⚕ Dr.Rahi Shoaib

An emerging and health deteriorating situation presently in India part of Kashmir is of appearance in silent diseases, Non-communicable diseases and End stage diseases. All these types of diseases hit the population folks with increasing life expectancy and risk factors of change in lifestyles.  In the modern age life expectancy is increasing and deaths are either due to Cardiovascular diseases which play an important role in silent and non - communicable diseases. Other diseases like Cancers, Multiple Myeloma, Stroke, COPD, Dementia, CKD, CLD, Alzheimer's disease, and HIV   fall into this group of diseases.  A survey on a preliminary basis is self-explained and an exemplary precondition revealed by gathering data from 1 block. A small block of the district has 50 cancer patients and a district approx for 150 confirmed cases who are on treatment. So in J&K, there are 22 Districts there might be a huge number scattered and hidden due to societal pressure, poverty ...

The Amarnath Yatra called as SANJY 2022 (Shri Amarnath Ji Yatra) is a yearly pilgrimage of Hindus on distant Peaks of Pahalgam towards Chandanwari, Sheeshnag and Panjtarni as an ancient route discovered. Across all parts of india the piligrims take part as devotees to visit Holy cave which has an accumulation of Ice piller called as Shiv Linhgam. Yatra is of approximately 45 yrs duration. Medical services have been taken an important part in rescuing and in delivering emergency and medical aid to atleast 1.8 million yatris from two ends Baltal and Pahalgam. Medical services have provided an eligant services, medicines and equipments for countering any health detorating situations , disaters amid piligrimage. Baltal is a shortest distance for yatris as compared to Pahalgam which is tough terrin covered with peaks &  ridges.  Springs, Water falls and Lakes are in between the piligrimage.The climatic conditions are drastic and worrying sometimes oftenly in 2022 several cloud ...

An essential constituent portion during a nutritional meal is the consumption of dietary fibres. Due to modernization dietary fibres are being taken away from the meals by the young generation and particularly this habit is seen in school and college students and in female youngsters who depend on fast foods, junk foods, and sedimentary lifestyles. Intake of dietary fibres is seen as a phobia among masses, indigestible as reason, and an odd irresistible word to act. Nowadays almost many Paediatric populations are also getting its ill effects and addiction-like capacity which results in numerous diseases and infections of the gut following constipation as the number one place. If it is noted in tertiary care hospitals maximum OPDs footfall occurs in General surgery because of abdominal discomfort, epigastric pain, constipated stools with blood, and many complications starting from a degree of haemorrhoids, anal fissures, fistulas. Most of the time this condition is overwhelmed and confu...

(National Newborn Week 15 - 21 November 2021) (Theme: Ensuring Safety, quality and nurturing care - birth right of every newborn)  ...................................................................................... Every year Celebration of National  Newborn Week between  15 November to 21 November plays a greatest role in Health sector for building the future generations. It grossly reminds us about the Indicators which is a big concern for  the newborn population. The Indicators which are NMR ( Neonatal mortality rate) and SBR ( Still birth rate) per 1000 live births are increasing currently. Increase in the mortality of  newborn population means increasing the value of indicators. Which leads to the decrease in newborn population in general and vice  versa. To Counter all these problems awareness and measures to acknowledge about the benifits of newborn week is a basic tool to get the indicator values down gradually. The above indicators should be tak...

Non Communicable disease viz Hypertension, Diabetes Millatus, Cardio vascular disease, Obesity, Cervical Cancer, and Oral Cancer pose a great threat to the physique and immunity once the person with above co-morbiditiy is Contracted with the Corona virus which is Contiguous and 4 times Virulent in the present than previous year.  During the present pandemic greatest tool is to keep masked up with a type of N95 and atleast 20 secs handwash after touching any sort of object or material. Secondly avoidance to touch the eyes, nose and other body parts with hands if they are not sanitized properly.  Even all precautions on board for self and others. If in case any person is having a RAT /RTPCR Positivity. He has to consult Physician in hospital and get his Vitals checked up and later on to remain adherant on the doctors advice. Self monitorization of vitals at home isolation is the best possible way to check patients status. The treatment will be parralel and effective prescribed ...

Diabetes Millatus : A Non Communicable disease which is a threat to masses of inhabitants of Poonch J&K UT.  Incidental finding ratio is 3-4 patients out of 10 Patients. The patient age group fall from yongester's to old age, both men and women. Evaluating a patient on pulmonary issue , Cardiac ailments, Neuropathy disorders, Urinary tract complaints and on Gastrointestinal symptoms cum signs is a key to reach to it's incidence among masses.  While proper scanning of patients with immediate Random Sugar checkings and with HBA1C, a marker to see to what extent the Diabetes has reached in their body.  A spike of 3 times is usually seen. Diabetes Millatus in this region has many precipitating factors responsible. Hereditary, Growing age group, Traditional heavy diet, Obesity, Stress , sleep disorders , Self medications, Use of Steroids in long term and less physical activity are the basic Causes. On proper detection rule of law is only to give the patient a g...

With the start of the day usually in Govt health sector OPD protocols for ILI and ARI even Common flu's has given a tough fight to distinguish and label it as Corona. Usually testifying the patient in separate Flu OPD's is a great value triage for possible watch out on the present spread. Be In Govt or in day off Privatization. A medic is well versed to treat patients with utmost care.  Pandemic has given a clear message to epidemiologists and to Public Health about it's way of appearance, change in it's spread, Time of spread, Climatic re-spread, mutation, morality, and existence of new research has pushed it's discovery for a New Vaccine.The Vaccination to control it's roots on right time is the only way out. 

RT-PCR testing or RAT is mandatory in active phase of infection. The Vaccination is basically promoted in a suppression period but the Covid19 has left no way to drove population's towards mortality.  Before taking Jabs a Sensitive or a Specific test must be done simultaneously. If RAT is negative go for RT PCR. If you feel all ok get the jab.  If positivity comes in person during testing. He should refrain from taking Jab. Once he is all ok after isolation and treatment which takes weeks to withstand again in recovery and fight against infection then a person is free to take the jab. But all precautions, masking  & social distancing should be on accountability as a fashion in letter & spirt ! 

#Lancet says :  Simple mathematics helps. If we  vaccinated a population of 100 000  and protected 95% of them, that would  leave 5000 individuals diseased over  3 months, Rather, a 95% vaccine efficacy means that instead of 1000 COVID-19 cases in a population of 100 000 Without Vaccine (from the placebo arm of the above mentioned trials, approximately 1% would be ill with COVID-19 and 99% would not) we would expect 50 cases (99·95% of the population is disease-free, atleast for 3 months)  So this is only to save from Third Wave. 

The role of Vaccination in Jammu & Kashmir State came in force in early November 2020  when the Govt has introduced first time the vaccine COVISHIELD against Covid 19 in Jammu and Kashmir State. The Vaccine was been given to population category wise . First category sorted was Frontline workers, PRI's. This runned till few months and later on the guidelines came in February 2021 for the second category of people age of above 45 with comorbidities and later on was introduced for all population above 45 yrs ago. In this particular division of Jammu, Distt poonch got 86% of Vaccinated people with ist dose. The second dose is in force till it's clearance & dose administration to population till 20th June, 2021.  On 21 June 2021 as per guidelines by State Govt all population from 18-44 will get their jabs in their concerned Health care stations too. Many people are reluctant to this vaccine but the Second wave pushed the minds of people in agreeness . Moreover c...

RUSSIA for Citizens of USSR as a whole( pre-1991 Soviet Afghan War ) & people who lived there years know the depth and research of Russians in Medical field. Russians do have a self styled medicine and research even they have long history of medical sciences.The literature over there is only in Russian Languagge which is grossly subjected on their internal scientists.The Maximum medical literature is filled with their pride of scientists,medical authors and even in world war they have done thousands of surgeries and is numbered in first rank after Germany in surgical and medical care. Moreover infection control system,isolation system is on their soil since centuries , an important department in their epidemological sciences.  This research developing plant is hidden for world still, the only one and one resaearch institute of Moscow "Gamaleya research instt of epidemology and microbiology" GRIEM established in 1831 since then very active in research in epidem...

After contracted with COVID19 during professional activities in Primary health care.I was treated in Secondary Care and i m settled and healthy by now. Repeated tests and investigations brought my tests Negative for covid19. So as a Medical Professionalist, i m serving humans which include all races ,not in mind color,creed,or caste.For me just a human being and his/her life is worth and important. I desire to help the patients in Jammu division as I am serving & residing around & inside it. Any body needs CPT do contact me on twitter or DM or whatsup 8825000184. 

First Block level Community transmission found. A Private Dental Assistant with unknown tracing of contact.  When unlock used to run in towns,cities and even in villages the maximum people were roaming without masks.How people will learn the advisories or understand this plague which detorates every second keeping positive meters up in bulletins and mediums.  " District Poonch in J&K ,  a sharp peripheral region with almost it's dense population and maximum in population are travellers and outside wagers and job holders in Indian states and in Foreign countries viz Kuwait/KSA/UAE Etc. "  Very odd day started when a shockable news came in after testifing focus among shopkeepeers. It mean in community transmission has made a jump since long. It needs a proper speculations and a framework to decrease the spread.  The spread can be stopped or haulted or broked only by continuation of lock down. The factors of social distancing and use of masks has ac...

Experience, dedication and caliber among the doctors is a basic need of the hour.Not only checking patient is a deal of a doctor or Sampling of Swabs in Labs. But expertization in practice of everything under Primary care at block level including the  documentation relating to Clinical protocols and official capability to deliver it forward in present situation to the higher authourities without any failure is also one of the challenging factors in Covid 19 emergency crises.  The expertise of an Official from Medical Officers deployed in Block administration on all SOP's is a very appreciated step and reduces the Block administrative stress to zero on Clinical matters as well as on all SOP initiative's.Even few tasks are such on which u have to deal sometimes with it like nail and skin to get the successful approach and a smooth despatch of references sent accordingly.Even the cases Postive admitted,treated and despatched to back home later on resampling two more t...

It's a big Yes to Covid19 for saying bye bye as resistance is developing in few of the persons recently detected with Positives on arrival from other states. On resampling same persons after few days repeatidly got negative results but remained asymptomatic and no signs on chest xrays.  Finally despatched to their homes after completion of admin qurantine. 9 persons were discharged to their back home through a legal health protocol. Warm wishes for them on departuring via Ambulances from our Block. Moreover we are hoping for a Vaccine to come after resistance develops in a phased manner in community. This vaccine can bring miracles But it should come for all strains.  But following of sanitization and masks can stop it in community contamination. Hygiene maintainance and social distancing is also a tool to avoid it's spread.  Hence, watching the scenario in block precisely. May it end soon. 

Block Level administration should take a note about the fact for proper care and induce a practice to understand the safety of health workers and the frontline medicos who come close in contact with the positive cases in a limited and less protective gear. The state provided a good set up and budget to deal with this state level epidemic and a pandemic announced by WHO few months back. Now the situation in our District Poonch was quite normal one weak before. But unfortunately we fall in prey due to travellers comming from all other Indian states who were not testified there and were sent like folks and dispatched in buses. The cases are maximum from the outside, citizens of J&K doing their different level of businesses outside on routine.  The process is going on in a smooth manner to sort out the travellers on frisking points and sent to block level qurantine centers. They are then displaced to covid19 lab set by administration to extract sample swab.A good trainee doctors es...

Asthma, a long term inflammatory process takes place inside lungs in airway system. It's reversible and is the complete dilatation of smooth muscles of airways of lungs and narrowing their diameter resulting in  production of excessive thick mucus that leads sudden onset of attack. The symptoms which are present in a patient like shortness of breathe, cough, wheezing and chest tighthening & discomfort. Depending on patient asthma worsens in night or in day during exertion.The causes are genetically inherited and by environmental factors.               Presentations:        The associated symptoms in asthma may be GERD,Rhinosinusitis, OSA, Anxiety and mood disorders. Asthma is triggered by alot of factors include inhalation of chemicals, allergens, pollens, drugs, smoking, chimneys (chula cooking ) and indoor dust and mites. Precautions:                      ...

World Malaria Day (WMD): Malaria has been the most deadliest and life threatening parasitic disease, occuring in African and in Asian regions.Malaria is a disease caused by a parasite. The parasite is transmitted to humans through the bites of infected mosquitoes. People who have malaria usually feel very sick, with a high fever and shaking chills. Each year, approximately 210 million people are infected with malaria, and about 440,000 people die from the disease. Most of the people who die from the disease are young children in Africa. There are many different varieties of malaria parasites.  The variety that causes the most serious complications is most commonly found in: African countries south of the Sahara Desert The Asian subcontinent New Guinea, the Dominican Republic and Haiti Let me include the facts by which it takes its growth , the biggest two measures as under: - "Poverty, lack of knowledge, and little or no access to health care also contribute to malaria deaths worl...