We’ve added a new section in our blog called HealthBase; where we will be featuring some of the best Health Articles from all around the web. Have a look at the HealthBase Page on the blog.
Think about this situation, This is Monday morning; you’re not feeling well today. You want to visit a Doctor, but you know the city where you live in will take your 2-3 hours even to reach a Doctor and then wait for the appointment with the Doctor. And, typically the Doctor is going to charge you smoothly between 500-1000+ bucks for that 10 minute appointment. This happens, and we all are very familiar with such moments…
Let’s talk about technology now. Look around, there are thousands of signals, hundred of people are online on their mobile phone, the web is changing everything, it is no more just to browse the stuff, the web is a platform now, it is more of a collaboration, a platform. I’m sure most of you are aware & seeing all the changes in the daily-life technology. Yes, the whole planet is going through the Credit-Crunch, but technology is something which keeps innovating, no matter whatever happens. Tech companies might be in crisis, but “technology” is always going-up… Anyways, that was off the track talk related to current Credit-Crunch, which I’m seeing people are relating to everything, which is actually not related to all the things, just like technology! So I was saying, technology is anywhere & everywhere. And, typically our medium of interface with technology is mostly either a computer of a mobile device.
We at HealthcareMagic have already invaded the web by brining healthcare to you in simplest possible way, where you can directly get online with our Doctors and ask your health queries via simple Live Chat. Here comes a question, not everyone is having access to internet. So how to reach more people who are looking for relevant information about their health. To take this mainstream, going mobile was the thing on our mind. Have a look, everyone is carrying a cell phone these days from teenager to your grand-mama!
Why not put the that same concept to mobile. Nope, I’m not talking about mobile browsing & stuff… HealthcareMagic is fully browsable in mobile devices from S40 to iPhone to Andriod based devices. We took the classical approach to go mobile… and I’m glad to inform you all that we’ve recently tied-up with India’s second largest mobile service provider mobile service provider Reliance Communication to bring Healthcare on your fingertips, which is first of it’s kind in India. The whole thing is like, you’ll just have to dial a number and you’ll be directly online with a Doctor… exactly as our Live Chat, but on the mobile!
Here’s some news & related links…
-Shekhar // Team HealthcareMagic
Medical Blog-O-Sphere.
With the US of A’s attention riveted on Wall Street, government bailouts, and housing foreclosures, another issue of prime concern to Americans in this election year has been shoved out of the spotlight: the candidate’s positions on healthcare reforms. Both of them is with their own blogs on the healthcare reforms. And here in India, the new Super power (American Senate approved the Indo- US Nuclear deal without the killer amendment) PUBLIC SMOKING is banned. Wherever, whoever and whenever they blog, HEALTH MATTERS.
I am a part time blogger (successfully completed two blogs, ONLINE MEDICAL CONSULTATION – A Doc’s Perspective and DOCTORING SANS ‘STETHE’SCOPE. Have you read and commented on them and if not please do that now) and my blogs are more on the Healthcare and the Consumerism.
Interestingly I heard about the History of Blogs: A blog (contraction from Weblog) is a website where entries are commonly displayed in reverse chronological order. The history of blogs is closely connected with the history of the Internet itself. One of the world’s first websites was started in 1992 by Tim Berners-Lee, the inventor of the World Wide Web, and featured a news section pointing to new websites as they came online. This website can be considered the earliest predecessor of modern blogs. Most of the people who were creating websites at that time were computer experts using them as their online diaries to write about their personal lives. The actual term “Web log” was coined in 1997 and shortened to “blog” in 1999. It was not until 1999 that blogging started to become popular among a broader population of Internet users, coinciding with the launch of Live Journal and Blogger, the first dedicated blog hosting services.
Tuning into the healthy and wealthy facts on the most common topic on our chats at www.healthcaremagic.com WEIGHT LOSS. There are numerous diets that physicians and dieticians advice you on. According to a latest journal of Preventive Medicine “Whatever is the diet one follows, Food diary is the most important, it is likely to double the wt loss. When it is rightly maintained at each exchange it can produce faster results and soon you start to feel better and thereon yours lovingly shall notice a difference in your figure. The most followed and the most researched diet’s are THE LOW FAT DIET of American Heart Association, MEDITERRANEAN diet for DIABETICS and the most sticking THE LOW CARB DIET by Atkins. Now what are you waiting for, Start blogging in your Food Diary and knock the door of your local Dietician for the above diets.
Zzzzzz….. Wait, wait folks. Last thing is Regular choice of exercise is very important. In the end Weight gain or Weight loss is all about energy balance, the more is the energy consumption the more weight you are likely to shed. Never skip meal during any part of the day, it adds the weight.
Next time when I see you here, hope you would be feeling healthier and better.
Doesn’t this title tickle your brains? Yes it is true this is happening at our portal www.healthcaremagic.com, we actually tinkle with our think pads. Do you know we assisted more than 20,000 people for their medical problems over this application for the past eight months, Are you awestruck? Close all other windows and read my little blog. I wish I don’t piddle away anyone’s time.
On an August evening, doing the data analysis, I was pondering over the huge response over the past eight months; many reasons struck and went. I could derive one of the big reasons.
Do you know the feedback response by the individuals who utilized our service? That is a million great. We had 90% of the people giving ‘Excellent’ and ‘Very Good’ feedbacks. It would be surprising to hear that more than 50% of people had experienced repeatedly. Now what is so magical in it? Why the people are expressing their sheer pleasure and are convinced with the service we give. Most of you who experienced it know the million dollar answer. Now as we grow this way we reach the zenith.
I expect fellow doctors to read this. We don’t have a magical wand or tie amulets to the patients here. We think big in patient’s perspective. I swear to personally feel so.
Good communication between patients and clinicians is of critical importance, but the quality of this exchange is frequently poor. Strong patient-clinician communication and relationships are associated with better health outcomes, reduced medical costs, and a decreased patient visits to the doctor. Despite these benefits, most primary care encounters lack at least one element of quality communication. We bridge it here- Doctors at HEALTHCAREMAGIC. (No intentions to belittle anyone)
One of the main reasons cited by clinicians for poor communication and relationship building with patients is a lack of time. However, there is evidence that longer visits do not necessarily improve communication. A current study examines elements of good patient-clinician communication, focusing particular attention to methods that can be incorporated into brief patient visits. Understanding patients’ perspectives on their illnesses, such as beliefs about cause, treatment approaches, quality-of-life priorities, and the side effects of treatment, will help providers create plans that are more likely to fit patients’ situations and preferences. We incorporated this in our training module. We give ample time to listen to them, explain them about the disease process, and customize the cause of their illness, reduce patient anxiety, identify knowledge gaps, and improve adherence and outcomes.
A recent article says there are 7 components considered to be fundamental to all encounters between clinician and patient:
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Build the relationship
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Open the discussion
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Gather information
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Understand the patient’s perspective
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Share information
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Reach agreement on problems and plans
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Provide closure
These components focus on the caring and trust required in relationships between clinicians and patients, so that ideas and decision-making can be shared when developing the visit agenda, and discussing the nature and meaning of disease, illness, and treatment options.
I strongly emphasize on 4 domains of quality and efficient patient-clinician communication and relationship building. They are rapport building, mindful practice, topic tracking, and the acknowledgment of social or emotional cues with empathy.
We should accept the fact that strong patient-clinician communication and relationships are associated with better health outcomes, reduced medical costs, and a decreased risk for malpractice claims.
Last and important to the healthcare professionals and officials, we are trying to accomplish an important health policy. ‘We try to put each and every egg in a preventive basket’.
Now it is for you my dear bloggers and visitors to ponder and suggest your opinions…
It is not unusual for people to complain of headache due to high levels of stress in day to day life. Headache is defined as pain in the head that is located above the eyes or the ears, behind the head (occipital), or in the back of the upper neck.
What causes headaches?
There are two types of headaches: primary headaches and secondary headaches. Primary headaches are the ones without a known cause like migraine headaches, tension headaches, and cluster headaches. Secondary headaches are the ones which are associated with a disease which could be minor or serious and life threatening.
We will focus our attention on the migraine headache which is quiet common these days. Migraine is a condition characterized by sudden bouts of throbbing headache often on one side of the head. Migraine is a neurological disorder, which is mostly confused with headache by people who don’t have correct knowledge about it. Headache can be cured very easily by some mild dose of drug but migraine patients need special care and treatment.
How common is Migraine?
Migraine headaches are the second most common type of primary headache. Migraine headaches affect children as well as adults. Before puberty, boys and girls are affected equally by migraine headaches, but after puberty, more women than men are affected. An estimated 6% of men and up to 18% of women will experience a migraine headache. World over migraine headache many a times goes often go undiagnosed or are misdiagnosed as tension or sinus headaches. As a result, many migraine sufferers do not receive effective treatment.
What causes Migraine?
Migraine headache is thought to be due to disturbances in blood supply to the brain. The exact cause of migraine has not been clearly defined.
In general, causes of migraine can be due to:
Exposure to smoke: Smoking or exposure to cigarette smoke is one of the major causes. According to a research, more than 50% of people who gave up smoking became migraine-free.
High stress: High stress periods, and then sudden rest can cause disturbances in the Central nervous system and can cause attacks of headache when resting. Too much sleep after high stress should be avoided to avoid these attacks.
Hormonal fluctuations: This can also be regarded as stress, which is caused by over excitement. During excitement, a high level of adrenaline is secreted and due to this, stress is experienced, and this triggers attacks of headache.
Irregular sleep: Too much or too little sleep is risky to cause migraine attacks. Long weekend sleeps are pleasant while sleeping, but after the sleep ends, the attacks may start. Regular routine of sleep have to be maintained.
Food habits: There are a lot of food habits that may not suit your body and cause many symptoms ultimately leading to migraine attacks. So a regular balanced diet should be maintained.
Toxins: Migraines can also be caused by exposure to toxic chemicals like alcohol, lead, arsenic, and carbon monoxide.
What are the symptoms?
Migraine can last from a few hours to a week time. The frequency with which headaches occur varies from person to person. It could be several times a month or just once or twice a year.
There are 4 phases in Classical Migraine -
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Prodrome - This occurs before the actual migraine begins. The person may feel fatigued, irritable, have decreased concentration or experience depression. This stage will develop about 24 hours prior to the aura stage.
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Aura - It is a kind of disturbance seen in migraine sufferers before the migraine headache. There could be sparkling flashes of light; dazzling zigzag lines or slowly spreading blind spots in the field of vision, tingling, pins and needles sensations in one arm or leg and rarely, weakness or language and speech problems.
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Pain - Headache phase where the actual migraine headache is seen. Moderate to severe pain, which may be confined to one side of the head or may affect both sides, Head pain with a pulsating or throbbing quality, Pain that worsens with exercise, Nausea with or without vomiting and avoidance of bright light and loud noises are seen.
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Postdrome phase - This is the final phase of migraine headache it is characterized by exhaustion and fatigue.
The classic migraine may occur on one or both sides of the head. There are other types of migraines are which involves muscle weakness or partial paralysis lasting less than an hour; temporary eye inconveniences, such as droopy eyelid and pupillary changes, lasting from several days to weeks; spasm lasting for about six to eight hours; and severe migraine attack, lasting longer than 24 hours.
What is the treatment?
General
This consists of the treatment of any identified underlying cause or disease.
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The application of cold or heat compresses is done to relieve symptoms.
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Elimination of food or environmental allergens to prevent headaches caused by these factors.
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Counseling and psychological treatment may also be required.
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Stress management and biofeedback will also be helpful.
Drug therapy in Migraine
Analgesics are used to relieve the pain, ergot preparations are also effective. Sumatriptan is used for acute attacks of migraine. Beta blockers may also be helpful. In cluster headaches, prevention with drugs such as Valproic Acid, Verapamil, or Lithium Carbonate is more effective than the use of drugs during acute attacks.
How do I prevent Migraine?
The prevention of a migraine attack is by trying to identify any precipitating factor and avoiding the same.
Cure by diet:
It is found that following certain migraine diets can reduce or eliminate the risks of migraine attacks.
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Eating whole and natural foods and reducing the intake of processed or cooked foods.
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Avoiding and restricting caffeine, red wine, dairy foods, nut products, chocolate and processed meat as they contain chemical addictives which may trigger migraine attacks.
Change in lifestyle:
It is almost impossible to change the lifestyle, but you may try to get adjusted to the better side of life.
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Stress: Stress should be avoided. Maintaining a daily planner and reducing workload is helpful. Yoga and meditation help in relieving stress and thus prevents triggering an attack. The use of counseling and psychotherapy is beneficial in highly stressed, nervous and emotional individuals.
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Addictions: Alcohol and smoking should be avoided.
Lessen salt intake:
Higher salt intake can cause higher blood pressure, which could trigger a migraine attack. So, the salt intake should be in control, which leads to lessen the risk of migraine.
It is August, and has been pouring down heavily in the Bangalore these days, and now the gamut of focus is the seasonal epidemics and the number of people getting admitted in hospitals. We just past the World Malaria Day and now there is a reason to discuss about the increasing number of jaundice cases. These days there is an increase in number of people in Bangalore, most commonly the poor, living in urban slums and densely populated areas wherein they lack hygienic facilities to live in and hardly any access to safe drinking. Adding to the bolt is the rain and water logging. The lack of awareness about the sanitation, extra personal hygiene and the preventive measures to be adopted by the state are worth mentioning. Strictly speaking these helps in spread of very common microorganisms causing dysentery, viral fevers, malaria and Jaundice. Elaborating the symptom of the yellowish discoloration of conjunctiva, Skin and Urine, the principle infective causes of the jaundice are Hepatitis group of Viruses. Of which Hepatitis A is most important during this season.
Today we would like to focus on hepatitis A virus infection. Hepatitis A is infection of the liver that is caused by an RNA virus, which is transmitted by ingestion of infected food and water contaminated with hepatitis A virus. It has a shorter incubation and generally milder symptoms than hepatitis B and C types. Hepatitis A was previously known as infectious hepatitis because it spread relatively easily from those infected to close household contacts. Fortunately once the infection ends, there is no lasting, chronic phase of illness. However it is not uncommon to have a second episode of symptoms about a month after the first, which is called a relapse, but it is not clear that the virus persists when symptoms recur. Hence post illness the one affected should be very careful with his diet and personal hygiene.
Causes:
The hepatitis A virus infection can be transmitted to a normal person from a single infected case such as infected relative or sex partner. The outbreaks of hepatitis A usually are linked with the eating of contaminated food at a restaurant. If the food handlers in the restaurant are infected with this virus they can start widespread epidemic. Most common food carriers are shellfish such as clams and oysters are the common culprits.
Alternately epidemics may develop when food or drinking water is contaminated by the feces of an infected person .This usually occurs during rainy season when source of drinking water like rivers or lakes is contaminated with sewage water, which when consumed by the people will lead to hepatitis A infection.
Whom it affects:
Certain high risk groups such as troops living under crowded conditions at military camps or in the field, anyone living in heavily populated and squalid conditions like in urban slums, children at day care centers, homosexual men are increasingly at risk of HAV infection from oral-anal sexual contact and in travelers visiting an area where hepatitis A is common are at risk of becoming ill. It is more commonly seen in children
Symptoms:
It usually presents as flu-like illness or no symptoms at all in case of children but in case of adults they are far likely to have more severe symptoms.
Persons with hepatitis A may not have signs or symptoms of the disease and older persons are more likely to have symptoms than children. If present, symptoms are non-specific and usually include fever, tiredness, loss of appetite, nausea, abdominal discomfort, dark urine, and jaundice (yellowing of the skin and eyes).
Severity and duration:
The hepatitis A virus infection can infect dozens and even hundreds or sometimes very rarely thousands of persons. It varies in severity, there might be fever on an acute course, generally starting within two to six weeks after contact with the virus, and lasting no longer than two or three months. Symptoms usually last less than two months, but some persons can be ill for as long as six months.
Diagnosis:
Hepatitis A symptoms often go unrecognized because they are not specific to hepatitis A(all virus symptoms present with the same symptoms), thus a blood test (IgM anti-hepatitis A virus) helps the doctor to diagnose Hepatitis A virus infection after a thorough physical examination.
Treatment:
No specific treatment is available for hepatitis A. treatment is usually symptomatic like taking adequate rest and drinks a lot of fluids, eat well as well. The medications are also given to boost the body’s immune system fights the hepatitis A virus infection. Most important thing for patient with hepatitis A infection is to make sure he consults a physician before taking any medication.
How long the symptoms last?
Viral hepatitis symptoms usually last three weeks to two months, but some affects like body pains, fatigue may last up to six months. Most patients with hepatitis A get better naturally without liver problems later in life. However, some of them do develop subsequent liver problems. Chronic or relapsing infection does not occur with hepatitis A.
Diet:
One must ensure that the patient has a well-balanced diet. Soft, easily digested foods are more appealing in the day. Avoid eating fatty foods because the body has difficulty digesting fat when the liver is not working well. The adequate protein intake is important to regenerate liver cells after the jaundice subsides.
Prevention:
Practicing good hygiene, including washing your hands often , is one of the best ways to protect against hepatitis A. Travelers should avoid water and ice if unsure of their purity, or they can boil water for one minute before drinking it. Short-term protection against hepatitis A is available from immune globulin, a preparation of antibodies that can be given before exposure for short-term protection against hepatitis A and for persons who have already been exposed to hepatitis A virus within two weeks of suspected contact. Immune globulin provides short-term protection for up to three months, while a hepatitis vaccine may protect you for up to 20 years.
Chat, Chat, Chat!!! There shouts the snake charmer while I begin to write my first blog ever. Breakzzzzzzzzz…. (Nevertheless I took the chat). I seriously don’t know the dictionary meaning of it and sit here to write it. Funny isn’t it?
Online medical Consultation refers to the practice whereby the portal makes live doctors available in chat rooms to answer questions put by the patient, give second opinions, provide information to already known diagnosis and pose tentative diagnoses to common symptoms. Remember dude it is never a replacement to the physical consultation with a doctor. This is what we are doing here at HealthcareMagic.
Reasons for patients using the Online Chat Consultation:
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Time: Most of patients feel that they do not get enough time with their doctors, and may have numerous questions left unanswered after a consultation.
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Second Opinions: Few people are still under an impression that the doctor’s are getting the unnecessary and irrelevant investigations done for the symptoms they present with. The treatments that are instituted are complicated too. To take a second opinion of the same.
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Convenience: The practical difficulty of traveling to the doctor’s office can be an issue for some.
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Embarrassment: Limitations of social stigma. It is easier to discuss the details of embarrassing medical conditions, or to discuss their own personal issues in counseling, when doing so online.
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Money: The Consultation of specialist for underprivileged is still a costly affair.
Practical Limitations
This practice has its own limitations that make it no substitute for in-person face-to-face medical advice from the doctor. Some of the reasons that online medical advice may not have the same level of quality as a face-to-face consultation may include:
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Lack of visual feedback: the doctor makes numerous assessments about your general appearance, general demeanor, and other physical characteristics.
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Lack of physical examination: Performing a physical examination of a patient
However, these limitations should not deter people to consult with us online to get first line advice. It is at least better than taking leave from work, getting stuck up in traffic jam to reach the hospital, have difficulty in finding a parking space and then standing in the queue with other sick patients, just to know whether your condition is normal sickness or you need to undergo some major treatment.
How it helps a Common Man (most of our users):
Pay attention here readers; The greatest danger in self-treatment may be self-diagnosis. I am sure most of you be sticking out the tongue reading this [:p]. If you do not know what you really have, you cannot treat it! That is an unarguable fact. Knowing how difficult it is to weed out misinformation and piece together countless facts in order to see the "big picture", we now provide simple online access to all the people and our doctors will answer them with the healthiest facts and this makes them take well informed decisions.
Patient Education: This is the gamut of focus I would say for the patient. No patient should be confused with the specialty he should head towards in case of an illness. No patient should be embarrassed with the disease he has and lack of knowledge about the disease. This model helps in recognizing his role in treating and preventing it.
Prevention Program: We emphasize of Prevention strategies for various age groups and mostly for the Lifestyle disease which take the major toll by 2020.
Disease Management: Most of the diseases like Diabetes, Hypertension and Metabolic syndrome need multi team management. Like the Diabetes needs the consultations from Doctor (Endocrinology, Ophthalmology, Nephrology) Dietician, Podiatrist, Physical Therapist, Counselor. The doctor at live chat consultation shall be the driver to who puts the patient across to all these experts.
Let me sign off with these lines before it becomes an actual essay which I used to do it in yesteryears. Can I become a blogger, hope so sometime
…Does it sound cool to be a physician blogger? Yea, you bet… it is awesome!!
A few days ago, there was a front page article in Times of India about the compulsary rural posting for the doctors who complete their MBBS. The number of people who opt for Medicine after their 10+2 is already going down. This compulsory posting sounds like a nail in the coffin.
15 years ago, the ratio of students in Mathematics and Biology was almost 1:1 . Now this number has got skewed to 10:3 . What has happened in the last 15 Years ? Students feel that engineering is a better career option - 4 years of study, then a cushy software job, open sky for further studies, MS in the USA or doing an MBA in India. What happens to doctors ? 5.5 years to finish the MBBS. Then you are like an apprentice so another 3 years for the PG degree (MD / MS) . Getting a PG seat is one of the toughest exams - 1 doctor out of the 20 who appear gets a PG seat !! Then guess what - it’s just the beginning and your practice will not flourish - so another super specialization (DM in Cardio, Neonatology etc) in another 3 years. Selection ratio is even tougher - may be 1 out of 10 MDs get a super specialization seat. Then what - they get a job in a corporate hospital at a salary of 60-80,000 per month. Is it worth it ? The best brains, spent 12-15 years studying and then starting at a point which is even less paying than what a boy gets fresh out of engineering college !!!
And now this Rural stint - who will want to become a Doctor now. May be, only those who have cherished a dream of treating people from childhood (very few) or those who know that they cannot study mathematics. Government and Medical Council of India should start thinking about this. Specially with the quota system, will the ministers who vouch for the quotas get themselves operated by a surgeon who got a quota seat ?
These ministers talk about rural stint - do they even realize that where the doctors will stay in the village ? There’s no door or window anymore in any of the rural primary health centers. There’s no door with a proper lock !! And they talk about lady doctors also staying in the village where there’s no closed room for them ? No sanitation facility. Does government have budget to create even 2 room small houses in the villages for the doctors to stay ? This is all an eye wash. There are government doctors who get salary to serve the villages. They want to do their private practice and still get salary from government for their jobs. Now, when the rural area is hit, to divert the attention, MBBS students are being made the escape goat. There’s no problem with a rural posting if the facilities are there. If the returns are lucrative enough after 12 years of slogging and studying, anyone will go through this posting happily. Why can’t the government take the existing government doctors to task.
Anyways, this is just a concern from a fellow doctor. Avenues like HealthcareMagic are trying to bridge the gap between the corporate world and the doctor’s world. I will be happy to see HealthcareMagic recruiting doctors from Medical College campuses. I wish that one day I feel good about the decision that I took after my high school to join Medicine and serve the people.
6 months since launch, more than 500000 visits on our portal which we build for you and over 15000+ patients/user chatted with our Doctors online. We are now very much confident about the market opportunity and all geared up to take HealthcareMagic.com to next stage.
To assist us with our endeavor, we are looking to bring on board a Technical Architect, who would be responsible for core technical development at HealthcareMagic and much more. The position is going to be very challenging, filled with responsibilities and scope for innovation.
If you are interested in getting involved with a fun filled start-up environment, and benefit from working with start-up through stock options please do get in touch with us. Do forward this to your friends who could be interest in this opportunity. Here are the details…
Company: RxHCM // www.HealthcareMagic.com
Industry: Health 2.0 / Web 2.0 / Media 2.0 / Connected Healthcare / SaaS
Position: Technical Architect
Contact: Send your CV to Shekhar@HealthcareMagic.comLocation: Bangalore
Job Profile: A Web 2.0 ninja with xcellent command over Web 2.0 Technologies e.g. J2EE, JSP, HTML, CSS, PHP, AJAX, JAVAScript, MySQL… Knowledge of new platforms like Google WebToolkit, OpenSocial, Facebook Platform is an advantage.What We’re Looking For: We’re looking for expertise, not for experience. Even if you’re a school kid with highly skilled in coding & design… We‘d love to hear from you… (don’t worry, we will make sure that you don’t miss your school!!)…
In other words, Mainly… We’re looking for a Web 2.0 geek, definitely a geek of very high order with excellent exposure in current web technologies, someone with that "out of box thinking" & that "entrepreneurial bug"… someone who is passionate that Health 2.0 is the next big thing, someone who wants wear multiple hats & someone who wish to be part of which is never been done in India. Passion to work in a start-up, doing something new everyday….



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