Cure.Fit - Available for consultation

Available for consultation on Cure.fit

Check out the link below

https://www.cure.fit/care/doctorbooking?productId=CONS001&doctorType=GP&isDoctorSearch=true&pageType=doctorbooking&doctorId=101769&centerId=20582

Not available for next three months!

I am going to be unavailable for patient consultations for the next three months due to certain family commitments. For those of you who would like to get in touch with me, please use Whatsapp only. Thank you for your understanding and support.

With reference to the ongoing Coronavirus pandemic, please take all required preventive measures, as are periodically released by the Govt through their website https://www.mohfw.gov.in/

Please do not fall prey to rumours and unneccesary knowledge from social media.

You might like to follow the blog https://deltazuluconsultancy.com/2020/03/16/social-distancing-will-it-flatten-the-curve/  for practical information on how to safeguard yourself and your family.

Best wishes to you and your loved ones in these testing times. 

Happy New Year 2019

Greetings and Best wishes to all my patients and their loved ones for a healthy year ahead!

Interesting Menu! Healthy Life choices.....

My husband Col (Dr) MP Cariappa, after leaving military service recently, has set up his own consultancy in Public Health, charting a course through virtually uncharted terrains.

Here is a link to an interesting blog that he has recently written on health life choices..... Its very relevant for my patients to read, and to try and understand the relevance to their own lives....

https://deltazuluconsultancy.com/blog/


Best wishes to you all!

Back in Pune!

After a long-ish break , I am now back in Pune!

Just to inform all my patients, friends and well wishers. You can contact me now and visit me as per your convenience and requirement.

I am presently available at Arcus Hospital, Near Kedari Petrol Pump, Wanowrie

Only between 1100h and 1300h (1 pm) on all days from Mon to Sat.

Appointment Number

 +91 ( 20 ) 26853888

Health and Happiness are all that one needs....

Best wishes !

Online Consultation for my patients

Dear Patients, 

For those of you who have been consulting me for their medical ailments, and for those who would like to do so, .....

I am on a leave of absence for a short while and am out of Pune. 

In case you need to consult with me, you could send me a message on Whatsapp. 
I usually respond within a few hours . 

I prefer an initial consultation on voice call so that I can get required details and advise on management. 
I will call you back

A timing for the call can be scheduled as per our mutual convenience. 

I would like to clearly state that this Consultation is not a substitute for a clinical examination in person. 


Best wishes for a healthy you!

Online Medical Consultation

New technologies that support alternatives to face-to-face consulting are seen as potentially improving the financial efficiency as well as the clinical effectiveness of services.

As well as video, these technologies include: 

• Telephone, with various models for assessment and triage of acute problems, with or without clinical advice; GP consultations; call-back services from a doctor to manage heavy demand in general practice, which have been increasingly promoted (see http://www.productiveprimarycare.co.uk/doctor-first. aspx) ; ‘cold calling’ to offer health education; and follow-up of chronic illness. Systematic reviewers have tended to conclude that while telephone contact for acute illness may allow minor problems to be dealt with without a face-to-face visit (and sometimes with apparent cost savings), it may miss rare but serious conditions and/or lead to higher rates of face-to-face visits in subsequent days—perhaps because even when patients have been adequately assessed, they may be inadequately reassured. This is particularly the case when call handlers with limited training are working largely to algorithm. Telephone consulting, it seems, requires considerable skill and judgement, perhaps because of lack of visual cues. Qualitative studies using conversation analysis have found that compared with traditional face-to-face consulting, telephone consultations have a more linear format and tend to focus on a narrow range of preplanned themes, with less opportunity for the patient to raise issues spontaneously. 

• Text messaging, for example, for supporting young people with chronic illness; conveying results of tests or sending health promotion messages. These studies showed that the text-messaging medium was popular with patients, who used it proactively to send questions  as well as passively to receive messages sent by health professionals.

• Email consultations. Systematic reviews of a large number of primary studies have confirmed proof of concept (ie, it is technically possible to consult via email) and that some sectors of the population desire such contact, but have also raised the possibility of increased inequality of access (the service is likely to be used most by young middle class patients, potentially increasing inequality of access for those who are older, poorer and with lower health literacy). Qualitative studies have highlighted professional uncertainty about safety, workload and remuneration, and about the ‘rules of engagement’ for online interaction.
• 
  
• Online portals for prescription ordering, appointment booking and patient access to their online record. While these and other research studies have demonstrated proof of concept, such portals are not widely used by patients outside the research setting. 
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• Telemedicine, in which one part of a health service, usually in primary care, links remotely to another, usually in secondary care (eg, telepsychiatry or teleradiology). There are many proof of concept studies and examples of up-and-running services, mostly in remote regions. But the adoption, spread and sustainability of telemedicine services is often disappointing for complex reasons, including cost, logistics and subtle adverse impacts on professional roles, interactions and work routines.
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• Telehealth, based in the patient’s home, in which data on biometric variables (such as blood pressure or oxygen levels) are sent to a data processing centre and (sometime later) evaluated by a health professional who contacts the patent if needed by email or telephone; and telecare, in which sensors carried by a person or installed in the home allow remote monitoring of position and/or detect smoke or flooding. Also known as ‘assisted living technologies’, telehealth and telecare are the subject of much debate. On the one hand, proof of concept (that the technology ‘works’) has been shown for many such technologies and some randomised trials have demonstrated improved outcomes such as reduced hospital admission and mortality rate.
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• Combinations of the above—for example, a systematic review of the cost-effectiveness of ‘telehealth’ that included both home-based and telemedicine services, which showed that both the efficacy and costs of such services varied considerably across studies.

Reference Citation: Greenhalgh T, Vijayaraghavan S, Wherton J, et al

Virtual online consultations: advantages and limitations (VOCAL) study

BMJ Open 2016;6:e009388. doi: 10.1136/bmjopen-2015-009388