Dear FORUM,Re: http://health.groups.yahoo.com/group/AIDS-INDIA/message/6975Dr. Rewari is right that there are many physicians in India whose help can be saught if you face a dilemma in managing your patient on ART. but, rarely doctors take a second opinion. I have a HIV- II patient who went to Hinduja hospital for treatment. He was prescribed a AZT + LMV + EFV combination (CD-4 COUNT- 25 but still no significant symptoms) The patient took all the prscribed medicines for a month. When he was about to start the 2'nd month traement, he fortunately read the company's product monograph leaflet and realised that Efavir has no action against HIV II. He came to me saying that how can an MD physician (who was taking care of Late Pramod Mahajan) has no knowledge about this very basic.This is just one example. I have many a cases of mis- management by our doctor friends. Help is available at al the government set ups where patients who can afford to shell out money should be prescribed medicines and not enroled for free ART. Government, NGOs and individual volunteers ( who may be doctors) must promote this concept of --" correct counseling and diagnosis-- is to undertaken only at recognised centers and qualified or a specially trained physician." This HIV-ii patient is not on ART. After, drug sensitivity test from a recognised lab (as the patent can afford it), a PI based regimen with NRTIs combination would be considered after discussing the strategy of the treatment with the patient. Drug sequencing also might be a very big challange for him.
Dr. Divya Mithel, Jyothis Care Center, Kalambolie
-mail: <d_mithel@yahoo.com> __._,_.___
No comments:
Post a Comment