Jaan Hain to Jahan Hai.Allopath


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Page 0. Preface.
Jaan Hain to Jahan Hai. AllopathVolume 1
CasesStudy. Awareness. Consultancy. Legal.

cover page.
covid vaccination programme : collage Vidisha

Write up over Health & Hygiene.
Disclaimer / Note 
Doctor's Suggestions only. My, experiences and writings are sheer based on only my cases studies and the suggestions, consultancy by the doctors only. Readers are sternly advised to keep themselves in touch with their Doctors for their own problems.
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Page Designer : Er. Snidha. Er. Siddhant.
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Editors' World
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Dr. Raj Kishore Prasad : Sr. Consultant Orthopaedician. call Mor 7 a.m to 9 a.m.Night 8 p.m to 9 p.m 
Dr. Mayank Kumar :  M.S.(Surg.), MCh ( Nuro Surgery). call 1 p.m to 3 p.m. CF
Dr. Pawan Kumar : M.B.B.S.( D.M.C.H). D.O ( EYE ) Ranchi. call 9 p.m. CF
Dr. Prashant : M.B.B.S. Health Officer, Government of Gujarat. call. CF
Dr. Anita Singh : M.B.B.S. Medical Officer. Barodara. Government of Gujarat.
Dr. Archana : Apolo Hospital. Kolkota. call. CF
Dr. Rashi : M.S.,DNB, MRCOG, London. OBST.& GYE. call by 1 p.m to 3 p.m.
Dr. Ratnika : M.B.B.S, M.D. Derma (std).call
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Writers' World.


Dr. Madhup Raman : Ph. D ( writing for health issue)
Dr. Prashant : M.B.B.S. Gujrat Health Officer.
Dr. Awdesh  Kumar : M.B.B.S. MD
Dr. Himanshu Verma : M.B.B.S.
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Visitors of this Blog.
Dr. Shyam Narayan. MD Physician.
Dr. Rashmi Narayan : MD ( Medicine)
Dr. Sujeet Kumar : MD ( Medicine)
Dr. Suniti Sinha : M.B.B.S. M.S.( OBS Gyn.).call CF
Dr. Sangeeta Verma. M.B.B.S, D.G.O.M.S. Civil Assistant Surgeon.
Sadar Hospital. Biharsharif.
Dr.Avinash Satyam
Dr. Faizal. M.B.B.S. Health Officer.
Dr. Shyam Bihari :  Child Specialist.
Dr. Rajeev Ranjan Kumar : MD ( Medicine).Ex.SR ( Cardio).call 10 a.m. to 7p.m. CF 500 
Dr. Sujeet Kumar : M.S. ( Surgery)
Dr. Vishwnath Kumar  : B.D.S.,M.I.D.A.(Pune) (Oral & Dental Surgeon.) call.4 p.m to 5p.m CF 250
Dr. Touhid Kazmi : B.D.S.(Pat). Ex Lecturer BIDS Patna. Call 1.30 to 2.30.. C F 200/-
Dr.  Achala. Cosmatic Cosultant .
Dr. K. Renu :  Consultant Ultrasonologist.
Dr. Manoj Srivastava : B.H.M.S.(Homeopath)
K.M. Ranjan : Physiotherapist. Thyro Care Service Provider.
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Page 0
Custodian.
Chiranjeev Nath Sinha. A.D.S.P. Lucknow.
Vijay Shankrar. Retd. Sr. D. S.P.
Raj Kumar Karn. Retd. D. S. P.
Dr. Prashant. Health Officer. Gujarat.
Dr. Bhwana. Prof.
Anoop Kumar Sinha. Entrepreneur.New Delhi.
Captain Ajay Swaroop. Retd. Indian Navy. Dehradoon.
Col. Satish Kumar Sinha. Retd. Hyderabad.

Supporting.
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Jaan Hain to Jahan Hai. Page 0. Allopath.
Suggestion / Diagnosis of the day.
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Dr. Rashmi Narayan. MD
Associate Professor. VIMS.
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Problem/ Thy 1 : My Thyroid profile test shows that there is a little high range in TSH 3rd Generation level 5.570 H .What's to do.Please suggest me - Dr. Madhup Raman (Patient)
Suggestion : If no complain as Fatigue. Hair fall. Obesity. Cycle Disturbed. Cold sensitivity. Constipation. Dried skin. Unexpected Weight Gain. Depression. Constipation. Sleep less. Edema फुलाव . Pulse rate slow. Cracks in nails.
no treatment required except regular milk intake and morning walk and repeat TSH after 3 months. Then go for any doctor's suggestion.

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Jaan Hain to Jahan Hai. 
Page 1.Allopath.
Content Page 
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About Cover Page :  Page 0
Suggestion of the Day : Page 0
Content Page : Page 1
A write up of the Day : Page 2
Cases Study : Page 3
Problems / Doctor's Suggestions : Page 4 
Questions  / Awareness : Page 5. 
Information18+ to Register : Page 6 
 Review : Page 7.
Classified : Page 8. 
 Appointments : Page 9.
Jaan Hain to Jahan Hai. Hindi. Allopath.Page.10
 Business : Page13. 

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Supporting


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Jaan Hain to Jahan Hai. Page 2. Allopath.
a write up of the day.
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A fight against Corona.
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courtesy Hindustan.
CR/Today world is at stake. Corona, stage 2 is scaring each of us affecting badly . Pictures, news, reports and photos are very scary to us. Hospitals are being less in number to the comparison of the increasing Covid patients daily. Simply I am saying to you to go for self isolation and home isolation more you need. At least beware of asymptomatic, super spreaders and others ,keep yourself tuned with any experienced doctor.
As these are free but necessary for everyone.
Days Elert : If you have the fever, ache,cough for 5 days,be elert. Six day will be crucial for you. Without any delay go for Covid test immediately.
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Corona Wave 2. 
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This time this pandemic disease is more deadly.
Phase 1 : It started with Cough, Cold and fever then converted into Pneumonia within 7 to 8 days.
Phase 2 : It included loose motion, sweating and without cough dyspnoea starts. Pneumonia within 2 to 3 days only in Phase 2.
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Corona Symptom.
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Sore throat, Running Nose, Body ache , Fatigue, High fever, Abdominal cramps, Loose Motion, Diarrhea, Loss of taste and smell ,Dried Cough, Sweating , Dyspnoea ( दम फूलना )Pneumonia.
Dr. Raman being vacinated for Covishield.
Vaccination : Vaccination is only the way by which we can save ourselves and others with more safety.  It does mean whether it is Covaxine or Covishield we should first prefer vaccination we should not go for a choice.
Gap between the doses : As earlier there was a gap of 4 to 6 weeks between the two doses of Covishield. Now it is preferable that there should be the gap of 6 to 8 weeks in the Covishield vaccination as per new guidelines of the ICMR. For more efficacy as per the second dose in Covishield should be taken between 45 - 56 days after the first dose for better efficacy as per new guide line of ICMR, however it should be taken between 28 days to 42 days. 
NEGVAC : has recommended revision in schedule of Covishield to adminster the 2nd Dose at 12 to 16 weeks after first dose.
Wherever Covaxin should be taken 28 days to 42 days.

Days Elert : If you have the fever, ache, cough for 5 days, be elert. Six day will be crucial for you. Without any delay go for Covid test immediately.
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Corona Tests.
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Different Tests : Certainly there are different kinds of tests for confirming Covid 19.Some of them are
1.PCR testing stands for ?
“At the moment the majority of the current Covid-19 tests that all the reports are coming from are using PCR,” 
“They detect the genetic information of the virus, the RNA. That’s only possible if the virus is there and someone is actively infected.”

Dr. Prashant. being ready for a Rapid Antigen Test.

1.True Net or CB Net Test. This is a chip based RT PCR Kit. This is used for testing TB and HIV.
It takes 2- 3 hours. It authentication is about 60 to 70 percent.
We take swab from the nose and throat by Nucleic Amplified Test we test the Corona E GeneIf the test is positive we go for RT PCR test.
2.Rapid diagnostic tests based on antigen detection. 
A rapid test has also been started for the COVID-19, which involves taking samples from the nose, throat, and lungs. Sample taken from nose and throat is kept in kit present chemicals. And by the liquid test we confirm that the person is infected or not.
It takes 20 to 30 minutes. Authentication is about 30 to 40 percent.
Rapid diagnostic test (RDT) of a sample of the respiratory tract of a person helps to detect the viral proteins (antigens) related to COVID-19 virus.
This ensures a speedy and accurate diagnosis and its usage is CDC-approved.
3.Rapid diagnostic tests based on host antibody detection.
This test detects the presence of antibodies in the blood of COVID-19 infected people. 
The strength of antibody response depends on several factors like age, medications, infections, and severity of disease etc. Before the test, the concerned health professionals may request you to wear a mask during the test. 
In case there are any other steps that need to be taken, the healthcare professional can communicate that to you.
test chart.
4.
Real Time - Polymerase Chain Reaction
 (RT PCR
) is a relatively simple and widely used molecular biology technique to amplify and detect DNA and RNA sequence.

Process:  The result takes 12 to 16 hours in this test that happens only in the lab. Authentication :  for this RT PCR stands between 75 - 80%
Scale : As per ICMR under 1 to 34 score means infection is persisting. Somewhere it varies from 1-24. Level 1 to 12 is under threat.
Steps :  We take swab with the help of a tube from the nose. It is kept in the nose for 20 seconds. After that swab stripe is kept in Virus Transmission Media (VTM)
RNA from the swab sample is tested in the lab.
RNA and Reagents are kept in RT PCR Machine. After one and half hour it is found that RNA is infected or not.
PCR tests are used to directly detect the presence of an antigen, rather than the presence of the body’s immune response, or antibodies.
By detecting viral RNA, which will be present in the body before antibodies form or symptoms of the disease are present, the tests can tell whether or not someone has the virus very early on.
“PCR gives us a good indication of who is infected. They can be isolated and get in contact with people they’ve been in touch with so they can be quarantined too, just in case. 
That’s the true advantage of the current major diagnostic tests, you can break that transmission chain and get a clearer picture of what’s happening,” says Wright.
By scaling PCR testing to screen vast swathes (तह )of nasopharyngeal swab (पट्टी)  samples from within a population, public health officials can get a clearer picture of the spread of a disease like Covid-19 within a population.

For the development of Anti body in the infected person it takes 7 to 10 days. 
There are different types of coronavirus tests swab taken from that can be done.
a. Swab Test In this case, a special swab is used to take a sample from your nose or throat.
b. Nasal aspirate In this case, a saline solution will be injected into your nose and, then a sample is taken with a light suction.
c. Tracheal aspirate – In this case, a thin tube with a torch, also known as a bronchoscope, is put into your mouth to reach your lungs from where a sample is collected.
d. Sputum Test Sputum is thick mucus that gets accumulated in the lungs and comes out with a cough. During this test, you’re required to cough up sputum in a special cup or a swab is used to take a sample from your nose.
e. Blood tes In this case, a blood sample is taken from a vein in the arm.
What are the risks associated while testing for Coronavirus?
During the test, you may feel a gagging sensation when the swab will be inserted in your nose and throat. The nasal aspirate may especially seem a bit uncomfortable. However, all of these effects are temporary and will go away shortly after the test. In some cases of tracheal aspirate, there may be bleeding or infection. In the case of the blood test, no risks are observed. There may be a slight swell and pain in the area where the needle was inserted, however it goes away pretty soon.

What next if the Coronavirus test comes positive?
In case your test results come out positive, then you may be affected by the coronavirus. Although there are no specific treatments for the coronavirus infection, however, the healthcare professional may suggest some steps that’ll help you to relieve the symptoms. 
Some of the steps you can follow to ease the symptoms are:
a. Drinking a lot of fluid.
b. Getting plenty of rest.
c. Taking over-the-counter medicines. In case your condition gets worse or you show signs of pneumonia, you should get admitted to a hospital.
d. Some of the common symptoms of pneumonia are severe cough, laboured breathing, and high fever. If you’re diagnosed with coronavirus,
5.CT Scan HRCT Test. confirms the infection inside the chest and lungs. Infection under,0-8 ( Mild), 9-18 ( Moderate),19-25 ( Severe) is considered however we should avoid CT Scan until and unless it is not necessary. As it has 300 times more negative impacts over the body. So it is advised to do first chest exray then CT Scan.
6.D dimer Test. for knowing the severity of inflammation.
7.CRP Test for knowing the severity of inflammation.
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Corona Safety Measures.
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Safety Measures Mask Always use a (3) triple layer medical mask at public gathering places with maintaining social distance of 2.9 feet even at your home where Covid patients are resting for self isolations. Don't use the mask for ever. Better to keep yourself away from the gatherings and in the fresh air.
Double Masking : Time has come while Double Masking has been validated by CDC. According to Dr. Anthony Fauci, America's leading infectious disease expert, it can help filter more particles than  a single cloth mask alone.
Distancing and Hand Sanitizing : Keep yourself at social distancing and always have a pocketsize 70% alcohol based hand sanitizer with yourself. Keep sanitizing your hands time to time regularly.
Wash your hand for 40 seconds with a soap. 
Self Isolation & Home Isolation : This is only the left and secured way by which you can save yourself and others. At the primary stage of cough, cold, fever, and sneezing keep yourself in an alert mode. Maintain the self isolation with home isolation for 14 days.
Use ample water : At least to 4 liter lukewarm water should be taken by the common and Covid suspects in a day regularly.
Steam Inhalation : It is advisable that at any doubt we should take steam inhalation thrice time in a day for at least 5 minutes so that Covid Virus should be given first and immediate treatment in the nasal congestion passage. So many Vaporizers are available in the markets.  For better result mix  some Vix Vaporub in the water then take the steam. How to take link is given here.
Link : How to use Vaporiser.
Gargling : Do gargling with warm water Betadin Gargle mixed at least 2 times.
Sun bathe : As we know that the sun is the important source of Vitamin D. So it is required to be in the sun for 15 to 20 minutes.
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Corona Safety Oxygen.
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Yoga and Pranayam :   First don't be panic. Do the breathe based respiratory system increasing exercises  for at least 30 to 40 minutes at your home. It should be related to your breathing and inhaling system as Anulom - Bilom, Kapalbhati and Bhastika.
Breathe Rate : It should not be more than 15 per minutes.
Pulse rate : should not be more than 100 beats.
Oximeter : Checking of the Oxygen level : Covid suspects, check yourself for Pulse Rate and Oxygen Saturation level thrice time in a day by Pulse Oximeter that is available in market.
SpO2 : stands for Saturated Pulse Oxygen PercentageLevel should be more than 94%.not less than 94 percent checked by infra red that is found in Oximeter.
Pulse Rate : PR given in Oximeter It should be between 60 - 90 not more than 100.
self natural ventilator.
PI : Perfusion Index. It should be 2 to 20 not be less than 2. It denotes that Oxygen or blood is reaching to the end of any organ.
Use your most working hand right or left in .
Self Natural Ventilator : If you feel any problem in taking a breathe then go for having a prone ventilation,  at your home for 40 to 45 minutes at the interval of 6 to 8 hours. As it is suggested by the doctors to the Covid patient so naturally it will increase your Oxigen level indeed. Take a sleeping posture by stomach not by back.
Note : Pregnant lady, Heart Patient, Hip Bone Fracture should not do this. 
Breathing technique : Try this type of breathing technique in this shown video to enhance your respiratory system. 

Courtesy Vudeo
Sleeping Mode* : Don't try to spend more lying on your back cahnge your sleeping posture time to time. It is recomended to change your position every 30 minutes to 2 hours rotating as below.
a. Prone Position : Spend time 30 to 2 hours at simple flat bed lying fully prone on your stomach 
b. Right Side Position : Spend time 30 to 2 hours at simple flat bed lying fully on right side.
c. Sitting Up Position : Spend time 30 to 2 hours at simple flat bed sitting at 30 -60 degree by adjusting head on the bed.
d. Left Side Position :  Spend time 30 to 2 hours at simple flat bed lying on your left side.
e. Prone Position :  Spend time 30 to 2 hours at simple flat bed lying fully prone on your stomach. It means you have to be back in the same position. 
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Corona Safety Drugs.
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Medicines for Home Isolation. These are essential Allopath medicines to be taken in Covid.
Health Chart.check yourself.
a. Tab.Paracetamole : 500 mg
Dose : If temperature goes high up to 100 degree around 102 degree.
b. Tab. Doxycycline : 100 mg.( Antibiotic)
Dose : 2 times in a day. Continue it for 5 days.
c. Tab Azithromycine : 500 mg (Antibiotic)
Dose : 1 time in a dayContinue it for days.
Children less than 12 years 10 mg per Kilogram for first day then 5 mg per Kilogram for 2 to 5 days.
Note : Either Tab Doxycycline or Azithromycin should be used. After one completion another should be used.
d. Tab Ivermectin : (Antiparasitic). As per suggestion of the doctor.
e. Vitamin C : 500 mg tablet twice in a day. Dose : Continue it for 10 to 15 days
f. Zinc Sulphate : 50 mg 2 tabs in a day.
Dose : Continue it for 10 to 15 days. Eggs Milk to be used too provide zink.
g. Vitamin B Complex (Vit.B.12) :  One capsule every day to be taken in a night. 
Dose : Continue  it for 10 to15 days regularly taken these vitamins will boost the immunity . 
h. Vitamin D3   60,000 unit in a with milk or water week. It offers many health benefits known to help strengthen bones and muscles, boost immunity, increase mood, aid in weight loss and improve heart function. 
Cipla Vitamn D3 Chewable Tablets 60000 IU is available in the market.
Use ample water : At least to 4 liter lukewarm water should be taken by the common and Covid suspects in a day regularly.
Steam Inhalation : It is advisable that at any doubt we should take steam inhalation 3 times in a day so that Covid Virus should be given first and immediate treatment in the nasal congestion passage.
Gargling : Do gargling with warm water Betadin Gargle mixed at least 2 times.
Emergency Drug* 
Ramdesivir is one of the drugs used for treating the SARS- CoV-2 virus in hospitalized adults.
If anyone needs Ramdesivir then she or he has to fill up the given form and along with the rest mentioned sent to this Whatsapp No, 8657311088.Cipla will supply directly to patients provided that he/she is the needy one and has to fill the reqisite information..
(a) Aadhar card
(b) Doctor certificate that Ramdesivir is not available
(c) Prescription
(d) Covid positive report.
Oxygen Cylinder : I am giving you the Oxygen Cylinder Provider Distributer list of Bihar that updates you for buying, renting and depositing the security amount.
Oxygen Supplier List.
Homeopath Medicines : In a great research such homeopath medicines as Chloram ,OjonamKali BromiumKali Chloram are of great uses.
Ayurved Medicines: Swasari Divya Coronil Kit is an Immunity Booster Kit. 
Dr. Madhup Raman.Ph.D.
Dr. Prashant. Health Officer. Gujrat.
Dr. Raj Kishore Prasad. Orthopedician.

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Page 3. English. Cases Study.
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supported by 
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Jaan Hai To Jahan Hain.
Section : Corona.3.1
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Case/Study/Corona/ 0. 
Opinion 0 : Dr. Faizal. 
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Case Study/15/4/21/Corona : a fight against it.
15.4.21.for informational purpose only. Be in touch with your Doctors

 



Problems : If you have a fever between 99 to 100 for 2 to 3 days. Body ache. Throat soaring. Might be in Covid 19.Then go for having such medicines in your routine.
a. Dolo. 650 mg . (Paracetamol)
Dose : 1 x 2 for 5 days. SOS During fever stands more than 100 degree.
Suggestion : Weight less than 50 kilogram and fever stands around 100 degree Paracetamol 500 mg is acceptable taken thrice time in a day.
If weight is more than 50 kg and fever stands more than 100 degree Parcetamol 650 mg is preferable taken thrice times in a day.
b. Azivent. 500 mg. Azithromycine,(Antibiotic)
Qualification : For adult .It is an antibiotic  medicine is used to treat infections caused by the bacteria, such as infections of the chest, throat, lungs and airways.
Dose : 1x1
Duration for 5 days.  
c. Doxycyclin .100mg.( Antibiotic)
Qualification: It is an antibiotic used to treat infections such as chest, skin etc. Doxycycline is an antibiotic drug that kills a wide, weird and wonderful range of bugs that are often difficult to treat with other antibiotics. These include bacteria and parasites that take up residence inside our cells (called “intracellular organisms”), making them hard for most antibiotics to reach.
Dose : 1x 2 Morning & Evening 
Duration for 5.Days
d. Ivermectin 12mg. (Antiviral)
Qulification : It is a medicine to kill the parasites. Ivermectin oral tablet is a prescription medication used to treat parasitic infections. These include infections of the intestinal tract, skin, and eyes.
Dose : 1x1.Means one tablet daily. 
Advisable once in a day at night after 2 hours of taking supper
Duration : It continues for 3 days only but at the rate of infection now  it is being given for five days
e. Celin 500mg. ( Vitamin C )
Dose : 1x1 
Duration for 1 month.
f. Zincovit. Multivitamin Tablet.
Dose : 1x1
Duration for 1 month. 
g. Levocet. M is an anti allergy tablet.
Dose : 1x1 Duration for 7 days.
h. Brozedex Cough Expectorant
Dose : 10 ml TID
Steam Inhalation is must.It should be taken for thrice times in a day.
Deshi : Daily ek chutki mangraila khana hai. 
Co - Writer.
Dr.Madhup Raman. 
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Case/Study/Corona/ 1 : 
Opinion 1 : Dr. Jitendra. 
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Case Study/4/4/20/Corona : a fight against it.
Opinion 1. Dr Jitendra.
a. Azithral 500.mg   (Atibiotic)1 tab daily for 5 days
b.Tab Montair L. (Antielergic)1 tab daily for 5 days
c.Tab Crocin 500.mg  1 tab SOS when fever persists.
d.Tab Cobadex (Vitamin B Complex )1 tab daily for 10 days.
e.Tab Pan 40 1 tab.(Anti Gaseous form )to prevent gases.
Question :Dr.Madhup : Pl write the medicine  against  gaseous if formed as it has been problem for me or anyone.
Answer : Dr Jitendra : Tab Pan 40 1tab daily empty stomach for 10 days
Note  it is advisable to take Azithral  or Azthromycn empty stomach .As it works so fast.
Review : 
Dr.Madhup  : Paying him a great deal of gratitude. I remember him a lot as when hopes were at dusk, he supported me too with his statements I would not face the grim situation of Covid 19. He said to me encouraging words with suggestive medicines too. It gave me much strength. 
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Case/Study/Corona / 2 : a fight against it.
Opinion 2 : Dr. Sujeet Kumar.MD
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Case Study/15/5/20/Corona : a fight against it.
Medicines.
a. Tab Azithromycin 500 mg. od tab  days.
b. Vitamin C tab
c. Paracetamole tab 650 m.g Sos in fever 100
d. Cap Zincovit od 
e. And Proper Rest.
Question : Dr Madhup  and proper any blood test required.  
Answer    : Dr Sujeet CBC.So that I could get infection report in blood.
Review :

Supporting.
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Jaan Hai To Jahan Hain.
Section : Dental Care.3.2
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Case : D/C/3/6/22
Patient. Dr. Sunita.
Doctor : Dr. Santosh. BDS. Dental surgeon.
Problems :   My teeth third Molar in right side upper jaw gets rubbed halfly. Xray was done . No pain was there. Doctor decides to take it off.
Solution : Teeth  needed  to be taken off. and thus surgeon was needed. It was done.
Medicenes : 
Recomended  for  4 days.
a. Tatvac Injection to be given
b. Polypod 200 ( Cefpodoxime Proxetil Tablets IP). An  antibiotic  Medicine used to treat bactarial infection. Dose 1x2 = 
c. Aciloc 150. Dose 1x1 = 
d. Ketrol DT 10 mg ( Tromethamine Dispersible  tablet) gives relief from pain, fever and inflamation. Dose 1x2 = 
e. Clor : Take 1/4 part of the tablet, rub it and keep it in moist cotton  ball at the teeth.
Dose :  if bleeding is there.
Precautions : No intake of  solid  food within 3 hours after the extraction of teeth.
Take cold liquid icy water etc
No warm heated food is required.

Review : 
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Case : D/C/1/20
Patient. Dr. Raman.
Doctor : Dr. Santosh. BDS. Dental surgeon.
Problems :   My teeth gets chipped of slightly by the corner in my right lower jaw second premolar teeth and there sensation starts occurring.
Solution : Teeth  needed  to be grinded and refreshed. It was done.
Vantage Tooth paste was given to be used  twice time as soon as  sensation will be reduced or vanished. 
Review : Relief just after two or three days.
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Jaan Hai To Jahan Hai 
Section : Eye Care.3.3
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Case Study E/T/R
Dr. Ajay.
Patient  : Dr. Madhup Raman.
Doctor   :   Dr. Ajay Kumar.
25.9.18. 1st Visit.
Problems : Irritation. Work on Mobile and Computer.
Dry. Discomfort & Redness occured in left eye. 
a. Lubistar ( Caboxymethylcelluose )
Dose : 1 drop 3 times in both eyes.
b. Emfodex ( Moxifloxacin & Dexamethasone
Dose : 1 drop 4 times in red eyes.

17.9.19. 2nd Visit after one year. 
Problems Irritation. Dry. Discomfort & Redness in left eye.
a. Chlor - D ( Polymyxin B Sulphate Chloramphenical & Dexaethasone Sodiium Phosphate Ophthalmic Solution)
Dose : 1 drop 6 times continues for 6 days.
Dose : 1 drop 4 times  continues for 10 days.

11.6.20. 3rd Visit .On Line Suggestion.
Problems Irritation. Dry. Discomfort & Redness in left eye.
a. Chlor - D ( Polymyxin B Sulphate Chloramphenical & Dexaethasone Sodiium Phosphate Ophthalmic Solution)
Dose : 1 drop 4 times continues for 10 days.
b. Carboxy Methylcellulose Sodium Eye Drops.

30.8.21. 4th Visit Problems Irritation. Dry. Discomfort & Redness in left eye.
left eye
a. Chlor - D ( Polymyxin B Sulphate Chloramphenical & Dexaethasone Sodiium Phosphate Ophthalmic Solution)
Dose : 1 drop 4 times continues for 10 days.
1 drop 2 times continues for 10 days.
b. Lacrisol. लाक्रिसोल   (  Hydroypropyl Methylcelluose, Glycerin Dextran )
Dose  : In Both eyes.
Review : Comfort .Good ,Effective.

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Jaan Hai To Jahan Hai 
Section : Eye Test Care.3.3
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Dr. Ajay.
Eye Care. Common Routine Test for power. 
Patient : Dr. Madhup Raman.
Doctor :  Dr. Ajay. Kumar
Suggested Medicines.
Lubimoist Eye Drop ( Sodium Hyaluronate Drop
Safety : It is a lubricant used in the treatment of dry eyes that moistens the eyes and relief from discomfort  and temporary burning.
Review : Much Relief. Effective.
Suggested  Eye Drops.
Lacrim Eye Drop ( Carboxy Methylcelluose Sodium Eye Drops )
Suggested Spaces : Type of Glass Kryptok Bifocal
White.CR 39, White Antiglare coating. Antireflecting coated.
---------------------------
Jaan Hai To Jahan Hain.
Section : Fever Care.3.4
---------------------------
Case Study / F / V / V /1. Date : 29.8.21.
Patient : V Raman. BP : 90 / 60. O2 Lebel : 98. Pulse rate : 124.
Problem : Since 29.8.21. Patient suffered 2 times stool. Gases formed. Pinch felt in right side.
Fever persisted between 100 to 101. Fever Might be viral.
Dr. Sujeet.
Date 1.9.21 Doctor was consulted.
Doctor :  Dr. Sujeet Kumar. Physician. MD.
Pathology : 
SGPT : 31.4
Typhi Dot : Negative.
Malaria Parasite Antigen : Negative.
CBC Total W.B.C. Count : 6800
Hemoglobin : 11.6.
Medicines suggested.
a. Fixlen AZ Tab ( to treat the bacterial )
Dose : 1x2 times.
b. Doxolac tab  ( Used for bronchitis pneumonia and any respiratory disorder.)
Dose : 1x2 times.
c. VSL * 3 cap ( has  a good friendly bacteria to treat abdominal pain cramping, bloating  maintains healthy  digestive etc. ) 
Dose : 1x2 times
d. Zosa   to treat nausea, epigastric pain peptic ulcer )
Dose : in an empty stomach every morning.
e. Dolo 650 ( Paracitamole ) 
Dose : SOS
f. A to Z Nutracetical ( to restore  the level of vitamins and minerals.)
Dose : 1x1 
Duration : for 5 days.
Review : Comfort.Good , Effective.

---------------------------
Jaan Hai To Jahan Hai 
Section : Heart Care.3.5
---------------------------
20.5.21
Please be in touch with your doctor.




Case Study H /Heaviness  / Breathing / Fatigue/ P /  - 1
Opinion 1.
Doctor :  Dr. Rajeev Ranjan. M.D.( MED).Ex Sr Cardio (AIMS)
Problem : Thyroid Patient,  SGPT Problem. Lower Abdominal Pain in Stomach. Gases, Flautulence, Common Acidity, Chest Pain slight due to anxiety and pressure,  Left arm side felt heaviness, Old symptom of Dyspnoea, Back Pain,  Restless in sleepless night, Fatigue, and  problem of weakness.
Patient :  Dr. Madhup Raman. Age 57. Weight.
Medicines : 
a. Caribeta XR  
( Commanly used in High Blood Pressure )
b. Nuclona (0.25 ) 
( Treating Anxiety disorder )
c. Pantop DSR empty stomach 
( Gas Preventing )
Dose 1 tab daily. for 10 days.
d. Zecal Active. 
( Combination of Calcium with Vitamin D3) 
Dose : 1 tab daily for 10 days.
e. Aso Nuit Plus
Dose 1 tab daily for 10 days.
Tests Suggestion.
a. X ray Left side Spine. 
b. SGPT
c. ECG,
d. CBC
e USG whole Abdomen.
f. Bed Rest suggested.
---------------------------
Jaan Hain To Jahan Hain 
Section : Liver Care.3.6
---------------------------


for informational purpose only. Be in touch with your Doctors Date 2.1.2021

Case Study : V/SGPT/L/.
Disease : SGPT increased in test. Liver malfunction
Doctor :  Dr. Sujeet Kumar. MD. Physician.
Patient : Gudiya.
Problems : 
a. Malfunction of Liver. SGPT. 889
b. Lack of Vitamin D
Suggested Test : 
a. Bilirubin Serum Test
b. SGPT Test
c. Hepatitis B Test.
e. Vitamin D Test.
f.  Hemoglobin Test.
Medicine :
a. Udigo Tab- 300  ( Ursodeoxycholic Acid )
Dose 1x2 = 2 tabs
b. Lornit 150 MG Tab ( L - Orniithine L Asparatate)
Dose 1x3 = 3 tabs
c. Hepameg Sachet ( Probiotics with Omega 3 Fatty Acid & Vitamin E)
Dose 1x2 = 2
d. Nitcalci Sachet ( for Vitamin D)
Dose 1 sachet  weekly.
e. Hepa Liv Plus.
Dose 2 spoons. or 200m.g.
Test Report.
ELISA - Test Patient goes for Hepatitis B that shows negative.
SGPT - Photometry Method. Value 889.4
Bilirubin - Test Photometry Method. Minor increased with 1.2
Vitamin D - C.L.I.A. Method. 7.56.Deficiency
Hemoglobin - ok
3.1.21.consulted Doctor.
Doctor's Suggestion.
Medicine continued for 1 week.
18.1.21.consulted Doctor.
SGPT Test recommended. Test found 92.7 that should be less than 34.
Serum Bilirubin Test. Normal.
a. Hepameg Sachet.
Dose : continued for 10 Sachets
b. Nitcalci Sachet ( Cholecalciferol Granules for Vitamin D)
Dose : Medicine continued for 5 to 6 weeks
Review. Good. Effective
---------------------------
Jaan Hai To Jahan Hain.
Section : Ortho Care.3.7
---------------------------
Study Case : J/R/21
for informational purpose only. Be in touch with your Doctors Date 2.1.2021



Doctor : Dr. R. K. Prasad. Sr. Consultant Orthopaedician.
before and after.
Patient : Sunder Devi.65 years. 
Case : Joint replacement in a sixty five years old lady , bipolar prosthesis with bone cement. 
Operation : 4 days after operation.
Review : It was a successful operation, and there was a quick and impressive recovery for the patient.


---------------------------
Jaan Hai To Jahan Hain.
Section : Stomach Care.3.8
---------------------------
Updated Date 2.1.2021.Case 28.5.19.

Case Study S/G/A/P -1
Disease : Stomach Problems. Lower abdomen pain. Gases forming
Doctor :  Dr. Sujit Kumar.MD
Patient :  Dr. Madhup Raman.
Test :  Ultra Sound 28.5.19.
Swollen mucosa of some small bowel loops in RIF
Medicine:
a. Anaspas Tab ( For the treatment in abdominal pain)
Dose 
b. Frogut Cap ( Maintaining the structural integrity of bowl)
Dose 1x2 = 2 tabs
c. Pazero DSR Cap ( in empty stomach for acid or gastroesphageal reflux )
Dose 1x3 = 3
d. Softitol Power ( Lactitol Monohydrate Ispaguhla Husk)
Dose 
e. Mexim- OZ Tab ( Antibiotic Medicine for treating bacterial infections in body)
Dose : 1x2 = 2

------------------------

1.3.21. consulted  Doctor 
Same Case Study S/G/A/P - 2
Opinion 2.
Doctor :  Dr. Sujeet Kumar. M.S.( Surgery )
Problem : Stomach. Common Acidity
Patient :  Madhup Raman. Age 57.Weight. 61 kilo. 
Medicines : 
a. Tab Pantop DSR ( Anti reflux Medicine. Pantoprazole and Domperidone)
or Pan D may be taken.
Dose  1 tab daily for 10 days. in an empty stomach
b. Mucaine Gel ( An Antacid. Aluminum Hydroxide, Magnesium Hydroxide and Oxatacaine )
Dose  15 m.l. thrice times Morning. Noon. Evening. 
Note : It should be taken undilutedly before 15 minutes taking meal and at bed time.
Other Valuable Suggestions.
a. Timely food habit should be developed.
b. Exercises to be done 
c. Intake of food items to be taken at the right interval of time.
Review : Effective. Good 

---------------------------
Jaan Hai To Jahan Hain.
Section : Stomach /Gases / Pain / Dyspnoea Care.
---------------------------

---------------------------
Jaan Hai To Jahan Hain.
Section : Skin Care.3.9
---------------------------
---------------------------
Jaan Hai To Jahan Hain.
Section : Uric Acid Care.3.10
---------------------------
Case Study U/A/M/1
Patient : Dr. Madhup Raman. Age : 58 Years. Weight 59 kg.
Problems : Uric Acid Lebel 6.42mg /dl. Felling pain in left knee downwardly while walking and 
Dr. S. Narayan
standing. Comfort in resting and sleeping.
Doctor : Dr. Shyam Narayan. MD Physician.
Suggestion : No worry about Uric and pain most likely 
Because of some calcium and vitamin D insufficiency 
Take some dairy products routinely and sunshine as far as tolerable. 
Limit purine rich food. Take vitamin C supplement. 
Food Items : Banana , Apples, Cherries, Coffee, Citrus fruits, Green tea.
Eggs .Low fat milk low fat dairy products.
Vegetables : Potatoes, peas, mushroom dark green leafy vegetables.
Test : If pain continues get Serum Calcium and Vitamin D tested.
Review : 
---------------------------
Jaan Hai To Jahan Hain.
Section : Vein Care.3.11
---------------------------



Case Study : C/S/V/V
Opinion 1.
Disease : Varicose Veins.
Doctor : Dr Rashi.
Patient : Dr. Sunita.
Suggestion. Be always in the touch of the Doctor.
Problems : Varicose Veins. Age 50.Female.
Medicines :
a.Thrombophob Ointment. 
Application : Apply it only for 2 or 3 times. 
It Is used to treat a vein's inflammation to a blood clot just below the skin surface.
b. Pneumatic Compression Stockings.to wear.
Review : 
------------------------

Case Study : C/S/V/V
Opinion 2.
Dr : Dr Raj Kishore Prasad.
Researcher. Retd. Professor DMCH
Suggestions :
Exercise : a. Avoid standing positions.
b. Raise the foot - end while sleeping.
c. Other exercises and activities with wearing stockings
Medicines :
Duration : to be continued till 1 month
Links : Varicose Exercise. Press the below given links. 

-------------------------------------------

---------------------------
Jaan Hai To Jahan Hai 
Section :  3.12.Women Care. Gynecology
---------------------------
Case Study : I/M/C
Doctor :  Dr. Ranjana
Patient : 
Problem : Irregular Mensuration. Problems for last 2 or three years. Discharging
Medicines Suggested  : 
a. Tab Suon ( Norethisterone )
Dose 1 x 2  Morning Evening for 20 days.
b. Tab Genette ( Ethinyl Estradiol and Cyproterone Acetate )
Dose 1 tab daily.
c.  Femon Syrup
Dose 200 mg.
d. Rayas SOS to be used during pain.
e. Cabgoline  0.5 mg (Cabergoline Tab) 
began after prolactin test
Dose 2 tabs in a day in a week.
Suggested Tests : 
a. USG Both Breast
Result : Mild bulky retromammary zone.
b. USG Lower abdomen
Result Normal sonographic study
c. LH,FSH and PRL test
LH Result  20.77
FSH. Result 5.68
Prolactin (PRL) 25.93
Effects : Seen effects vomiting tendency increased. Doctor suggested to go for contacting Physician. Dr. Sujeet MD was consulted on 
29.12.20.
Medicines Suggested  :
a. Epomust Caps 
Dose 1x2 =
( after SGPT test result it was stopped )
b. Ondenum 4 m.g. 
Dose 1x3 = 
c. Pentocid 80m.g.
1 Tab daily 
d. Cabgoline Stopped. (29.12.20.)
29.12.20.
Suggested Test 
a. Vitamin D, 
b. Hemoglobin recommended. 
c. SGPT test was done by patient itself
d. Bilrubin test recommended.
1.1.21.
After test result medicines were changed as SGPT was increased. Vitamin D Deficiency.
a. Tab Udigo 300 ( Ursodeoxycholic Acid )
Dose ( 1x2 =
b. Tab Lorint 150 m.g. ( L-Ornithine  L Aspartate)
It is a saving protecting drug for liver from harmful substances.
Dose 1x3
c. Hepa Liv Plus ( Siliymarin, L-Ornithine L-Aspartate & Folic Acid with Vitamin B - Complex Suspesion.)
Dose 200 m.g.
d. Hepameg Sachet ( Probiotics with Omega 3 Fatty Acid & Vitamin E )
Dose 1x2
e. Nitcalci Sachet ( Cholecalciferol )
Dose : One sachet in a week.With milk.
Review :  Relief granted.

Supporting.
--------------------------
Page 4. 
Problems / Doctor's Suggestions.
--------------------------

Problems : I have been a patient of gastric. Gases always get formed in. And I keep belching ( डकार ). in my daily routine life usually.
By 28.8.21.of this month I Got all of a sudden dizziness at 4.30 am by

 while I was sleeping and awoke. Gases formed. I feel No pain in neck but 2 weeks earlier I had a back pain presently I had a knee pain. 
Doctor : Dr. S. Narayan.
Patient : Dr. Madhup Raman
Age : 58. 
Weight : 60 kg. 
BP : 122 / 72. 
Pulse Rate : 83
O2 : Level 99
Sugar : 6 months prior fasting 82.mg/dl.  ( Thyro Care )
Doctor : Dr. Shyam Narayan. ( Physician )
Suggestion : Routine Test of  BP and Sugar
--------------------------

Patient : Dr. Sunita Sinha. Age : 45 Years. Weight 50 kg.
Problems : Uric Acid Lebel 10.82. Felling pain in  knee joint downwardly while walking and standing. Comfort in resting and sleeping position.
Doctor  : Dr. Awadesh Kumar  M.D. Path.
Pathology : 10.82 mg / dl
Range : Female 2.4 to 6.0. Male 3.4 to 7.0 stands to be normal.
Naturopathy : Limit purine rich food, Avoid Sugar. Avoid Alcohal.
Take some dairy products routinely and sunshine as far as tolerable. Take vitamin C supplement. 
Food Items : Banana , Apples, Cherries, Coffee, Citrus fruits, Green tea.
Eggs .Low fat milk low fat dairy products.
Vegetables : Potatoes, peas, mushroom dark green leafy vegetables.
Allopathy : Zyloric tab 100 m.g 
Dose : 1 x 2 times 
Duration : Use for 15 days then discontinue it. Again  it will be used 


supporting
--------------------------
Page 5. Questions  / Awareness
--------------------------
Q. Which is the right medicine of  Blood Pressure if it is measured  180/ 103
Answer :  Dr. Indradeo :
Dipin 5 m.g.
Dose : 1 only. Place it in your tongue it will reduce the blood pressure.
Q. What is the applied Medicine for worms?
Answer : Ivermectin & Albendazole 
Dose : Single Dose at night after meal
Again after 10 days take the another dose.
Q. What is the Blue Ray Cut ?
By restricting the blue light from entering into the eyes, it helps reduce the symptons of eyestrain ( dry and sticky eyes ) resulting from screens of digital devices. Also ,lenses with blue cut   coating offer a comfortable vision any improve visual performance in low color contrast.
Q. What is CBC ,TC ,DC In blood test ?
Answer : TC is the total count or number of WBC ( White Blood Cells ) per cubic mm of blood.
The count if hig in number is indicative of an infection.
While DC is the diffential count that measures the structure and conisistency of WBCs.It also counts the percentage of Basophils, Esinophils, Neutophils, Monocytes and Lymphocytes.  number which expresses the types of WBCs in the blood.
Q. What is monocytes? Way to increase Monocyte Levels?
Answer : These are the ways to Increase Monocyte Levels
Healthiest ways to strengthen your immune system
Remember, low monocyte levels are usually a sign of a weak immune system. Your first line of defense and the first strategy to boost your immune system is to live a healthy lifestyle. 
A. The following good-health guidelines are still the most recommended strategies for improving your immune health 
Don’t smoke.
Eat a diet high in fruits and vegetables.
Exercise regularly.
Maintain a healthy weight.
Get a good night’s sleep.
Take steps to avoid infection, such as frequently washing your hands and cooking meats thoroughly.
Minimize stress.
B. Vitamin B12.
In a study of rats with protein deficiency, vitamin B12 supplementation resulted in increased white blood cell count, including monocytes. However, supplementation with vitamin B12 did not change white blood cell count in rats that ate normal amounts of protein 
Because this was an animal study with very particular parameters, it is unclear whether or how much these results apply to humans.
C. Vitamin C
In one study, people with low plasma vitamin C had less effective monocytes than those with normal vitamin C levels; furthermore, the first group’s monocytes normalized after they were given vitamin C supplements. In a cell study, monocytes exposed to vitamin C survived at a higher rate than those without vitamin C
D. Vitamin D
In cell studies, calcitriol (vitamin D) stimulates the growth of human monocytes. Researchers believe that vitamin D is important for monocyte function 
E. Garlic
In one study, rats fed garlic had significantly more monocytes, neutrophils, and lymphocytes than rats not fed with garlic. In cell studies, garlic extracts have also been found to increase the anti-inflammatory signals (IL-10) produced by monocytes
Q. How  to use Gen D3 Cholecalciferol कोलि कैल्सिफेरोल Soft Gelatin Capsule ? - Shashi (Patna)
Answer : This may be used in prophylactic way. It is in sachet it should be used in milk. If it is used in tab should be taken after morning breakfast. 
Dose : One tab in  a week.
Duration : Continue for 4 weeks.- ( Dr. Prashant. Dr. Indradeo. Dr. Faizal )
Q. Can we use allopath and homeopath medicines together ? - R.P.Singh ( Nawada )
Answer. Opinion 1. Yes, interval of half an hour. ( Dr. Manoj Srivastava.)
Opinion 2. Yes, in time distance we can use both the medicines. ( Dr. Sunil Kumar.)
Q. Why and when  RCT is required ? - Rajeev ( Mumbai )
Answer / Solution : Root canal aims to save the damaged tooth. Root canal treatment (RCT) 
Dr. VishwnathBDS.)
is used to repair and save teeth that have become badly decayed or infected along with pain 
and inflammation. When the pulp of the tooth, blood vessels and nerves, is damaged, it needs to be removed.
And by the RCT the inside  of the  tooth is  cleaned and sealed.
A Root canal has a better success rate than a tooth extraction. 


---------------------------
Page 6 /1.Information.
18+ to Register.
---------------------------
Way 1.
18 plus how to Register yourself for Vaccination.

people getting vaccination at center.
Step 1 Go through web address cowin.gov.in : 
Open the web page cowin.gov.in
Step 2 Register / Sign In yourself. Give Mobile Number. Receive your OTP fill it, you get the number of  Beneficiary ID. At the time of vaccination you will be asked to reveal the last 4 digits. Keep it secret.
Step 4 After registration then proceed for Schedule your vaccination. 
Step 5  Search. Check your nearest vaccination center by PIN and then State DistrictEnter your PIN as 803101.for getting nearby vaccination centers. If town areas are booked then go for searching district.
Step 6 Then check Dose availabilityGreen coloured box shows the available number of doses should be clicked. Slots availability. Options are of Search By PIN and Search By District.
Step 7 Opt Age Slot Age 18 plus or Age 45 plus.
Step 8 Centers are as follows given below. Check availability there in Green Colour.
a. Biharsahrif UPHC Sundergarh.
b. Biharsharif Urban PHC 2
c. Biharsharif UPHC Baridargah.
d. Biharsharif UPHC Sakunat Kala.
e. Sohsarai UPHC
Step 9.Be fast. Opt center as soon as possible per availability of doses.
Get the Appointment confirmation. Select time Slot. 
Step 10 Fill captcha as a security code.
Step 11. You will get the appointment with CenterTimePreferred Time Slot, Details of Individual as Name, Reference ID, Secret Code, Photo ID to Carry.
Step 12. After scheduling Download the Appointment Detail. Get it printed as a proof. At the center they will ask you your Mobile Number and Secret Code not shareable with others.
The On Line Registration Always for 18 plus (18 - 45) begins at every day around 4pm to 8pm with uploading of the vaccination doses by health department.
In different apps as Arogya Setu ,Umang App and covin.gov.in  book the appointment  for nearby Vaccination Centers or as per your desire. You can get the appointment if you miss the appointment then you can reschedule it.
An user can register maximum 4 beneficiaries.

Way 2.to Register yourself for 18 plus in the app Arogya Setu.

Arogya Setu
 
Steps : 
Open Arogya Setu.
Go to CoWIN option in Arogya Setu app in the right.
Go for Login / Register section. Enter Mobile Number.
Proceed to verify.
Mobile Verification  fill the OTP that stands for 10 minutes.
Proceed to Verify.
Click on Vaccination Registration
Enter phone number to receive OTP. Give the OTP and verify. 
After OTP verified Arogya Setu will lead to the Registration of Vaccination Page.
Enter details like PHOTO ID Card and Number
Enter Pin Code to get the list of Vaccination Centers.
Click on the desired vaccination center
Enter Date to check availability.
Select a Time Slot.
Confirm Appointment.

---------------------------
Page 6 / 2.Information.
Download Covid Vaccination Certificates.
---------------------------

Go to web address cowin.gov.in
Web site - https://www.cowin.gov.in
Open by clicking it
At right side above the top you get the option Register/ SignIn  yourself.
Press it then fill your Mobile Number which you gave during the vaccination time.
Get OTP then Enter it further Proceed.
Account Details page will be opened.
At below Dose 1 and Dose 2 Certificate will be shown.
Click the Certificate get the option Do you want to download certificate .pdf
Press Download and get it.

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Page 7. Review.
--------------------------
--------------------------
Page 8. Classified.
---------------------------
Simply call us to get inquiry.
Sabita Oral & Dental Clinic.  Mob. 9308624722.
--------------------------
Page 9. Appointments.
---------------------------
---------------------------
Jaan Hain to Jahan Hai. Allopath.
Page.10.Hindi. 
------------------------
--------------------------
पृष्ठ १०.बीमारी कोरोना दवा : भारत की एक खोज 
---------------------------
कोरोना के खिलाफ लड़ाई में भारत की नई दवा बनी एक आशा की नयी किरण 
नई स्वदेशी Oral दवा D-2 Dg : दिनाँक १७. ०५. २०२१. प्रातः ११  बजे भारत सरकार के रक्षा मंत्री श्री राजनाथ सिंह  द्वारा कोविड रोगियों के लिए कोरोना के लिए  भारत की एक नई स्वदेशी Oral दवा D-2Dg पाउच के रूप में जारी की गयी जो कोविड रोगियों के लिए बेहद असरदार साबित होगी ,ऐसी उम्मीद है । कोविड के इलाज के लिए यह ओरल दवा संसार की पहली दवाई है जिसकी खोज भारत DRDO (Defence Research and Development Organisation)  के INMAS (Institute of Nuclear Medicine & Allied Sciences) के वैज्ञानिकों ने की है।
इसका निर्माण प्रसिद्ध भारतीय दावा निर्माता कंपनी Dr. Reddy Laboratries हैदराबाद द्वारा किया जा रहा है। आज इस दवाई के १००००  पाउच जारी किए जा रहे हैं। जून २०२१  से इस दवाई के १  लाख पाउच प्रति सप्ताह उपलब्ध करवा दिए जाएंगे।
दवा की विशेषताएं :-
१.  इस दवा को पानी में घोलकर सुबह शाम लिया जा सकेगा।
२ . इस दवा का कोई साइड इफेक्ट नहीं होगा।
३ . इस दवा को लेने के बाद रोगी की ऑक्सिजन पर निर्भरता दूर हो जाएगी।
४ . इस दवा को लेते ही वायरस इसे ग्लूकोज़ समझकर खाना आरंभ कर देगा और इसकी बढ़ोतरी रुक जाएगी।
भारत ही एकमात्र देश है, जिसने यह पानी में घोलकर पीने वाली दवाई अपने देश में सबसे पहले बनाई
और इस कार्य के लिए हमें अपने वैज्ञानिकों पर असीम गर्व होना चाहिए अपने स्वास्थ्य कर्मियों, डॉक्टरों की तो प्रशंसा कर ही देनी चाहिए। निश्चित ही हमारा देश आत्मनिर्भर बनने की राह में निरंतर प्रगति कर रहा है।
नोट:- प्रथम चरण में यह दवा केवल अस्पतालों में ही केवल डॉक्टरों के परामर्श पर ही कोविड रोगियों को दी जाएगी। यदि बाद में उचित पाया गया तो इस दवा को प्रिवेंटिव दवा के तौर पर स्वस्थ व्यक्तियों को भी कोविड रोकथाम दवा के रूप में खुले बाजार में भी उपलब्ध करवाया जा सकता है।
--------------------------
पृष्ठ १०.१  ब्लैक फंगस बीमारी 
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ब्लैक फंगस को लेकर सरकार ने जारी की एडवाइजीरी.
 
सरकार ने ब्लैक फंगस को लेकर एडवाइजरी जारी कर दी हैइसमें कहा कहा गया है कि कोविड -19 संक्रमण के उपरान्त ब्लैक फंगस या म्यूकरमाइकोस चेहरेनाक , साइनस , आंख और दिमाग में फैलकर उसको नष्ट कर देती है . 
कोविड के बाद ब्लैक फंगस यानि  म्यूकरमाइकोसिस ने पूरे देश में पैर पसारने शुरू कर दिए हैं .
किसे हो सकता है ?  - कोविड के दौरान स्टेटॉयड दवा दी गयी हो डेक्सामिथाजोन , मिथाइल प्रेडनिसोलो इत्यादि.  - कोविड मरीज को ऑक्सीजन पर रखना पड़ा हो या आईसीयू में रखना पड़ा हो . - डायबिटीज का अच्छा नियंत्रण ना हो .
कैंसर , किडनी  ट्रांसप्लांट इत्यादि के लिए दवा चल रही हो .
क्या है लक्षण ?  
चेहरे में एक तरफ दर्द हो , सूजन हो या सुन्न हो ,छूने पर छूने का अहसास ना हो .  - दांत में दर्द हो , दांत हिलने लगेंचबाने में दर्द हो .  
उल्टी में या खांसने पर बलगम  में खून आये .
क्या करें ? 
-उपर्युक्त में से कोई भी लक्षण होने पर तत्काल सरकारी अस्पताल में या किसी अन्य विशेषज्ञ डॉक्टर को दिखाएं.
-नाक ,कान ,गले ,आंख मेडिसिन चेस्ट या प्लास्टिक सर्जटी विशेषज्ञ  से तुरंत दिखाएं और लग कर इलाज शुरू करें .
सावधानियां. 
-स्वयं या किसी गैर विशेषज्ञ डॉक्टर के , दोस्त मित्र या रिश्तेदार के कहने पर स्टेटॉयड दवा कतई शुरू 
ना करें.स्टेटॉयड दवाएं जैसे डेक्सोना , मेड्रोल इत्यादि .
-स्टेटॉयड का प्रयोग विशेषज्ञ डॉक्टर कुछ ही मटीजों को केवल  से १० दिनों के लिए देते हैं वो भी बीमारी  शुरू होने के  से ७  दिनों  बाद केवल गंभीर मरीजों को इसके पहले बहुत सी जांच आवश्यक है 
लक्षण के पहले  ५  से ७  दिनों में स्टेटॉयड देने से दुष्परिणाम होते हैं -बीमारी शुरू होते ही स्टेटॉयड शुरू ना करें इससे  बीमारी बढ़ जाती है .  
इलाज शुरू होने पर डॉक्टर से पूछे कि इन दवाओं में स्टेटॉयड तो नहीं है  अगर है , तो ये दवाएं मुझे क्यो दी जा रहीं है। 

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पृष्ठ ११ .घर-घर चिकित्सीय सेवा : आईएमए की एक अनूठी व अनोखी पहल
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डॉ. अजय कुमार
बिहारशरीफ आईएमए ने कोरोना काल में घर-घर चिकित्सीय सेवा उपलब्ध कराने के लिए जिले में एक अनूठी व अनोखी पहल की  शुरूआत  की है जिसकी जितनी प्रसंशा की जाए कम है । कोरोना मरीजों  को छोड़कर सामान्य मरीजों को चिकित्सीय परामर्श देने के लिए ही यह सेवा शुरू की गई है। इसके लिए शहर के प्रख्यात चिकित्सकों के  मोबाईल नम्बर जारी किए  गए  हैं । लोग घर बैठे मोबाईल पर अपनी समस्या बताकर चिकित्सीय परामर्श ले सकेंगे। 
आईएमए के सचिव नेत्र रोग विशेषज्ञ डॉ. अजय कुमार ने बताया कि जिले में कोरोना संक्रमण का रफ्तार इतनी तेज हो गई है कि कौन किस समय और कहां चपेट में आ जाएं, कहना मुश्किल है। वर्तमान समय में कई चिकित्सक भी कोरोना संक्रमित हो चूके हैं। नतीजन उन लोगों को अपना निजी क्लिनिक बंद कर क्वारंटाइन होना पड़ रहा है और सामान्य मरीज दर दर की ढोकरें खाने के लिए मजबूर हो रहे हैं। मरीजों का ईलाज प्रभावित न हो इसके लिए आईएमए द्वारा सभी विशेष चिकित्सकों का हेल्प लाईन  नम्बर जारी किया गया। ताकि कोरोना से संक्रमित मरीजों को छोड़कर कोई भी सामान्य मरीज अपनी समस्या बताकर दवा ले सकते हैं। जो मरीज मोबाईल पर दवा नहीं लिख सकते हैं वे अपना व्हाटसेप नम्बर पर भी दवा लिखवा सकते हैं। उनहोंने बातचीत के दरमियान  यह स्पष्ट किया कि यह चिकित्सीय सेवा और परामर्श निःशुल्क हैं। यक़ीनन इस चिकित्सीय सेवा और परामर्श से  जुड़े सभी चिकित्सक साधुवाद के पात्र हैं। 
जारी किए गए नम्बर इस तरह निम्नलिखित हैं -
डॉक्टर का नाम                       मोबाईल नम्बर            समय
शिशु रोग :                    
डॉ. अजय कुमार सिन्हा           7250556085           3 - 6  बजे शाम
डॉ. धनंजय कुमार                   9431277369          12 - 3 दोपहर
डॉ. सुनील कुमार                    9801583163          3 - 6 बजे शाम
मेडिसिन व डायबटीज :
डॉ. सुनील केपी सिंह               9470084134          3 - 6 बजे शाम
डॉ. इंद्रजीत कुमार                   8986239619         3 - 6 बजे शाम
डॉ. अवधेश कुमार                   9262270411         3 - 6 बजे शाम
डाॅ. लक्ष्मण कुमार                    9905394882        10 PM -12.00 (रात्रि) 
सर्जरी : 
डॉ. बालमुकुंद प्रसाद                7004726668         6-9 बजे सुबह
डॉ. ललन कुमार                      7979915946         3-6 बजे शाम
डॉ. आशुतोष कुमार                 9334263314         3-6 बजे शाम
हड्‌डी रोग : 
डॉ. प्रियरंजन                           9955295662           3-6 बजे शाम
डॉ. शशिकांत कुमार                8918090044            3-6 बजे शाम
स्त्री एवं प्रसुती रोग :  
डॉ. अविनाश सत्यम एवं 
डॉ. रिंकी कुमारी                      9709430907           3-6 बजे शाम
चर्म रोग : 
डॉ. आलोक कुमार                   8521764282            6-9 बजे शाम
मानसिक रोग :
डॉ. विनय कुमार शर्मा               9117217024            3-6 बजे शाम
नाक, कान, गला रोग : 
डॉ. शंभु शरण                          7739354029            3-6 बजे शाम
नेत्र रोग : 
डॉ. नीतीश कुमार                     7739863639           3-6 बजे शाम
डॉ. अजय कुमार                       8544179254           3-6 बजे शाम

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पृष्ठ १२  .डाॅ. किंजल जैन 
कोरोनाआवश्यक चिकित्सा
---------------------------                                 
आवश्यक
चिकित्सा किट :-- कोरोना के लिए घर पर 
1. पारासिटामोल
2. बीटाडीन गार्गल- माउथवॉश के लिए
3. विटामिन 'सी' और 'डी'
4. बी कॉम्प्लेक्स
5. भाप लेने के लिए भाप पात्र, तपेली चुटकी भर सैंदा नमक की भाप भी ले सकते हैं
6. पल्स ऑक्सीमीटर
7. ऑक्सीजन सिलेन्डर (केवल आपातकाल के लिए)
8. गहरी साँस लेने के व्यायाम करें।
कोरोना वायरसकैसे पता चलेगा कि आप कोरोना वायरस से संक्रमित हैं ?
1. गला सूखना
2. सूखी खांसी
3. शरीर का उच्च तापमान 
4. सांस की तकलीफ
5. सिर दर्द
6. बदन दर्द
तीन चरण कोरोना के
1. केवल नाक में कोरोना -
रिकवरी का समय आधा दिन होता है
इसमें आमतौर पर बुखार नहीं होता है और इसे असिम्टोमाटिक कहते हैं |
इसमें क्या करें :- 
स्टीम इन्हेलिंग करें विटामिन 'सी' लें
2. गले में खराश -
रिकवरी का समय 1 दिन होता है 
इसमें क्या करें : -
गर्म पानी के गरारे करें, पीने में गर्म पानी लें
अगर बुखार हो तो पारासिटामोल लें
अगर गंभीर हो तो विटामिन 'सी' , बी.काम्पलेक्स और एंटीबायोटिक लें
3. फेफड़े में खांसी -
4 से 5 दिन में खांसी और सांस फूलना। 
इसमें क्या करें :--
गर्म पानी के गरारे करें, पीने में गर्म पानी लें
विटामिन 'सी' , बी कॉम्प्लेक्स, पारासिटामोल लें और गुनगुने पानी के साथ नींबू का सेवन करें
ऑक्सीमीटर से अपने ऑक्सीजन लेबल की जाँच करते रहें | अगर आपके पास ऑक्सीमीटर नहीं हो तो आप किसी भी दवा दुकान में काल कर के होम डिलीवरी लें अथवा पीएमसीएच में कॉल सकते हैं |
गहरी साँस लेने का व्यायाम करें
अगर समस्या गंभीर हो तो ऑक्सीजन सिलेन्डर मंगाए और डॉक्टर से ऑनलाइन परामर्श लें
अस्पताल जाने के लिए स्टेज:-
ऑक्सीमीटर से अपने ऑक्सीजन लेवल की जाँच करते रहें यदि यह 92 ( सामान्य 98 -100 ) के 
पास जाता है और आपको कोरोना के लक्षण(जैसे की बुखार, सांस फूलना इत्यादि) है तो आपको ऑक्सीजन सिलेंडर की आवश्यकता होती है। इसके लिए तुरंत नजदीकी स्वास्थ्य सेवा केंद्र पर संपर्क करें परामर्श लेंस्वस्थ रहें, सुरक्षित रहें ! कृपया अपने परिवार और समाज का ख्याल रखें | घर पर रहें और सुरक्षित रहें |
ध्यान दें:-
कोरोना वायरस का pH  5.5 से 8.5 तक होता है
इसलिए, वायरस को खत्म करने के लिए हमें बस इतना करना हैं कि वायरस की अम्लता के स्तर से अधिक क्षारीय खाद्य पदार्थों का सेवन करें।
जैसे कि :
- केले
- हरा नींबू - 9.9 पीएच
- पीला नींबू - 8.2 पीएच
- एवोकैडो - 15.6 पीएच
- लहसुन - 13.2 पीएच
- आम - 8.7 पीएच
- कीनू - 8.5 पीएच
- अनानास - 12.7 पीएच
- जलकुंड - 22.7 पीएच
- संतरे - 9.2 पीएच 
गर्म पानी के साथ नींबू पीने से वायरस फेफड़ों तक पहुँचने से पहले ही खत्म हो जाते हैं
डॉकिंजल जैन
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Page13. Business.
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Savita Oral C / RCT/ OP.15.3.21.Worth 1700/-
Savita Oral C / RCT/ OP. 21.3.21.Worth 5400/-


Comments

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    ReplyDelete
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    ReplyDelete
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    ReplyDelete
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  5. Dr Rajeev Ranjan MD,
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    Welldone 👍
    Dr Prashant, Gujarat

    ReplyDelete

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