MEDPLANET

its a important feedback.. Mishra Ji thanks for valuable feedback.. and sorry if I have not created a panic in you mind which you must have wanted when u were saying doctor acted very cool on hearing blood in stools. I was trying to make you comfortable and not create a panic in your mind so that you start fearing your rheumatic disease v/s salmonella issue. As summers are going on you must be comfortable at present but all the tests were done specifically as per your complaints. I am not a test junkie doctor who before seeing the patients write down battery of tests I like to be more specific and maybe I learned from experience from your feedback and patients like you that I should keep myself safe and do tests more often to diagnose and catch things so that I am not blamed later on. Anyways u came to me three times first visit you had told me about arthritis joint pain which I felt was unlikely diagnosis in your case and had written some tests to check nerve weakness and confirm if u had arthritis or not.i had written limited tests and very specific. Out of those limited tests you had done more limited things and you had vitamin B12 deficiency only as you did not do the other tests for confirmation of rheumatic arthritis vit B12 was low which I corrected by injections later on you came that you are still not comfortable I told you to do tests and started on disease modifying agents for rheumatic disease which included a drug leflunomide which Is very new agent and widely used worldwide. You googled it and saw it has serous side effects. First of all don't confuse your Google degree with my education degrees. Then if you google on net side effect of sunlight you will find sunlight causes rashes and cancer it does not mean sunlight is harmful for you and you should stop going in the sun. Google is Google and your doctor is human. I may have over treated you as you were very miser with doing tests for confirmation of diagnosis so I had to do something for you but I meant no harm and it is always first duty of myself as a physician to do no harm first to my patient. Regarding blood in stool with joint pains is typical history of serious infection salmonella so I had told you a simple stool test which does not costs much and can be done easily as seeing your previous record I knew you would not be comfortable with culture or Complete blood cell counts or further tests. I tried not to create panic in your mind and write down a simple test for evaluation as these spots were unlikely due to lefra it is not a drug which causes blood in stools commonly which you misunderstood anyways what's done is done. What I want to say is you should have confidence in your doctor like you had confidence in your home town physician he must have definitely given some antibiotics without tests which must have cured your salmonella and now you are fit and fine. But you came to me with doubts in your mind and no confidence on me so you never got out of your problems. But I can't fire bullet in dark without confirming diagnosis.I did in your case by starting leflunomide and the bullet has already hit me back. I am sorry if still after this open discussion you may have any doubts you may come personally and meet me rather than putting defaming things on net.. like all me dearest patients who have confidence in my practice and tell me all there doubts and if have any problems with medicine they come to me specifically clearly and confidently.I am open for debate and easily approachable doctor at any time. If you have not personally taken it I am sorry once again for being harsh and clear. As I too have not personally taken it but I had learnt from my mistake in future I would better refer patients like you to a government medical college where tests can be done free of costs and disease can be confirmed and adequate treatment started.

Hello Pratibha Ji, I think you have not read my reply completely I accept that medicine may have caused reaction there is no need to defame me on the Internet and try to indulge in war of words over net. Fine, I would refer patients like you (complicated) to well experienced doctor who has 35 years experience, and is not inexperienced like me, so that he takes 5k for each visit and you are satisfied with that, as all I need is satisfaction of my patients. You are one of the few of the patients who is not satisfied with my treatment and look at the consequences u have already caused lot of damage to my public image by posting negative feedback on Practo. kindly know that I am not 100% accurate as I am human and not a supercomputer or God so you may be one of the few who are not satisfied with the treatment i had provided. I can easily get these comments removed by deleting these comments (practo is a payed service for doctors) but I am not doing so. As I know I am in a fair practice and I am not afraid of negative remarks I welcome them to improve my skills and to choose my patients wisely next time. No doctor is 100% efficient I am a human and I may have made mistake, I accept it, learn from it, and will keep my other patients safe, this is not my intention to cause harm to my patient knowingly or unknowingly and nor would I gain his property or popularity by doing so, it will cause me harm only as no patient would come to me if I indulge in such kind of practice. you know even paracetamol (available over the counter) given for fever may cause serious reaction to anybody and we r not gods to judge it that this will cause reaction in a patient or not. And everyones body may react differently to a drug ,it is not good thing to blame another human being for that, as I too am a person like you I am not a God. There is no drug reaction that lasts for 3 months, I am not asking you to counter check your second opinion but you may ask your doctor to provide reports of raised eosinophils and serum IGE levels which occurs in drug reaction and are very important to diagnose it, as doctors easily blame each other and take advantage of patients worrying nature. I have worked hard for my degree and it reflects in my practice, and it should reflect in my skills too, it's very easy to blame other colleagues but I don't do such kind of things. Mr.Rajiv said that he was alright in 1 or 2 dose in 3 to 5 days only and now you are saying that because of my medicine he is not okay since 3 months (quite contradictory). You had put so much of money and long runs to Bundelkhand to get out of this reaction that a drug has caused so it needs to be verified if at all it's a drug reaction or some serious illness. I don't have habit to blame my colleagues for anything which is complicated, as they are my brothers and sisters and not 100% efficient like me, if he has blamed me for drug reaction and you accept his opinion it's ok I accept my mistake please forget it and close the issue. I wish Mr.Rajiv a healthy life and get well soon. Also in my field young minds have more knowledge rather than experience and hence we always refer to first year resident to clear a situation when it's complicated so don't think that 35yrs of experience makes a doctor more superior to me in knowledge i am more latest than him in knowledge without doubt my harrison book of medicine is new version than his. as I have told you I have read my subjects well and worked hard to reach here on my own being raised in a very normal non medico family, I was impressed by a doctor who visited my mother in her bad time when I was kid and didn't charged and fee from us, he was like God to us, but later if the same doctor has given some medicines which didn't worked well it doesn't make him a devil, as he is human only, but at some moments he may be a angel when things are going fine as per our expectations. Also I thank government of India, as with government medical colleges help who has educated me to the level I am today, I got almost free education on the expense of government colleges subsidised education provided by government of India although I had passed many sleepless nights to crack the exams. Medical colleges are not inferior things we usually refer the complicated cases there so as to reach a correct diagnosis and find a cure to patients ailments so, don't take that remark negatively, by saying that I will refer you to medical college is that I meant your case is complicated enough to require a medical college for evaluation. If you have a reaction you could have come to me and ask me to correct it instead of putting derogatory remarks on the Internet. (I may say you are putting them intentionally now and you had always thought to give a negative feedback here, I am sorry for that but it feels so.) Kindly don't find another phone number to indulge in war of words on the net and meet me with proof of raised IGE levels and eosinophils counts if you really want to blame me for this situation. As I told you my concepts are very clear and I know what I am writing and why I am writing it down for my patients. P.S- Mr.Rajiv, he just had a vitamin b12 deficency which gets corrected slowly over period of months.

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