Sunday, April 6, 2014

$10 hemodialiysis in the Philippines soon to be a reality

I see the birth of this idea into a reality to be sooner than later.

It will be good for many people who have diabetes and whose kidneys have failed.  It will save them a fortune. I hope this idea spreads.  But this will be a disruptive social enterprise

$10 hemodialysis - Dr. Edu's business plan

Wednesday, March 26, 2014

Indian Hospital Revisited from Al Jazeera

From Al Jazeera - Indian Hospital Revisited

Al Jazeera's series on Indian hospital has been most informative with regards to health care and modern affordable hospital care.

There are episodes featured here this week regarding:

1.  Dr. Rolson Sandeep who had two important patients: Rejeshawani Madival,  who was operated on her lock jaw.  The operation gave Rejeshawari new outlook in life, and improved her grades.  Dr. Rolson had to intervene in the family's desire to have her stop schooling and have her get married.  Dr Rolson visited his patient, Rejeshawani who lives 500 km away from Bengalore.  He prevailed upon her parents to let her continue studying and probably become a bank manager.

This gives new meaning to the address "Sir Doc"  Rejeshwari considers Dr. Rolson to be God.


2.  Dr. Rolson has another patient, and he considers having such patient a good "Karma", Baby Dhayan who has such gross face abnormality.  It is not just harelip problem,  there is a big space between her eyes where the nose should be.  Dr. Rolson has never done anything like this.  And he is doing a painstaking study on how to do this.

Thursday, March 6, 2014

How do you serve God? Who gets well and who dies in an operation?

Rizal   |  Philippines   |  March 6, 2014

I am getting a lot of inquiries, assistance on building and running a hospital and administrators who have turned around failing hospitals.  As professor of MBAH, I am involved in teaching MBA MDs who run hospital in graduate school of business.  It is a tiring job, as one gets old.

But watching the Indian Hospital series of AJ, I am inspired.  The idea of having low cost hospitals serving the masses is keeping me challenged.

Consider this:

According to Mother Teresa, who was operated on by Dr. Shetty:

Constant interview with Dr. Shetty brings in many paying patients from around the world

From Al Jazeera  Indian hospital

Patientss from around the world, including from USA are flocking to Dr. Shetty's hospital in India.  And they are paying patients and which are good for cash flow and financial health of his hospital.  Why?   There is so much publicity and they are captured in media and at internet.

Patients are attracted by low cost and so much skills gained from operating 30 patients a day.  The MDs at the hospital are seen as more expert in what they are doing from sheer quantity of operations

Forthcoming shortage of MDs worldwide?

Angono, Rizal   |  Philippines   |  March 6, 2014

There will be shortage of doctors and health workers in the coming year.  Who sees 4 million shortage.  Dr. Shetty sees this to be double.

Training/education of MDs is a lucrative business.   MDs  position in a hospital is bidded out.  And could be as high as $500,000.00.  Dr. Shetty is against these.  He believes that MDs like, artists should be allowed to practice their trade without restriction.

Dr.  Shetty sees that training of cardio thoracic surgeon can bypass traditional general surgery training.  He does starts with a core group starting with his son and 5 others

Colonoscopy Crisis: Why are These Doctors Canceling Them?

 From Micozzi video/files

Colonoscopy is considereably cheaper in the Philippines where it costs P25t to P40t.  It is supposed for everyone over 50 yearly help control colorectal cancer that cause 30% of all deaths from cancer  Yet some doctors are cancelling them.  Why?

There is no data yet that supports that colonscopy save anyone from colon cancer.  What is the main reason?  Its the 6t to 10t cost. It is a $10 billion business  (Yet it only costs several hundred dollars in Europe.)  There are many risks attributed to colonoscopy:  bleeding, lacerations, infection from contaminated colonscopy equipment and even death


Repost from FB - From Dr. Joseph Mercola


Post by Dr. Joseph Mercola.


Institute of Medicine (originally founded by Abraham Lincoln is to be headed by Victor Dzau whose picture of pharma is that of govt, academe, private (pharma) partnership.  As an NGO, it is supposed to have noble goal of independent research on health for both private and govt sector.   Dr. Mercola sees huge conflict of interest coming into play.  They say Victor Dzau became a millionaire because of his big pharma/corporate alliances

Dr. Offit, a member of IOM is alleged to have similar conflict of interest; being in the pocket of Merck to develop a rotovirus vaccine.

Find out more:


Sunday, March 2, 2014

Concept of low cost dialysis center in India - philantrophic approach

Renal transplant and dialysis is beyond the reach of most Indians.  But some private hospitals and social entrepreneurs have worked a model to make hemodialysis affordable:

Some strategies:

1.  Tax exemptions on importation of dialysis machines;

2.  Free lease of space from govt hospital.

3.  Training of non medical personnel to do hemodialysis.

4.  Support from philantrophists:


From Dr Lloyd Vincent of Narayana hospital - how can they afford at $10.00 dialysis?

It is quite simple:  by not buying the machine but having them paid on pay per use basis lessening cap ex and lowering cost. It is a win win situation for the supplier.  With lower cost, the usage rate increases, narrowing gap between outright sale and ppu. According to Dr. Lloyd Vincent.

Their hospital plan to put 1,000 hemodialysis units under this scheme

It is again as per Dr. David Shetty, using economies of scale


Read more:

Fifty-two-year-old Dr Lloyd Vincent is the clinical director of the dialysis services at Narayana Hrudayalaya.
Like others in his field, he is faced with a growing diabetes epidemic in India - due in large part to changing lifestyles, including a decrease in the amount of physical exercise taken and an increase in the availability of junk food.
With diabetes comes a catalogue of complications, including blindness, amputation, stroke, heart disease and kidney disease.

The dialysis unit at the hospital currently handles 1,400 treatments a month, but within 12 months, the plan is to increase this to 5,000.

Vincent and Dr Shetty, the founder of the hospital, have negotiated an innovative agreement with suppliers for about 1,000 dialysis machines on a pay-per-use model, which will half the cost from $20 to about $10 per treatment.
The machines will be maintained by the manufacturers, who will earn more that way than by selling them outright - making it a win-win situation for them and the hospital, which cannot afford the upfront capital expenditure on expensive machines.

Lloyd believes that educating school children regarding health issues will go a long way and prove to be the most important step in reducing diabetes.
He has organised awareness programmes for school children in which they are taught how to measure their blood pressure and sugar levels. The children are encouraged to purchase the basic equipment required to do this so that they can keep a check on their parents' blood pressure and sugar levels at home, while simultaneously becoming aware of how such health concerns could affect their own lives in the future.


Watch six one-hour episodes of a unique obs


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Jorge U. Saguinsin
To "be the best, do your best, expect the best" always

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Why are India medical procedures so cheap; a hemodialysis would cost just $10

I learned from Indian Hospital series of Al Jazeera that hemodialysis costs only $10.00 per session.  That is vs the average in the Phil of 2,000 per session.  (or $50.00). Why is this so?  Is it because Indian physicians are willing to accept lower price/pf)

There are only 400 dialysis centers  with 1000 dialysis stations and 100 renal transplant units.  and 700 nephrologists in India

RT (renal transplants) cost $400 to $700.00

What is wrong with Phil fees/charges?   No more Hippocrates codes and sense of service?

Tuesday, February 25, 2014

The Indian Hospital feature of Al Jazeera

From Al Jazeera

This is a series of features, a 1 hour documentary of Indian Hospital.  The main feature of course is Dr. David Shetty, a cardiac surgeon, and philonthropist who may have revolutionized the modern hospital system.  His vision is that of Walmart of the hospital business or Henry Ford.  Can he bring his system of cheap cures to the world?

Some of the important features of the hospital;  Naraynana Hospital are:

1.  Economies of scale.   Ordering more, buyers clout due to more patients drive down costs.

2.  Help desk.  No patient is turned down on account of his capacity to pay:

     1. Govt help is obtained;

     2.  Foundations that help patients are solicited;

     3.  Creating account for private, small donors

3.  Partners  -  Dr. David Shetty partnernered with  a Japanese supplier to have hemodialysis price driven down to $10.00 per session (about P400.00 vs P2,000 minimum here in the Philippines (1/5 the cost)



A vision for a global healthcare

Dr. Shetty says that the 20th century was driven by machines;  the 21st century will be driven by health care.  India produces the most number of health care workers in the world, and most number of pharma firms outside of  US.  The missing link is the financial part, the affordability of patient to pay such health care.

One solution is micro insurance.  Dr. Shetty established the Yeshaswini micro insurance of just $0.11 that can cover the cost of one heart surgery or over 1,000 other surgeries.  He suggests that it is easy to add $0.18 to monthly cell phone bill to be part of health insurance.  He says that the govt must shift from health care provider to one of health insurance provider.

It is possible to roll out this concept world wide.  We need more facilities to train health care workers and hospitals.  WHO estimates shortage of health workers to be 4 million but he believes it is more than that.

The complete article:


Tuesday, January 21, 2014

Are Your Supplements Stuffed With Deadly Toxins?


From INH Health Watch Reports.

You may be taking supplements with the end in view of making you healthy.  Yet, they may actually be doing you harm.  They may be contaminated with:

heavy metals,
rancid fish oil,
and flouride

especially if the supplements are made from China.  We get plenty of horror stories from China of toys with lead, contaminated milk and more.  With loose regulation and an ambition to grow economically, we get this kind of results.

Other stories:


The Trouble With Toxic Infants

There are so much toxins in the environment that newborns are impregnated with so much toxins.  How can we prevent this mass poisoning.?  Can we contribute to lessening this danger?

What should be done?  Are the world industries factories conspiring to destroy our newborns, and possibly the human race?


6 Life Saving Secrets now finally revealed in Douglass report

Rizal Philippines  |  January 21 2014

From the Douglass Report

This is perhaps the strongest reason why we have this site.  It is a severe criticism of the US health care system that is predicated on mind control of the patients and the health care personnel, and profits. The report came from Dr. Douglass, a former navy flight surgeon, a true patriot.

An important aspect of this report is that not one of the drugs prevent the disease;   all of them are symptomatic treatment, and yet is a trillion dollar industry.  The six secrets are:

Why do scientists reveal discoveries on diagnosis and cures rather than disease prevention?

Philippines   |  January 21, 2014

I recently came across an article that tells a discovery/invention of Google labs about smart contact lens that measures blood sugar from tears (sweet) of diabetic patients.  It takes "aray" away from the painful finger pricking in monitoring blood sugar.  But does the high price you will pay for this remove the disease?

Why is the research focussed on removal of symptoms and diagnosing the cause rather than the removal of the cause?

Because if you remove the cause, then you remove the opportunity to earn.

Dr. Mercola prescribes:

1.  Healthy living

2. Healthy food

3.  Stress removal

4.  Avoidance of toxins from processed food;

5.  More Vitamin D;

6.  Omega 3 fish oil,

7.  Exercise

8.  Stress free living

as cure for diseases.

Wednesday, January 8, 2014

From Home Made Medicine news - 10 prescription drugs that could kill us!

Rizal |  Philippines  |  January 8, 2014

 

Related articles:

From USA today -deadly epidemic - prescription drugs

 From Christian Monitor - prescription drug overdose deadlier than heroin and cocaine combined


Thanks to this email newsletter sent by homemade medicine by Dr. Charles Silverman.

We all know that all drugs have positive effects (that they remove the causes and symptoms of the disease) and:

     SE:  side effects, the negative effect on the body that could be toxic or cause undesireable on the body

    Contraindication -  when the drug could not be administered

   Drug interaction -  possible potentiating effect when given concomittantly with other drugs

Some drugs cause toxicity, other diseases and even death.  Many deaths being monitored in US were not caused by primary causes but due to iatrogenesis:  by the MDs and the procedures/drugs that were administered.

There are certain drugs that are deadly;  some are still in the market, especially in the LDC, where their local FDA are not strict (or could be bribed to look the other way)  Some have been withdrawn from the market like Crestor.