Diabetes and Yeast Infections - 5 Things Every Diabetic Should Know

 

As a result of high blood sugar levels and immune system dysfunction, diabetics are prone to more frequent and more serious infections than non-diabetic persons. Among these infections, yeast ranks among the most common and in fact sometimes leads to the diagnosis of diabetes.

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Is this dangerous? Is there anything a person can do about the situation?

Here are 5 things every diabetic should know about yeast infections:

1. Vaginal yeast infections - don't skip this one men - there are some things here you need to know, too. Yeast thrive in a warm, moist environment, especially when there's plenty of food, i.e. excess sugar. There are always a few yeast in the neighborhood, but other "good" germs normally crowd them out. In diabetes, the yeast may grow in abundance and become like crabgrass: once it takes hold, it's hard to eliminate. If you have never been diagnosed with diabetes but have been getting more than your share of yeast infections, or have had trouble being cured of a yeast infection, consult your doctor - you may be diabetic.

Usually yeast is not a sexually transmitted disease, but in a diabetic it can be, especially if both partners are diabetic. Other STDs may be more easily transmitted as well if fragile tissues are already irritated from a yeast infection. Women who are suffering from vaginal itching and burning are also less likely to be interested in intercourse. Because the symptoms of yeast infections, urine infections, and STDs overlap women sometimes mistake one for the other.

If you are diabetic and suffering from prolonged or recurrent yeast infections you should talk to your doctor. You may need to control your blood sugars more effectively. You may need a prolonged course of anti-yeast medication. You may need a combination of oral and topical medications. You may need to be checked for another type of infection that mimics yeast.

2. Thrush (oral yeast infection). Yeast infection in the mouth is common in diabetics who don't have their blood sugars well controlled, especially in patients with dentures. Thrush has a variety of presentations. Often it appears as white spots that coat the inside of the cheeks or the tongue. Sometimes the mouth looks raw or irritated. Other people complain of a change in taste or sore feeling even though the tissues appear normal. Oral thrush indicates a need for better sugar control, better oral hygiene, or both. It may require oral medication, topical medication, or both, and may occur at the same time as a yeast infection elsewhere in the body.

3. Intertrigo (yeast infections in warm skin folds). Intertrigo is especially common in men and women who have folds of overlapping skin that remain moist. Common areas include the axilla (armpit), groin, under the breast, and under the belly. Intertrigo appears as a red or pink rash, usually flat (not bumpy), that is often moist, and may have an unpleasant odor or itching. Again the cure lies in controlling blood sugars, keeping the area dry, and medication. Topical creams such as Lotrimin or Lamisil are effective. If itching is prominent, OTC hydrocortisone may be added. Wearing a cotton T-shirt or underwear helps keep the area dry.

4. Antibiotic-related yeast infections. Diabetics who take antibiotics for respiratory or other infections are at high risk of developing any of the above conditions. The antibiotics kill off many normal germs (normal flora), and allow yeast to take hold. A yeast infection may show up while a patient is taking the antibiotic or up to a few weeks later. Those who take daily antibiotics for conditions such as acne or rosacea are especially at risk. The key to prevention is minimizing antibiotic exposure. Don't request an antibiotic for a cold you've only had a few days. If you must continue an antibiotic for some reason, you may need to take a prolonged course of anti-yeast medication as well. One approach for diabetics who tend to get yeast infections is to begin a yeast medication prophylactically as soon as an antibiotic is begun. Ask your doctor what the best plan is for you.

5. Steroid-related yeast infections. It's not uncommon for a diabetic patient to suffer a separate condition (such as arthritis or asthma) for which steroid medications are prescribed. Steroids alone predispose to yeast infections, but doubly so in a diabetic, since they may raise blood sugar levels. Steroid pills, IVs, injections, and inhalers all predispose to yeast infections. If you use a steroid inhaler, make sure you follow the directions about rinsing your mouth afterward. If you receive an injection in your knee for arthritis, be aware that elevated blood sugar readings and thrush may follow. For persons taking steroids on a prolonged basis, daily yeast medication may be required.

It's rare that a yeast infection would be more serious than the situations described above. If you're diabetic and having trouble with recurrent or prolonged infections, ask your doctor if there are any special measures you should take. If your blood sugar isn't controlled, develop a plan with your physician to take control of the situation.

  Source:  EzineArticles 

Myths & Facts About Doctors

 

Myths & Facts About Doctors

Myth 1: "Only medical profession is a noble profession"

 

Fact: Every profession, whether of a teacher, soldier, tailor or shopkeeper, is noble, if done with sincerity and integrity. A careless doctor can kill one, a careless  driver can kill dozens, a careless engineer can kill hundreds..

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Myth 2: "As it is a service to humanity, doctors should not run after money."

 

Fact: Money is an important measure of success. Running after it is not good for anybody, but earning more money by doing more work is not a moral crime. And all who advising doctors, themselves running after money, aren't they?

 

Myth 3: "Most of the time, doctors do not understand the disease and write unnecessary and costly drugs and advise tests and treat on a trial basis."

 

Fact: First of all, the doctor patient relationship is based on trust, if you do not trust your doctor, go to another one. Medical science is a lifelong learning process, and all treatment, to some extent is based on trial and error. The same medicine, which works for one patient may not work on another. 

 

Second, the responsibility of providing quality drugs at affordable prices lies not with the doctor, but with the state authorities, just like providing for better roads, unadulterated quality food and dairy products, uninterrupted power and water supply etc and etc. Like cloths, cars and mobile phones, costly drugs are generally better than cheap ones. However, if the government makes it mandatory to write generics, it should ensure quality and the consequence of poor/non efficacy should not be blamed on doctors.

 

Third, tests are done for patient’s own safety. Just like wearing a helmet or seat belt, investigations increase the safety. Most of the doctors in india are trained to work on clinical hunch and common sense and not rely too much on tests, and advise much less tests than what is actually written in the book or done in the developed world.

 

Myth 4: "Treatment costs are increasing irrationally."

 

Fact: As compared to western world, treatment costs in India are still very low, and many foreigners are coming here for this reason. And it would be worthwhile to think about any other service or product with as rapid advancement in technology and equipment as medical science, whose cost is not increasing

 

Myth 5: "Doctors are next to God."

 

Fact: Doctors are as human as can be. They also get tired, fall sick, have family commitments, get upset and stressed sometimes and can suffer from all the frailties of a human being. If anyone wanted to be treated by God then they can visit the temple.

Source : DentistFriend

5 Time Management Tips For Private Dental Practitioners

 

5 Time Management Tips For Private Dental Practitioners

Time once gone does not come back. Therefore, it is essential to utilize every minute of life in a useful way. Every day, dentists are facing various cases in their dental career and have several other responsibilities too. This makes it necessary for us to stay active round the clock. If you can manage your time well, then you can achieve all the best around you.

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Here are some of the best time management strategies which will help you utilize your time well without getting stressed or aging too soon! 

 

1. Plan your day: 

Get up early in the morning and plan your day for just 10-15 minutes. Write down the tasks in a sequence of the priority. For instance, write in the arrangement of high, medium and low priorities. Then execute them. You can even have virtual assistants for yourself to handle the routine online tasks. Trust me; this saves an ample of time on daily basis. 

 

2. Stay on top of your appointments:

As a dentist, it is your prime responsibility to make sure that every patient is served well and his dental problems are cured at the earliest possible time. Make sure you give the time to every patient in a range and not exactly in hours. This is because you can have an extended patient procedure. It will make the next patient wait for too long. So, don’t over promise. Just be flexible and make this clear to your patients too. They will thank you for your genuine concern! 

 

3. Use technology:

Yes! Make technology your friend. Make sure that you gradually start utilizing various time-saving apps. These apps serve the best for everyone irrespective of your experience of using such apps. Put reminders and just focus on your patient cases. You will get reminder alarms at the set time. You can then finish off your tasks. Just use one app and keep things simple. I assure you that you will never forget any of your tasks throughout the day. 

 

4. Automate whenever possible:

You can use various invoicing and patient payment software to make your clinic’s accounting smoother and faster. These days there are several levels of software available for the dentists and dental clinics. Always talk to the respective company regarding how they will save your time with their innovative services. Get the best one for your clinic. Remember that automation is for the long term, so make sure you choose the best one. 

 

5. Be prepared for emergencies:

You are a doctor, and in the clinic, you can anytime face an emergency. So you need to be prepared for it. Educate your team at the dental clinic regarding the common type of emergencies which usually happen in the dental clinics. Make sure they have a clear concept of it. It ensures that you don’t waste valuable time at such crucial moment. 

 

Thus, every dentist can utilize these simple yet effective strategies to ensure a boost in their dental career. Time is highly valuable. Value your time, and it will value you twice. 

Source : DentistFriend

Will GST Put Dentistry In A Big Loss Or We Can Outperform Against GST?

 

Will GST Put Dentistry In A Big Loss Or We Can Outperform Against GST?

I am Dr. Nilesh Bhimani (B.D.S.), a senior Dental Surgeon from Surat (Guj.) & I would like to throw some lights on effect of GST on Dentistry! Goods and service tax (GST) is one of the most revolutionary step in history of Indian Tax System and future will witness it's real effect. Healthcare services are exempt from GST according to GST Act, 2016. So we don't need to charge GST on out treatment charges as we are not selling products, we provide only healthcare services.

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There is a lot of buzz about GST; I see many people are talking and discussing whether GST is good or bad on the contrary I know many dentists who neither care for the GST effects nor even willing to know how it is actually going to affect the future of private dental practice. I am writing this blog for all those dentists who are curious & wish to know the after effects of GST with the hope that you will take it positively.

 

Let's understand how GST is going to affect future and success of your private dental practice. Here are few points which I noticed and would want you to pay attention.

 

A. All standard Laboratories have transform tax statement from 5% VAT to 12% GST, means 7% rise on lab bills.

 

B. All material companies have changed taxation from 5-12% to 12-18% or up to 28% in few cases, means 7-16% rise in billing. 

It's a big amount really..!

 

C. My clinic electricity, telephone , SMC tax, stationary, maintenance, printing, magazines or other monthly based expenses rise from 5% VAT to 12% GST, means 7% rise.

 

D. My clinic Insurance, Membership fees, Conferences fees etc will be also raising to some extent.

 

E. My staff salaries, doctor's salaries etc will have to be raised in coming months as they have to compensate for their increased expenses due to implementation of GST.

 

F. Most important is my personal expenses.

 

Now onwards my life insurance policies, general insurance policies, lifestyle expenses, food bills, school fees, Tuition fees, shopping , holidays (which is maximum like 28% on luxury holidays)everything I do on my day to day expenses will rise like anything. Friends, We say everyone that we don't need to add GST on patients treatment bills because we are exempted.

 

But are we really exempted on GST even after paying all above expenses?

There is only one solution for all above and that's none other than RAISE YOUR TREATMENT CHARGES!

 

From 1 July onwards minimum 10% rise on your treatment charges would only compensate for the GST which you will pay now onwards & don't think that you have raised charges, instead you have compensated your loss only.! In addition, 6-8% is your inflation rate which means every year your cost of same expenses increases at this rate over a period of one year. So 6-8% hike in charges will again compensates loss of steady income year by year.

 

So Friends, 16-18% (10% GST effect + 6-8% Inflation) rise in your treatment charges will only make you stable in your income year by year. Those who can add more than 18% rise in charges are real brave dentist and I will be happy to add them in my friend list. In fact, this is the best chance to raise your chrages as a momentum. Agreed people will ask you that it is not in your branch but you can tell them that your lab bills, material expense, clinic expense everything rise by more than 10-15% and so you have no other option if you want to justify but most of the times people will automatically justify you without asking about it.

 

I have tried to give you some striking GST effects on your dental practice. Hope we all put a step ahead for a successful dental carrier! Try it today..! Keep Smiling

Source : DentistFriend

Why We Dental Surgeons Should Raise Our Treatment Charges?

 

Why We Dental Surgeons Should Raise Our Treatment Charges?

If we want to raise charges, first we have to accept that we are cheaper. But have we tried to find anytime that why we are cheaper ? I would like to elaborate points:

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1. We are really cheaper.

If we want to raise charges, first of all, we have to accept that we are cheaper. But have we tried to find any time that why we are cheaper?

Here are some reasons.

a) Everyone amongst us had decided our treatment charges on the basis of charges taken by dentists of our area whenever we opened a clinic. We never calculate and to gain more patients we actually we're a little bit reasonable than senior dentists. If we are taking optimum charges then our next generation will never blame us.

 

b)  Any dental treatment charge should be according to our Investment on education (applicable to current decade of dentists), investment on dental clinic equipment, materials, technologies, maintenance, furniture, laboratory charge etc

+

Most important is TIME (Your actual income per hour)

+

SKILL Charge if you really wanted to add but none of us are counting treatment charges in this way.

What we are currently taking only fulfills our maintenance and depreciation. No profits.

c) We always count charge according to laboratory charge or material charge.

Friends, we are a skillful person, not a trader. Whatever is your lab or material charge but you should always charge for your expertise, skill, efficiency and your mastery for your predictable results.

Have calculations and then decide treatment charges.

 

2. The scenario of all 3 decades is different.

a) Before 10 years Dentistry was simple and was much cost effective than today.

b) Today you must have a wonderful clinic in a good complex, good interior, good equipment, latest technologies, latest materials and good payable staff and doctors. So your net income actually falls if you count all these.

c) After 10 years we all need more fancy gadgets and equipment or materials. Might be everyone have to buy OPG or CBCT in group or CAD-CAM scanner which will again add drastic cost in your liabilities.

Keep in Mind

 

3. Inflation.

Everything adds 6-7% per year in itself and till we actually realize it, one more wave of 6-7% have been added. Only we don't bother to add it. The moment you open your eyes in bed and again at the end of a day you close it everything becomes costlier. Milk, newspaper, breakfast, petrol, car, maintenance, clinic staff salary, materials, equipment, lab charge, restaurant bills, shopping,  school fees, groceries bla.. bla… Only we are humble and we don't raise per year.

 

4. Professional Hazards.

Those who don't have professional Hazards like Neck lesion or Back lesion after 10-15 years of practice, either they don't have practice or they are lying. Friends, once you will suffer from any professional Hazards in your body then you have to compromise your clinic by anyway. Till that time if you don't save enough money to expense for your future then you will be finished.

 

If you are thinking that after doing any management courses you will be able to manage your clinic in your absence, you are wrong. Others can never run your clinic more powerful than you. Save for future or emergency.

 

5. Be prepared for more number of dentists coming in next 10 years.

Today we are talking about competition but friends believe me competition is yet to come. 26000 dentists will share patients with us every year and so many of them will be consultants or experts in some field. Patients will choose their dentists wisely in next decades. Hold firmly your position otherwise, you will have to blame your luck.

 

6. Dentistry is the only branch in the medical field where we have daily maintenance.

Most of the other branches in the medical field have only one-time investment on hospitals and equipment and then they only earn, no major expenses.

We have daily bills and daily expenses added day by day and month by month. Till you buy one equipment or material, on next day something more beneficial will come and you need to struggle to buy that.

We need to attend repeatedly conferences, lectures; seminars and workshops or courses to learn new techniques or methods and believe me none of them are economical. Earn more to spend more and still, you are at same level unless you add more on earning side.

 

7. We have our inside enemies like Corporate Clinics, Trusts, Dental Chains.

Still, they are not that much but there will be lots and lots more to come and to make us cheaper and cheaper. Be unite and fight for survival.

 

8. To fulfill our family and our own expectations in life.

Everyone has some expectations in life like our parents, spouse, and kids and nothing is cheaper actually. If we don't earn we can't fulfill their expectations. Still, we have to fulfill our own expectations and don't forget we are living in the 21st Century where everything is becoming costlier day by day.

Start earning decent money and enjoy the life fully.

 

9. Dentistry has limited life span.

We have a life span of 25 years and only few survive till the end. Most of them achieve fantastic growth initially followed by sustain maintenance for few years and ups and downs in the last phase except only few branded clinic and I am sure this message is not for them.

So catch that decade wisely and save a lot for future.

 

10. Achieve your Dreams.

 I have some calculations: (Actually, I Love Calculations.)

Any dentist in any city of India has some dreams. We assume that we do practice for 25 years and in this 25 years we need following things.

A.   2 BHK flat: 60 lakhs

B.   Furniture in that flat: 40 lakhs (we need two times furniture in 25 years)

C.   One small clinic in city: 40 lakhs

D.   Furniture and basic equipped clinic: 40 lakhs (twice in 25 years)

E.   Car expense: 30 lakhs (we assume we change basic car of 6 lakhs 5 times in career)

F.    Child Education fees for one kid: 20 lakhs (we only count school and basic college fees, no donation in any major branch)

So total is 2.30 Crore.

If we count that everything is provided today on loan of average 10 percent for 25 years, means you don't need to buy anything in 25 years still your

Equated Monthly Installment (EMI) is 209000 and to earn a Net profit of 2.09 lakh you need to earn grossly 350000 INR month by month.

And still you have only basic property.

No fancy dream home.

No fancy dream clinic.

No higher education for kids.

No fancy shopping.

No fancy holidays or leisures.

No Jewellery.

No fancy Cars.

This is not to make anyone depressed but to realize that you have to earn more if you really wants to enjoy life.

So raise your charge to pay fancy EMI.

(Above Calculations are good cities of Gujarat only and you can count according to living standard and property expense of the respective city of India and EMI will be according to that.)

Friends lastly I would like to point out some outstanding benefits of dentistry.

1. Dentistry is highest paying profession across the world. Somehow it is lacking it's interest in India because we don't value it actually.

2. We are skillful people and we can earn a lot if we really understand the real value of dentistry.

3. India is booming in next 20 years in terms of living standard and per head income along with paying capacity of individuals. The way we are developing if we really think something creative we will be a millionaire in coming years.

4. Esthetics and smile designing is really a very well revenue generating branch and we can earn a lot out of it. All major cities have demanding clients for that.

5. Implantology has really made dentistry a bit revolutionary revenue generating branch and I am sure in next 10 years all of us will be implantologist.

 

Advice for seniors.

My sincere advice to seniors that please raise your charges first as after few years of experience we have a big client base and in fact, they will be happy to pay us more provided we charge more. We have to look for juniors also as we were also juniors at one time.

Till we don't raise our charges how they can take initiative?

 So let's take advantage of seniority for patients and also take initiative for wonderful future of dentistry.

 

Advise for juniors.

You have a wonderful span of 20+ years and if you learn from our mistakes you can easily make more money out of it. Learn new technologies, new systems and try to work in a more predictable and different way and earn more. We didn't guide by others. You have some wonderful seniors to guide you.

Be different and grab the opportunity.

Friends,

We just need to hold hands of each other and should grow together and need to think about why we didn't raise our charges.

Still, we have a wonderful time for future.

Please be unite, arrange some meetings in your area or city, discuss points and decide some minimum charges for all dental treatments with keeping everything in mind and earn together.

 

LET'S UNITE AND RAISE THE BAR OF DENTISTRY AND LET'S MAKE EVERY DENTAL SURGEON MILLIONARE..!

Tried to motivate you all and still in some points I may be right or less right.

Thanks,

Source : DentistFriend