It is iatrogenic and is due to misuse of analgesic . This dengue is not due to mosquito-bite but it is due to drug -bite.
It was in the hottest summer in Delhi when there was virtually a flu-like-situation . This situation was due to large numbers of air-conditioned offices ,cinema- halls ,cars and trains etc but when they were exposed to outside temperature which was very hot and caused a flu like situation . In long years back at about 1941s in Britain there was an epidemic of flu. The doctors combated this by salicylates, paracetamol and other analgesic. The patient started taking drugs . As analgesics are also euphoric . The patient felt a sense of well-being and hence many of them continued taking analgesic regularly . After a few months or so there was another epidemic of kidney failure. When some of experienced doctors searched for the cause of the disease they could find regular use of analgesic in the root of the epidemic . Then the government banned the use of drugs without the prescription of registered doctor
Like largectil (chlorpromazine )salicylates have also large number of actions
(a) Analgesic
(b)Antipyrectic
(c) Anti-inflamatory
(d) Respiratory stimulation
(e) Insulin like effect
(f) Uricosuric agent
(g) Hypoprothrobonaemic effect and many blood disorders
(h) Gastric irritation
(I) Ulceration,
(j) and perforation and some persons are highly allergic to it. The great Bruce Lee, the steel- man of Hong Kong died due to taking single tablet of analgesic. This is only salicylates but the other analgesic have also another side effect . In India what to talk of educated people even the laymen have made it a fashion of self -medication. In any big hospitals more than 30% cases are admitted due to toxicity of drugs
In long years ago a lady of fifty came to me for treatment . She was a case of migraine for long years she was taking saridon (analgesic) for long years. I told her to avoid this drug she said ,“ I can't sleep when sarodon in not at hand or at home . This is the drug dependence . Many people depend on drug.
one day I happened to go to my native village .A few people on considerable repute came to meet me in the night but they were told to come early next morning as I had gone into deep sleep . Very early in the morning they reported with a young man who was working in Delhi and was diagnosed as a case of dengue and was referred to a nursing home in Delhi for hospitalization. He was asked for rupees 50000 extra as there was no vacant seats . As he had no money to pay the extra he left for his native village . I examined the patient and found him clinically fit. I prescribed him only some tonic as a placebo and told him to meet me if he is not cured. The chap never reported and was completely well off.
A good doctor should be a good psychologist. when I was posted in a block in Santhal Pargana I had a call from affluent Bengali family. A lady was suffering from migraine and was under the treatment of very renowned physician of Kolkata she was taking stemetil with other drugs for many years. I diagnosed her to be a case of agranulocytosis because she was very-very anaemic and was taking stemetil for long years I stopped the drug and told her to immediately report to the physician in Kolkata.When consulted in Kolkata the doctor felt guilty and started rebuking his compounders for prolonged use of stemetil .
For every epidemic we blame the bacteria,virus and mosquito etc but never look towards drugs used previously . It is but quite natural to blame others for our own fault.
Any drug in an unskilled hand should be taken as poison.
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