Saturday, April 29, 2017

PERUNDURAI MEDICAL COLLEGE & SANATORIUM campus


Of  PERUNDURAI,  SANATORIUM and MEDICAL COLLEGE

(To see photos taken on 'GRADUATION DAY' (25.04.2018) click on:  http://drtramaprasad.blogspot.in/2018/04/graduation-day-2018-perundurai-medical.html  )

Dr. T. Rama Prasad


About the author :

 

Dr. T. Rama Prasad is the WORLD RECORD holder of authoring  28 articles related to COVID-19 in 30 months, published in a medical journal (The Antiseptic – www.theantiseptic.in -- Indexed in IndMED), and reporting in the same journal the WORLD’s FIRST CASE of ‘Yellow Nail Syndrome’ associated with COVID-19, PT & DM (https://drtramaprasad.blogspot.com/2017/04/yellow-nail syndrome_28.html ).    He wrote his first article in the premier journal, The Antiseptic, four decades ago.  Many of his articles written over half-a-century may be accessed at https://drtramaprasad.blogspot.com/2017/04/dr-t-rama-prasad.html   https://drtramaprasad.blogspot.com/2017/04/my-in-newspapers_28.html   &  https://drtramaprasad.blogspot.com  .    

 

He is the former MEDICAL SUPERINTENDENT (Special) of R.T. Sanatorium & Perundurai Medical College and Research Centre.   Presently, he is the Senior Consultant in TB & Lung Diseases, and the Director at  ‘PAY WHAT YOU CAN’ Clinic,  Perundurai,   He is the recipient of the “Lifetime Achievement Award” of the ‘Coimbatore Respiratory Society’, and the honorific title  “Perundurai Rathinam” from the body of  ‘Perundurai Public’.   A nonconformist, Dr. Rama Prasad didn't care to receive a prize awarded to him by a prestigious  university  !!!

More at : https://drtramaprasad.blogspot.com/2017/04/dr-t-rama-prasad.html  

https://drtramaprasad.blogspot.com/2020/10/spiritual-reiki.html  


GRADUATION DAY -- 2018

Perundurai Medical College



Left to right:  
(1) Dr. T. Rama Prasad, ‘PAY WHAT YOU CAN’ Clinic, Perundurai, (2) Dr. S. Prabhakar, Erode District Collector, (3) Thiru Thoppu N.D. Venkatachalam, Ex Minister & Perundurai MLA, (4) Dr. S. Geethalakshmi, Vice-Chancellor of the Tamil Nadu Dr. MGR Medical University, (5) Prof. Dr. M. Rajendran, Dean of the IRT Perundurai Medical College, (6) Thiru V. Shanmugan, Chairman of The Nandha Educational Trust.

About half-a-century ago (1967), I casually came to see ‘Perundurai Sanatorium’ which put up an ad for Medical Officers.  Just accidentally I saw the ad while browsing through a newspaper.  I was not looking for a job.  Being a nature lover (I lived in crowded cities earlier), I was impressed and enticed by the serene and sprawling land of 327 acres with a lot of lush green vegetation and gorgeous peacocks with glittering tail coverts which glow with metallic and iridescent hues (see my published writing on peacocks).  It was an ‘easy-paced Malgudi-type’  ambience of the 1950s and 1960s.  I had the fancy idea of staying here to experience the different milieu for a short while as a Medical Officer and get back to my service in the Andhra Medical College / Health Centre, or join my father’s hospital in Andhra Pradesh.

            I and my wife Rajyalakshmi liked the place and the people. The people here are very courteous, respectful, polite, helpful and loving.  Rajyalakshmi got into the teaching faculty of Vellalar College for Women, Erode.  We postponed our going back to our native place, year after year, and in course of time I retired as the Medical Superintendent of the institution. A different approach in life !  People called us belonging to a different genre. During my career,  I had indirectly facilitated establishment of the Perundurai Medical College in this campus by the Ministry of Transport.  Thus, there has been a metamorphosis -- the 'Malgudi' type of sanatorium ambience has evolved into a vibrant and dynamic college atmosphere, albeit the public still call this institution as 'Sanatorium'.  This college has several plus points like a healthy ambience with equitable climate, eco-friendly green cover,  and tranquil atmosphere.  This apart, there is in place a very good administration, personalised teaching and brilliant students.  Excellent infrastructure, good teaching faculty, efficient nursing, paramedical and office staff form the foundation for this famous institution.

Coming back to our personal story, later in our life, our son, our only child, Rajeev, a specialist in Medicine, Allergy, Asthma and Chest diseases married Geeth, a specialist in Obstetrics, Gynaecology and Infertility, and they also decided to settle at Perundurai and enter into practice of their specialities.

            This is how we became  ‘PERUNDURAI  PRASADS’  --  natives of Perundurai.

          Perundurai is unique in many respects. Generally, it is a place of good-hearted, hard working, intelligent and ambitious people. In a short span of time it has become the hub of educational institutions and business enterprises.   

       The "big heart" of the "PERUNDURAI  PUBLIC"  honoured me with the title "PERUNDURAI  RATHINAM" on July 3, 2016 in recognition of service rendered and the efforts made to enhance the image of Perundurai (details may be found in the 'Scribbling' titled "PERUNDURAI  is  the  GEM"  on this blog).

The eighteen ‘Royal Palm’ trees which stand now majestically in front of the Medical College building were planted by me (as also many other trees in the campus) about 20 years ago (1999).  They stand as a testimony to my sense of belonging to the institution.  I always have thoughts of the “sanatorium cum medical college” campus as my spiritual home, and the staff members there as my family members. 

          Some of my old patients and visitors nostalgically reminisce about the ambience of the garden around the old fashioned quarters in the Sanatorium campus where we lived and metamorphosed the house ‘unfit for good living’ into a verdant and gorgeous  ‘Ooty garden house’ just by creatively developing a garden around it.  People liked the creative and innovative horticultural inputs and called it a ‘mini Ooty botanical garden’.  Our home gardens had been our paradises.

We were in tune with nature.  Peacocks used to come calling for grains.  Their resting abode was the huge banyan tree behind our quarters.     Strangely, that banyan tree died after we left that residential quarters --  perhaps due to psychological reasons,  stress of separation !!!  Yes, we doctors often refer patients to psychiatrists when we find no reason for their   chronically nagging symptoms !!!  And there was no reason why a banyan tree with established prop roots should die (read my 'Scribbling' titled 'Trees and Plants'). And various kinds of other birds used to break the silence with their musical chirps.  Of course, snakes were also the visitors, not harming anybody,  not even our dogs  (read about the dogs under the heading 'Dogs' on this blog) which used to chase them out.  Crows were followed by squirrels, cats and rats. ...

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The 60-year-old Sanatorium in 1997




Left to right:  
(1) Dr. T. Rama Prasad, ‘PAY WHAT YOU CAN’ Clinic, Perundurai, (2) Dr. S. Prabhakar, Erode District Collector, (3) Thiru Thoppu N.D. Venkatachalam, Ex Minister & Perundurai MLA, (4) Dr. S. Geethalakshmi, Vice-Chancellor of the Tamil Nadu Dr. MGR Medical University, (5) Prof. Dr. M. Rajendran, Dean of the IRT Perundurai Medical College, (6) Thiru V. Shanmugan, Chairman of The Nandha Educational Trust.

25.04.2018 – GRADUATION  DAY
IRT Perundurai Medical College

The 2012 batch of students have graduated into MBBS doctors … hence a grand ceremony was conducted at the splendid auditorium of the college with the participation of the lively battalion of students and the meritorious teaching faculty,  in the presence of the dignitaries in the above photograph and the inspirational luminaries in the huge gathering.   The medical college has been growing by leaps and bounds, thanks to the dynamic Dean, Prof. Dr. M. Rajendran, whose tireless efforts enhanced the number of admissions from 60 to 100 and paved the way for prospects of introduction of Post-graduate Medical courses.  Dr. MR had always approached problems against many odds with the drive "I can."  And he could.  Hence dear youngsters,  never say "Can I ?";  always say "I Can."  For more about the Medical College campus and Prof. Dr. M. Rajendran see under the title "Perundurai Medical College / Sanatorium campus" on this blog.

     I took the opportunity to urge Thiru Thoppu N.D. Venkatachalam, ex-Minister and present MLA, to continue his dynamic efforts to facilitate establishing  All India Institute of Medical Sciences (AIIMS) in the Perundurai Medical College campus.

 Among other things, I said  the following in my informal address to the 'nascent' doctors:

“ … Dear graduating children, I am not here to preach about good and bad.  Most of you might have read some of my “Scribblings” on my blog and had an idea about the paradigm shift in the medical world today.  I am usually silent,  but my writings make a lot of noise though.

… Now, you are having a degree in your hand … with that you can do good and bad as well.  Medical profession in India provides tremendous opportunities to serve the ailing humanity in the vast rural hinterland.  And, ironically, it also gives a great chance to make illegitimate money through unethical means and exploitation, without being caught.  Choice is yours,  my dear kids ... choose your path. …  

… Things have been constantly changing since I stepped into this ‘Perundurai Sanatorium / Medical College’ campus half-a-century ago when we had the "easy-paced-Malgudi-type" of ambience of 1950s and 1960s.   The changing economic compulsions,  profit-driven marketing dynamics and ruthless business models in medical care have made Hippocrates, the "Father of Medicine," turn in his grave.   And, you are going to take the ‘Hippocratic Oath’ in a short while today,  though it is outdated … 

… And, in the medical  profession, old age may not necessarily call a halt to professional activity.  In fact, I work now for more number of hours a day than what I used to do, long ago, while I was the Medical Superintendent here in the ‘Sanatorium / Medical College’ combine – of course, not for money … I run a facility by the name ‘PAY WHAT YOU CAN’ Clinic.  The name is self-explanatory, and you may read about it on my blog under a heading of the same name.  And the money collected is used for charity.  I entered this campus as a medical officer in 1967 and lived here for about 35 years, and so I consider this campus as my homeland what  with all the trees I had grown in the campus.

... Most of you in this gathering were not born at that time.  And, what do you think my age is ?  Age is just a number … think young … I am 70 years young plus six years old !    … 76 not out … still batting and scoring ! … busy,   morning to midnight and beyond – of course, not for money.  Read about it on my blog under the heading “You are not old.”  Perhaps,  my 35 years of living here in the  healthy   ‘green & clean environment’ with serene atmosphere and salubrious climate has been keeping me in good health, without an ill and without a pill … and we had a taste of good old lifestyle,  garnished with a tad of modernity !  You guys are lucky in living here for about 6 years  during your MBBS course … healthy ambience, healthy minds. 

… Education should aim at making healthy minds,  not just making wealthy careers.  We should live like human beings,  not like programmed machines.  Money is not everything, but unfortunately, these days, it ranks up there next only to oxygen.  ...

… Yes, you have a degree in your hand.  But dear ones, remember that it is not the degrees that honour us,  it should be we who should bring honour to the degrees by using them appropriately and learning continuously.   First,  try to become a GOOD HUMAN BEING and then a GOOD DOCTOR – then people will call you GOD.  Read the “Scribbling” titled ‘MODERN MEDICINE – the Good, the Bad and the Ugly’ on my blog … you will understand the changing scenario, and why Hippocrates, the "Father of Medicine",  is turning in his grave which he entered in 377 BC.

    … I am glad you would be entering the real world outside the campus with heads full of wisdom and knowledge.  I wish you all a very satisfactory career and a very happy life with contentment.  Bye."

         To read more comments on this campus and the NOBLE PROFESSION,  click on the links below: 

Dr. T. Rama Prasad, http://drtramaprasad.blogspot.com
'PAY WHAT YOU CAN’ Clinic, Perundurai, Erode Dt., TN, India., Former Medical Superintendent    (Special), RTS & IRT Perundurai Medical College and Research Centre, Perundurai.


Hippocrates said : "Don't make money in the sick room."  But in recent times, money has become the main determinant in the 'noble profession'. 
 
 Thus, the foundation (service to humanity) of the MEDICAL PROFESSION is thoroughly shaken by the MONEY matters.   GORU's life couldn't be saved due to lack of money.  Go on, read about GORU:


An anecdote about  “GORU”

 

During my childhood, one of my schoolmates had huge nails.  Her name was Gowri.  We nicknamed her as ‘Goru’ (‘goru’ in Telugu means nail of a finger or toe ).  They used to say that her huge nails caused a problem in her heart.  It might be a case of ‘Digital Clubbing’ (abnormal nails present in some ‘Congenital Heart Diseases’).  After one summer vacation, ‘Goru’ didn’t come back to the school.  It was learnt that she died due to the nail / heart problem, and that treatment could not be availed as they didn’t have money to pay for it. 

Perhaps, this incident prompted me to look at everyone’s nails from that time which might have led me to report the first case from India of ‘Yellow Nail Syndrome (YNS)’  in 1980 (published in an American journal, CHEST) and the first case in the world of ‘Yellow nails & Covid’ in 2023, published in an Indian journal, THE ANTISEPTIC - https://drtramaprasad.blogspot.com/2017/04/yellow-nail syndrome_28.html

And perhaps, the preventable death of ‘Goru’ due to the inability to pay for the treatment motivated me to start my ‘PAY WHAT YOU CAN’ Clinic (PWYCC) half-a-century ago where patients may pay whatever they can. No fixed fee http://drtramaprasad.blogspot.com/2017/06/pay-what-you-can-clinic.html ).   The credit for these case reports on YNS and the starting of my PWYCC should go to ‘Goru’.  Thanks to “Goru”.

                                                        --     T. Rama Prasad





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This is not an ad,  it’s about an odd service.

Dr. T. Rama Prasad’s    PAY  WHAT  YOU  CAN’  Clinic

“Thena  thyakthena  bhoojithaha”– Ishopanishad

   ( Translated by  Prof. B.M. Hegde  as: “Rejoice  in  giving.”)

          True to this quote, I have been rejoicing at what little I could give.  Defying stereotypes, this clinic has been in existence for a very long time, sans glitz, blitz, ads, microphones, speeches and noise.  As a matter of my policy, publicity is shunned.  The reason is simple.  Good work needs no noise and nonsense.  My ‘SCRIBBLINGS’ on related topics may be accessed at:  http://drtramaprasad.blogspot.com

 



 Yes, ‘PAY WHAT YOU CAN & WISH’, as the consultation fee.  It is the patient’s choice.  It may even be zero.  The patient may pay (donate) any amount.   The money may just be put into the ‘hundi’ box,  or remitted  through the ‘Google Pay/UPI’ QR code / UPI number 9842720393 / UPI ID : drtramaprasad@okhdfcbank.   And the money thus received is used for charity to help the needy, the poor and the less fortunate.  If interested to know more about this facility, go to:  http://drtramaprasad.blogspot.com/2017/06/pay-what-you-can-clinic.html .  And, even if you are not a patient, if you wish, you may also 'contribute whatever you can'  in the same way.

   "We need not run after money.  If we are meritorious and compassionate, money would run after us, and it eludes us if we run after it.”      --  T. Rama Prasad 

            “Richness is not having lots of money.  It is the feeling that one has enough of it.   Contentment sans comparison is what makes one really rich.”     --  T. Rama Prasad.      

                                                                              

      Facebook: T Rama Prasad   Twitter: @DrRamaprasadt     Telegram :  Dr T Rama Prasad

    

Consult your local doctor before rushing to me.

Most ailments can be cured at local level.

 

For APPOINTMENT with Dr. T. Rama Prasad,  contact :  98427 20393





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     An interesting sidelight came to the fore when Professor Nandhagopal posted the following on WhatsApp:   "Sir, it is marvellous.   While you addressed,  the District Collector and others  respectfully stood up .  It is amazing.  Congratulations,  sir."
     I don't think it is out of reverence.   It may be incidental ... they may be standing for some other reason,  as I am just a drop in the ocean. -- T. Rama Prasad                                   



                                                                                                                        





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  If provided,  more photos & short videos can be added to this post.   You may please mail to me.  --  T. Rama Prasad

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September 28, 2017

My "HOMELAND" revisited

            Now and then I visit my "homeland" (Sanatorium & medical college campus -- where I lived for about 35 years). Today (28.09.17), I casually went for a drive through the campus (into which I stepped in half-a-century ago for the first time) to enjoy the eco-friendly greenery all around. While passing through the verdant ambience, I slowed down on seeing a gathering of medical students in front of the 'Auditorium' where cultural festival (INCEPTRA'17) events were going on during the past few days. Of course, I was there on the 'Inauguration Day' (September 25, 2017) a few days ago when this first event was conducted in the newly built beautiful and modern auditorium. I told the gathering that September 25, 2017 was doubly significant as it was also the day on which the very first "WORLD  LUNG  DAY" was celebrated across the world.  

          Students are the backbone of any college and any college is a reflection of the caliber of its students.  On seeing me, some girl students came to my car to wish me. I got down and had a chat with them during which the photos attached hereunder were taken.  In olden days, girls used to be shy, reserved, reticent and less pushing in nature than boys (read my 'Scribbling' titled 'Good old days' on this blog).   In those days, when I was a medical student, everyone was abundantly self-conscious, and girls and boys lived a highly segregated existence in a co-education campus.  Otherwise, it was considered wanton, brazen, shameless, hoggish, mannerless, craven -- you choose the adjective !  That fell by the wayside some decades ago.  There seems to be a paradigm shift now.




Dear students,  some of you are looking serious.   Any child would chuckle, smile and laugh.  As one grows up, nowadays, the sweet smile is fading away and the roaring laughter is locked up inside.  Take things lightly in today's frenetic consumerist age of intense stress.  Read the 'Scribbling' titled "Smile and laugh" on this blog.


 
GORGEOUS  GIRLS !  Dear girls, the smile on your faces makes you gorgeous and increases your levels of 'serotonin' and 'endorphins',  and reduces your levels of 'catecholamines / cortisol and epinephrine.  Keep smiling, keep looking smart, and be healthy.  Smile is a good preventive medicine. Read the 'Scribblings' titled "GIRL CHILD -- GOLDEN CHILD" and "SMILE and LAUGHTER" on my blog.





On September 28, 2017 at the age of "70 years young plus 5 years old" !!!   "No pills;  No ills"  status !   (read the 'Scribbling' titled "You are not old" on this blog).




Two years later, on December 30, 2019 when attended a function at the college.


 The first outbreak of COVID in the world was reported in China on the very next day (31.12.2019) of taking the above photo on 30.12.2019 !!!


SMILE  ...  smile certainly adds VALUE and BEAUTY to your face.

The life is so BIG !!!  The real pleasures are getting buried somewhere deep in the rubble,  and there is little osmosis of them into the depths of life.  We, increasingly, are tending to live on the surface of life rather than enjoying the rich depths and true emotions of it.  Dear sir / madam,  don't get sucked into the whirlpool of modern society.


EXAMINATION HALL  --  a scary space.  Learning shouldn't stop here.  “Anyone who stops learning is old whether at twenty or eighty.

Anyone who keeps learning stays young (even at hundred).”
                                               ---  Henry  Ford


My dear medical teachers, 
Students start their life with neither prejudice nor expectation.  That makes them good learners.  The unalloyed affections of a student must advantageously be made use of in moulding the student's thinking, mindset and habits. It is difficult to mould them later.  Trials failed to remould my post-graduate better half's thinking about consuming curd rice with salt.  She said 'What is life without curd rice, and what is curd rice without salt ?'  And, she went on to cite the book titled “ The Great Indian Diet” which was launched on November 19, 2015 and which emphasises the goodness of the original Indian food, even of ghee and curd.  It is authored by Shilpa Shetty Kundra, a famous actress and businesswoman from India  and Luke Countinho, a nutritionist at the world famous Mayo Clinic in the U.S.  At the launching ceremony of the book, the 73-year-‘young’ iconic mega actor Amitabh Bachchan who is praised for his fitness at this age to handle various projects said: 'I stay fit by attending book launches about diets;  I eat whatever comes my way;  I am a bad eater; ...'  !!!  The belief that dairy products damage health is shattered by a recent  publication (European Journal of Epidemiology 2017 --  University of Reading).  It is concluded that cheese, yoghurt / curd and other dairy products are not associated with increased risk of heart diseases, stroke or death.  Moreover, the study indicated about the potentially beneficial effect of fermented dairy products like 'curd' / yoghurt on heart health.  Yes, you are confused about what to teach the students about curd and cholesterol !!!   Read more about it in the 'Scribbling' titled 'FOOD,  EXERCISE and SLEEP'.
 



 
 Dear grandchildren, the Net has become the fount of all knowledge, and a quick swig from the fount provides satiety to the brain on almost any subject. But don't waste time on things which won't enrich your brain.




Dear cheerful children, If you have a smiling enthusiasm to work and the pleasant energy to help others, you can be sure that you are in good health.  Extensive health check-ups are not necessary, except a few basic ones.

Dear students, take your eyes off the electronic screens for 20 seconds every 20 minutes and see at objects beyond 20 metres (20/20/20 formula), to prevent 'Computer Vision Syndrome'.  Electronic gadgets and junk food have become the fad and flavour.  Beware of 'Text Neck Syndrome',  'Smartphone Thumb', 'Internet Withdrawal Syndrome', 'Digital screen Addiction', 'Electronic Diabetes' and other electronic screens-related morbidities. For more on this, read the 'Scribbling' titled "INTERNET (Google) EFFECT" on this blog.




Red is the 'Royal Colour' !   Regal & Radiant



"There are 2 classes of people in the digital world today:  1. Backward class (computer illiterate)  2. Forward class (computer literate) !!!"   More quotes may be found in the 'Scribbling' titled "MY  QUOTES" on this blog.  



We made tremendous strides and advancements on the medical front, but ..... I tell you one thing, Veda -- what all the medical world knows about diseases and medicine is just the tip of the iceberg.  Otherwise,  why 1,000 persons are dying each day due to TB in India today ?  And,  why scores of people died across the country during the past few months allegedly due to DENGUE / mysterious fevers ?  And, why no cure for  the perennial problems of allergy, asthma, arthritis, etc., let alone lung cancer ? 
And, in spite of needless medical & surgical treatment people survive !!!  Nature is great indeed !






Inside the 'IRT  Perundurai Medical College' building -- 'Aayudha Puja'  2017.




The stage of the new  'Medical College Auditorium' where the first event ("INCEPTRA '17") was conducted on September 25, 2017.


The first event at the new auditorium was inaugurated by the handsome, cheerful, dedicated and dynamic DEAN of the IRT-Perundurai Medical College & Hospital,  Professor Dr. M. RAJENDRAN, MS, FICS, FIAGES (first from the left in the photo) whose tireless and influential efforts resulted in the increase of the intake of  students from 60 to 100 and paved the way for the prospect of introduction of Post-graduate courses in the college.  In my address, I cited him as an example of one who says "I  CAN"  and not  "CAN  I ?",  while exhorting the students and the staff members to think POSITIVELY and act CONFIDENTLY to achieve SUCCESS.  A Professor of Surgery, the 'Best Teacher' awardee of  the Tamil Nadu Dr. MGR Medical University, an 'Inspector & Co-ordinator' of the Medical Council of India, a high caliber 'Senate Member' of the Tamil Nadu Dr. MGR Medical University for three tenures,  and a recipient of many other titles like the 'Best Doctor',  Dr. M. Rajendran has been an asset for the development of this institution to this stature.  He had grown with the institution right from the day of laying of the foundation stone of the medical college buildings, brushing away better financial prospects elsewhere during his long career.   It is hard to find such a dedicated and loyal leader with such a grit and determination.

He had been very successful in getting grants and funds for the institution from various sources and in pushing through proposals for full fledged funding and running by the Government.

My best wishes to this successful surgeon and medical administrator who is full of wit and wisdom.



The  Cheerful   Chief


Dr.  M. Rajendran, Dean, PMC & RC
– An excerpt from my address on December 30, 2019 on the occasion of his superannuation

It is easy to run a developed medical college,  but it is extremely difficult to develop a medical college.  Kudos to Dr. MR, as he is popularly known as.  He did it.  He made phenomenal developments.  He is the invaluable gem of the Perundurai Medical College.  If he is not retiring now, he would have taken the institution to dizzy heights in the next few years.  I retired from this campus 20 years ago and now Dr. MR is retiring. People mention that I and Dr.MR have certain things and traits in common, pertaining to our careers in this campus.  We both spent our full careers in this campus, devoting our entire time to the development of the institutions in the campus, setting aside lucrative private careers.  We both developed green cover in the campus enthusiastically.  We both had grown with the institution. These are only a few to mention.
The following is an excerpt from my writings on my blog -- click on: http://drtramaprasad.blogspot.com/2017/09/perundurai-medical-college-sanatorium.html  
“ … The first event at the new auditorium was inaugurated by the handsome, cheerful, dedicated and dynamic DEAN of the IRT-Perundurai Medical College & Hospital,  Professor Dr. M. RAJENDRAN, MS, FICS, FIAGES (first from the left in the photo) whose tireless and influential efforts resulted in the increase of the intake of  students from 60 to 100 and paved the way for the prospect of introduction of Post-graduate courses in the college.  In my address, I cited him as an example of one who says "I  CAN"  and not  "CAN  I ?",  while exhorting the students and the staff members to think POSITIVELY and act CONFIDENTLY to achieve SUCCESS.  A Professor of Surgery, the 'Best Teacher' awardee of  the Tamil Nadu Dr. MGR Medical University, an 'Inspector & Co-ordinator' of the Medical Council of India, a high caliber 'Senate Member' of the Tamil Nadu Dr. MGR Medical University for three tenures,  and a recipient of many other titles like the 'Best Doctor',  Dr. M. Rajendran has been an asset for the development of this institution to this stature.  He had grown with the institution right from the day of laying of the foundation stone of the medical college buildings, brushing away better financial prospects elsewhere during his long career.   It is hard to find such a dedicated and loyal leader with such a grit and determination.
He had been very successful in getting grants and funds for the institution from various sources and in pushing through proposals for full-fledged funding and running by the Government.  My best wishes to this successful surgeon and medical administrator who is full of wit and wisdom. “
And now my best wishes to him for a happy retired life.  Retired life for medical professionals in our country may be a very busy one.  My case is an example – busy with professional work from morning to midnight, even 20 years after retirement !!!

Last but not the least, I wish to thank his meritorious wife, Dr. Shanthi for the development of the college, because it is rightly said that “THERE IS ALWAYS A WOMAN BEHIND EVERY SUCCESSFUL MAN."                                                                                                                            
Dr. T. Rama Prasad 
‘PAY  WHAT  YOU  CAN’ Clinic,  Perundurai,  Erode Dt., TN, India
Former Medical Superintendent (Special), RTS & IRT Perundurai Medical College and Research Centre,  Perundurai

*Website: www.rama-scribbles.com  *Blog: https://drtramaprasad.blogspot.com  *Twitter: @DrRamaprasadt       *Facebook: T Rama Prasad  *E-mail: drtramaprasad@gmail.com     *WhatsApp: +91 98427 20393









Photo taken on the day of retirement of  Professor Dr. M. Rajendran, DEAN























Thank you all for the excellent hospitality at the inaugural function.



In my consultation chamber, when these 5 final year MBBS students (Karuppasamy, Palaniragavan, Ragupathi, Priyanka & Nivetha) of Perundurai Medical College came to invite me for the "INCEPTRA '17" cultural festival to be inaugurated on 25.09.2017.











Bosom friends !  In the background is one of my 'paintings', of a boat. Boat has been my favourite painting subject though I don't know how to swim.  Everybody must learn swimming, and swimming is one of the best exercises.



On March 30, 2018,  sharing their joy of passing 'Final MBBS Exam'




Thiru B. Loganathan, Physical Director & Thiru K. Karuppusamy, Assistant of Perundurai Medical College  handing over the invitation card in my chamber to participate at the                               'GRADUATION DAY'  on April 25, 2018.


I made the following representation regarding the location for AIIMS on March 1, 2015:

AIIMS at PERUNDURAI

       An All India Institute of Medical Sciences (AIIMS) at a cost of Rs.1,500 to 2,000 crore would be established in Tamil Nadu, according to the current budget announcement (Feb 28, 2015). The State had already identified five suitxercises      able places among which PERUNDURAI is one with more than 325 acres in the present IRT Perundurai Medical College & Ramalingam Tuberculosis Sanatorium campus. I worked and lived in this campus, popularly known as 'Perundurai Sanatorium', for more than 30 years.

        Taking all the requirements into consideration, this place seems to be the most suitable one. This place is located about 1,200 feet above the mean sea level on an elevated plateau with salubrious and dry climate. It has a sprawling woody landscape with a number of peacocks around with glittering tail coverts glowing with metallic and iridescent hues.  And aside from the visible merits of this place the good nature of the people in this region would be an added bonus.

 

                 The ‘Perundurai Sanatorium’  &  the Perundurai Medical College campus.







Farewell to our beloved Dean, Dr. M. R.











TREES  and  PLANTS  --  the green gods


Dr. T. Rama Prasad

"Growing trees is the best preventive medicine."
                                            -- T. Rama Prasad

         'Nature' is god.  Even if you have no belief in god,  you have to believe that your life is sustained by trees and plants -- because it is a fact.  And,  what is life without trees and plants ?  By tinkering with'Nature' we have not only caused an ecological imbalance in nature, but also jeopardised our health.  Many of the diseases we are suffering from are due to inadequate green coverage.  Due to a perceived need we have converted green lands into concrete jungles which emanate noxious elements into the environment which kill us slowly.

          Fifty years ago (1967),  the vegetation in the 'Sanatorium Campus' of 326 acres enticed me to take up the job of a Medical Officer.   And,  I lived with those trees and plants for over 35 years.   At that time,  I saw a close coexistence of two trees of different species (neem & pipal) at the base of which was there a small idol of Vinayagar.  I had seen them growing stonger and bigger over half-a-century.  On the Vinayaga Charurthi day this year (2017),  I visited them again.    The photo below  is that of these two 'friend-trees' taken on this festival day (25.08.2017).
         
         
          

in 2017

           Traditionally, these two kinds of trees - neem and pipal- are grown in the precincts of temples.  There may be some logical purpose in choosing them.  The 'Sanatorium staff members' took the initiative and constructed a temple later in the adjacent area for Vinayagar.


The same trees   in 2025

To know more about FICUS trees, go to --  

           




I planted the saplings of these trees in front of the Perundurai Medical College building about 20 years ago.  This photo was taken recently (2017) when I went there to attend an academic programme.
  Over a period of 35 years,  I had grown various trees and plants in that campus (Sanatorium / Medical College campus).  My residential area inside the campus used o be called 'a mini-botanical garden'.   I planted 20 saplings of 'Royal Palm' trees in front of the medical college building when the college was opened.  Now, about 20 years later, you can see 18 of them (in the photo below) as splendidly grown-up trees graciously reaching the fourth floor of the building.




The present (2017) greenery at the entrance of the Perundurai Medical College was planted by me long ago





I was delightfully surprised to see the way how greenery was grown inside a Singapore hospital when I visited it (see more photos in the 'Scribbling' titled "Trees and Plants" on this blog).





Read the 'Scribbling',  "MY  REAL  AWARDS" on this blog to know what these mean to me.






Read the 'Scribbling'  "PAY WHAT YOU CAN Clinic' to know what it is.



Yes, I do things in a different way.  I had been caring for the plants in this photograph  for a long time.  I christened the tall cactus, Ferrocactus ferrerae,  as “Sivalinga spiralis  /  God cactus”  as it looks like ‘Sivalingam’ and has spirally oriented ribs,  and gave it a divine look by adding ‘pooja’ items like bell, ‘deepam’, incense sticks, etc.  You may read more about it under the heading “My lost (last) paradise” on this blog.

                  "Winners don’t do different things,   they do things differently.”
                                                      ---  Shiv Khera


To read other 'Scribblings',  go to the headings below.  

Continued …
                   The full text of this 'Scribbling' will be posted on this blog later.  --  T. Rama Prasad


The following is a list of some of my 'scribblings', including a few from the 28 articles on COVID published in a monthly medical journal in 30 months (a world record).   To open them, click on any of the titles.  --  T. Rama Prasad


Blog Archive



TB -- the defiant disease

 

Writer :                   T. Rama Prasad

Date :                       November 9, 2025


Vega's Query on TB Elimination in India

Vega, a medical student, posed a poignant question: “With over 40% of India's population harbouring latent TB germs—infected but not diseased—can we eliminate TB by the end of 2025, or even in the coming years? About 10% of these latent cases may progress to active lung TB due to waning immunity from ageing, diabetes, or other factors. These patients can then transmit the disease via coughing. India bears roughly a quarter of the global TB burden.


The Stakes of Elimination by 2025

This deadline is pivotal for India's ‘National TB Elimination Programme (NTEP)’, which ambitiously targets TB elimination five years ahead of the WHO's 2030 goal under the ‘UN Sustainable Development Goals’.  Elimination means an 80% drop in new cases and 90% in deaths from 2015 baselines.

The ‘National Strategic Plan (2017-2025)’ drives this through initiatives like the ‘Pradhan Mantri TB Mukt Bharat Abhiyaan (PMTBMBA). It mobilized over 2.59 lakh community volunteers—‘Ni-kshay Mitras’—to offer nutritional and financial aid to 1.18 crore patients. Under the ‘Ni-kshay Poshan Yojana (NPY)’3,202 crore has been disbursed.  A ‘100-day TB Elimination Campaign’ in December 2024 ramped up diagnostics with AI-powered portable X-ray machines, screening over 5 million people, and drones for supplying remote areas. These efforts slashed "missing cases" by 83% since 2015 and hit 87.6% treatment success for drug-susceptible TB in 2022 cohorts. Such progress is commendable.


Why the Goal Feels Unattainable ?

Yet, through an official lens of statistics—potentially glossing over grassroots realities—the 2025 target seems out of reach. Diagnostic gaps persist: Sputum microscopy covers just 75% of tests, molecular diagnostics only 25%, enabling silent transmission. The COVID-19 pandemic derailed screenings and drug supplies. Socioeconomic hurdles—stigma, out-of-pocket expenses despite free drugs, and staff shortages in under-resourced clinics—undermine treatment adherence.

A September 2025 analysis reveals stagnant patient numbers in high-burden spots like Mumbai's Govandi slums, where TB strikes nearly every second household. Historical programs, from the ‘National Tuberculosis Control Programme (NTCP)’ to its revisions as ‘Revised NTCP’ and now ‘NTEP’, have repeatedly fallen short of projections. Public rhetoric around "elimination" breeds complacency, delaying diagnoses with dire outcomes. Without vigilance, the disease flares unchecked.


The Menace of Drug Resistance

‘Drug-resistant TB (DR-TB)’ exacerbates the crisis. In 2023, India reported 63,939 ‘Multidrug-resistant/rifampicin-resistant (MDR/RR)’ cases—2.5% of new patients and 16% of retreatment cases.  Prevalence surveys estimate MDR-TB at 5.4%, isoniazid mono-resistance at 11.4%, and rifampicin mono-resistance at 2.5%.  India accounts for much of the world's 1.4 million annual isoniazid-resistant cases.

NTEP counters with universal drug susceptibility testing (58% coverage in 2023) and shorter all-oral regimens like the six-month ‘mBPaL’, achieving 80% success for MDR-TB.  Treatment success for shorter MDR/RR regimens rose to 75% in 2022 (from 68% in 2020), and 73% for longer MDR/XDR cases, with 92% of notified DR cases starting second-line therapy.  Official data suggests effective containment, but limited studies may understate the scope.

Half-a-century ago, in The Hindu on April 28, 1977, I foresaw and wrote this: "Development of drug resistance, from inadequate and irregular treatment, has far-reaching implications. If unchecked, it would render TB unmanageable by current methods, whatever the means. Irregular treatment keeps patients alive, suffering, and infective, disseminating drug-resistant organisms."  The WHO's ‘2019 Global Tuberculosis Report’ validated this, confirming India leads in TB and DR-TB cases.  TB now kills more than ever—1,000 daily in India, 3,500 globally—with 30,000 new infections worldwide each day. When I entered TB field half-a-century ago,   I imagined scarcity of TB cases for teaching by the 2020s.


TB and COVID-19: A Tangled Threat

Studies show those with old healed TB lesions face worse lung impairment and quality of life if infected with COVID-19.  TB mortality risk is 1-3 times higher in COVID patients; the diseases may mutually amplify each other.  A global study by the ‘Global Tuberculosis Network (GTN)’, backed by WHO, will clarify this.  Ironically, curable and preventable TB endures a century-long battle, while enigmatic COVID-19 fades after a few years.  COVID disrupted TB plans, as it did everything else, potentially derailing elimination timelines.


Dream or Doable ?

NTEP's innovations—doubling decline rates and boosting notifications—build real momentum. But true elimination by December 2025 requires ramped-up funding, equitable access, and multi-sectoral commitment.  Experts call for closing the 2.5 lakh annual "missing cases" gap to prevent rebounds and make India a global beacon.

An effective vaccine, like smallpox's, could have ended this war long ago.  A century of research yielded little; BCG offers only partial protection.  Can we greet 2026 TB-free? Dream or doable ? Achtung ! TB is ‘to be or not to be’.

 


Some writings, presentations, papers and comments related to TUBERCULOSIS  by  Dr. T. Rama Prasad:

 

 1.      https://www.thehindu.com/opinion/open-page/a-bad-patch/article31069356.ece 

 2.       Five years Plans and TB Control Programme (Special Article) - 

          The Hindu,  Vol.101, No. 275,  November 24,1978

 3.       How effective is the TB control programme ?  (Special Article) -  

          The Hindu,  Vol.100,  No. 274,  p.8,  1977.

4.   https://drtramaprasad.blogspot.com/2017/04/yellow-nail syndrome_28.html

5.      https://drtramaprasad.blogspot.com/2017/04/tuberculosis-in-india_29.html

 6.      Rama Prasad, T.,  COVID and Tuberculosis.  The Antiseptic, 2021  December; 

                               Vol.   118; No.12; P: 11-17;  Indexed in IndMED --  www.antiseptic.in

 7.       https://drtramaprasad.blogspot.com/2017/04/tb-and-covid.html

 8.       Drug Resistance in Tuberculosis  -  Journal of the Indian Medical 

          Association,  Vol.  64, pp. 264-267,  1975.

 9.      Childhood Tuberculosis - Part I - The Antiseptic, Vol. 76, pp. 449-504,1979

10.      Childhood Tuberculosis - Part II - The Antiseptic, Vol. 76.  pp. 567-574, 1979

11.    Short-course Chemotherapy - The recent Advances in the Treatment

           of Respiratory Tuberculosis - Current Medical Practice, Vol.24,

           pp. 41-46, 1980.

12.    Drugs in the treatment of Tuberculosis - The Antiseptic

          Vol. 75,  p.678, 1978

13.    Chemotherapy of Tuberculosis - The Antiseptic,  Vol. 76,  p.248,  1979.

14.    Streptomycin in Tuberculosis - The Antiseptic,  Vol. 76,  p.516,  1979.

 

15.   National Tuberculosis Control Programme -  views presented,  

        on invitation  by theTuberculosis Association of India,  at the 32nd 

        National Conference on  Tuberculosis and Chest Diseases,  1977.

16.   Correlation between Geomagnetic Activity and Haemoptysis -

        paper  presented at the II Tamil Nadu State Conference on Tuberculosis 

        &  Chest Diseases,  1980.



“Science is always wrong.  It never solves a problem without creating ten more.”

                                                                    --  George Bernard Shaw 


Click on : https://drtramaprasad.blogspot.com/2017/04/tb-and-covid.html

https://drtramaprasad.blogspot.com/2017/04/tb-and-covid.html  

 




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