Lakshmanas suggestions
Avoid unnecessary injections . Almost all the medicines are available as oral preparations .When you administer drugs orally the unnecessary components will not get absorbed . But when you administer the drug by parenteral route by injections all the components will get absorbed and can cause injury to internal organs . Hence it is better to avoid injections until it is absolutely indicated .Almost all medicines are associated with one or other complications either mild or moderate or severe .
1)Incidence of sickness following an injection
One day I saw a whole batch of 50 medical students in a medical college hospital sitting in the class room when they were supposed to go to the ward .Everyone was looking sick . I asked them why they did not go to the ward .I got the reply that they were sick and is suffering from fever . When I asked how all 50 students can have fever simultaneously they told that they had fever . They got some injection which was provided free of cost . When I asked what was the injection and what was a the injection and why it was given only in the later part of December no one knew .
Discussion- An injection is said to be valid for one year only that is from January 1 st to December 31st. The next batch of new injections will be given from 1st January to 31st December . The injections that will expire by December 31st will be provided free of cost to Medical people and Nursing people Mostly the Medical and nursing students will go to get these injections . If these injections are to be discarded they companies has to undergo lot of procedures permissions which will cost a lot . In order to avoid these the remaining injections are provided free of cost to the innocent students. The students who got these injections also act as promoters for these injections
2)Incidence of Chronic Diarrhoea –
I received a call from my student from Tirunelveli . Her child was having diarrhea for more than one month . I had come across many such cases over a period of time.
Discussion- I asked the mother if there was any previous salient history . She said the baby was given some oral medication which contained live virus . The diarrhea had started exactly after the incubation period .
3)Incidence of Sudden infant Death Syndrome
The in incidence of babies feeding well and put of bed and sleeps well are found dead in the evening of night . The incidence has increased in the recent times
Discussion.The condition is known as Sudden infant Death Syndrome . The healthy babies will be found dead in the bed . There will be no cause found.
4)Incidence of Anaphylaxis
A 5 year old boy died suddenly following an injection in Salem .
Discussion- On post Mortem although the findings suggested the death is due the injection , it was decided that the child died due to Sepsis .
5)Incidence of sudden death
Two children died following one injection near Dindugal
Discussion-The incidences between the administration of injection and the death were analyzed. The children had taken a snack (Bajji) in between. It was inferred that the death was not due to injection.
6)Incidence of thrombosis
Many people had developed thrombosis following an injection
Discussion- As injection contains foreign protein .it may induce coagulation process.
7)Incidence of Acute Demyelinating Encephalomyelitis(ADEM )
Many cases of ADEM were reported following a particular injection .Many cases were reported at Coimbatore hospitals . This was followed by an injection administered to children
Discussion- ADEM will be associated with neurological symptoms
8)Incidence of sudden death following exercise
Discussion- of late many adults are seen collapsing suddenly following exertion or exercise . They had history of receiving particular injection.
9)Incidence of sudden death following an injection
Many young adults have died suddenly at an young age,
Tanjore -One of my friend‘s father went and got injected in Tanjore. He died suddenly by next day morning due to cardiac arrest .
Pollachi – a husband and wife who goes to walking near Venkatesa colony was not found .Both got injected and died by next day.
Pollachi – Two school teachers aged between 35 to 39 years died with in two days .
Pollachi – A house owner’s wife aged about 60 years died with two days of injection
Coimbatore -A driver aged about 30 years at Coimbatore
Sabarimala -A person went to Sabarimala following injection died there.
10) Incidence of Arthritis with thromboembolic manifesattions
Arthritis ( Joint pain) with thromboembolic manfestations
Discussion – many people are developing arthritis , skin manifestations and embolic /thrombus following certain injections or subclinical infections.
POINTS TO NOTE –
1)More complications are reported after a particular injection by the health workers .
2)Before few years if the complications are observed for a particular injection , the alternative injections will be available . but now such facilities are not available.
Lakshmanas suggestions will be provided which is only a free suggestion for those who watch the Tamil movie “ Valiban Sutrum Ulagam “and is not legally bound. We are just sharing our experience .
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If you have come across any adverse events kindly inform us . We can alert others .
About us- Few doctors who had come across the above adverse events had decided not to advice these injections as they felt they are not necessary . They decided not to earn money by advising these medicines . As the incidence of these adverse events are on the rise they have decided to give suggestions regarding the medicines .
To create awareness about these unnecessary medicines the concept was discussed in the Tamil Movie “Valiban sutrum ulagam “
The following incidences resulted in initiation of the concept of monitoring the health, treatment, drug intake, diet habits and provide suggestions to the patients.
1. Autism –Autism was believed to be caused by MMR (Measles, mumps and Rubella) vaccine by earlier studies .Later it was said that it was not proved by further studies . It is not known if there is any conflict of interest in those further studies . As the cause said to be not known it is better to avoid unnecessary drugs or other offending agents. In our patients especially children we have not come across any child with autism. But the incidence of Autism is on the rise among children. It is important to find out the cause and avoid it. Until the cause is known avoid all suspected agents. There is an argument that this drug say X is given to millions of people does all of them get affected . This is a foolish argument . For example if one is allergic to penicillin it cannot be argued that penicillin is given to millions of people do all of them get anaphylaxis. Similarly some people are allergic to prawns . If some one get gastrointestinal upset or anaphylaxis fter eating prawn it cannot be argued that prawn is eaten by millions of people do all of them get gastrointestinal upset or anaphylaxis.
2. Resistance to Antibiotics -Use of higher antibiotics for treating infections at the initial stage results in development of antibiotic resistance .Hence if the treatment fails the patient becomes resistant to all antibiotics. One doctor argued that whatever best that is available in the market is given to his patients. This wrong attitude will predispose to development of resistance to antibiotics.
3. Wrong attitude by patients -Patients expect and want immediate cure. If the patient is not cured immediately the Doctor is stamped as inefficient or unlucky . This is the factor which forces one to prescribe higher antibiotics, multiple drugs, use of steroids etc.
4. Steps to prevent spread of cancer cells – In one of our patients we did not advice biopsy, when cancer (malignancy) was suspected .We advised to the remove the involved part. The chance of complete cure is more. If the part is incised the malignant cells will be spilled out and carried in the blood stream to other parts predisposing to secondaries. Later even if the cancer mass is removed they will spread and develop secondaries and the prognosis will be bad. We have come across many patients who got complete cure. (At the same time this can be considered as a mistake by consumer protection council. Hence only a suggestion will be given regarding the options for the treatment ).There is a small risk of the removed part showing a non malignant condition. The patients has to decide on their own and we are not responsible for the outcome.
5. Wrong food habits had resulted in many disorders and even deaths .The incidence is on the rise among children. We will give the advise regarding problems associated with various food items.
6. Contraindications to drugs – Many drugs are contraindicated when the patient is suffering from certain disorders. Long term monitoring will be helpful in avoiding of prescribing those drugs to them. For example aminoglycosides are contraindicated in renal failure when the blood urea, creatinine are elevated. Beta blockers are contraindicated in diabetics as they will mask the symptoms of hypoglycemia. May drugs are contraindicated when the liver function tests are abnormal.
7. Observer variation –When more than one doctor is monitoring the health problems of observer variation can be avoided. A point missed by one doctor can be picked by other. Always get a second opinion.
8. Early referral to appropriate higher centers. When there is a health problem the patients are wandering to many health centers. They land up in wrong treatment centers at many times. It is better to go to correct centers which is best for that condition .We aim to guide them to correct centers where the facilities are available.
9. Early intervention –A female patient who is a known case of cardiac disorders developed chest pain with sweating in the morning after her son went to his office. When she informed this to her son he told that he will come back by evening and take her to a doctor. The mother was waiting with a hope that her son will come and save her .The son came by evening and took her to a doctor and got some injections .ECG was not taken to suspect angina or myocardial ischemia. Later she died with in few hours. The chest pain with sweating was a symptom of insufficient blood supply to the heart .She should have been taken to a cardiologist immediately. But for about ten hours she was not attended by anyone and later attended by a general doctor who had not given a correct guidance but also provided a false assurance. This incidence hurt us a lot and was an initiative to start this programme. Just a guidance in the morning would have saved a life.
10. Food records-Many lives were lost due to wrong food habits. Recently we heard of a student who ate a commercial food product developed abnormal clinical symptoms and took self medication. With in minutes he died. Many dangerous ingredients are added to the commercial food products and results in even death. But these incidences are not brought to the notice of the public .Even when it is brought to the notice, the parents or students ignore them. Recently the children of few famous actors in Tamilnadu lost their children due to wrong food habits .But nobody had learnt any lessons from those incidences.