Polluted polymedication

Rampancy regarding polymedication or polypharmacy, in the practice of medicine is taking its toll fast and steadily. The insidious aftermath of overburdened prescriptions resulting out of forced target driven approach on the part of physician under stress, is adding to iatrogenic adversity all around the world.

For instance,the proton pump inhibitors (PPIs – medication reducing acid in stomach),one of the most prescribed drugs which almost every wise prescription has in its armour and which are used widely and extensively to combat increased gastric acidity  pouring out of  ill effects of other medications in the prescription; are giving people, especially in the polymedicated elderly, more dementia and cognitive decline besides many other pitfalls in their action.

Do we really need such out of proportion prescription of PPIs which have a rather safe profile as such but the poor practice of polypharmacy has easily brought out  their true pernicious colors when undergoing drug-drug interactions in an overloaded prescription therefore polluting the highest level of our existence in the process. Well, a simple and safe drug prescribed to give comfort to our stomach has polluted our highest faculties of brain and mind. (https://doi.org/10.1155/2018/5257285). And what a pity we could not rectify the mistake.

Moreover, the story doesn’t end here as we have evidences against the aforesaid detrimental effects of PPIs reflecting the irony of empiricism in medicine. (https://www.medpagetoday.com/gastroenterology/gerd/71154)

What to do in such a dubious atmosphere? Should we add this drug or should we not in our prescription? Well, the confusion prevails and the humanity suffers. Conditioned reflex prescription writing out of this helplessness is widespread today,whether justified or not.

There are many examples like the PPIs, the list is endless. Among other culprits, NSAIDs, COX-2 inhibitors are the leading ones.

The herd instinct is dominant in medical fraternity and almost everybody is doing the same. Pressure of short term targets is leading to overloaded prescriptions without having a judicious ability of deprescribing the unnecessary medication during a follow-up. Do they fear a fall in the image of their proficiency by curbing down the already overloaded prescription or do they lack confidence originating out of paradoxical medical studies. Perhaps they will deprescribe when their patient has one foot in the grave.

This deadpan attitude of over-prescribing has to be dealt firmly and fast. The degree of awareness in treating a patient should exactly match with the degree of vision for keeping him safe. The idea of prescription should be in tandem with the conviction of deprescription.

Following here is a list of tools and insights by Tracemydoctor which would help equally the doctor and patient to counteract polymedication.

  • The physicians should implement effective medication management practices. They should follow a deprescription algorithm after reviewing the previous prescriptions during a follow-up.
  • They should keep all the records of medication intact and could ask for a helping hand from their learned pharmacists.
  • A hard work is needed in cases of old patients where they should follow The ‘Beers-List’ from the American Geriatric Society. One could easily monitor one’s status of prescribed medication by just being a bit more aware by visiting some thoughtful sites like:  healthinaging.org/tools-and-tips/alternatives-medications-listed-ags-beers-criterar-potentially-inappropriate 
  •  The Anticholinergic Burden Calculator warns against possible serious incoming hazards. It should be consulted without any biases: http://anticholinergicscales.es/calculate
  • Tracemydoctor humbly requests their cherished clients to be aware of side effects of their OTC drug adventures and dietary supplement speculations to avoid hot potato. Kindly visit https://examine.com before diving into the ambiguous world of supplements.

With vigilance on the part of physicians and awareness on the part of patients, one can easily avoid the shortcomings incorporated in our advance medical systems with respect to polymedication and polypharmacy.

Tracemydoctor(https://tracemydoctor.online) is here to fight against polluted polymedication.

Spread health

Blue Lotus

Tracemydoctor’s ethical guidelines

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Let’s take these ethical guidelines to the deepest recesses of our hearts once more to serve the humanity afresh.

  • AVOID OVERTREATMENT
  • AVOID THERAPEUTIC NIHILISM
  • ALWAYS REMEMBER ART OF MEDICINE
  • BE HUMBLE TO ACCEPT FAILURE
  • BE OPEN TO OTHER METHODS OF THERAPEUTICS IN CASES OF FAILURE
  • RESPECT PRIVACY OF PATIENT TO THE HILT
  • NEVER USE A CASE FOR PUBLICITY
  • TREAT THE PATIENT AS A WHOLE NOT ONLY THE DISEASE
  • GIVE COMPLETE EMPHASIS ON PREVENTION
  • HAVE THE WIDEST PSYCHO-SOCIAL OUTLOOK REGARDING EVERY CASE
  • TRY TO HEAL THE PATIENT AT ALL LEVELS OF BODY,MIND AND SOUL
  • ALWAYS KEEP AWAY FROM  THE RAT-RACE
  • DON’T PLAY AT THE GOD

Art Of Medicine

ART OF MEDICINE

Well, before understanding the Art of Medicine, let’s ponder over these videos…

       So by now you must be having an idea of art of medicine or in other words art in medicine.You can see that it ranges from tears in doctor’s eyes to a ‘Parkinsonian dance’.

 It is actually something beyond the robotic technicalities of medicinal/surgical paraphernalia, it has nothing to do with the conditioning of hi-tech hospitals and moreover it has no relation with target-driven medical approach.It is absolute,transcendental and boundless.And mind you, it is very cost-effective too and if you are lucky enough,you may get it all free.

It starts immediately as the doctor has the very first look at his/her patient with the virtues of humanity, humility and totality and ends in healing the sick at all levels of mind ,body and soul with an all holistic goal.

These virtues are very difficult to practice in real medical situations as the mindset for target-driven goals takes most of the efforts of doctors and in the process they find no time to practice the art of medicine. In  spite of such a helpless situation, the growing awareness  and evidences about the magical  effects of practicing such virtues in treating patients especially with long sufferings in chronic conditions/diseases has shown a well lit pathway on the road to complete recovery for the sufferers.

And this virtue of art of medicine is like a halo around the doctors who practice it from their hearts.The more you practice , the bigger it gets.

The  requisites for crowning yourself with this majestic halo is to fill in yourself to the brim with this elixir of humanity,humility and totality..Now I am not saying that doctors or other medical professionals who don’t have this halo around themselves lack these virtues ,but they should always try to grow it bigger by practicing it at every opportunity.Well, where is time for it? One may surely ask . In that case ,may I request you all the learned professionals to save some time in your clinics and hospitals for sharing these attitudes/attributes of affection, benevolence ,care , humility and totality with everybody around to spread the magical healing touch of the art in medicine.

These virtues can be developed if you  work on some ethical guidelines forwarded by TRACEMYDOCTOR which help you develop the best medical ethics in order to get the best results at your work place.  So from now onwards let’s apply once more with much vigour and vitality the system of moral principles that apply values to the practice of clinical medicine.Let’s rejuvenate medical ethics for once and for all.

to be continued…