Pankaj Desai's Blogs

  We will call him Pravin. Pravin’s father was a farmer. They owned a piece of land in the village, a cow and two buffaloes. His parents’ lives taught him all good values and soft skills. He got his primary schooling in his village. His brilliance was obvious right from his early school days. His father encouraged him to study further. But that was going to be a challenge. The middle and high school was in the town about 5 km away and there was a river between the two villages. Getting admission to that school was not difficult. But commuting in monsoon was going to be a problem. In other months there was a very shallow strip. It was used for walking through the river. But in the monsoon season when the river would be flowing bank to bank, it would mean swimming through. Walking through, Swimming through and sometimes running through      So much was his enthusiasm to study further that walking through, swimming through and sometimes running through didn’t bother h...

  Not being high-risk does not necessarily mean one is low-risk. It is well known that amongst many parameters to identify potential subjects for developing preeclampsia, nearly all are for identifying high-risk subjects. However there is hardly any research work published that can guide us to low-risk subjects. These are the days of not stopping at identifying high-risk but actually identifying low-risk subjects of preeclampsia. Why do we need to identify the low-risk subjects also? It has been found in clinical practice long since that not being high-risk does not necessarily mean one is low-risk. There are majority of subjects who are not high-risk but are also not necessarily low-risk. As a result we all are over using prophylactic measures. Also we are scared to stop prophylaxis once a subject is labelled high-risk and is never tested again. While pregnancy is a dynamic state, it surely happens that some subjects who may be high risk initially may cease to be so as pregnan...