Association of International Doctors. (India).

Zero Tolerance for violence against Doctors and Medical Workers, Let them work with Dignity and without Fear.

[Association of International Doctors. (India). @int_doctors]

Today, Dr. Abhishek Shukla was in conversation with Mr. V. N. Channa, a distinguished officer of the 1964 batch of the Indian Administrative Service (IAS), regarding the civil services examination and the journey of aspirants preparing for one of the most competitive examinations in the country. The discussion reflected upon the dedication, perseverance, and commitment required to pursue a career in public service.

With lakhs of candidates appearing for competitive examinations every year and only a limited number of positions available, the process is naturally demanding. Success in such examinations depends not only on hard work but also on individual aptitude, interests, strengths, and suitability for a particular role. Every aspirant possesses unique talents, and professional fulfillment can be achieved through many different paths of service and leadership.

The interaction emphasized the importance of self-awareness, resilience, and keeping an open mind toward opportunities beyond a single career goal. While striving for excellence is important, personal growth, continuous learning, and meaningful contribution to society remain valuable achievements regardless of the profession one ultimately pursues.

#DrAbhishekShukla #AasthaCares #IAS #CivilServices #CareerGuidance #Leadership #PublicService #StudentMentorship #Inspiration #LifelongLearning

[Association of International Doctors. (India). @int_doctors]

Today, Dr. Abhishek Shukla discussed the importance of breathing exercises and lung expansion therapy in maintaining respiratory health. Techniques such as balloon blowing and the commonly used three-ball incentive spirometer exercise help encourage deep breathing, improve lung expansion, and enhance ventilation of the air sacs (alveoli) within the lungs.

These exercises are particularly beneficial for patients recovering from surgery, prolonged illness, respiratory infections, or periods of immobility. By taking slow, deep breaths and attempting to raise the balls within the spirometer, patients can strengthen their respiratory muscles, improve oxygen exchange, and reduce the risk of complications such as lung collapse (atelectasis) and secretion retention.

Regular practice of lung expansion exercises can improve breathing efficiency, increase lung capacity, and support overall respiratory function. When performed correctly under medical guidance, these simple yet effective techniques form an important part of pulmonary rehabilitation and recovery, especially in elderly patients and those with underlying respiratory conditions.

#LungExpansion #AasthaCares #DrAbhishekShukla #RespiratoryTherapy #IncentiveSpirometry #PulmonaryRehabilitation #BreathingExercises #MedicalEducation #PatientCare #RespiratoryHealth

[Association of International Doctors. (India). @int_doctors]

Today, Dr. Abhishek Shukla discussed the importance of proper catheter care in disabled and long-term bedridden patients. Indwelling urinary catheters should not be kept indefinitely without review, as prolonged catheterization increases the risk of infection and other complications. The frequency of catheter change depends on the type of catheter, the patient's condition, and clinical indications, but regular monitoring and timely replacement are essential components of care.

Long-term catheter use can lead to complications such as Catheter-Associated Urinary Tract Infection, bladder irritation, blockage, stone formation, and Cystitis. Persistent infection and inflammation may damage the bladder wall and can also spread to the kidneys if not recognized and treated promptly. Warning signs include fever, burning sensation, lower abdominal discomfort, foul-smelling urine, cloudy urine, or blockage of urine flow.

The discussion also highlighted the role of Urine Culture and Sensitivity when infection is suspected. This investigation helps identify the causative organism and determines which antibiotics are most effective against it. Good catheter hygiene, adequate hydration, regular assessment, and timely medical review are important measures to reduce complications and maintain urinary tract health in patients requiring long-term catheter care.

#DrAbhishekShukla #AasthaCares #CatheterCare #UrinaryHealth #Cystitis #UTI #DisabledCare #GeriatricCare #MedicalEducation #PatientSafety

[Association of International Doctors. (India). @int_doctors]

Today, Dr. Abhishek Shukla was in conversation with Mr. V. N. Channa, a distinguished member of the 1964 batch of the Indian Administrative Service (IAS), whose long and accomplished career in public administration has inspired generations of civil servants. Drawing upon decades of experience in governance and leadership, he shared valuable insights into the civil services examination process, particularly the personality test and interview stage.

The discussion highlighted that the civil services interview is not merely a test of knowledge, but an assessment of an individual's personality, integrity, judgment, communication skills, and ability to think logically under pressure. Candidates are encouraged to be honest, composed, and confident, while demonstrating a genuine understanding of society, public affairs, and the responsibilities of public service.

An important takeaway was that interview boards are generally supportive and aim to bring out the best in candidates rather than intimidate them. A calm approach, clarity of thought, awareness of current issues, and confidence in one's own experiences often contribute significantly to success. The interaction provided students and aspirants with valuable guidance from a respected administrator whose experience continues to serve as a source of inspiration.

#DrAbhishekShukla #AasthaCares #VNChinna #IAS #CivilServices #UPSC #Leadership #PublicAdministration #CareerGuidance #StudentMentorship #Inspiration #Education #India

[Association of International Doctors. (India). @int_doctors]

Today, Dr. Abhishek Shukla discussed how clinicians assess whether a patient with Sepsis or septicemia is responding to treatment and showing signs of recovery. One of the most important indicators is improvement in laboratory parameters, including infection markers, white blood cell counts, inflammatory markers, and organ function tests. Trending investigations over time often provide valuable information regarding the patient's response to therapy.

Clinical improvement is equally important. A gradual reduction in fever, stabilization of body temperature, improvement in blood pressure, normalization of pulse rate, and improvement in the patient's overall condition are encouraging signs. Recovery of organ function is carefully monitored, particularly lung, kidney, and cardiovascular function. Improvement in oxygen saturation (SpO₂) and respiratory status often indicates that the infection and its systemic effects are coming under control.

Another key indicator of recovery is improved urine output which reflects better kidney perfusion and organ function. Patients may also require progressively lower levels of oxygen support as lung function improves. Reduced dependence on artificial oxygen, improved circulation, better consciousness levels, and stabilization of vital signs collectively suggest that treatment is working and that the patient is moving toward recovery. Continuous monitoring remains essential because sepsis can change rapidly and requires close medical supervision.

#DrAbhishekShukla #AasthaCares #Sepsis #Septicemia #CriticalCare #ICUCare #MedicalEducation #PatientMonitoring #HealthcareAwareness #EmergencyMedicine

[Association of International Doctors. (India). @int_doctors]

Today, Dr. Abhishek Shukla interacted with the students of La Martiniere Girls' College, Lucknow, and discussed the fundamental differences between a hospital and a hospice setting. While hospitals are primarily focused on diagnosing, treating, and curing diseases, hospice care focuses on improving the quality of life of patients living with serious or life-limiting illnesses. The emphasis is on comfort, dignity, symptom control, emotional well-being, and holistic support for both patients and their families.

The discussion also highlighted the multidisciplinary nature of hospice care, where medical, psychological, social, and spiritual needs are addressed together. Unlike conventional hospital care, hospice recognizes that healing is not always about curing a disease but also about relieving suffering, preserving dignity, and ensuring that every individual receives compassionate and person-centered care throughout their journey.

An important aspect of the session was the role of respite care and bereavement support. Respite care provides temporary relief to family caregivers, allowing them time to rest and attend to their own well-being while ensuring that their loved one continues to receive professional care. Bereavement support extends care beyond the patient, helping families cope with grief, loss, and emotional challenges through counseling, guidance, and compassionate support during difficult times.

#DrAbhishekShukla #AasthaCares #LaMartiniereGirlsCollege #HospiceCare #PalliativeCare #RespiteCare #BereavementSupport #MedicalEducation #CompassionateCare #GeriatricCare #HealthcareAwareness

[Association of International Doctors. (India). @int_doctors]

Today, Dr. Shaunak Mitra, Senior Urologist from Delhi, visited our center and had an insightful academic discussion with Dr. Abhishek Shukla, Geriatrician, on one of the most common problems affecting elderly men and women—urinary incontinence. Many older adults report that they are unable to control their urine and experience leakage during activities such as coughing, sneezing, laughing, bending, or lifting weights. This condition can significantly affect confidence, social interactions, and quality of life.

Patients often mention that they have consulted a urologist and have been diagnosed with urge or stress urinary incontinence. Dr. Mitra explained that the first line of treatment usually involves lifestyle modifications, pelvic floor exercises, and medications aimed at improving bladder control. However, some patients continue to experience troublesome urine leakage despite receiving optimal medical therapy.

In such cases, particularly when patients become dependent on diapers or absorbent pads, surgical intervention may provide significant relief. One of the commonly performed procedures is the Trans-Obturator Tape (TOT) surgery. This minimally invasive technique uses a synthetic polypropylene (prolene) mesh tape placed beneath the urethra to support and strengthen the bladder outlet, thereby reducing urine leakage. When appropriately selected, patients can experience substantial improvement in continence, comfort, and overall quality of life.

[Association of International Doctors. (India). @int_doctors]

Today, Dr. Abhishek Shukla conducted an academic discussion with students on the fundamentals of Computed Tomography (CT) Scan interpretation and the importance of a systematic radiological approach in clinical medicine. A CT scan is an advanced imaging modality that generates detailed cross-sectional images of the body, enabling evaluation of organs, bones, vascular structures, and soft tissues with high anatomical precision.

The discussion emphasized the importance of differentiating between normal anatomical findings and pathological abnormalities on imaging. Anatomical findings represent normal structural variations and spatial orientation of tissues and organs, whereas pathological changes may include hemorrhage, bleeding, edema, infarction, infection, neoplastic lesions, fractures, mass effect, or tissue destruction. Accurate interpretation requires careful assessment of symmetry, tissue density, anatomical landmarks, fluid collections, and structural distortions across different imaging planes.

Radiological findings should always be interpreted in conjunction with the patient’s clinical history, presenting symptoms, physical examination, and laboratory parameters. Imaging alone does not establish a diagnosis unless correlated clinically. Developing a structured, analytical, and evidence-based approach to CT scan interpretation remains an essential clinical competency for accurate diagnosis, timely intervention, and comprehensive patient management.

#DrAbhishekShukla #AasthaCares #ComputedTomography #CTScan #Radiology #MedicalEducation #ClinicalMedicine #DiagnosticImaging #PatientCare #HealthcareEducation

[Association of International Doctors. (India). @int_doctors]

Today at Aastha, Dr. Abhishek Shukla along with students discussed the growing concern of mobile phone addiction and its impact on mental, physical, and social well-being. Excessive screen exposure and continuous digital engagement can gradually affect concentration, productivity, sleep patterns, and emotional regulation, particularly among adolescents and young adults.

The discussion highlighted that prolonged mobile usage may interfere with the body’s natural biological rhythms and hormonal balance, especially due to excessive exposure to screen light during late hours. Disturbed sleep cycles, reduced melatonin release, mental fatigue, irritability, reduced attention span, and difficulty concentrating are increasingly being observed in individuals with excessive screen dependency. Over time, this may also contribute to symptoms resembling attention deficits, anxiety, and reduced cognitive focus.

The importance of maintaining healthy digital habits and strengthening real-life social interaction was also emphasized. Excessive dependence on mobile phones can affect interpersonal relationships, communication skills, and emotional connectivity. Balanced screen usage, structured daily routines, physical activity, proper sleep, and meaningful social engagement remain essential for maintaining psychological and overall health in the digital era.

#AasthaCares #DrAbhishekShukla #MobileAddiction #MentalHealth #DigitalWellbeing #ScreenTime #StudentAwareness #Psychology #HealthcareEducation #HealthyLifestyle

[Association of International Doctors. (India). @int_doctors]

Today, Dr. Abhishek Shukla was in discussion with Dr. Shasanka Sekhar Das from Medanta Hospital. Dr. Das holds the qualifications MBBS, MD, DM (Medical Oncology) and specializes in the management of complex cancers, particularly women-related malignancies including Breast Cancer, Cervical Cancer, and Ovarian Cancer. The discussion focused on the importance of awareness, early detection, and timely intervention in improving cancer outcomes.

A major emphasis was placed on cervical cancer prevention, highlighting that it is one of the few cancers that can largely be prevented through regular screening and vaccination. Awareness regarding early symptoms, routine gynecological evaluation, and preventive healthcare plays a crucial role in reducing disease burden and improving survival rates among women.

The discussion also covered the early detection of breast cancer and the importance of timely screening. Investigations such as Mammography are commonly used for screening, particularly in women above 40 years of age, while younger women may require clinical breast examination and ultrasonography depending on risk factors and symptoms. Early diagnosis remains one of the most important factors in successful cancer management and long-term outcomes.

#DrAbhishekShukla #AasthaCares #DrShasankaSekharDas #MedicalOncology #BreastCancer #CervicalCancer #OvarianCancer #Mammography #CancerAwareness #WomenHealth #HealthcareEducation

[Association of International Doctors. (India). @int_doctors]

Today at Aastha, Dr. Abhishek Shukla along with Dr. Nirupama Jaiswal and Satyangi, a Master’s student in Psychology discussed Phantom Vibration Syndrome and its growing relevance in modern life. This phenomenon refers to the sensation where individuals feel that their phone is vibrating or ringing even when no notification has actually occurred, often as a result of excessive mobile phone usage and heightened psychological anticipation.

The discussion highlighted how continuous digital engagement and prolonged screen exposure can affect mental and neurological well-being. Frequent exposure to mobile phone light, especially during night-time use, may interfere with the brain’s natural sleep-wake regulation by reducing melatonin production, the hormone responsible for maintaining healthy sleep patterns. Disturbed sleep, increased anxiety, stress, and constant alertness to notifications can gradually contribute to mental fatigue and reduced concentration.

The importance of maintaining real-life social connections and balanced digital habits was also emphasized. Meaningful interpersonal interactions, reduced screen dependency, proper sleep hygiene, and mindful technology use play an important role in supporting emotional and psychological health. Awareness regarding such modern behavioral patterns is increasingly important in promoting overall mental well-being in today’s digitally connected world.

#AasthaCares #DrAbhishekShukla #DrNirupamaJaiswal #PhantomVibrationSyndrome #MentalHealth #DigitalWellbeing #SleepHealth #Psychology #HealthcareAwareness

[Association of International Doctors. (India). @int_doctors]

Today, Dr. Abhishek Shukla discussed the emergency management of a critically ill unconscious patient presenting with unrecordable blood pressure, absent peripheral pulse, cold extremities, and severe metabolic instability. In such situations, rapid assessment and immediate resuscitative measures are crucial, as these findings may indicate shock, severe circulatory failure, or life-threatening metabolic derangement.

The discussion emphasized the importance of quickly identifying reversible causes of unconsciousness. Initial emergency evaluation includes checking blood glucose levels, as severe hypoglycemia can rapidly lead to altered consciousness. Administration of 25% dextrose intravenously may be given in suspected or confirmed hypoglycemia. Further assessment with Arterial Blood Gas Test helps evaluate acid-base status, oxygenation, and metabolic disturbances. A pH of 6.98 indicates severe acidosis, a critical condition associated with significant physiological instability and impaired organ function.

Aggressive fluid resuscitation is often initiated to restore circulation and improve tissue perfusion. However, when blood pressure does not improve adequately despite intravenous fluids, vasopressor support may become necessary to maintain circulation and vital organ perfusion. The discussion highlighted that emergency and critical care management requires continuous monitoring, rapid clinical judgment, and timely intervention to stabilize patients in life-threatening conditions.

#DrAbhishekShukla #AasthaCares #CriticalCare #EmergencyMedicine #ABG #MetabolicAcidosis #Vasopressor #ICUCare #MedicalEducation #PatientCare

[Association of International Doctors. (India). @int_doctors]

Today, Dr. Shaunak Mitra, Urologist from Max Hospital, Saket, visited our center, where he had an insightful discussion with Dr. Abhishek Shukla, Geriatrician, on one of the most common and distressing problems faced by senior citizens — poor urinary stream, hesitancy, and difficulty in initiation of urination. They discussed the challenges seen in elderly patients who continue to have symptoms despite being on medications such as Urimax 0.4, Solofast 8, and Dutasteride 0.5. The discussion focused on understanding when medical therapy is no longer sufficient and what further interventions can help improve quality of life. Various advanced management options including catheter-based management, minimally invasive procedures, prostate surgeries, laser therapies, and individualized treatment approaches for frail elderly patients were discussed in detail. The interaction highlighted the importance of timely urological evaluation and multidisciplinary care in geriatric patients suffering from lower urinary tract symptoms #UrinationProblems #UrineFlow #ProstateHealth #FrequentUrination #UrinaryIssues #SeniorCitizens #Urology #ProstateEnlargement #UTI #BladderHealth #UrineLeakage #Nocturia #HealthTips #GeriatricCare #DrAbhishekShukla #Urologist #MensHealth #HealthyAging #HindiHealthTips #medicaleducation

[Association of International Doctors. (India). @int_doctors]

Today, Dr. Abhishek Shukla discussed critical care procedures commonly performed in unconscious patients and explained why a “hole” may sometimes be created in the neck, a procedure known as Tracheostomy. Tracheostomy is performed to establish a secure airway in patients who are unable to breathe adequately on their own, require prolonged ventilatory support, or have obstruction in the upper airway.

The discussion also focused on the systematic evaluation of an unconscious patient. Determining the cause of unconsciousness requires differentiating between neurological, metabolic, nephrological, infectious, or respiratory causes. Conditions such as stroke, meningitis, uremic encephalopathy, metabolic disturbances, or severe systemic illness may all present with altered consciousness, making comprehensive assessment essential in emergency and critical care settings.

He further emphasized the importance of investigations such as Cerebrospinal Fluid Analysis, blood investigations, imaging, and neurological assessment in identifying the underlying pathology. CSF examination can help diagnose conditions affecting the brain and spinal cord, including infections and inflammatory disorders. Accurate diagnosis, airway management, and multidisciplinary care are crucial for stabilizing critically ill patients and improving outcomes.

#DrAbhishekShukla #AasthaCares #CriticalCare #Tracheostomy #CSFAnalysis #EmergencyMedicine #Neurology #MedicalEducation #PatientCare

[Association of International Doctors. (India). @int_doctors]

Today, Dr. Abhishek Shukla discussed why patients admitted to the Intensive Care Unit (ICU) are often shifted from oral anti-diabetic medications to regular insulin therapy. In critically ill patients, blood sugar levels can fluctuate rapidly due to stress, infection, organ dysfunction, medications, or changes in nutrition, making tighter and more flexible glucose control necessary.

Oral anti-diabetic drugs may not be suitable in ICU settings because many critically ill patients are unable to eat properly, may have impaired kidney or liver function, or may require emergency procedures and ventilatory support. Certain oral medications can also increase the risk of complications such as hypoglycemia, lactic acidosis, or drug accumulation in unstable patients. Regular insulin allows doctors to adjust blood glucose levels more precisely according to the patient’s condition.

The discussion emphasized that maintaining controlled blood sugar levels in critically ill patients is extremely important, as uncontrolled hyperglycemia can worsen infections, delay healing, impair immunity, and increase the risk of complications. Insulin therapy in ICU settings is therefore used as a safer and more effective method for close metabolic management and critical care monitoring.

#DrAbhishekShukla #AasthaCares #ICUCare #InsulinTherapy #DiabetesManagement #CriticalCare #MedicalEducation #PatientCare #HealthcareAwareness

[Association of International Doctors. (India). @int_doctors]

How One Can Stay Healthy and Active in Old Age
Old age is often seen as a phase of decline where the body weakens and life gradually slows down. This perception, though common, is incomplete. Ageing does bring changes, but it does not automatically mean loss of independence, vitality, or purpose. Many people continue to live active, fulfilling lives well into their later years. The difference lies largely in how health is cared for across daily life. Staying healthy in old age is less about extraordinary measures and more about consistent, mindful habits that support both the body and the mind.
One of the most important pillars of healthy ageing is regular movement. Physical activity keeps muscles strong, joints flexible, and balance intact. As people grow older, there is a natural tendency to reduce movement due to fear of pain or falls. Unfortunately, inactivity causes faster muscle loss, stiffness, and weakness, making falls more likely rather than less. Simple activities like walking, stretching, light strength exercises, yoga, or swimming help maintain mobility and confidence. Strength training in particular plays a crucial role in preventing muscle loss, which is one of the leading causes of dependency in later life. The goal is not intense workouts but regular movement that becomes part of daily routine.

Nutrition is another critical factor in healthy ageing. As the body ages, appetite may reduce, but nutritional needs do not. In fact, the requirement for certain nutrients increases. Protein becomes especially important for maintaining muscle strength, immunity, and recovery. Many older adults consume diets that are low in protein without realizing the long term impact. A balanced diet with adequate protein from pulses, dairy, eggs, nuts, seeds, or lean meats supports physical strength. Fruits and vegetables provide essential vitamins and antioxidants that protect against chronic diseases. Whole grains and fiber support digestion and heart health, which are often areas of concern in old age.
Hydration is frequently overlooked. Many elderly people reduce water intake to avoid frequent urination, which increases the risk of dehydration, confusion, constipation, and kidney problems. Drinking small amounts of water regularly throughout the day helps maintain overall body function. Sleep also plays a vital role in ageing well. Poor sleep is common in older adults but should not be accepted as inevitable. Sleep affects memory, mood, pain tolerance, and immunity. Maintaining a regular daily routine, staying active during the day, and getting exposure to natural daylight can improve sleep quality.
Short daytime naps are fine, but excessive sleeping during the day may disrupt nighttime rest. Simple calming routines before bedtime such as reading, light stretching, or listening to music help prepare the mind for sleep. Mental health is equally important and often neglected. Cognitive activity keeps the brain engaged and resilient. Reading, solving puzzles, learning new skills, or even engaging in meaningful conversations stimulate the mind and help slow cognitive decline. Social interaction itself is a powerful mental exercise.

Loneliness, on the other hand, has a serious impact on both mental and physical health. Older adults who remain socially connected tend to have better emotional well being and lower risk of depression. Family interactions, community involvement, and friendships give a sense of belonging and purpose that is deeply protective. Mental health concerns such as persistent sadness, anxiety, or withdrawal should not be dismissed as a normal part of ageing. Emotional support and professional care can significantly improve quality of life at any age.
Preventive healthcare is another key component of staying healthy in old age. Regular health checkups allow early detection of conditions like high blood pressure, diabetes, vision or hearing problems, and memory changes. mental engagement, social connection,

[Association of International Doctors. (India). @int_doctors]

Today, I has an opportunity to represent the Indian Medical Association in a high-level meeting regarding the implementation of the proposed ICU/HDU guidelines for Level 1, 2 & 3 ICUs in Uttar Pradesh. The meeting was presided over by Additional Chief Secretary Mr. Amit Ghosh IAS, and attended by senior officials from the Health Directorate, leading medical institutions SGPGI, RML, and representatives from major hospitals. The discussions focused extensively on practical implementation of ICU norms, balancing quality and patient safety with accessibility and affordability of critical care services.

A major emphasis during the deliberations was that the new ICU norms should not become excessively stringent in a manner that affects the functioning of small and cost-effective ICUs, especially in Tier-2 and Tier-3 regions where such centres form the backbone of emergency and critical care delivery. Important discussions also took place regarding inclusion and recognition of specialities such as MD/DNB Geriatric Medicine and MD/DNB Family Medicine within the evolving ICU care framework, acknowledging the growing need for critical care services in India. The meeting was highly constructive and is expected to contribute significantly toward formulation of balanced, practical, and patient-centric ICU guidelines for the state.

[Association of International Doctors. (India). @int_doctors]

Today, Dr. Abhishek Shukla was in conversation with Dr. Himanshu Gupta (MBBS, MD, DM Cardiology, FESC, FSCAI, FAPSIC, FICC) from Medanta Heart Institute regarding Heart Attack and its early warning signs. They discussed that symptoms such as severe chest pain or heaviness, sweating, breathlessness, pain radiating to the left arm or jaw, dizziness, and sudden uneasiness should never be ignored, especially in high-risk individuals.

The discussion emphasized that in situations where an immediate Electrocardiogram is not available, early clinical recognition of symptoms becomes extremely important. Identifying warning signs quickly and seeking urgent medical attention can significantly improve outcomes, as delay in treatment may lead to severe damage to the heart muscle.

They also discussed the importance of early first-aid measures in suspected cardiac emergencies. Medicines such as Aspirin, Disprin, or Sorbitrate may be used in appropriate situations under medical guidance to help reduce cardiac strain and improve blood flow. However, prompt medical evaluation and hospital care remain essential in all suspected heart attack cases.

#DrAbhishekShukla #AasthaCares #DrHimanshuGupta #HeartAttack #Cardiology #ECG #Aspirin #Sorbitrate #HeartHealth #MedicalEducation #EmergencyCare

[Association of International Doctors. (India). @int_doctors]

Today, Dr. Abhishek Shukla along with Dr. Nirupama Jaiswal addressed another important concern related to erectile dysfunction (ED): whether taking medicines like Viagra once can make a person dependent on them for life. They clarified that the medication itself does not create dependency, but using it without medical consultation can lead to complications, particularly for individuals who may already have cardiovascular or other underlying health conditions.

Dr. Jaiswal emphasized that medicines used for ED should always be taken under medical supervision, as the dosage and suitability vary from person to person. Taking such drugs casually or based on advice from non-medical sources can be unsafe and may interact with other medicines a person might already be taking.

The discussion also highlighted that managing ED requires a balanced and responsible approach. Proper medical guidance, understanding the underlying cause, and maintaining realistic expectations about treatment are essential. When patients seek professional advice instead of self-medicating, it allows doctors to ensure that treatment is both safe and effective while also addressing any broader health concerns.

#DrAbhishekShukla #AasthaCares #MensHealth #SexualHealth #ErectileDysfunction #SafeMedication #ConsultYourDoctor #HealthAwareness #MedicalEducation

[Association of International Doctors. (India). @int_doctors]

Today, Dr. Abhishek Shukla discussed about a common challenge in geriatric care, why elderly patients may resist advice even when it is beneficial for them. Many older individuals develop a fixed pattern of thinking and habits over time, making it difficult for them to accept changes in routine, diet, medication, or lifestyle.

Resistance is not intentional but often comes from fear of change, past experiences, or a sense of loss of control. Simply instructing or forcing compliance may not work and can even create resistance or emotional distress. Instead, understanding their perspective and approaching them with patience is essential.

The conversation highlighted the importance of communication and trust-building. Explaining the reasons behind advice in a simple and respectful manner, involving them in decision-making, and reassuring them that it is for their well-being can help improve acceptance. A compassionate and patient-centered approach is key to ensuring better cooperation and overall care in elderly patients.

#DrAbhishekShukla #AasthaCares #GeriatricCare #ElderlyCare #PatientCommunication #HealthcareEducation #CompassionInCare #HealthyAging