SEX-MYTHS LEADING TO WRONG MEDICATIONS AND TREATMENT
Posted by on Friday, 1st October 2010
Sex is the need of our Physical,mental and spiritual and social health as important as hunger,thrist, sweating,breathing, heartbeating, movement,perception etc., are important for sustaining a life.Without Sex life cannot come to exist on this universe but its practise is mandatory to continue life in existence but still in our civil society sex not a topic of discussion in this part of the world. It is considered indecent to openly discuss issues related to sex. Society tries to avoid discussing certain facts about sex and sexuality, which gives rise to misconceptions about sex.To talk about Sex is considered as a starting point of promiscuity or perversion but it is not true rather sex education brings so much education in youngsters as they avoid getting perversion and bad effects of unprotected sex,or ill effects of sex in early teenager age and restrain themselves from indulging in abnormal seual behaviour,practice and paronography,more we cover something ,more is desire of human being to know about it.Therefore some common myths and their correct answer are mentioned below sothat we can know about them and get ourselves educated and donot suffer from mental agony leading to submission to ourselves to quack doctors,self made sexologist,hakims or false advertising medicines which are sold by advertisement in Newspaper,magazines, Tv and electronic media or by open announcement or commercial shops .
Sr. No Myths Facts
1. Men have stronger sexual urges than women. Sexual urge is equal in both the sexes.
2. For sexual satisfaction a couple should have orgasm simultaneously. It is not necessary for both partners to have simultaneous orgasm during sex.
3. A woman’s sex life ends with her menopause. Menopause marks the end of a woman’s reproductive life. Not her sex life.
4. Wet dreams are experienced only by men. Nocturnal orgasms or wet dreams can be experienced by women as well.
5. Wet dreams are sexual disorders. Nocturnal emissions (wet dreams) are not a sign of sexual disorder. They are a part of normal sexual process.
6. Frequent masturbation makes the penis shrink. The penis does not shrink when men indulge in masturbation.
7. Masturbation leads to nervous breakdown. Masturbation is a normal physiological activity. It is practiced by most of the individuals and does not lead to any abnormal behaviour or nervous breakdown.
8. If men masturbate the fixed quota of semen will be over. There is no fixed quota of semen. From puberty to death, semen will be produced only if the testicles are healthy.
9. One drop of semen is equivalent to 40 drops of blood. This is not true. Semen is produced by testes, seminal vesicles and prostate gland and not directly by blood.
10. Penis will grow big if you have special food and exercise. Whatever that is good for other body parts is also good for sex organs.
11. Sex education to youngsters may lead them to promiscuity. Educating the youngsters on sex and sexual behavior helps them to develop a healthy and positive attitude towards sexuality. Telling them about sex will not lead them to promiscuity. Even without sex education, people indulge in promiscuity.
12. Venereal disease occurs if you have done some misdeeds. No. venereal disease or infection is an infectious disease produced by infective organisms. These are sexually transmitted infections.
13. Venereal disease is cured if the man has sex with a virgin This is absolutely wrong. Infact the infected person will transmit the disease to the virgin.
14. Only homosexuals practice anal sex. No. Heterosexuals also practice anal sex.
15. Only perverts have oral sex. Oral sex is a normal act and can be practiced by both partners as long as they are interested and free from infections.
16. If a women cannot conceive she is not a female. Ability to conceive does not determine the feminity of a woman.
17. Women ejaculate during sexual intercourse. Women do not ejaculate during sexual intercourse.
18. Vasectomy makes a man impotent. Sterilization (vasectomy in male and tubectomy in female) does not diminish sexual desire. In fact, it removes the fear of pregnancy, which in turn may increase sexual desire.
19.Penis size is important for sexual satisfication for both men and women,long,thick,fatty penis is made by using some oil over it or taking medicines.
Vagina's first 2inch is only sensitive part so a 2inch size penis is enough to satisfy a female(A normal penis is 4-6 inches in size )For male size is not important for satisfication,erection and then time interval needed for ejaculation provide satisfication,both by good counselling and practising advise can be corrected,no medicine or oil for message increase size of Penis or increase time interval between erection andejaculation.Onlyin some patients of Erectile Disorder(ED)Viagra or Sildenafil or Tadalafil is important for erection only,in normal person it doesnot have any effect on early or sustained erection.In female it doesnot work,neither it inreases sustainability or delay in ejaculation,no medicines has ben formulated for these, psychocounselling and performance under guidance of expert bring miraculous chang.
20.Libido or desire for Sex is incresed by medicines.No such medicines has been invented,only by psychological counselling and performance under expert guidance with regular pratice brings forth good result with caring of enviornmental,familial ,religious and social factors being controlled and checked.
21.woman has got no sex during Menstrual period,women are bad during this time so donot touch or sex with them during this time.Menstruation is a physiological process where dYING OVUM IS EXPELLED BY UTERUS ,so sex is safe during this period as no chnce of getting pregnancy ,if practiced with protection it neither increase infection nor cause more bleeding in women ,women is as normal in mens as in other day.
22.Sex should not be practised after 50 or later age as it causes cancer or injuries to genitilia.Sex should be practised whenever Body demands it after menopause vagina may be dry soft lubricant jelly bring relief ,Sex burns some energy so it is also a n exercise secondly it binds or emotional relations more closely so needed to maintain famililial and social fabrics.
23.Copper-T or IUDS and Contraceptive Pills are bad as sexual performance is diminished .IUDS and contraceptive pills are safe contraceptive except for bleeding slight excessive during mens by iUDS in some woman and contraceptive pills doing rare damage in heart or jaundice patients they donot cause any harm in sexuality or sex performance in male or female.
24.To have sex with children is more pleasant ,no Children exteral genitilia(Vagina/Anus ) is not roomy or of good size(Small Penis) either to receive or offer sex so any practice with them by an adult result in tear of these parts leading to very sever bleeding and seroius pain resulting into death of child,so never dot it is a heinous crime.
25.Abnormal sex as sex by using candle,Vibrating toys or penis or plastic baloons or pumps or with animals is very soothing and enjoyable.No extra pleasure is received by these,normal sex in different postions and style are enough to provide satisfication even to regular and habitual users,for starter simple sex is enjoyable,never submit to these perversions.
26.Sex under intoxication of Alchohol or drugs / smoking is more satisfactory and rejoiable.Alcohol / intoxication badly affects our coordination and synerism so sexual performance is always of low grade and satisfication.
27.Pornography,videowatching increases sexual libido or desire,in normal life excitement is easily achieved by eye or body contact with partners or otherwise talk and enviornment,these thing may excite early but leads to early discharge resulting in unsatisfication as most time goes without foreplay and one partner is over and another may be under no excitement.
28.Torturing partner by excessive biting,deep penetration,binding partner with wire or chain or injuring by cigratte or by nedles or very abnormal positions give good satisfication and pleasure,no thease are simple perversions they donot have any place in normal sexual behaviour and satisfication,t hese are excesses leading to so many physicial and social hazards,never submit to them or practise them.
29.Young widows and prostitutes are more sexy and sex them provide more enjoy.Widows are part of our society and as good woman as other normal married or spinister woman,no body should be allowed to be remain widow in modern society or even they exist ,one should never think to sex with them against their desire,nothing special present in them.Prostitute whther in compulsion or with will is a crime ,never more sexual pleasure is received from them as mostly sex in in bad enviornment but habitual prostitute may provide some sex therapy if interested to do so as psychological counsellor in countries where prostitution is allowed legally.but it is still crime in our country .
30.Gays and lesbians get more pleasure and enjoyment ,in our society still it is not taken as good practise although these are not now considered as law breakers but one thing is sure Sex is accepted in our society to run progeny or continue human generation so on these points these have got no role ,pleasure is always in male to female or opposite sex if you get it otherwise it may be individual test but collectively no such pleasure present in such activities .
Dr.D.R.Nakipuria
09434143550
**writer is HIV/AIDS and Sex Specialist.
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LOUD SOUND CAUSES HEARING LOSS ! ACUTE DEAFNESS !
Posted by on Wednesday, 29th September 2010
Festive seasons are on,it is a common practice in our society to crack crackers and put fire to sound bombs emitting light or fire with sound ,often we forget how much our such activites will cause damage in form of fire and noise to others but we also forget that this noisy sound of high intensity may damge our precious ear for life time.Not only this,the way we live our life everyday we listen to Radio,TV ,Ipods,mobile phones,music system,High speed Rail engines,taking off of Airplanes,Helicopter or noisy vehicles on road or high speedy noisy making machines in factories or Automobile work shops ,announcements and open speeches or mike being displayed before our home or residence by political parties or different religious celebrations or puja or Dusshera or local cultural functions where loud sound comes to us involuntarily and such sound may damage our hearing as smoker in a public places spread damage to near by innocent persons.Hearing loss also occurs when we become old (Presbycusis) or when bony growth takes place at inner ear called Otosclerosis. Protection ,prevention is the best method to get over this donot submit ourself to this noisy sound if possible,donot crack noisy sound crackers,donot listen to radio,mobile phone,TV,Ipod Phones turnig volume very high and close to ears ,in avoidable circumstances either use ear plugs or drums or fingers in ear or cotton packs to prevent hearing loss,simple formula is to avoid listening too noisy or loud sound,tooclosely listening sound and to hear loud sound for some time or continuously.
Sound intensity is measured in the form of a unit called Decibels,sounds too loud or loud sound for aggod time may damage our hearing,sound above 85 decibels may cuase hearing loss even it may be music sound.if a sound of 85 decibels is listened for 8 hrs a day or for about 5 days in a week may damge or hearing,here if sound intensity is increased only upto 03 decibels,i.e.,88 decibels will damage same in half time and a sound of 120-150 decibles or more may damage our hearing in no time.For a sound measurement 10 decibels is considered as one unit ,increase in10 decibels increase sound intensity by double i.e.,this sound is two times loud on listening.Asound below 75 decibels donot damage our hearing evenlistened for much time ,Ipod listend at 60% volume doesnot damage but 100% intensity may damage and it also depends on make,type of sound emitting,how much time and close we are to these instruments .
For example ,Awishper produce 30 decibels,a rainy storm 50 decibels,a Normal conversation 55 decibels , TV 60 decibels,a noisy office 70 decibels,a busy traffic 80 decibels,Hair dryer 90 decibels,an IPOD full volume 110-130 decibels,and same for rock concrete,loud car or home stereo or inside modern cinema house or sitting close to high sound emitting music programmes,Firecrackes and arms upto 140 decibels and same true for a loud engines even at 25 meters.
A sound wave or energy traves from our Ear pinna and Ext auditory Meatus through Bony Ear canal and produce impact on ear drum and make it vibrated and this vibration is carried to inner ear through bones of middle ear MIS and in inner ear Cochlea which contains fluid and a Basilar Membrane on which hair cells are situated are allowed to vibrate and this sound wave is changed into electrical impulse which is carried by Auditory Nerves to Auditory centres in Brain ,all this is situated in a portion clalled Labriynth which also helps us to correct our positon and balacing so damage to internal ear aslo damge our balancing system and in our early childhood Hearing and understanding it also stimulate speeching so if no good hearing speech is also affected and in the last intellegence and learning is also affected.
such hearing loss is some time so slowly that we hardly take precautions in time,so for better undestanding the defect we should be cautions if following symptoms starts as follows:----------------Do I have a problem hearing over the telephone?
Do I have trouble following the conversation when two or more people are talking at the same time?
Do people complain that I turn the TV volume up too high?
Do I have to strain to understand conversation?
Do I have trouble hearing in a noisy background?
Do I find myself asking people to repeat themselves?
Do many people I talk to seem to mumble (or not speak clearly)?
Do I misunderstand what others are saying and respond inappropriately?
Do I have trouble understanding the speech of women and children?
Do people get annoyed because I misunderstand what they say?
so if we found our selves suffering from any thing like this,we should be precautioned and avoid listening close to Mobile Phones,Music System, TV, Ipods,Radio or any cultural or Political or cultural programme or cinema sitting close to loud sound emitting system or use ear plugs at railway or airports or during takeoff and grounding of flights or at factories or at traffic jams or putting fire to crackers or sound emitting crackers or bombs or fire arms.if we prevent it Loud noise hearing loss is completely avoidable.
Dr.D.R.Nakipuria
09434143550
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RECENT ADVANCES IN TREATMENT OF AIDS /HIV PATIENTS
Posted by on Saturday, 25th September 2010
RECENT ADVANCES IN TREATMENT OF HIV/AIDS PATIENTS
-----DR.D.R.NAKIPURIA
AIDS is acquired immunodeficiency syndrome comprises of many symptoms and signs (different complains of patients and many thing evaluated by Doctor on examination)of Patient suffering from HIV,Hunam Immunedeficiency Virus.AS THE NAME SUGGEST OUR DEFENCE SYSTEM or Immune system is paralysed or made less responsive(measured in this infection by determining CD4 Count from Blood examination as a type of Lymphocyte fighting with invasion of HIV in our Body) whenever any infection of Bacteria,Virus,Fungus or parasite invade our body as a result infection can occur in any part of our body and as primary resistance from our Body System is weak,infection spreads more and more resulting in further growth of invading microbes and this HIV virus too(measured by Viral Load as Copies of Virus in Blood and susceptibility to drugs by sensitivity test).Therefore development of Anti Retro Virus (as HIV is Retrovirus) medicines has developed which once started raise immune system CD4 count by checking further growth of HIV virus and prevent infection by other Microbes(Oppurtinistic Infections) but as we know more and more about these medicines and their side effects and different Oppurtinistic Infections,WHO put some best guidelines when to start these medicines in HIV patients as in Year 2006 ART was to be started if CD4 count is below or 200 but in 2010 it is upto 350 But Amercan Journal suggest it upto 500 when patient is symptomatic or in stage I and II as per WHO staging(Patients with less grade of infections)but in stageIII and Stage IV patients or patients with severe form of disease or seriously ill as suffering from TB,Meningitis,Kidney or Cardiomyopathy,Chest or GI tract infections does not require any estimation of CD4 count as this is presumed and fact that their CD4 count is below 350 or 200 and ART or Better called HAART Medicines immediately.In case of TB patients ATT should be started after start of ART generally within 2-8 wks to avoid IRIS or any adverse reaction,those on HAART developing TB ,ART should be started immediately(with efavirenz except children below 03 yrs of age and first trimester pregnancy).In case of Pregnant Patient same module is practised ,in patients suffering with Hepatitis B or C patients,like TB, ART should be started immediately without any staging or delay of 2-8 wks.In case of Childrens too now same strategy is applied but here CD4 count varies according to age groups,we can start ART immediately in stage III and IV in infant or children upto 12 yrs of age but in Infants and children up to 2yrs of age no need of checking CD4 count start ART if patient is sytomatic or is diagnosed as HIV patients,even in infants now ART may be started if we strongly clinically suspect HIV (As Mother strongly positive or both parents positive or breast fed positive mother children etc) but in early age from 2-5 yrs reduction of CD4 count up to 750 or % of CD4 count below 25 but above 05 yrs criteria is 350 for stage I and II . In Developed countries Art is being started CD4 count upto 500 or less above 05 yrs and adult.CD4 count was previously estimated every 06 months but now at every 03 months and if it is not raising considered as immunological failure and Viral load to be done before starting therapy and also at 3-6 months to see copies below 5000/ml it is raising then drug sensitivity test is done and if not possible then IInd Line drug is started,if IInd line drug started then now a days IIIrd line drug is started.In pregnancy either mother exposed to AER earlier or not ART started in first trimester(avoiding Efavirez) with drug regime and is continued life long unlike nevirapine during labor or Zidovudine regime only,Zidovudine and Nevirapine found good in CD4 count between 250-350.
Now HAART medicines has been slightly modified,Two NRTIs and one NNRTIs is still practised to check drug resistance by Virus mutation but instead of dT4(Stavudine 30 or 40 as per wt above or below 60kg causing severe lididolysis or peripheral neuropathy,pancreatitis ) now3TC(Lamivudine)+AZT/ZDV(Zadivudine causing severe anaemia or neutropenia ) or 3TC + TDF(Tedofil,causing nephropathy and calcinosis ) or TDF + FTC (Emcritabine),AZT+ FTC(causing hepatitis) so 3TC+ AZT+NVP(causing hepatitis and stevenson Zhonson syndrome) or 3TC+AZT+EFV (Efavirenz)or 3TC+TDF+NVP(Nevirapine) or EFV is preferred ,even Simple FTC+NVP or FTC+ EFV is preferred.here Abacavir (ABC) or Diadanosine (ddi) is also used as NRTIS but combination like Stavudine+Zaduvidine,3TC+FTC or AZT+TDF or dt4+Abacavir is not used . Incase of Tuberculosis patients,Efavirenz is given not NVP except when patient is child below 03 yrs or Ist trimester pregnant or under Psychotic condition or medicines.If possible and patient can afford Rifabutine may be started in ATT instead of Rifampcin but mostly if patient is not renal compromised or under hepatic pathology simple ATT is good.In Resistant cases(increase in viral load,less cd4 count or drug resistance)IInd line drug of 03 drugs combination is started here one protease inhibitor(Liponavir(LPV) / Squanavir(SQR)/ Indinavir(IDV) /Atazanavir(ATV) /Fosamprenavir(FPV) / Darunavir(DRV) /Etarvine(ETV) with boosted Ritonavir(r)or plain Ritonavir(RTV) is used and along with this in TB patients with Rifampcin dose of protease inhibitor like Lopinavir+ boosted ritonavir(LPV/r) or Squanavir +Boosted Ritonavir or Indinavir + boosted Ritonavir is increased but with Rifabutine no dose adjustment is done.Instead of using NRTIS used in past as for dt4 or 3TC ,AZT + TDF or TDF + FTC or simply replacing 3TC by TDF or FTC or ABC or ddi is done,if any drug produce complication or side effect as mentioned above it is also replaced.In case of Hepatitis B TDF +3TC is used with NNRTIS or Protease Inhibitor.Revebrine and Pregylated Interferon is used with ART in Hepatits C patients.If after IInd line treatment CD4 count is increased third line treatment using one NNRTIS ,one Protease inhibitor as newly added ATV,DRVor FPV with Integrase inhibitor Raltegravir(RAL) is used.
Cotrimoxazole is added to prophylaxis below 350 to prevent malaria,bacterial,PNeumocystis Jivorecii or Campylobacter Diarrhoea and Toxoplasmosis.STD clinic for any sexual inflicted persons like commercial or flying sex worker (counselling and promoting use of condom )and treatment and screening of suspected highly prone patients like IDUs,drug users,(not sharing needle)migratory labours,Truck drivers etc., at target Intervention clinic is backbone to control it and every suspect should be submitted for HIV screening ,Similiarly every TB patient and in ICTC every Blood donor and PTCT pregnant mother is screened for HIV.Proper counselling of these patients with advise and regular follow up of these persons at primary or semi primary or assisting ART centre is must by doing off and on viral load and CD4 count examination. Every oppurtunistic infection should be controlled and here medicines shold be contined for a long time to prevent recurrence and continuation of ART medicine of great importance.Adhrence,compliance and continued taking medicines with proper counselling during IRIS or any other drug reaction is most important of HIV treatment.
09434143550
Author is an HIV specialist Doctor
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APATHY OF SEX IN MALE /FEMALE-HOW TO TREAT?
Posted by on Saturday, 18th September 2010
Gradually as we are more educated by Media,internet,print media,films, social interactions, books,our day to day exposure in family,friends,society to sex from our childhood till Adult period or even we are middle aged or old,Sex either comes spontaneously or otherwise due to above reasons becomes a very need of our life like Anger,fear,Greediness,Love,Hunger,Thirst,Sex is important involuntary demand of our body.
But as becomes more informed on this matter either by family /society or our exposure to different above mentioned information channels,we start asking ourselves as we are competent enough to perform Sex properly and completely qualitively and quantitavely perfect.Mostly A person or his/her are experiencing it ,that is why if partner complains (which is mostly not seen in our Indian society) a person is ofeten left to himself whether he is performing normally or not and he becomes more questening whe he reads or sees videos /stories of betters performing persons who are doing sex for much time ,much frequently and in different postures and styles ,satisfying partner with more satisfications in form of penetrations, cries,return behaviours and demands.But most of such behavioural changes are wrong as Sex performance never means deep or forceful penetrations, excessive strong rigid,fatty and thickened tight Penis or Fatty full Labia with prominent Clitoris or with excessive discharge of Male or Female before or after Coitus or making partner more demanding sex or behaving in abnormal styles,fashions and positions.If these comes in our sexual behaviour these are excess above Normal Sexual behaviour,whether this is pervertion or not is questionable but not a certainly normal behaviour.A normal sex apathy cannot be said at all if these are absent,only need is of a normal sex desire at a proper time,place with a normal partner with or without a fore play and after desire a normal erection with normal penetration,coitus , normal holding,exercise for 1-5minutes and normal discharge inside or outside of few ML of fluid only.Iind arousal may come immediately or may not come for hours it never means less strength or apathy or a partner not interested for second after first in short time.But beside this there are some gray areas where a person in normal condition without under any influence of medicine,addiction or psycho social or organic body diseases never gets sexual desire even after proper stimulation by partner or by books / stories or video and remain apathetic to sex ,these persons whether Male or Female are called Apathetic to Sex or we can say Less desire/Drive/Interst for Sex is seen among them,Mostly it is assumed that Male suffers it most and it is reflected more as Male is Active Partner in Sex but it is not true a freezed Female can damp a normally (not Hyperactive) Male too or a stimulated Female can boost up a borderline or less performing Male too also,so Importance of Both Partners exist and one can supplement and correct other by Physical or Psychosocial stimulation,some time change of partner,time,place,orientation,external stimulation,visualisation and exhibition of Normal Sex and psychosocial support corrects this Low desire so well that in most of cases mere psychosocial correction and support yields very good result needing no medicines .
That is why this article will provide us correct knowledge of Less Desire/ Drive in sex. Mostly we assume that wife is a bit concerned, but it doesn’t bother you too much because she doesn’t speak about it or mentions it. However, deep within, you want to understand how and why you have transitioned from a once energetic young chap who could satisfy his newly-wedded wife in a matter of minutes to a man who no longer yearns to play the game. Deep inside, you also realize that the longer things go on like this, the farther apart you and your wife will drift. However, time and time again, you brush the issue under the carpet.Men often don’t express their personal problems, especially those involved with relationships or sexual in nature, and, therefore, find it difficult to seek help. This eventually leads to breakdown of their relationships and causes stress, which further aggravates the problem.
What is low sex drive?
A man with decreased libido thinks less about sex, loses interest in sexual fantasy and in sexual activity. Even sexual provocation by sights, words, or touches, may fail to induce interest. The man, however, often retains the capacity to have sex. Some men, despite having no desire for sex, continue to engage in sexual activity in order to satisfy their partners. In such cases, women may find the excitement completely lacking and might start feeling that their partners are no longer interested in them.Different men have different levels of libidos. This may range from one extreme, (such as wanting sex everyday) to the other extreme (having sex only once, twice or thrice a month/year). Men also have varying levels of satisfaction with their own sex drives. Therefore, there is no normal range of sexual activity for a coupleProblems may arise when the husband’s libido is persistently low, which causes the wife to remain sexually dissatisfied or unfulfilled or when the man seems to be dissatisfied with his own level of sex drive. Compatibility between spouses, including sexual compatibility and sex drive, is essential to maintain healthy sexual life. While libido may be decreased temporarily by conditions such as fatigue or anxiety, some men experience low levels of sexual desire all their lives.
Medical causes
Low libido may be caused by many different medical conditions. One of the most frequent is low levels of testosterone in the body. Apart from erectile dysfunction and premature ejaculation, which may induce anxiety and as a result, decrease your sexual drive, other unrelated conditions (such as Physical weakness Diabetes,TB,anemia, chronic Disease of Liver,Kidney, Lung,Neurological,spinal Gi Tract,cardiovascular disease, Genitourinary diseases pain due to Bony,Skeletal or Muscular diseases,Hormonal diseases) may also lower your libido.Try to rule out all physical or organic disease possibilities for your reduced sex drive. If you have any condition that might be associated with a low libido, see your doctor. You could have a medical condition that can be easily remedied or controlled. Treating the underlying medical condition may help in improving your sex drive.
Stress
Chronic stress can interfere with the hormones involved in the sexual response. This may result in low libido. Stress may be induced due to a variety of factors such as financial, personal, work–related and so on.if by counselling or psychosocial support or some time by psychiatrist using some medicines to cut depression,fear,mania oranger,anxiety, sleeplessness and once these are corrected a normal drives come,but in most of cases of absent such diseases Less Drive is mostly due to our thinking due to our experience or influence by some incidence or videos or exposures and as these are better explained and cleared Drive comes gradually.In Female,a very orthodox bringing a belief of severe pain,bleeding,tear or shock or loss of virginity or of pregnancy create so much nervousness as she never allows any penetration or sometime even any physical exposure or stimulation,They need support from senior members or friends in Family or Partner or some time psychological counselling or medicines.sometime presence of excessive pain due to infection in Genitourinary system causes them Freezed,a proper control of infection by medicines by a good gynaecologist or Urologist or Family Physician corrects it.In amle,except for presence of infections in genitilia or urinary system mostly corrected by good psychological counselling and support ,medicines have got a little role except to correct infection or psysical diseases. Reduce stress and manage it more effectively. This can range from employing stress-relieving techniques such as prayers, meditation and yoga to delegating more responsibilities to your colleagues and peers, depending upon the cause of stress. Alternatively, have sex to reduce stress! It is a well-known fact that sex is a wonderful stress-buster.
No time for sex
Commonly seen now a days! because of our urge to be more and more busy,to earn more and more and in this race we forget our selves,some basic need of our body as we start less eating,gradually it becomes our diet ,same way no time for sex in early days lead to no sex drive in future leading to complete loss of our social and familial life .Juggling multiple responsibilities of earning and providing to your family, parenting, keeping the household afloat and discharging social responsibilities…whew! You find yourself constantly busy. Having packed schedules daily drains your energy and leaves no time for sex. A busy schedule also means a busy mind — and having a lot on your mind makes it difficult for you to relax and "get in the mood”. Sex, may, therefore, take a backseat and feel like just one more thing on your extremely-long "to-do list." All of these factors contribute to a lower libido.Remember that sex is an important part of an adult relationship. Just as we need to find time for ourselves, we also need to find time for our partners. Designate a night or two a week to spend quality, romantic time with your wife. You can make it more interesting by bringing something new to the bedroom occasionally.
Emotional causes
Men generally overlook emotional causes of decreased libido such as fear, anxiety and depression. When we are afraid, anxious or depressed, sex is usually the last thing on our minds. Anxiety, fear and depression may stem from a variety of causes, be they work dilemmas, relationship issues, family woes, or money problems, but emotional experiences greatly impact our sex drive. On the contrary, fear and anxiety may occur due to sex itself. This includes the fear of contracting an STD, of making your partner pregnant or of not being able to make her conceive.
All these emotional experiences dampen our sex drive and hamper our chances of having a pleasurable sexual experience. Improving your health and immunity are the primary factors that can ensure that you are able to tackle these emotional experiences. You can manage anxiety, fear and depression by meditating, doing yoga, talking to friends or playing with your kids. When your mind is healthy, there are fewer chances of problems intruding into your bedroom. However, if you feel that these emotional experiences are overwhelming you and you cannot cope with them, seek professional help.
Boredom
After being married for few years, some couples can hardly find any sexual excitement left in their lives. You might also lose interest if your mate doesn’t take care of her looks, body and behavior.
Experiment! Bring back the excitement by trying out stuff that you had been fantasizing about for some time. Gift your wife sexy dresses, which will help bring in some spontaneity to the experience. Talk to your partner about her idea of improving the sexual relationship.
Relationship issues
Having relationship issues with your partner such as unresolved conflicts, resentment or unexpressed anger can dampen your sexual desire. You need to deal with relationship issues with your partner if you want to enjoy sex again.
Communicate. Identify the problem and try to find the solution together before issues explode into huge conflicts. If talking to each other doesn't work, seek help from a therapist.
Body Image
Some people feel unhappy about their bodies and are shy to expose them to their partners. Though, we all love and hate some aspects of our bodies, the key here is to learn to be happy with what you have and feel sexy about it.We can do away with the negative feelings by thinking about the positive aspects that you have. Even if you are overweight, you can try out ways to feel sexy by enhancing your other valuable body aspects. If you are obese, try to shed some weight by seeking professional help.
Aging
With age, men produce less testosterone, which reduces their sex drive. Other concomitant factors that may play a role in reduced libidos are age-associated fear, anxiety, and depression. Testosterone levels may be increased by taking testosterone supplements, but this should be subsequent to consultation with your doctor. Additionally, the dosage of testosterone must be carefully monitored, as high levels of this Hormone can cause depression or other side effects like prostatic or testicular cancers. Long-term safety of testosterone supplements, especially in elderly men, has also not been established. Other temporary alternatives can be the use of Viagra (Sildenafil citrate).But it corrects only erectile dysfunction not libido so it is not very useul here works or work as psycological boosting agent However, prior to initiating any medicine to boost your sex drive, it’s essential to consult your doctor.
Sexual Abuse
If you have been a victim of sexual abuse, you may find it difficult to have normal physical relations. By taking your own time to heal, being patient and getting help of friends and counselors, you can overcome this past issue and resume a normal and healthy sex life. The key here is not to pressurize yourself or get pressured from others to have sex until you are completely healed and ready.
Medication
Some common medicines such as those for high blood pressure, depression, or relieving anxiety can reduce sex drive. Depression can also lower your sex drive and so can the medicines you take to relieve it. Additionally, antidepressants can cause sexual dysfunction, such as delay in orgasm, inability to achieve orgasm or erection or ejaculation. Any of these conditions can have an adverse affect on your level of desire. Before taking any new medicine, talk to your doctor about the possible side effects on sexual activity. Also, make a list of all the medicines that you take and get to know about their side-effects. Talk to your doctor and seek alternatives to the medicines which seem to be the cause of low sex drive or sexual dysfunction. Other options may include taking drug holidays, reducing the dosage or taking antidotes. Some people may benefit from taking supplements such as Gingko biloba or switching to a different medicine. The most important thing to remember here is that you should not stop taking any medicine without first talking to your doctor.
The best approach to this problem is to try and identify the cause of low sex drive .Once we are able to do so, try to eliminate the cause or seek professional help. Remember, putting in the effort and resolving problems now will go a long way in living a sexually-fulfilling and blissful life! But most of time our belief in Less Drive/Desire is not correct as either our mental level has raises or we are under above mentioned physical or psychosocial stress and oce we get corrected it,normal desire comes but it is most true that a normal Sex must be perfomed by partners at regular interval as it increases our cohesiveness and adherance to each other and normally shapes our family and society. Neither we should be overactive or more demanding destroying our social fabrics nor we should be so much busy or shameful of performing Sex inspite of our time, space,place, age,religion,enviornment or any other social factor.
DR.D.R.NAKIPURIA
SILIGURI
09434143550
NACO TRAINED EXPERT ON HIV,SEX & VENERAL DISEASES
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DOCTORS ON STRIKE-HOW FAR IS THIS JUSTIFIED?
Posted by on Friday, 10th September 2010
DOCTORS ARE ON STRIKE AT JODHPUR! WHOLE RAJASTHAN! AT SAFDARGANJ HOSPITAL! NOIDA!GAZIABAD! KOKATA! NORTH BENGAL MEDICAL COLLEGE! ----------SO MANY PATIENTS DIED! NO TREATMENT FOR POORS!PATIENTS ARE RETURNING HOME!MOVING TO PRIVATE CLINICS!GOVERNMENT HAS FAILED!-----THESE SLOGANS ARE COMMON ON ELECTRONIC MEDIA GIVING 24X7 NEWS AND PRINT MEDIA.EVEN AT ANY PLACE,HOME,OFFICE, CLUB,RESTURANTS,PARK,HOTELS,AMUSEMENT CENTRES OR LIBRARY ANY GENRAL PERSONS WILL BE OF VIEWS THAT MEDICAL IS A NOBLE PROFESSIONS,A PROFESSION TO SERVE THE HUMAN BEING ACCEPTING ALL SUFFERINGS TO THYSELF,SO DOCTORS AND ITS FAMILY MEMBERS LIKE NURSES,HOSPITAL STAFFS,PARAMEDICS, MEDICAL STUDENTS, TEACHERS, RESEARCH SCHOLARS,LAB ASSISTANTS, DIAGNOSTIC CENTRES ,HOSPITAL, PRIVATE CLINICS MEDICAL REPRESENTATIVES AND DRUG MANUFACTURERS AND RETAIL SELLERS SHOULD NEVER CALL FOR STRIKE CLOSING THEIR WORK COMPLETELY, ABSTAINING FROM EXAMINING,PRESCRIBING AND TREATING PATIENTS AT WHATEVER REASON AND WHATEVER COST OF PERSONAL OR COMMUNITY SUFFERINGS AS THEY ARE WORSHIPED LIKE GOD AND GENERAL PEOPLE SEE AN IMAGE OF GOD IN DOCTOR'S BODY.
SECONDLY FOR MAKING A GOVERNMENT DOCTOR,GOVERNMENT PAYS A HUGH MONEY COLLECTING FROM TAX PAYER'S POCKET SO DOCTORS HAVE NO RIGHT TO CEASE WORKS -MANY CHANNELS AND WRITERS ARE ADVISING GOVERNMENT TO BRING LAWS LIKE ASMA TO BAN DOCTOR'S STRIKE AND CEASEWORK AND PUNISH DOCTORS OPENLY FOR VIOLATION OF THEIR DUTY FOR PERSONAL OR COMMUNITY GAIN.
SUCH POPULISTIC AND GENERAL VIEWS ARE OFTEN SOUNDED BY LEADERS OF POLITICAL PARTIES AND SOCIAL WEFARE GROUPS WITHOUT GOING INTO DETAIL OF SUFFERINGS WHICH THE WHOLE MEDICAL WORLD UNDERGOES BEFORE SUBMITTING THEMSELVES TO THIS LAST PAINFUL WEAPON OF SUBMITTING THEMSELVES FOR STRIKE!OR CEASE WORK! EVEN DURING SUCH STRIKE MOSTLY DOCTORS KEEP OPENS EMERGENCY SERVICE BUT NUMBER OF PATIENTS IN GOVERNMENT AND SEMI GOVERNMENT CENTRES ARE SO MUCH THAT IT CANNOT TAKE LOAD OF PATIENTS SMOOTHLY ,SECONDLY MEDIA PEOPLE BECOMES SO ACTIVE THAT THEY START REPORTING NEWS OF DEATH AND SUFFERINGS SO MUCH FOCUSING THE STRIKE THAT IT APPEARS AS IF IT IS ALL BECAUSE OF STRIKE WHERE AS FACTS REMAIN THE SAME THAT SUCH KIND OF SUFFERINGS AND DEATH ARE COMMON IN THESE HOSPITALS BECAUSE OF LATE ARRIVALS OF SERIOUSLY ILL PATIENTS,INABILITY TO PROVIDE ADEQUATE MEDICINES,INVESTIGATIONS, TREATMENT FACILITIES TO THESE PATIENTS FREE BY GOVERNMENT WHO SPEND LESS THAN 3% OF GDP ON HEALTH WHEREAS 30% IS PAID FOR ARMY AND DEFENSE,AT MOST OF GOVERNMENT CENTRES ADEQUATE MEDICAL STAFFS,NURSES, PARAMEDICAL ASSITANTS AND HELPERS ARE LACKING,EVERYTHING IS LEFT ON TREATING DOCTORS AS THEY WILL MANGE EVERYTHING AND THEY ARE AT FAULT FOR EVERY MISTAKES OR LACK OF TREATMENT OR IF ANY COMPLICATION OR DEATH RESULT FROM TREATMENT .NOW A DAYS PEOPLE FROM EVERY CORNERS BLAME DOCTORS FOR SUCH PROBLEMS OF NOT GETTING GOOD TREATMENT OR DEVELOPING COMPLICATION OR DEATH AND FOR PROTESTING INSTEAD OF LAUNCHING PROTEST OR COMPLAINS THROUGH HOSPITAL OR POLICE OR ADMINISTRATION,TAKES LAW IN THEIR HAND AND TO MAKE ISSUE HIGHLIGHTED IN MEDIA AND EVEN POLITICAL PARTIES AND MANY CLUBS,NGO.S, SOCIAL WORKERS AND EVEN SOME MISCREANTS JOIN THESE PROTESTORS OPENLY AND ATTACK DOCTORS,NURSES,MEDICAL STUDENT, PARMEDICAL STAFFS AND MEDICINE SELLERS PHYSICALLY INFRONT OF EVERY BODY(MEDIA-WHO INSTEAD OF CONTROLLING SUCH JEHADI PROTESTORS REMAIN ENGAGED IN TAKING PHOTOGRAPHS AND TAKING BITES TO SELL THEIR NEWS TO EARN MONEY BY PUTTING MORE MASALA AND TARDKA AND PRESENTING THEMSELVES AS FIRST CHANNEL TO DICOVER IT AND TO GAIN MORE AND MORE TRP,POLICE; IS OFTEN CALLED FOR CONTROLLING LAW AND ORDER BUT MANY PLACES THEY DONOT REACH IN TIME BECAUSE MOSTLY CRIME IS COMMITTED BEFORE THEIR REACHING AT SPOT AND EVEN REACHING IN TIME,THEY MOSTLY REMAIN SILENT BECAUSE OF POLITICAL PRESSURE OR ATLEAST CONTOL DEMONSTATORS AND PROTESTORS WHO USE BAD UNPARLIAMENTARY LANGUAGES AND SLOGANS TO MALIGN "DOCTORS" AS SPEAKING IS OUR BASIC RIGHT,MOSTLY MOB BECOME FURIOUS BEFORE MEDICAL ADMINSTRATORS AND DOCTORS AND START DAMAGING HOSPITAL PROPERTY BY BRAKING RECEPTIONS,DIGNOSTIC CENTRES,OT, OPD LAUNGE,INDOOR INSTRUMENTS ,BEDS AND FUNITURES,AT SOME PLACES THEY PUT THESE ON FIRE BEFORE LAW PROTECTING FORCE IN NAME OF SHOWING AGONY ,GRIEVNCES AND SHOCK FOR DEATH OR MISS MANGEMENT OF THEIR NEAR ONES AS IF DOCTORS HAS CREATED THE ACCIDENT OR DISEASE TO THAT PERSON AND DOCTOR IS THE ONLY SOLE RESPONSIBLE FOR SUCH ACCIDENT.EVEN IN MOB GENERAL PEOPLE ALSO BECOMES PART OF THESE DEMOSTRATIONS THNKING THAT DOCTORS ARE CORRUPT,THEY EARN HUGH MONEY BY CHEATING GENERAL PEOPLE,MOVE IN GOOD CARS AND LIVE IN GOOD HOUSES BY TAKING COMMISSION FROM DRUG COMPANIES,DIAGNOSTIC CENTRES ILLEGAL PRACTICE FROM GOVERNMENT HOSPITAL TO PRIVATE HOSPITALS AND AS GNERAL PEOPLE ARE NOT GETTING GOOD SERVICE FOR THEIR HEALTH PROBLEMS AS GOVERNMENT CLAIMS AS IT IS FREE AND FAIR BUT PRACTICALLY DUE TO LESS INVESTMENT IT IS ALSMOST ABSENT ,SO DOCTORS BECOME EYESORE OF COMMON PEOPLE TOO AND POLITICIAN AND ADMINSTRATOR ALSO REMAIN SILENT AS THEY KNOW PUBLIC WANTS DEFAME AND DISREPUTE OF DOCTORS SO IF THEY SUPPORT DOCTORS IN SSUCH CRISIS PEOPLE AND MEDIA WILL DESTROY THEIR VOTE BANK AND IMAGE,SO DOCTORS ARE LEFT FOR BEATING AND PHYSICAL HURT IN OPEN DAY LIGHT.
EVEN GOD WILL BE BEATEN ON BASIS OF SOME FILTHY CHARGES WHERE HE IS NOT DIRECTLY INVOLVED OR WHERE DEATH OR COMPLICATION IS A PART AND PARCEL OF THE TREATMENT PROCEDURES WHERE LIFE AND DEATH ARE EXISTING SHARING SHOULDER OF EACH OTHER
,GOD WILL TOO REACT WHAT TO TALK OF THESE HUMAN BEINGS ,HOW ONE CAN ASPECT A FEARLESS GOOD TREATMENT BY DOCTORS WHEN WHOLE SOCIETY IS STANDING AGINST HIM FOR NOT PROVIDING GURANTED GOOD TREATMENT AND RECOVERY,DOCTORS ARE MOSTLY SHACKEN BY CONSUMER PROTECTION ACT,RTI ACT,VIGILANT AND INTROSPECTING MEDIA WHO IS ALWAYS IN HOSPITAL TO CLICK ANY STORY ON DOCTORS PATIENT TUSSEL OR ANY MISHAPPENING IN HOSPITAL TO EARN TRP AND IF SUCH SHOCKED AND TREMOROUS DOCTORS ARE BEATEN OPENLY,THEIR REPUTATION IS CHALLENGED SO OPENLY IN SOCIETY,THRE IS NO OPTION LEFT BUT TO ASK FOR PROTECTION AND FORM GOOD LAWS AND BRINGING STRICT ACTIONS AGAINST MISCREANTS SO THAT SUCH ACCIDENTS DONOT HAPPEN IN FUTURE BUT AS THIS IS A NORM IN OUR PRESENT SOCIO POLITICAL SYSTEM THAT UNLESS YOU PRESENT YOUR SELF IN A VERY SERIUOS UNPARLIAMENTARY MANNER NO BODY LISTENS TO YOU,EVEN PARLIAMENTS AND ASSEMBLY SHOWS US SOMANY ROUDY AND BREAKING MIKES,CHAIRS AND WINDOWS IN THESE HOUSES BY ELECTED MLSAS AND MPS AS GOVERNMENT DONOT LISTEN TO THEIR SIMPLE PROTEST.
EVRY DEATH IS PAINFUL ,NO DOCTORS WANT THAT SOMETHING WRONG OR COMPLICATION OR DEATH OCCURS TO HIS/HER PATIENTS (EVEN EVRY GENERAL PERSON ACCEPTS IT) BUT DURING SUCH ACT SUCH THINGS ARE FORGOTTEN AND AN ONE THEME AGENDA OF BRUTALLY ATTACKING DOCTOR'S AND THEIR FAMILY MEBERS OF MEDICAL WORLD PHYSICALLY AND DAMAGING HOSPITAL PROPERTY IS TAKEN,INSTEAD OF RECOMMENDING FOR PUNISHMENT OF THESE PEOPLE,POLITICAL LEADERS START SCORING THEIR GAIN AGANIST RULING PARTY FOR SUCH ACT,STRATS ENCOURAGING THEM MORE AND MORE AND RECOMMENDS FOR THEIR IMMEDIATE RELEASE EVEN CUGHT BY POLICE ,MEDIA SHOWS THEM AS GREAT PCIFIER,NGO'S ANS SOCIAL WORKERS, CLUB ALL COMES FOR THE RESCUE OF THESE TROUBLE SHOOTERS JUSTIFYING THEIR PROTEST AS NATURAL BECAUSE A HUMAN LIFE HAS BEEN LOST AND DECLARES "DOCTORS"AS CRIMINALS WHO HAS COMMITTED THE CRIME MAKING HIM RESPONSIBLE FOR EVERY SUCH MISDOING FORGETTING ALLOCATION OF MONEY,FACILITIES, INFRASTRUCTURES STAFF,WILL POWER,WORK CULTURE ETC., IN THESE HOSPITALS.
SO MANY TYPE OF CRIMES ARE COMMITTED IN OUR SOCIETY BUT IN MOST OF THEM MASS DOESNOT PARTICIPATE,INVESTIGATION AUTHORIITE S LIKE POLICE,CID,CBI AND STF WORKS AND EVEN PUBLIC OR MISCREANTS TRY TO SABOTAGE SUCH INVESTIGATIONS ,THEY ARE BOOKED AND TAKEN TO TASK BUT IN CASE OF MEDICAL INVOLVEMENT, "DOCTORS" HAVE BEEN MADE SOFT TARGET AS IF ANY BODY CAN HIT THEM PHYSICALLY AND DAMAGE THE HOSPITAL PROPERTY,NO EXELEMPARY PUNISHMENT IS IMPOSED (GOVERNMENT OF ANDHRA HAS BROUGHT A LAW TO ARREST AND RECOVER MONEY FROM MISCREANTS AND PROTESTOR DAMAGING HOSPITAL PROPERTY ) BUT SUCH LAW SHOULD BE PASSED BY OUR PARLIAMENT AND SUCH AN EXAMPLE SHOULD BE CITED BY ARRESTING AND RECOVERING FROM SUCH PROTESTORS THAT IN FUTURE NO BODY SHOULD TAKE LAW IN HAND,MEDIA SHOULD STOP SHOWING AND REPORTING SUCH INCIDENTS AS THEY ENCOURAGE MORE PEOPLE TO TAKE LAW IN THEIR HAND.BUT FACTS REMAIN THIS,MEDIA IS FREE! POLICE CANNOT ACT! POLITICIANS ARE WELL WISHERS OF PEOPLE,NGOS AND SOCIAL WORKERS ARE SERVING SOCIETY! POLICE CANOT BE CONTROLLED AND DISCIPLINED !ADMINISTRATION AND LAW MAKERS NEVER SOLVE PROBLEM BY SIMPLE WRITING, DEMANDS, DEMONSTRATIONS,PROTESTS UNTIL AN EXTREME STEP IS TAKEN IN THE FORM OF STRIKE OR CAESE WORK IS TAKEN ,THEN THEY RESPOND BY GIVING MERE CONSOLATIONS ,ARRANGING POLICE PICKETING AND SECURITY PROTECTION FOR FEW DAYS,AS THE TIME PASSES EVERYTHING AGAIN COMES TO SAME PREVIOUS STAGE, A NEW INCIDENT TOOK PLACE AND EVERY THING IS REPEATED IN THE SAME WAY.
THEREFORE,IT IS NEED OF TIME THAT OUR POLITICIANS ,ADMINISTRATORS,MEDIA AND PEOPLE SHOULD SIT TOGHTHER AND THINK'WHY DOCTORS ARE BOUND FOR STRIKING" ,SOLVE THEIR PROBLEM IN TIME,LISTEN TO THEIR REPRESENTATIONS AND JUSTIFIED DEMANDS (WHEN EVERY PARLIAMENTARIANS AND BUREAUCRATS ARE ENJOYING SO MUCH HIKED PAY AND FACILITIES,WHY DOCTORS WHO TREAT THE PATIENTS ARE PAID SO BADLY,WHY THEIR BASIC AMENTIES,FACILITIES ARE NOT IMPROVED, WHY MORE CAPITA IS NOT EXPENDITURES ON HEALTH,WHY FACILITIES OF BED,DIAGNOSTIC CENTRES,MEDICINES AND ADEQUATE STAFFS ARE NOT INCREASE IN HOSPITALS,WHY A PUBLIC RELATION OFFICERS IS NOT APPOINTED IN HOSPITALS WHO ACCEPTS ALL GRIEVANCES AND REPORT TO MEDIA AS WH IS AT FAULT FOR MISMANGEMENT OF PATIENTS AT HOSPITAL,WHY A DOCTOR IS MADE RESONSIBLE FOR ANY MISHAPPENING IN HOSPITAL?)CREATE SO MUCH AWARENESS IN PUBLIC THAT THEY UNDERSTAND ALL SUCH MIS HAPPENINGS AND NEVER RESORT FOR SUCH ACT OF TAKING LAW IN HAND.
THESE ARE BASIC QUESTIONS WHICH A GOD WILL ALSO LIKE TO BE RESOLVED BECAUSE MOST OF TIME HE IS NOT AT FAULT AND NO BODY ERRONEOUSLY BLAME HIM,SYSTEM IS POLLUTED AND AS HE IS DIRECTLY AT TOP IN HOSPITAL ,SO HE CANNOT BE BLAMED BECAUSE INDIRECT BOSSES ARE IN POLITICS AND ADMINISTRATIONS. EVERY GENRAL PEOPLE HAVE RIGHT TO COMPLAIN TO ADMINISTRATION,POLICE,JUDICIAL COURT,STRICT ACTION SHOULD BE TAKEN IF DOCTOR IS FOUND AT FAULT BY INVESTIGATIONS OF COMPETENT AUTHORITY ,OUR COURT SHOULD BE MADE RESPONSIVE FOR EARLY TRIAL AND JUDGEMENT ,ALL ADMINSTRATIONS AND POLITICIANS SHOULD SHARE THEIR DISCREPANCIES AND FAULTS(INSTEADING OF PASSING WHOLE BUCK TO "DOCTOR")AND RESORT TO DOCTOR'S PERSONAL OR COMMUNITY PROBLEMS AS SOON AS POSSIBLE SOTHAT SUCH A HARSH AND UNJUSTIFIED WEAPON OF PROTEST "STRIKE OR CAESE WORK " IS EVER TAKEN BY DOCTORS .EVEN DOCTORS SHOULD TAKE STERN MEASURES TO IMPROVE PATIENT DOCTORS RELATIONSHIP BY DOING SOME GOOD SOCIAL WORKS AS MANY DOCTORS ARE DOING INVOLVE MEDIA AND GENERAL PEOPLE IN POLITICIANS IN THESE PROGRAMMES SO THAT NOBLE WORK OF DOCTORS GET MAXIMUM EXPOSURE IN SOCIETY SO THAT GENERAL PEOPLE COMES IN SUPPORT OF DOCTORS AND HAVE TO BE REMAIN UNITED SO THAT GOVERNMENT AND ADMINISTRATIONS LISTEN TO DOCTORS ,NOW A DAYS SELF DEFENCE IS BEST DEFENCE RESPECTING LAWS OF OUR COUNTRY.SO MERE CRTICISM WILL NOT YIELD ANY RESULT,DOCTORS ARE MOST IMPORTANT MEMBERS OF SOCIETY WHO SPEND SO MANY VALUABLE TIME ABOUT 15 YRS MINIMUM TO BE A GOOD DOCTOR WHO HAS TO READ THROUGHT OUT LIFE AND UP TO DATE TO REMAN AS GOOD DOCTOR WITH VERY LOW PAYMENT INCOMPARISON TO MBA,IIT,BUREAUCRATS AND CEO OF MODERN COMPANIES AND A PROPER RESPECT AND RECOGNITION IS ESSENTIALS TO THEM AND OUR SOCIETY AND ADMINISTRATION SHOULD BRING ALL CHANGES IMMEDIATELY SOTHAT SUCH HOOGALINISM,VADILISM AND GOONDISM IS STOPPED IN OUR HEALTH ENVIORNMENT.
DR.D.R.NAKIPURIA
SILIGURI
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