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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 400 008.




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 GPs 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.


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