IS THERE ANY INDICATION
OF ADMINISTERING INJECTIONS IN PRIVATE PRACTICE?
O P Kapoor
Hon. Visiting Physician, Jaslok Hospital and Bombay Hospital, Mumbai,
Ex. Hon. Prof. of Medicine, Grant Medical College and JJ Hospital, Mumbai 400
In the past General Practitioners have been giving injections to the patients
not really for a speedy recovery but more so because of financial reasons (since
the patients had not learnt to pay the "consulting or examination fees"
to a GP). Now that the patients have accepted to pay a small or a reasonable
consulting fee to a GP, many GP’s have reduced administering injections in private
practice. Really speaking, administering injections are a headache to a GP.
Not only do they cause pain to a patient but the site of injection can become
infected. Most important, any injection can cause an allergic skin reaction
or a severe reaction like anaphylactic shock.
In the past even consultants used to write injections
in every prescription. I, in my practice have not been prescribing injections
for many years with equally good results. However rarely I have to prescribe
injections specially for anaemic patients having diarrhoea, or hormone injections.
The most common indication of my prescribing injections is the symptom of "neurosis".
Thus if any of my "functional" patients do not respond, instead of
sending them to a psychiatrist (where they are never relieved), I add a weekly
injection (often for - passage of time) for two to three months and the recovery
rate improves very much.