Rise in kidney ailments overload dialysis units

December 16, 2015

Bengalur, Dec 16: The rising number of kidney ailments, due to the increasing cases of non-communicable diseases, has posed a serious challenge to the government. The limited dialysis facilities are witnessing an overload.

kidneyAt least two lakh people undergo dialysis in the State. Speaking to media persons, Dr Keshavamurthy R, director, Institute of Nephro Urology, said that with non-communicable diseases such as diabetes on the rise, those with kidney ailments are seen in good numbers.

The Institute sees a patient overload most of the time. With 25 units in place, 60 to 65 people undergo dialysis every day, while a good number are asked to await their turn. “No matter how many units are started, they are occupied because patients are seen in growing numbers,” he said.

This Institute sees patients from West Bengal and Odisha as well. “The diagnosis is done and we put them on dialysis.

Later, they are sent back to their respective places unless their condition is serious as a very small number can be treated completely or can undergo a transplant. The rest have to be on dialysis for life,” he said.

Institute expansion

The autonomous institute will undergo expansion soon. A proposal has been sent to the government for construction of a four-storey building on a plot behind the present premises. With this, 45 more beds will be added. If approved, the construction will begin in the next six months.

PPP model

If infrastructure is one challenge, inadequate manpower is another. For a dialysis centre to be functional, at least one nephrologist, a technician and nurses trained in dialysis are a must.

However, with not enough specialists on hand, the department of health and family welfare and that of medical education have resorted to training general physicians to carry out the procedure. One doctor from each taluk is undergoing training by turns at the Institute of Nephro Urology to be able to go back and run dialysis units.

Meanwhile, Dr G Vamadev, director, department of health and family welfare, said that they had sought a report from all districts on the number of dialysis units available and the want of manpower.

“There is a proposal to start dialysis units on a public-private partnership model. The government will provide the infrastructure necessary, while the other party will run the centre with manpower and consumables,” he said.

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News Network
February 22,2020

Bengaluru, Feb 22: President Ram Nath Kovind on Saturday said an ideal trade-off needs to be reached between new media -- which is fast and popular -- and traditional media which has developed skills to authenticate a news report, which is a costly operation.

Addressing the fourth edition of ‘the Huddle’ – the annual thought conclave of the Hindu here, he asserted that the internet and social media had democratised journalism and revitalised democracy, but had also led to many anxieties.

While the new media was fast and popular and people could choose what they wanted to watch, hear or read, traditional media would have to introspect on its role in society and find ways to earn the reader’s full trust again as "the project of democracy was incomplete without informed citizens – which means, without unbiased journalism."

Debate and discussion were internalised in India’s social psyche to arrive at truth since time immemorial, he said.

"There is no doubt that perception of truth is conditioned by circumstances. The conditions that cloud the truth’s positions are effectively dispelled by a contestation of ideas through debate, discussion and scientific temper. Prejudices and violence vitiate the search for truth."

Expressing happiness to attend ‘The Huddle’ organised by The Hindu, he said the Hindu group of publications had been relentlessly aiming to capture the essence of this great country through its responsible and ethical journalism. He commended them for their insistence on sticking to the five basic principles of journalism – truth-telling, freedom and independence, justice, humaneness and contributing to the social good, an official release here said.

Mr Kovind said dogmas and personal prejudices distorted the truth. In the 150th year of Gandhiji’s birth, he asked all to ponder over this question: "will it not be proper to pursue truth itself as the ideology? Gandhiji has shown us the path by walking ceaselessly in search of truth which would ultimately encompass every positive attribute that enriches the universe."

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coastaldigest.com news network
May 23,2020

Mangaluru, May 23: Criticising the Karnataka government's fresh protocol for management of Covid-19 as expensive, a prominent physician in the city has demanded its withdrawal.

According to Dr B Srinivas Kakkilaya, the protocol released by the Health and Family Welfare Department on May 15 enlists unnecessary and unconfirmed tests and treatments. 

The protocol has classified Covid-19 cases into three categories and has provided for hospitalisation of all three categories of patients, from asymptomatic to the most severely ill.

In a letter to the government, Dr Kakkilaya said: "The protocol suggests several investigations to be done right on the day of admission, including blood counts, liver and renal function tests, chest X Ray, ECG, CT scan of the chest, and other special investigations, all of which, if done, will cost Rs 25,000 per patient."

"In the coming days when lakhs of patients are likely to be infected with SARS CoV2, is it necessary and feasible to hospitalise and test all these patients at Rs 25,000 per person," he questioned.

The treatment options suggested in the protocol are also surprising, he pointed out. "The protocol recommends choloroquine, azithromycin, oseltamivir, zinc and vitamin C for all patients, from asymptomatic to the severely ill, and also anti coagulant injections for many patients. All these would cost at least Rs 5,000 per patient. For severe cases of Covid-19, many unproven and experimental treatments have been suggested, which are very expensive and highly questionable," Dr Kakkilaya notes.

Therefore, this protocol, he asserted was not evidence based and likely to do more harm than good. He said these unnecessarily expensive tests and allowing private companies to conduct trials on Covid-19 patients is likely to be misused by vested interests and must be immediately withdrawn, and instead, a protocol that is evidence-based, simple and avoiding unnecessary expenses, must be developed.

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News Network
February 28,2020

Mangaluru, Feb 28: In a shocking incident, an engineering student has committed suicide on the railway track at the Someshwara railway station near Ullal on the outskirts of the city.

The deceased has been identified as S Rayagowda (23) from Belgaum.

It is suspected that he resorted to the extreme step due depression after love failure. Railway police are investigating the matter.

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