Monthly Archives: December 2018

Why Does My Medicine Cost So Much

To understand why medications cost so much you must first understand the process involved to get a medication on the market.

When you see a new medication being advertised on a television commercial you have to know that there is really nothing “new” about it. On average most medications take an average of 10 to 13 years to go from initial development to the drug store shelves.

Once a new chemical is developed by a pharmaceutical manufacturer it then has to register a patent to protect it. The patent is good for 20 years from that point. The developer then has to submit applications to the FDA to recognize the new chemical. Next is setting up clinical trials. This where this new chemical is tested to determine it’s safety and effectiveness. Once that is verified the chemical is given to selected patients who have agreed to participate in the study. There are several phases to these studies. If all of these phases are successfully completed the FDA then votes to approve the new medication. If approved the drug company will then begin a heavy marketing campaign to promote their new medication.

But here is something you don’t hear on the commercials. On average, for every 5000 new chemicals developed only 5 will make it past the safety test. And out of those 5 chemicals only 1 will actually make it all the way through the clinical trials and get approved. So for every commercial you see for a new medication you can know that there are 4,999 “commercials” that didn’t make it.

So what does this have to do with the cost of the medicine? Well, by some estimates the cost to bring a new drug from the lab to the pharmacy is ~ $900 million…. for 1 drug. And we also need to remember the other drugs that didn’t make it. I’m sure less money was spent on those, but all totaled there is a lot of money invested in drug development.

Once the new medication hits the market the drug company now aims to recoup their expenses. Obviously they do this by charging high prices for their medicine. Also keep in mind that the average new drug has only 7 to 10 years remaining on it’s patent. The drug companies know exactly how much time they have left, and they price their medication accordingly.

The importance of fetal medicine for a safe pregnancy

Fetal medicine is a special branch of medicine that involves the evaluation of fetal growth and overall well being of the mother and child. It also includes the diagnosis of different types of fetal abnormalities and illnesses as well as the general maintenance of the fetal health. With advancement in prenatal diagnosis technologies, our capability to identify health complications before birth has increased. For this reason, the fetus is being considered more and more as a separate and independent individual in medical science, and the special area of expertise that has developed to address various health issues pertaining to the fetus has been named as fetal medicine.

As fetal medicine is a rather new branch of medical science, it often requires professional input and expertise from various specialists such as obstetricians, neonatologists, perinatologists, pediatric surgical specialists, pediatric cardiologists, geneticists and many others. There are two arbitrary branches of fetal medicine – the first one is the prenatal diagnosis and the second one is the fetal treatment. The prenatal diagnosis aspect deals with the carrying out of diagnostic tests to evaluate fetal health and to see if there are any differences between the present conditions with normal fetal development. Out of all the tests that are carried out, the most common as well as often the first test employed for a prenatal diagnosis is the ultrasound. Other tests that are used in the fetal medicine studies include the following:

Non-invasive diagnostic tests

Doppler ultrasound

2D and 3D ultrasound

MRI scans or magnetic resonance imaging

Echocardiography and cardiotocography of the fetus

Maternal blood tests to look for fetal cells or some other specific conditions

Screening tests

These simple and rather inexpensive tests are carried out in order to detect all instances of a particular abnormality with a large population that is at risk. Some of the common examples include the following:

MSAFP or Maternal Serum Alpha-Fetoprotein is a type of maternal blood test that’s carried out to detect myelomeningocele or spina bifida

Nuchal translucency is a particular finding on an ultrasound examination of fetal neck that might indicate the presence of Down syndrome

Additional blood tests to confirm the presence of Down syndrome

Fetal medicine should always be supervised by a registered specialist to avoid any mishaps. Aikya Healthcare on Kanakapura Main Road, Bangalore is a leading institution that provides patients with state of the art fetal medicine expertise. So if you are looking for a fetal medicine specialist in Bangalore, you can always count on the doctors of Aikya Healthcare as they will be more than happy to assist you.

Aikya Healthcare is a well recognized women health hospital and it has highly experienced fetal medicine specialist in Bangalore, who can handle any complex health issues of pregnant women.

Using Homeopathic Medicine for Acne

Many people enjoy using homeopathic medicine on their face as an acne medicine. This is because it can handle almost all skin problems without drying the skin or damaging pores by avoiding the use of acidic compounds. People use it on acne because it is a safe and healthy alternative to the majority of conventional products on the market, but it still does have its negatives.

Many homeopathic remedies for acne provide a plethora of treatment options that will work on all skin types. These homeopathic medicines boast treatment of all skin afflictions associated with acne, from black heads to white heads and everything in between.

Before consumers rush to the counter to buy these acne homeopathic medicines, however, a little investigation into their claims might be a good idea.

Most of these products should be completely natural, for starters. Each of them should contain all natural herbal ingredients for fighting problem skin. If the one considered does not have a complete list of herbal ingredients, exchange it for one that does.

Chemicals can harm and dry the skin, especially the acidic chemicals, doing more harm than good. With a homeopathic remedy, the notion is to control the problem skin and to heal the layers of skin underneath.

Typically, the best acne homeopathic health plan would use homeopathic medicine on the problem skin area to do a number of things. The first aspect that it looks at is the the pores. The sweat pores will be cleaned up with a good medicine that typically is formed in a topical solution.

With this cleansing process, the pores will loosen up and the dirt will be released from them. This will help form a basis for clearing up problem skin with it.

From there, the solution works to repair dead skin cells and repair broken tissue caused by acne and acne scarring. This lessens irritation and unclogs pores that would be clogged by dirt and hair follicles.

Its medicine for acne can also reduce blood vessel appearance by lessening the reddening effects that acne can have on the skin. From there, after developing a clean foundation on the skin, another homeopathic medicine cleanser can be used to improve the appearance of the skin and clean the surface properly.

With this cleaning process, many people turn to it for their problem acne skin. Other prefer traditional methods of using acidic solutions such as pads or scrubs that rip and tear at the skin.

These methods are not recommended and should be avoided in favor of a more comprehensive approach to skin care. With homeopathic medicine for acne, one can be assured of the healthiest approach to skin care on the market today.

Always check the products before use. This ensures that the one selected is of one hundred percent natural ingredients and that it will benefit any particular skin type necessary. Not all homeopathic medicine for acne is suited for all skin types.

Some treatments require a more comprehensive regimen for the skin and can be more involved. For the most part, however, it can remedy all sorts of skin problems and can repair problem skin caused by acne.

Educate yourself further about homeopathic medicine from Mike Selvon articles portal. Your feedback is valued and appreciated at our homeopathic blog where a free audio gift awaits you.

What Healthcare Professionals are Saying about Bloodless Surgery

While some of the basic ideas and concepts constituting what is known today as bloodless medicine have been around for centuries, the idea of a set of medical and surgical techniques aimed specifically at eliminating the necessity of blood transfusions has only been around since the 1960s. The idea was spurred mainly by Jehovah’s Witnesses, who became outspoken about their opposition to blood transfusions in the beginning of the 20th century.

Physicians were initially skeptical about performing complex surgeries and operations without using blood transfusions. However, after decades of campaigning and even federal court cases, Witnesses won the right to be treated without blood transfusions.

The early practitioners of bloodless medicine worked almost exclusively with Jehovah’s Witnesses to perform bloodless surgery. In many cases, doctors, nurses and healthcare professionals noticed the results from bloodless operations were actually better than similar operations where a transfusion had been performed. Benefits included quicker recovery times and lower costs. Eventually, these physicians began publishing their results, noting the advantages to these bloodless procedures over traditional blood transfusions. They also explained these benefits to other physicians and encouraged them to adopt the practices with non-Witness patients.

After surgeons in New Orleans and Los Angeles gained attention for performing bloodless open heart surgeries (or “bloodless hearts”), the popularity of bloodless surgery techniques with physicians began to spread around the world. By the late 1970s, bloodless medicine was available at healthcare systems in the U.S., Canada, Europe and India.

Not long thereafter, the public began to take notice as well. Concerns about the human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) led to people beginning to question where the source of donated blood used in transfusions was coming from. Fear over contracting AIDS through contaminated donor blood led to large numbers of non-Witness patients requesting bloodless surgeries.

Physicians have generally welcomed the increased demand for bloodless surgery in the modern medical climate. Bloodless surgeries have a number of specific advantages to both the patient and surgeon, as well as benefits to the hospital systems offering bloodless surgery. Because more than 50% of surgeries in the U.S. are pre-planned or elective surgeries, many doctors are actually encouraging their patients to consider blood transfusion alternatives.

Why do doctors and healthcare professionals like bloodless surgery methods? There are a number of specific reasons why a particular doctor or healthcare system might choose to offer bloodless medicine program. However, there are two huge advantages that benefit the doctor, the patient and the healthcare system.

1.) Bloodless Surgeries have fewer complications –

Fewer complications mean fewer post-surgery procedures and a quicker recovery time. This is obviously good for patients, but it is good for physicians as well. It frees up more of their time and lessens the likelihood that they could lose a patient in surgery.

Healthcare Management Is A Course Beyond The Medical Terminologies

Healthcare in India is growing rapidly. Individuals have started taking immense interest in this field. To a common man healthcare is just getting sick, referring to a physician and taking the medicines. But actually healthcare is vast sector. It involves support of various healthcare officials. With fast changing standard of living, people have started taking health issues in a serious way. The growing number of health related issues has given rise to healthcare centers like nursing homes and clinics. Any healthcare center cannot run single handedly by the doctor, nurse or technician only. To deliver smooth healthcare solutions, it requires hard working management team which handles entire set of administrative tasks which helps the patients to take advantage of healthcare facilities. To fulfill the demand of healthcare managers, Healthcare Management Training institutes are making effort to groom the professionals who can match the pace of fast growing healthcare industry. The growing interest of individuals in healthcare has made it a rewarding career option in India.

With the growing need of world class health facilities, students are opting for courses in healthcare management which in turn can give a good start to their careers. These courses dont merely cover medicine knowledge but also put focus on the management techniques that help in delivering high success. Management course in healthcare does not limit the job option to any healthcare center only; it rather opens the career options in various organizations such as health insurance offices, clinics, rehabilitation centers, psychological health firms, consulting organizations, child care centers, NGOs etc. Trained healthcare professionals can also opt for teaching jobs in colleges or educational institutions for imparting training to the students.

Healthcare management India aims at improving the technologies that work to provide best services to the patients. Through management courses individuals are trained to take care of every block of work efficiently. Their primary focus is to improve the care of the patient. These management courses make the students familiar with the use of software technology which helps them to store the patient record and retrieve it as and when required. For e.g. by having record of medical history and prescription list of the patient, medical specialists can get in to the root of the disease and provide the best treatment accordingly. Apart from software skills it also imparts training on resource management, human resource, finance handling, people management, stock management i.e. maintaining the record of drugs, medicines, medical equipments etc.

These courses help the professionals to think and bring innovative ideas which can improve the healthcare system. Through healthcare management courses one can gain the knowledge to plan, manage, coordinate and supervise the complete set of duties related to healthcare. All in all healthcare management course is like any other management courses that builds leadership skills and helps in gaining fast decision making and analytical power which in turn helps to understand the marketing practices and issues related to healthcare.

Specialty Clinics Bring Retailing to Healthcare

Specialty clinics are offering solutions to many lifestyle and health related issues we face

By Sharmila Das, Elets News Network (ENN)

Ever since the emergence of life-style diseases, it is regular to see people visiting doctors/clinics for reasons like stress, infertility, performing dialysis etc more often than a serious medical issue. Urban corporate executives prefer visiting a Trichilogy, Allergy, Nephrocare than visiting a super specialty hospital offering similar kind of -Specialty clinics are definitely emerging as a trend in India because people today want dedicated services on their health is- sues without wasting much time,- says Dr Bharat Inder Singh, Chief Administrator, Max Healthcare Centre.

Specialty clinics save the pain of traveling to crowded and far distanced big hospitals and thus it has received good response from consumers over the years

The rationale behind approaching ehealth.eletsonline.coma specialty clinic is that, -In a specialty clinic you get medical attention from experts under one roof whereas in a hospital you have to keep running from one department to another,- says Dr Puroshottam Lal of Metro Clinics. -It’s also cost- effective,- he adds. For instance, at Metro’s anti- smoking clinic, which is popular with professionals, pulmonary tests sessions with an expert panel of doctors and carbon monoxide evaluation tests cost around 500. A follow-up would cost200. -The same tests in any hospital would cost at least 2,500 because the consultation fees can be anywhere between500-700.-

In one of its reports, WHO said that the End Stage Renal Disease (ESRD) rate in India is 850 in 1 million people and the patient getting treated is just 60. So you can see there are huge demands of people to be treated

Dhruv Chaturvedi, Managing Director, Fresenius Medical Care India

Popular types Specialty clinics save ehealth.eletsonline.comthe pain of traveling to big hospitals and thus it has received good responses from end consumers over the years. However, there are some sort of demarcation exists that differentiates the popular types of specialty clinics in India. Suresh Soni, CEO, Nova Medical Centers Pvt Ltd says, -Eye Care, Dental Clinics, IVF, Cosmetics, Dialysis Centres, Day Surgery, and Primary Care (emerging specialty) are the popular types of specialty clinics in India. And the target groups are people from the lower middle class to the rich (except for cosmetics surgery which would be targeted at the upper middle class onward)-.

Factors responsible for the booming market of specialty clinics in India The sudden rise of specialty clinics in India has been caused by certain supporting factors like increasing disposable income, desire for special treatment etc. Fresenius Medical Care, one of the global leaders in dialysis treatment, product and services industry, has recently launched their first dialysis clinic in India by the name of Shrinath Care in the heart of Jalandhar, Punjab. Dhruv Chaturvedi, Managing Director, Fresenius Medical Care India says, -India is very fast growing country when it comes to GDP knowledge sharing and , information flow. But one of the draw- backs that the country has is that India with 6.22 crore diabetic patients is fast becoming the diabetes capital of the world. So diabetes, hyper-tension, life- style diseases etc are affecting the renal diseases. In one of its reports, WHO said that the End Stage Renal Disease (ESRD) rate in India is 850 in 1 million people and the patient getting treated is just So you can see there are huge demands of people to be dialysed and the facilities that are available are not sufficient. So there comes the role of a specialty clinic in India like Nephrocare. You can see the medical facilities are all mostly confined to the state capitals and metropolitan cities, so there is a huge gap in the tier I and tier II cities too. One of the reasons, Nephrocare has started its operation in Jalandhar-.

Dr Kiran Lohia, MD – Dermatologist and Founder of Cosmedic Skin Solution, a registered brand of Future Skin Pvt Ltd says, -The factors responsible for the rise of specialty clinics in India include-increase in the income of the middle class, more awareness of taking care of one’s health and of prevalent diseases such as diabetes, heart disease, cancer and more, affordable cost of healthcare in India, health insurance rise, resulting in people having more access to medical care and finally a large young population, who are more aware of the specialty options available to them due to their cognizance of the web, facebook, etcetera-.

-Increasing health awareness among the population, focus on specialty healthcare in non hospital ambience, diagnostics centric, better accessibility and faster services with less queuing, asset light models with multi specialty offerings have lead this development,- says

Dr Vijay Singh, Chief Administrator Officer, Heart Centers & Diagnostics, Narayana Hrudayalaya.

Dr DP Saraswat, CEO, Action Group of Hospitals says, -Healthcare scenario in India is gradually shifting towards specialty clinics. Patients are now looking for centers of excellence, ehealth.eletsonline.comrather than going to the same doctor or OPD every time. Specialty clinics being centers of excellence assure to deliver high standards of clinical out- comes. Because specialty clinics focus on any one organ, system of the body or any one disease. These clinics are staffed with para-medical and nursing personnel of specialised skills which have been perfected over a period of time, besides adhering to predefined protocols through high-end equipments, better service quality add value so that patient gets more than other set ups-.

-Specialty clinics are expanding in size as well as reach in India. The major segments are the Eyecare, ENT, Dental Care, Joints Replacement, Trichology, Dialysis, Diabetes Clinics, Weight Management and Endocrine disorder(s) clinics etc. Apart from these wellness clinics, rehabilitation clinics of various kinds are going to be seen in near future.

Dr Manoj Kumar Mehta, Medical Director and Mentor, Aster Eye Care says,

-Specialty clinics are coming out of the general hospitals as a universal trend. Across the world, niche specialties are being catered to by specialty clinics. The reasons for this are: 1. Need ehealth.eletsonline.comfor specific infrastructure and special support services in the ORs and outpatient offices. 2. Patients/customers do not like to mix up with general patients who have diverse problems. 3. Patients/ customers demand specialty care for which they are willing to pay for the services rendered-.

Dr N Ramakrishnan, Director, Nithra Institute of Sleep Sciences & President, Indian Sleep Disorders Association says, -Healthcare consumers in India pay -out of pocket’ unlike in the West where third party payment is predominant. This allows them to exercise their choice of healthcare providers. In an attempt to get the -best possible care’ they are increasingly move away from generalists to specialists which seems to be driving the booming market of specialty clinics-.

Market size Though the market is fragmented, the popularity of specialty clinic has come in a big way lately. Dr Loha says, -Indian healthcare market was USD 22.8 billion in 2005. Share of specialty care in this segment is approximately 15-20 percent-. Dr Singh says, -Currently in nascent stages with a small share of the healthcare market with less than 10 percent market size, with few groups focusing on specialty clinic models like Fortis, Vasan, Nova, Kaya, Apollo, Narayana Dental, and few more-. Dr Mehta says, -Specialty clinics are expanding in size as well as reach in India. The major segments are the Eye- care, ENT, Dental Care, Joints Replacement, Trichology, Dialysis, Diabetes Clinics, Weight Management and Endocrine disorder(s) clinics etc. Apart from these wellness clinics, rehabilitation clinics of various kinds are going to be seen in near future. It is difficult to quantify the business as of now because the trend has just begun and industry has captured only a small portion of the potential business-.

Role of technology Here, technology is a vital element that makes the functioning of these specialty clinics possible. However, technologies used in various categories of standalone specialty clinics are different and therefore the clinics founders require sound understanding of these technologies. Dr Loha says, -Technologies used in dermatology clinics include cosmetic lasers such as Q-switched Nd:Yag lasers, Fractional lasers, Diode lasers for hair removal. They also include ehealth.eletsonline.comtechnologies such as dermabrasion, microdermabrasion, chemical peels etcetera-. Suresh Soni says, -Technologies we use range from advanced techniques like laparoscopy, use of fibre optics and imaging in devices like Embryscope (only offered at Nova IVI), In Vitro Fertilisation (IVF) involves uniting the ovum (egg) with the spermatosoid inside glass – in vitro – in order to achieve a number of embryos to transfer to the mother’s uterus, Cryopreservation and vitrification of eggs and embryos-. Dr Santanu Chattopadhyay, Founder & CEO, NationWide Primary Healthcare Services Pvt Ltd says, -Technology is a value addition in 21st Century. In Nationwide, all the medical records are kept in electronic records format, anytime you call up Nationwide and if you have customer ID number, the doctor can easily see all the medical records and then start treating you. Today if you write a piece of paper nobody-s knows, why did you do that; but If you feed that on electronic records every- body will come to know about this. So I think technology will be a great aspect-.

Challenges for the specialty clinic founders As every coin has two sides, running of a single specialty clinic has its own challenges too. Soni says, -Challenges include paucity of professional talent, attrition with staff, very expensive real estate, regulatory framework etc. To over- come these challenges we need good planning, hiring good talented staffs with profit sharing schemes-. Dr Singh says, -Though they are asset light models, operationally re- quire the same attention and initiatives for better outreach, care, having specialists round the clock or for the whole day becomes difficult at times, transit times need to be managed well, hospitality at its best, hospital equivalent care and outcomes expected which have to be met-.

Future of specialty clinics The future of specialty clinic in India is certainly looks good. As more and more players coming into the space, there will be more competition in the coming years. Soni says, -The future is very bright. Single specialty clinics are focused on providing a comprehensive range of services for a particular medical specialty. As they require lesser investment than multi-specialty hospitals, they are easier to put together. They will lead growth in healthcare services segment in India-. At the end it can be said, no one can deny the fact that, standalone specialty clinics are here to stay if the sector continues to show the present