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TB Patients to be provided Free Drugs Even in Private Pharmacies Soon

Many of us aren’t aware that the government of India provides free TB medicines to people at government authorized centers like government hospitals, DOTS providers, Community directly observed Treatment as a part of their efforts to eradicate TB completely from the country. Further, there is good news around it. The highest drug advisory of India has considered relaxing the rules under the Drugs and Cosmetics Act.

India has had a high number of TB cases and hence the government felt the need to make the TB drugs accessible faster. By taking private pharmacies into the circle of free stocking and dispensing of TB medicines will definitely increase the reach. The idea was popped last year with the objective of increasing the accessibility of medicines for the people in need. Furthermore, the pharmacists will have to keep a stock of it also because they came under Schedule H1, as per the director-general of health services.

TB Patients - Free Drugs

The proposal is to amend rule 65(18) of the Drugs and cosmetics act by proviso insertion on the distribution as well as stocking of anti-TB drugs by taking private pharmacies into the Revised National TB Control Program (RNTCP) of the government of India.

By establishing linkages with the private sector the objective is to establish linking between the private and the government for not only distribution of free drugs but for patient support services and counseling as well. The national TB control program is on a mission of providing universal access to TB patients as the latest global TB report released by the world health organization showed India topping the charts.

Another reason for trying to make TB drugs accessible at private pharmacies is to shun away the stigma around the condition in some sections of society. So, if you know of someone having TB or just share this information with your maids and other servants, it just might help them or people they know dealing with the condition.

Parasite inside human Eye

Yes, this is a fact, a 17-year-old teen had damaged his right eye due to the presence of a parasitic worm that was seen wriggling in and out of the eyeball of this teen when examined by the doctors in Mexico. Though, it was a little too late because the eye was already damaged by the time it was examined and the diagnosis was done and the boy had almost lost complete vision. The doctors tested his vision and came to know that he was not even able to count their fingers when held in front of the eye. The vision was blurred and he was able to see only hand motions. After a complete eye examination, it was found that the right eye was severely damaged.

Parasite inside human Eye

The freely moving worm had created many holes in the iris and his right cornea was swollen and had blood spots. The worm could not be traced easily because it made these holes its safe haven. The doctors had to work hard in removing the worm from the eye and for the same they had to first remove the lens and the vitreous humor surgically. It further came to light during the surgery that the worm had also severely damaged the retina of the teen.

The worm was identified as a fluke or a kind of trematode, usually found in species namely Schistosomagenus, fasciola, and Paragonimus, but its particular genus wasn’t known because it was not under the included list of trematodes and was seen for the very first time. It had an overall length of 3 mm was removed in bits and pieces.

Post the surgery the teen was given anti-parasitic medicines as well but there wasn’t seen any improvement as far as the vision is concerned even after six months post-surgery.

Frozen Shoulder – Tips On Dealing With The Painful Shoulder Condition

Medically known as adhesive capsulitis, frozen shoulder usually affects only one shoulder. It is most commonly found in people with diabetic conditions. This condition causes the swelling of the articular shoulder capsule, swelling and stiffening of it and restricting mobility to an extent. Its medical name is derived from the Latin word adhaerens, capsula and it is meaning sticking, little container and inflammation respectively. This condition commonly occurs in the age group of 40 -60 years and most in women more than men.

Frozen Shoulder

A shoulder is made up of a speriodal joint. The other joint has a concave slaught where the round part of one bone fits in. Frozen shoulder is the consequence of thickening of the shoulder joints capsule due to the formation of the scar tissue there. This in turn results in tightening and immobility of the shoulder, even causing pain.

SYMPTOMS
The most common symptom is stiffness in the shoulder join and persistent pain. Frozen shoulder pain is divided into three stages namely painful stage, frozen stage and thawing stage.

Painful stage – This is the first stage of the condition and is very painful. The shoulder stiffens and restricts movement. The pain might aggravates at night.

Frozen stage – This is the second stage of the condition and results in worsening the stiffness of the shoulder. It is restricts the motion to a greater extent compared to the first stage and is painful. The pain thankfully doesn’t worsen.

Thawing Stage – This is the final stage of the condition wherein improvement in the shoulder can be noticed. The pain gradually fades and the shoulder movement improves. But, there are chances of it re-occuring though.

DIAGNOSIS
The diagnosis of frozen shoulder involves the following –
A close physical examination of the shoulders by pressing the pain points and checking the arm movement.
An X-ray to reaffirm the same or an MRI.

RISK FACTORS
The most common risk factors for frozen shoulder include -

Diabetes – It is one of the most common causes of frozen shoulder, though the reason is unknown.

Aging – This condition is common amongst people between age groups of 40 -60 years

Stroke – It also occurs amongst people who have suffered from stroke in the past
Other risk factors include Hypothroidism with overactive or underactive thyroids, Parkinsons disease and Cardiovascular disease.

TREATMENT
Treatment of frozen shoulder aims in increasing the mobility of the shoulder while decreasing the pain. Having said that, you need to accept the fact that the recovery of frozen shoulder takes a long time and can vary from 6 months to a few years as well.

Compression Packs – Use of Hot and cold compression packs on a regular basis can help you decrease the swelling and pain as well. Its better to use the two alternatively rather than using only one of them.

Exercise- Exercising regularly and mildly can help regain shoulder mobility to a good extent.

Pain Killers – Pain killers like ibuprofen and paracetamol or Tylenol can be taken in case of high pain but its important to not make it a habit. As frozen shoulder could last for a few years as well, its advisable to take them only in dire need and also check with your doctor first before taking any of them to confirm the suitability.

Transutaneous electrical nerve stimulation (TENS) - In this treatment procedure, small electric pads are applied to the skin through which small pulses of electricity are passed on with the help of a TENS machine.

Physiotherapy – A physiotherapist helps you through exercises that for lower pain and regaining mobility without straining the shoulder.

Shoulder Arthroscopy – This involves a small surgery wherein an endoscope is inserted through the small incision into the shoulder joint in order to remove the scar tissue.

Shoulder Manipulation – This involves a small surgery wherein the shoulder joint is moved gently and is done in a rather few cases.

Well, Frozen shoulder is a prolonged condition and needs to be tackled smartly with patience. With proper care it might as well fade away in half a year or so, but can rebound as well.

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