Medical Note

Tuesday, August 11, 2020

Medical Note

I was ambiguous of my first note, simply because I have lost interest in many fields including medical matters.

1. I lost interest in politics after 50 years of its observation globally.
    
2. Then I lost interest in religion, that dated back to my childhood but hiding behind the masses who follow one or other form of it. Then after my retirement from active work, this resurfaced in vigour, questioning their contribution to humanity.
    
3. Then I lost interest in helping (not empathy) the beggars. My idea of creating (including political, I prefer a different word sounding similar but would be nice here) a beggar in any form is counterproductive.
    
4. Then, to keep me occupied I stared feeding all the dogs, where ever I meet then.
    
5. Finally, I developed a keen interest in birds after noting disappearance of sparrows, that made me to visit Bird’s Park in Singapore. Then I developed the idea of making bird friendly environment.The cats (snakes,too) are their biggest enemies but the biggest impact is from unregulated agricultural poisoned dished out that get deposited in the ovaries and eggs.
    
6. Finally Coronavirus came in and it made me to wake up from slumber, as it was.
    
7. By the way, this piece is medical. 
    
8. We were taught to be very careful when dispensing steroids due to many (some exaggerated) of its side effects. After the loss of two children who were under my care (due to D.J.V.P insurrection in 1989) who could not reach me (cell phones were not available then) physically, I totally revised my policy globally, in Ceylon and abroad dishing out steroids, (especially Dexamethasone) liberally. A reserve course (dose depending on the individual) of steroids was given to each deserving family, with an instruction to take first dose and see any available (Typed Note was dispensed, no computers then) medical person (do not go on looking for me). The reason is, their is delay in action of steroids 8 hours or more. This saved many an agony to many of my patients. Now Coronavirus, there is no treatment. At least to avoid respiratory complications that result from various kinds of interleukins, a fast and furious (this new terminology of mine, furious to mean large and aggressive dose of steroids) dose of dexamethasone should be given, (not chloroquine) with the onset of respiratory symptoms, and if need arises a course of antibiotics. 
    
9. This will SAVE lot of lives.