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Management of COVID-19 in family practice

In December 2019, the COVID-19 (SARS-COV-2 virus) epidemic started in Wuhan, China. The pandemic state was declared on 11th of March 2020 by the World Health Organization (WHO), and its impact on every part of daily life means the COVID-19 pandemic is one of the most significant events of the twenty-first century. Unlike other specialties that are limited to a particular speciality and disease, Family physicians are the only specialists qualified to treat most ailments and provide comprehensive health care for people of all ages from neonates to geriatrics.The Family Medicine physicians always felt prepared or at least as prepared as any other person on the team. They were trained to care for the outpatient as well as the hospitalized patient.They know how to respond to emergencies, patients crashing, ventilation changes (including how to keep patients off the ventilators as much as possible). As long as they had their personal protective equipment (PPE) and the expertise of the specialists, they were ready for anything.

About the Speaker

Dr. Raman Kumar

President of Academy of Family Physicians of India (AFPI), President of World Association of Family Physicians of the South Asia Region

Upcoming Case Discussions

Chest Pain: Cardiac vs Non-Cardiac Causes

Chest pain can arise from both cardiac and non-cardiac causes, making accurate diagnosis crucial. Cardiac-related chest pain is often linked to conditions like angina or heart attacks, typically presenting as pressure or tightness in the chest. Non-cardiac causes may include musculoskeletal issues, acid reflux, or anxiety, often characterized by sharp or localized pain. Symptoms such as pain radiating to the arm, jaw, or shortness of breath may indicate a cardiac origin. A thorough medical evaluation, including ECG and imaging, is essential to determine the underlying cause and ensure appropriate treatment.

Hyperlipidemia: From Diagnosis to Treatment

Hyperlipidemia is a condition characterized by elevated levels of lipids, such as cholesterol and triglycerides, in the blood, which can increase the risk of cardiovascular diseases. Diagnosis typically involves blood tests measuring lipid profiles, while treatment focuses on lifestyle changes, such as diet and exercise, alongside medications like statins to manage cholesterol levels and reduce cardiovascular risk. Regular monitoring is essential for effective management and prevention of complications.

Role of GLP 1 RA in Weight loss

GLP-1 receptor agonists (GLP-1 RAs) play a significant role in weight loss by enhancing insulin secretion, inhibiting glucagon release, and slowing gastric emptying, which helps reduce appetite and food intake. These medications, originally developed for managing type 2 diabetes, have been shown to promote substantial weight loss in overweight and obese individuals, even in the absence of diabetes. GLP-1 RAs, such as liraglutide and semaglutide, have been approved for weight management and are often used alongside lifestyle interventions. Their effectiveness in weight loss, combined with improved metabolic control, makes them a promising treatment option for individuals struggling with obesity.

Alpha Lipoic Acid: Pharmacokinetics & Applications

Alpha-lipoic acid (ALA) is a naturally occurring antioxidant involved in mitochondrial energy metabolism. It is rapidly absorbed in the gastrointestinal tract and distributed throughout the body, with high concentrations in the liver and kidneys. ALA is both water- and fat-soluble, allowing it to neutralize free radicals in various environments. It undergoes extensive hepatic metabolism and is excreted primarily via the urine. ALA has therapeutic applications in managing conditions like diabetes, neurodegenerative diseases, and as a supplement for its antioxidant benefits.

Acne: Disorders and Treatment Approaches

Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.