Survey500 Doctors (Multiple Specialty)OnlineDoctors RepublicNational RepresentationStrategic FocusPresenting a case to assess thegeneral perception, understand themethodology of treating adisease, importance of invasivetesting and its availability.
Why Multiple Specialty of Doctors ? Anesthetist Pediatrician Cardiac Surgeon Pulmonologist Family Physician Surgeon Holistic View from experience of multiple specialty doctors. Close quarters with Patients with pulmonary diseases. Professionally developed identity on Pulmonary Disease Management & Advice.
Case Study A 48-years old non-smoker male patient presented with cough and breathlessness since 6 weeks. His baseline test were normal. He didnt respond to a week course of antibiotics. He was thereafter put on Empirical Anti-tubercular Therapy. Even after 3 months of ATT, with no or little improvement in his condition, he developed Pleural Effusion.
A Diagnostic Thoracoscopy wasplanned.Biopsy revealed MetastaticAdenocarcinoma of lung.He was thereafter put onchemotherapy.
Have you ever come across such a case ?100%80%60%40% 76%20% 24% 0% No Yes Only 24% of the Doctors have ever come across such a case.
Have you ever given empirical ATT (anti- tubercular treatment) without histological/microbiological evidence ? 93% 83% 73% 63% 53% 43% No Yes 53% of the Doctors has given empirical ATT without histological/microbiological evidence.
Do you feel the need for early invasive testing before starting ATT ?70%60%50%40%30% 67%20% 33%10%0% No Yes 67% of the Doctors prefer early invasive testing before starting ATT.
Is the high percentage of advanced lung cancer in our country can be attributed to the use of empirical ATT use ? 54% 52% 50% 48% 53% 46% 44% 47% 42% No Yes Only 53% not feel that high percentage of advanced lung cancer is attributed to use of ATT in patients.
Is it cost effective to use invasive testingfor tuberculosis in a region like our which is almost endemic for tuberculosis ? 70% 60% 50% 40% 30% 67% 20% 33% 10% 0% No Yes Over 67% of the Doctors feel invasive testing is not cost effective in our country as TB is in endemic proportions.
Do you have a competent surgeonaround you who is capable to do such advanced procedure like this ?60%50%40%30% 57%20% 43%10% 0% No Yes Only 43% of the Doctors feel there is a trained and competent surgeon in their vicinity.
Are you willing to subject your patient toinvasive testing, probably requiring general anesthesia for confirming tuberculosis ? 60% 50% 40% 30% 57% 20% 43% 10% 0% No Yes Only 57% of the Doctors are willing to subject patient invasive testing for confirming TB.
SUMMARY53% of the Doctors has given empirical ATT withouthistological/microbiological evidence.Over 80% of the Doctors feel early diagnostic thoracoscopycan make a difference in pulmonary cases.Over 67% of the Doctors feel invasive testing is not costeffective in our country as TB is in endemic proportions.Only 43% of the Doctors feel there are trained and competentsurgeons in their vicinity.100% of the Doctors believe that empirical ATT in primaryreason of emergence of MDR.Doctors believe & stand United ( 100%) in the belief that more scientificworkshops, conferences, newer adoption of scientific technology is required tostrengthen the chest physician and thoracic surgeon community.
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