?
Good Lifestyle Practices
Importance of Good Lifestyle Practices
Why Cancers?
Why Genetic Disorders?
Why Malaria? What is to be done for its control?
HEALTH AND HEALTH NEEDS
What are the Health Needs?
CHAPTER 7:
The Superspecialty Menace in India
CHAPTER 8:
Need for a Strong Health Policy
H1N1: THE SWINE FLU SCARE
A Glimpse into Our Healthcare Scenario without a Policy
NEED OF THE HOUR: A STRONG HEALTH POLICY
PROBLEMS IN HEALTH CARE AND DISEASE CARE
CHAPTER 9:
Solutions to the Problems in Health Care
HEALTH POLICY THAT WE NEED
Health Policy Recommendations for India
CHAPTER 10:
Health as a Global Issue: Change the Behavior or Get Ready for the Last Laugh
CHAPTER 11:
Sexual Health, Gender Discrimination and Women Empowerment
SECTION 2: MEDICAL EDUCATION AND PRACTICE OF MEDICINE NOW AND ITS IMPACTS
CHAPTER 12:
Clinical Skill: Relevance in Today's Medical Practice
CHAPTER 13:
The Practice of Medicine Today
INTERESTING STORY OF A YOUNG MAN WHO HAD BEEN SYMPTOMATIC FOR 10 YEARS
FORGOTTEN SKILLS OF HISTORY TAKING AND PHYSICAL EXAMINATION
CHAPTER 14:
Medical Teaching in India: Are we Doing Justice to Our Society?
MEDICAL TEACHING AND THE SOCIETY
MEDICAL PROFESSION AND THE PROBLEMS IN HEALTH CARE
Do We Need a New Medical Degree like BRMS?
MEDICAL TOURISM AND ITS IMPACT ON OUR HEALTH CARE
CHAPTER 15:
Medical Research: Off the Track all Over the World
BACKGROUND
BASIC CAUSES OF DISEASES AND THE SCENARIO IN HEALTH CARE AROUND THE WORLD
RESEARCH IN MEDICINE
CHAPTER 16:
Banning of Private Practice by Government Medical College Teachers in Kerala
ADVANTAGES OF PRIVATE PRACTICE IN OUR SOCIETY
DISADVANTAGES OF PRIVATE PRACTICE
CHAPTER 17:
Major Objectives for Medical Colleges in India
POLITICAL INTERFERENCE
ADMINISTRATION OF GOVERNMENT MEDICAL COLLEGES
FINANCE
ON CHARGES THAT AUTONOMY WILL LEAD TO CORRUPTION AND VICTIMIZATION
SECTION 3: MODELS OF HEALTH CARE DELIVERY
CHAPTER 18:
Memories from a Visit to UK
COMPARISON OF HEALTH CARE AND SOCIAL STRUCTURES
THE BRITISH BEHAVIOR
VISIT TO WALES
NATIONAL HEALTH SERVICE IN UK
STRUCTURE OF NHS
Some Positive Achievements of NHS
NHS REFORMS
RESPECTING THE PATIENT
CHAPTER 19:
Disease Care in Denmark: A Model for other Countries*
PROBLEMS CREEPING UP IN THE DANISH SYSTEM
PATIENT CHOICE OF INSURANCES
Group 1 Insurance
Group 2 Insurance
GENERAL PRACTITIONERS
PAYMENT FOR HEALTHCARE PERSONNEL
Specialists
PAYMENT TO HEALTHCARE PROFESSIONALS
CHAPTER 20:
Memories from a Visit to China
THEIR WEAKNESSES
CHAPTER 21:
The USA Model of Health Care: A Failure (An Article Review)
EXCERPTS FROM THE ARTICLE
HEALTH INSURANCE COVERAGE
COSTS
THE FAILURES OF US HEALTH POLICY (AS QUOTED IN THE ARTICLE)
FUTURE CHALLENGES (AS QUOTED IN THE ARTICLE)
CHAPTER 22:
Singapore Memories
PLEASANT SINGAPORE MEMORIES
CHAPTER 23:
Experiences of Some Students from UK at Calicut Medical College
ACCOUNT BY NEMI GANDY; MARCH 2012
Introduction: Planning and Aims
Clinical Experience and Reflections
Conclusion
OBSERVED SIMILARITIES AND DIFFERENCES BETWEEN MEDICINE IN CALICUT AND THE UK: ACCOUNT BY THOMAS AND RACHEL BIGWOOD
Introduction
Health/Disease Care Structure
Focus of Health/Disease Care
Practical Differences in Hospital Care
Junior Doctor Training
Similarities and Differences in Cases Observed
Conclusion
MY EXPERIENCE OF MEDICINE IN INDIA: ACCOUNT BY CAROLINE DAVIS FROM UK
Outpatients Department
Wards
Casualty
Students
Communication
Infection Control
Patient Privacy
However
SUMMARY OF MEDICAL PLACEMENT, JUNE–JULY 2011: ACCOUNT BY IAIN ANDERSON
Week 1
Week 2
Week 3
Week 4
My Experience
SECTION 4: HEALTH POLICY FOR INDIA
CHAPTER 24:
Where are We Now in Health Care? Pitfalls on Our Way—We have the Potential to Lead the World
LACK OF SUSTAINABLE HEALTH CARE
CHAPTER 25:
Health Economics and Health Policy
WHY IS THERE SCARCITY OF FINANCIAL RESOURCES FOR PROVIDING BASIC HEALTH NEEDS?
WASTAGE OF AVAILABLE RESOURCES
CORPORATE SOCIAL RESPONSIBILITY: IS IT A SOLUTION FOR THE SOCIAL ISSUES?
CHAPTER 26:
Policy Changes and Reforms Needed for India
PRIVATE HOSPITALS AND DISEASE CARE IN INDIA: WHAT IS NEEDED?
HIGHER ADMINISTRATION IN HEALTH CARE AND DISEASE CARE: WHAT IS NEEDED?
PATIENT CARE AND PATIENT DATA
REDUCE RUSH IN TERTIARY CARE CENTERS
REDUCE THE DISEASE BURDEN
Most Urgently Needed to Avoid Wastage of Resources and to Save the Economy
DECENTRALIZATION OF HEALTH CARE AND DISEASE CARE
GATEKEEPING IN HEALTH CARE AND HEALTH INSURANCE
Genuine Health Care is Social Security and Human Development
Private Practice by GP Doctors in Primary Health Centers (PHC)
ROLE OF OUR EDUCATION AND POLITICS IN HEALTH ECONOMICS
CHANGE OF THE ATTITUDES IN POLITICS
GLOBAL HEALTH AND HEALTH ECONOMICS
CHAPTER 27:
Brain-Drain and Health Care in India: Does it Affect Us?
IS THERE A BRAIN-DRAIN?
CHAPTER 28:
Conclusions on Health Policy for India
GUIDELINES AND DIRECTIONS
SECTION 5: REFLECTIONS FROM LIFE
CHAPTER 29:
Roots and Wings
CHAPTER 30:
Memories on this Journey—at Calicut Medical College
AN INQUIRY ON ME
The Facts
The Background of the Issues, which Led to the Inquiry
Why did they do that?
OTHER SIMILAR ATTACKS
SOME NOT SO GOLDEN JUBILEE THOUGHTS
THE LAST WORD IN MEDICINE
CHAPTER 31:
On Thankless Jobs
CHAPTER 32:
Farewell Address to Outgoing Graduates of Calicut Medical College
CHAPTER 33:
Hard Realities Observed in My 60 Years of Existence
CHAPTER 34:
Some Random Thoughts
CHAPTER 35:
Nonalcoholic Fatty Liver Disease (NAFLD): The Epidemic that is Killing Millions
CHRONIC LIVER DISEASE AND THE NONALCOHOLIC FATTY LIVER DISEASE (NAFLD)
The Dilemma that I Faced: Lessons to Manage Chronic Liver Disease
Spouse and Weight Relation in NAFLD
CHAPTER 36:
My Younger Brother: A Victim of Present Day Lifestyle
CHAPTER 37:
‘Farewell Speech on Retirement from My Favorite Department’ (10th February 2015)
CHAPTER 38:
Message to My Younger Generation
INDEX
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