MY EXPERIENCE

CLINICAL EXPERIENCE--47 YRS
PEDIATRICS EXPERIENCE-37 YRS
NEW BORN BABY EXPERIENCE-20 YRS.

For my biodata-pl visit my blog at my article "my complete profile"

RARE  CASES  TREATED  BY  ME-successfully.
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1)2 yr old with fever -final diagnosis--UTI +chick-un-gunea+malaria.
2)severe dehydration over 15 %(often fatal) with aggressive treatment procedure,with double venesection +IV push fluids/drugs
3)coma case due to cobra bite-treated with conventional drugs,anti snake venom seerum,+blood transfusion from acompatible snake charming person,bitten by snake several times.
4)4 day old wih severe peripheral circulatory failure(body was ice cold on touch)
treated by venesction+lytic cocktail therapy--35 yrs back
5)2 month old with profuse bleeding from one eye--Bleeding diathesis.
6)revived a dead child due to pennicilin injection who had aspiration -successfully revivedwith
endotracheal tube intubation+iv drugs =venesection = iv fluids.--all done in 10 mts as all the equipments were available readily in my first aid pouch in hand,at GH Arakonam brought by a lady plastic surgeon from TI CYCLES INDIA from ambathur in the year-1978-79
7)there are another 50-60 such rare cases.

MY  SPECIAL INTEREST
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1)TO GIVE SECOND MEDICAL OPENION when first is doubtful(offered by another docter)
2)many novel ways to stimulate childrens intellectual potential
3)neonatal resucitation at nomal or caesarian delivery--at 100% success rate
4)any challanging type of case.

EVIDENCE OF INTELLIGENCE AT AGE ONE MONTH

1)HEAD CIRCUMFERANCE-BIRTH 35CM--1 MONTH-37 CM
2)USE OF SPECIAL SENSES.EYES/EARS/SKIN/SMELL/HEARING/VOCAL SOUND PRODUCTION 3)EYE CONTACT 4)HEARING REACTION5)SMELL REACION
6)ATTEMPT FOR COMMUNICATION (BODY LANGUAGE) 7)STRAINING DURING DEFECATION/MICTURITION8)CRY IN UNPLEASANT ATMOSPHERE.8)SOUND PRDUCTION REPEATEDLY &MEANING FULLY,AS IF PARTICIPATING IN A DIALOGUE

If all these or majority are not present even at age 3 months-baby needs complete evaluation
&assessment of intellctual capability so that correction if necessary can be done earlier--for example
if hypothyroid state is left un diagnosed there will be mental retardation due to BRAIN TISSUE DESTRUCTION-WHICH IS IRREVERSIBLE

HYGIEN&SANITATION-NEWBORN BABY

)for bath;-wait for seven days for umbillical stump to fall.2)till then clean baby with soapin wet cloth over axilla/neck/groin/genitals twice daily 3)elders with cough should wear mash 4)WASH FIRST
HANDSthen touch baby.5)DONT TOUCH BABY'S LIPS6).(CUT mother's knails twice a week)7)wash axilla ,change blouse before feeds 8)prevent mosquito bites(can cause 52 types of fevers)

VACCINATION-AGANST WHAT DISEASES:--
1)TUBERCULOSIS
2)POLIOMYELITIS
3)DIPHTHERIA
4)WHOOPING COUGH
5)TETANUS
6)MEASCLES
7)MUMPS
8)RUBELLA(GERMAN MEASCLES)--(DANGEROUS IN PREGNANCY)
9)CHICKEN POX
10)HIMOPHILUS INFLUENZA-TYPE B(AGAINST BRAIN/LUNG INFECTION)
11)TYPHOID
12)ROTO VIRUS DIARRHOEA

OTHER VACCINES
MENINGOCOCCAL--AGAINST BRAIN INFECTION
PNEUCOCCAL--AGAINST LUNG INFECTION(AT 2,4,6 MONTHSOF AGE ONLY)
HUMAN PAPPILLOMA VIRUS-AT
 AGE 12 FOR FEMALES PREFERABLY AGAINST CANCEROFCERVIX OF UTERUS.


DIET--UPTO AGE ONE YEAR
1)EXCUSIVE BREAST MILK UPTO AGE 3MONTHS(in case of non availability-formula feeds.)
2)BM +FORMULA UPTO 6 MONTHS.
3)BM+FORMULA+CEREAL AT AGE 6 MONTHS-I YR.
4)START EGG WHITE/FISH/DAL+GHEE AFTER 6 MONTHS ONCE DAILY+MILK I000 ML DAILY AFTER CHILDS WT AT8-10 KG
5)FULL FAMILY DIET AT AGE I YR.
^)FRUIT JUICE AFTER 6 MONTHS
7)AVOID FRESH COWS MILK/POCKET MILK ALLWAYS
8)WATER NOW &THEN FROM NEWBORN STAGE ONWARDS


CHILD HOOD ACCIDENTS
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1)STARTS FROM BIRTH ONWARDS--BY MULTIPLE MEANS
2)MILK ASPIRATION--DEADLIEST
3)SUDDEN INFANT DEATH SYNDROME
4)INSECTSTING
5)FALL FROM COT WINDOWS/HEIGHTS
6)BURNS /SCALDS/ DROWNING/ SUFFOCATIONWITH PLASTIC BAGS
7)PEER INDUCED DANGERS
8)BEWARE OF DOGS CATS  PETS RATS
9)MOSQUITONET
10)CHILD LIFTING
11)TABLET INGESTION
12)PHENYLE/DETTOL INGESTION.
13)KEROSENE OIL INGESTION
14)BIG WATER FILLED CONTAINERS WITHOUT LID
15)CHILD PROOFING ARRANGEMENTS-Eg-STAIR CASE.
16CHILD PROOFING WINDOWS-EgUSA HOUSES.
17)FIREIGN BODY-INGESTION/PUTTING INSIDE ,EAR/NOSE/THROAT
18)MANY MORE UN IMMAGINABLE WAYS

IMAGINABLE WAYS

HOW TO FEED THE NEW BORN BABY

1)Baby's position should be vertical
2)never feed baby in lying position(beware of aspiration-milk into respiratory pathway)-may lead to suffocation.3)dont give prolonged feeding-finish it in 10 mts.4)BURPING IS ESSENTIAL AFTER ALL FEEDS.5)PLACE BABY IN HEAD RAISED POSITION.6)MILK REQUIREMENT;-approximately 100 ml per kg per day in 8-10 devided dose7))breast feeding can be started after 2 hrs of delivery 8)first 3 days' milk is important,as it contains CHOLOSTRUM-a product not availble commercially,&it contains life savingchemical substance necessay to fight against disease producing microbes specially against neonatal diarrhoea.9)feeding bottle sterilisation is an art &learn it from adoctor.

LOOKING AFTER a new born baby

1) mother &grand mother alone should handle baby.
2)Avoid mosquito bite/flies sitting on baby's mouth
3)Those who cough should not come near the baby
4)put the baby on a hanging saree-better than other options
5)beware of scorpions/bees/pet animals/kidnappers
6)umbrella mosqito net helps in many ways

DELETERIOUS EFFECTS OF COW'MILK

1)ALERGY-SKIN,GASTROINTESTINAL TRACT(ABDOMINAL PAIN,VOMITING)
2)LACTOSE INTOLERANCE-CAUSES DIARRHOEL DISORDER IN INFANTS,SPECIALLY
NEW BORN BABIES3)ASTHMA-WHEEZY BRONCHITIS.4)COW'S MILK PROTIEN INDUCED ENTEROPATHY--DIARRHOEA(TREAT WITH SOYABEEN MILK)5)JUVENILE DELINQUENCY
--YOUNG CRIMINALS IN MINOR JAIL.6)POOR ACADEMIC PERFORMANCE---LOW MARKS IN SCHOOL/ SCHOOL DROP OUTS.(TREAT WITH FORMULA FEEDS UPTO AGE 5--AND NEVER WITH FRESH COW'S MILK/PACKET MILK)