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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Homoeopathic Queries & Solutions
NATIONAL JOURNAL OF HOMOEOPATHY 2002 Jan / Feb VOL NO 1.
Prof Dr Kasim Chimthanawala

1 Sir, nowadays we frequently get patients who are diagnosed to have Biliary Microlithiasis on Abdominal USG. Can you throw some light on this clinical entity?

-Dr Ujjwal Patil, Kolhapur

Well! Biliary Microlithiasis or Sludge is a bilious precipitate of Cholesterol crystals, Calcium Bilirubinate and other salts which deposit in the gallbladder. Its formation depends on the physicochemical interactions of the bile constituents, abnormalities of gall-bladder mucosa and gall-bladder dysmotility. Clinical conditions associated commonly with its formation  are rapid weight loss, pregnancy (peripartum period), therapy with drugs as Octreotide & Ceftriaxone,  patients undergoing bone-marrow or solid organ transplants & those on total parental nutrition. Several modes of diagnosis like Trans-abdominal Ultrasonography, Endoscopic Ultrasonography, Computed Tomography and Bile Microscopy are available. Biliary sludge is known for its complications including biliary colic, acute pancreatitis and acute cholecystitis. Its a precurser to Gall stone formation. Homoeopathically, we would categorize such a person to have a Lithic Diathesis.

2 In Benzoic acid (Allen’s Keynotes) is a symptom ‘gouty, rheumatic diathesis’ engrafted on a gonorrheal or syphilitic patient. Sir, is Benzoic acid an anti-sycotic or an anti-syphilitic remedy?

- Dr Pramod Khandeshe, Kalyan

To my mind, we cannot ascribe any remedy as  pure anti-sycotic or anti-syphilitic drug. Each homoeopathic remedy exhibits all the three anti-miasmatic properties. Of course in different clinical settings different miasms or different states or stages of miasm are predominant in a particular patient. Same is true for Benzoic acid as well. 

3 What is your opinion regarding Consumer Protection Act being applied to Doctors?

- Dr Kashinath Gaurkar, Chandrapur

A very good question and a controvertial one indeed! Consumer Protection Act in India exhibits the changing Doctor-Patient Relationship of our times. During the last decade, effort has been made in many countries to give this relationship a legal orientation and convert it into a legislation. Some European countries have developed specific regulations giving certain privileges and rights to the patient (Dutch Model of Doctor-Patient Regulations). The principle of accountability of medical professionals is universally accepted - morally, ethically, and legally. It is dealt by common civil laws of contract or criminal laws, but nowhere in the world, laws such as "Consumer Protection Act" pertaining to trade or commerce or services, are applied to Doctors as in our country. I feel that the Doctor-Patient relationship being an important relation between two human beings, cannot be covered legally by a professional contract only. It must be based on humanistic approach, faith and confidentiality, not allowing it to be eroded. Rather it requires to be strengthened by making it a "Partnership & Collaborative effort" to achieve co-operation of the patient and his relatives on one hand and the highest proficiency from the doctor and best utilization of institutional facilities on the other.

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