இந்த நாடும் நாட்டு மக்களும் நாசமாய் போகட்டும் !

என் தமிழ்நாடே ! உன் மனம் நிம்மதி அடைந்ததோ !
எஞ்சி இருந்த மானமும் மண்ணாகி போனதே !
நடை பிணமாய் வாழ்ந்தென்ன ! மனங்கேட்டவர்களே !
ஐம்பதுக்கும் ஐந்னுருக்கும் இனத்தை அடமானம் வைத்தீர்களே !
பிரபாகரன் என்ன அவனது குடும்பத்தை வளர்த்தானா?
உன் இனத்துக்கும் மனிதாபிமானத்துக்கும போராடி பொறுமை காத்தான்!
மண்ணுக்கும் பொன்னுக்கும் போராடவில்லை !
உன் இன பெண்களுக்காக போராடினான்!
உன்னிடம் உயிர் பிச்சை கேட்டனா ?
தமிழினத்தின் மறு பிழைப்புக்கு பிச்சை கேட்டான் !
மாற்ற நாடுகள் உதவிட முன்வந்ததே ! நீ எங்கே சென்றாய் !
ஓ ! உனக்கு தான் உன் குடும்பத்தை கவனிக்க வேண்டுமே !
ராஜீவ் என்ற ஒரு உயிருக்கு பல ஆயிரம் உயிர்களா?
மானமுள்ள தமிழனே உயிர் உனதல்ல முன்னவர்கள் இல்லையேல்!
நன்றி கெட்ட மனிதா! நாட்டை அயல்நாட்டவனுக்கு அடமானம் வைத்தாயே!
காட்டி கொடுக்கும் கயவனை கையமர்த்தினாயே!
உயிர் கொடுத்த தமிழ் தாயை தத்து கொடுத்து, கொன்றாயே!
உனக்கும் சாவு மணி அடிக்கிறது, அறிவிலியே !
அயர்ந்து தூங்குகிராயோ! அழிந்து போனது உன் சந்ததி!
அழிவு நடக்கட்டும்! மானமுள்ளவர்கள் மரிக்கட்டும் !
இந்த நாடும் நாட்டு மக்களும் நாசமாய் போகட்டும் !
நீ உன் வேலையை பார் ! உனக்கு எதற்கு அயல் நாட்டு பிரச்சனை எல்லாம் !!

VOTE for MONEY-India - The way to darkness

Dear all Indians who are all vote for money you better to do suicide, sorry you have already made to suicide your country. In democracy the only right you have is voting, which should not be sold. But we the beautiful beggars for Rs.50 and Rs.500 we lost our basic rights. Which simply implies Indians can sell the country for few hundred rupees. All the age old Politicians and young politicians, there is no difference in attitude. Simply every fuckers want to be the third right fellow in winning the election.
MONEY:-
Some of you may got the money and vote for the candidate of your wish. some of you got the money and gave it your worker. Out of thousands of crores they earned by briefs, the crores they spend in election is nothing but a fish bone for what you voted. At present fish bone is in your mouth and there is a time for you get struck in throat. We the street dogs never going to get a home to stay, what ever would be the party we will be street dogs hunt for bones. Dear colleagues if you serve for people please stop serving this ugly/arrogant/atrocious people of India. Dear foreigners please stop funding, any way your fund is going to be used maliciously.
TAMILIANS:-
Pakistanish hit mumbai, daily bombing kashmir which is a day today activity. You can not control over your enemy but you are supporting srilankan government by providing weapons, training and force to kill your natives.You people want revenge for your family problems, why not the natives?(Losing an option is not losing the game)
Rajiv's death can not be looked backward.He sent the army, they did commision and omission.For his crime and negligence of controlling his army he was in trouble.
Every politician in tamilnadu started talking about srilankan tamilians only near to election, but we the idiotic bull shit every day waiting for some good news. But every day our natives lost their nativity, identity and our country lost the humanity.

The day "we tamilians committed suicide in srilanka not because we afraid about RAJAPAKSHE simply because the tamilian fuckers who voted for Rs.50 and Rs.500"

We all the people killed thousands of tamilians simply for our selfishness. Not even a pakistani is going to forgive you.

PEP in practice

• PEP in practice
  28 year old lab technical got needle prick injury during sample collection attended for PEP in a teaching institution advised AZT+3TC+EFV, after the second day that client experienced confusion, abdominal pain, vomiting. Symptomatic management and counseling given by ART medical officer and advised to change regimen if the symptoms persist. But by day 12 DNA PCR done with negative PCR report PEP stopped.
  Is it wise to do like that?
  -NO!!
  -Change regime AZT to STV
  -Take EFV in empty stomach or in divided doses
  -At least ask to continue STV+LMV for 28 days
  
  Reasons:-
  · Any investigation can give false positive and false negative results-Not only PCR
  · Most of the reported studies with PCR and PEP not from our country, not from this virus subtype.
  · Even with PEP failure case slow progression was reported
  · Even with PEP failure case latency will be reduced which may be important in future if cure is available
  · Even with PEP failure case low viral load during window period might reduce transmission in case of unprotected sexual intercourse.
  · Too short duration of therapy might result in resistance to the future first line regime.


• My experiances with PEP

PEP for 2days, 7days, 14days and 6months(none of the guidelines about PEP in this world is supporing this commision of negligence).

Nevirapine as a PEP regime by OG post graduates(May get SJS).

PEP after 5 days of needle prick(More prone for resistant strain.

எவனா இருந்த என்ன எல்லாருக்கும் இந்த நெலம வருண்டா பிச்சகார பயலுகளா!!

35 yr old PLHA who is a politician referred to an ART centre who is on ART in that centre, from private after a long delay (several days) in unconscious condition last 4 days with h/o fever, head ache, vomiting for last 15 days, patient is on ART and ATT around last 2 months, treated in private with antibiotics. Patient is nil oral last 4 days with IV fluid of 1 bottle of NS in day one, 1 bottle of NS and DNS in day two. ART call over given, on examination ?Meningeal signs +, fever+, RS-clear. CT shows no space occupying lesion and patient on mannitol. Advised to do lumbar puncture after mannitol. But they want neurologist opinion to rule out ICT?? to do Lumbar Puncture. With requisition made by ART medical officer to the chief of that medical ward to do LP to save the patient by his own risk, the answer is “Our PG’s will do LP”. The next day, next day, the next day, AGAIN a requisition made by the ART MO. The answer is “we don’t want to do LP for HIV positive”, it’s the reason we asked for neurologist opinion. My patient is no more, but I am. Yes he expired with septicemia by bed sore.
“PLHA can die with brain herniation during LP, but not by BED SORE”
Yes, Again I murdered by my profession.
But the idiotic chief came back to ART centre with his relative for initiation of ART, and the PG asked me for a good HIV physician. IDIOTIC PHYSICIANS. (“Physicians fight each other to do LP” if the client is HIV negative or unknown status- which is highly dangerous, if the client is positive they are ready to give chance for a resident or neglect the procedure )

என்னத்த சம்பாரிச்சாலும் சாகும் போது உன்னக்கும் இந்த நெலம வருண்டா பிச்சகார பயலுகளா!!!

Professionaly we are killers!!

30 yr old female PLHA who is on treatment(STV+LMV+NVP) last 6 months in a ART centre came with complaints of breathlessness for the past 1 week came to ART centre referred to medicine department to rule out PCP(pneumonia) or lactic acidosis by a ART medical officer with notes in follow-up notebook. Notes contain RS-no crepts, no wheeze. The case was received by a post graduate student in the medicine department when he knows she is HIV positive she was sent back to home with the prescription of non-sense.
Prescription is
C.Doxycycline 100mg 1bd
T.Antacid 2 tds
T.Paracetamol 1 tds.
Yes I met the assistant professor, he asked me to admit the patient. But with the good counseling (“She is HIV patient she will die 200%”)by that post graduate, patient and attenders are absent in that place when I am back. EUTHANASIA without pain to the doctor.
YES, I MURDERED BY MY PROFESSION. We didn’t get back the patient.
STV&female-prone for lactic acidosis
Breathlessness- always rule out PCP in HIV clients.
Simply no use in getting any highly qualified degree without having professional ethics.

Kodachadri the trekking spot

Kodachadri-Enjoy life with leech bite

The place where we discriminated with HIV/AIDS-india

What is the place a person want to do something for a community in a respectable way in the name of service?
By reality there is no place in the world to do anything as a service without benefit.Too correct for the disease HIV/AIDS.HIV/AIDS is not a disease it is the social,economical and the problem in all the way, which is going to pull the so called developing country in to the darkness without the knowledge of you and me.As a doctor we have to understand the situation and fight for the prevention/treatment with improving your knowledge.Updating our knowledge which is not happening in our country,the drawback where we landed is discrimination in the medical profession.As a HIV physician i am getting dicriminated all around the world,it's the reality.General physicians/surgens in the Govt sector most of them are outdated and they are not trained in the field of HIV/AIDS.In private sectors most of them just push them out with the word treatment is available only in Govt Hospitals.They are not aware what to do with HIV/AIDS,more than the REFERRAL GAME.Institutions didn't educate their students about the reality with HIV/AIDS,but the fear very well.No one is using universal precaution just because of inadequate supply of glove,mask,syringe and needles.The same reason what they give for not giving injections and not doing procedures.Laboratories the other way worst,without a finger prick or withadrawl of blood they can give Hb%.Not doing electrolytes and ABG for ward patients but its reserved for critical care & cardiac units where really u can get entry by recommendation from politicians and officials.By reality sick patients in the wards have to survive if they are"survival of the fittest"who are not diagnosed properly because lack of investigations in the otherway lack of fund and lack of manpower to run laboratories.Less amount of fund for the age old institutions but Govt want to estabilish new institutions for their name and to destroy the humanity by doing commission for negligence.ASHAMED as a DOCTOR,as a HUMANBEING.Better to lead our life as a animal.Not to get shock why the terrorism is in boom.Dont make a terrorist in the name of bureaucracy in the name of discrimination. Every one in our nation have the equal oppurtunity to get the HIV.First go and check your HIV status then get in to the stigma if u r a bureaucrat.