Thursday, October 20, 2016

Stick to Yoga Baba!

 I have some  free advice for you  baba ramdev, You should stick to what you know and stop fooling yourself and  the  gullible public  .You know nothing about  world trade  economics  or  why people  put their black money  in swiss banks  and  the  banking regulations which keep the details secret.

Just trying to copy the call of Mahatma to Boycott British goods by substituting China for  Briton does not work in the 21st century.

Tuesday, October 18, 2016

Indian Government and MIND an oxymoron

Referring to the “extraordinary situation” in which two American couples seeking to take back embryos stored in a Mumbai hospital are caught in the middle of changes in India’s surrogacy laws, the Bombay High Court Tuesday asked the Union of India to take a humanitarian view and “apply their mind” to find a solution.

Lazy reporters who call themselve journo's

it is very easy to write a small software program which will take the most common sentences used by theses  lazy reporter  with the names of  politicians, movie stars or sports personalities.
 Get hold some  pictures  and then  randomly  write they were spotted  getting  in to some party , were seein in a holiday spot  or just they were seen at the  airport  and  your  job is done.

Do medical researchers Prostitute their services to the Pharma Industry ?

 You see all theses disclaimers and  financial entanglements of the researchers in the published articles.

I personally feel this is sheer hypocrisy.
What are we supposed to do take the findings with a pinch of salt ?

How come studies sponsored by the industry show a favourable result to the latest costliest  medication/intervention where as unbiased or government funded research shows otherwise
One can find  umpteen number of such studies in various journals.

I also see a trend where an intervention/screening which is advocated vigorously in the begining is slowly diluted over time. Or  an intervention  /screening is continued due to  public pressure  just because  they are used to having this done regularly based on  past recommendations.

So what is going on ?
Do medical researchers Prostitute their services to the Pharma Industry ?
My gut feeling is that, they do


Sunday, October 16, 2016

PRAHAR is it the final assault?

 When people
 can not envisage technology developments they come up with outrageous solutions.
the recent study and their effort to preserve "jobs" in the unorganized sector. This is like  the
Brave New World by Aldous Huxley "the Alphas who control the predestination of fetuses and the conditioning of infants maintain that the members of every caste are happy, in their own ways"

This is  like  telling  We should not have sanitary toilets  so that the  jobs of the  Night soil removers are not lost, we should  ban new electric  crematoriums because the livelihood of the graveyard keepers will be lost.

What we needis better education and training to face  the  challenges of future not the stuff  like going  back to " khadhi gramodyog" of  the "Be Indian Buy Indian"  movements.

Friday, October 14, 2016

Brain implant used to restore paralyzed man’s sense of touch

Brain implant used to restore paralyzed man’s sense of touch

in a story in extreme tech published today,  some details  of the  proof of concept  using   direct  brain implants to  control a robotic arm  are given. In the past  myo electric  impulses  from  surface electrodes  were  used to  control  prosthesisi but the  sensory feedback was always the  problem.Now that  a start is nm made to  close the  feed back loop we  may find  more  life like  artificial  upper extremities  soon ( hopefully)

Thursday, October 13, 2016

IVF for the poor, is it possible? My answer is yes!


Please  go look at this site and contribute  whatever you can
https://www.gofundme.com/2qxfkr3h

 IVF for the poor, is it possible? My answer is yes! 

Provided we start thinking out of the box.
Stop slavishly following the High-tech guidelines and regulations set in place by the wealthy sections of the society.
Stop falling in to the trap of marketing gimmicks of pharmaceutical, culture media and instrument industries.
 in a modification of Parkinson's law  '"work expands so as to fill the time available for its completion" " Use and  indications  for  an ultra-sophisticated  costly technology  expand  based on the  availability of the  equipment  and  personnel"  see the number of articles  published  on  the  real  indications  for ICSI and   what really is being  done.

Understand that you get what you can pay for

Like a Motel 6 room for $40 a night VS "Mandarin Oriental" for $1500 night
Both of them give you a place to sleep.

Even the top journal Human reproduction has a stepwise  price plan 
for open access 
"Charges for CC-BY-NC: • Regular charge: £1875/ $3000 / €2438 • Reduced Rate Developing country charge*: £938/ $1500 / €1219 • Free Developing country charge *: £0 /$0 / €0"

There is an Indian Telugu proverb

ఆకలి రుచి ఎరుగదు ,నిద్ర సుఖమెరుగదు  

Which roughly translates to hunger doesn't know taste and sleep doesn't know comfort.
A Syrian refugee or a Congolese farmer will not ask which chef prepared the food, he will grab, eat and sleep where ever, as long as his hunger is satisfied and where he is safe.
 Same is true of a poor rural Indian house wife, she is not worried about ESHRE guidelines.  All she cares is  she is able to have a child so that her in-laws  do not  burn her  alive  or ask for  divorce so that they can  have  him  married  again ( even if the problem is male infertility)

Let us take “Hair transplantation” as a template to emulate
A dermatologist evaluates a person with alopecia.
After a few preliminary tests patient is scheduled for a transplant.
Under local anesthesia many a time in the office a strip of occipital scalp is cut out (harvested, in medical jargon) this is transferred to the "LAB" where a few technicians using a microscope dissect individual or groups of hair follicles (plugs).While this is going on using a template multiple small incisions are made on the bald area of the scalp.
Once the plugs are ready under the supervision of the dermatologist the technicians insert them in to the patient’s scalp.
Tell me in all of these steps which part really needs a five year medical school and a three year dermatology residency? 

It is only because of the dogma and aura of  high technology needed for this  medical procedure and the  word " transplant " which equates this to a renal or heart transplant  that  general public is willing to pay exorbitant  prices.


If this was taught to a high school graduate in India 4 of them can easily start a hair restoration clinic where they can employ the services of an MBBS doctor for initial evaluation and general supervision and offer the same service for probably a 10th of the cost now being charged.


Similarly for low cost IVF we have a team of 
1)    Basic MBBS doctor ( DGO,M.D.Gyne); for initial evaluation 
Who will decide what ovulation protocol to use.
2)    A CNA /LVN or RN will monitor the self-administration of stimulant drugs and injections.
3)    A high School graduate who undergoes 6 months to1 year training in ultrasound imaging of the pelvis, ova retrieval and embryo transfer let us call them OT/ET techs.
4)    Level 1 embryologist who maintains a simple lab consisting of a microscope , stereo microscope regular incubator and  tubes for ova retrieval and Belgian culture

We use a simple one step medium and the Belgian technique for IVF in a tube with co2 produced using sodabicarb (cooking soda) and citric/acetic acid (lime juice or vinegar)

 I am not saying “let us demolish” The Oriental Mandarin Hotel”
I am advocating opening more Motel 6 like IVF establishments.