Pediatric Advanced Life Support 2016: Fill & Download for Free

This is what I think of them.Their daughter had moderate to severe Dandy-Walker malformation. But that wasn’t the only diagnosis; Laurel also had a brain condition in which fluid builds up in the ventricles, eventually developing into hydrocephalus and possibly crushing her brain. She had a congenital disorder too, in which there was complete or partial absence of the broad band of nerve fibers joining the two hemispheres of the brain. What this meant was Laurel was expected to never walk, talk, or swallow. That was if she survived birth.Kate asked her doctor: “What can a baby like mine do? Sleep all the time?”“Babies like yours are not generally comfortable enough to sleep,” the neurologist said.“That is when it became very clear what I wanted to do,” she says. “The MRI really ruled out the possibility of good health for my baby.”For Kate, giving a child life and peace are the two gifts a mother can offer. “Most babies get to have life and get to have peace, but this baby, I had to choose. I could choose life, with the outside chance of peace or occasional peace, or I could choose certain peace without life. And for me, certain peace without life was the choice I wanted to make.”AndAt first, it looked like a bubble floating on the ultrasound. At the routine 18-week visit in February 2016, the doctor speculated the peculiarity could be cystic lymphangioma, a group of cysts found mostly in the neck. Or it could be nothing. They immediately booked an appointment at the University of Virginia (UVA).After seeing the ultrasound at UVA, Lindsey noticed the growth had enveloped half of Omara’s face and spread around her neck to the back of her head. When the doctor entered, they expected the worst. Again, the term lymphangioma came up. But so did cervical teratoma. Only an MRI could determine decisively, but whether it was malignant or benign, it could be fatal to the baby.“You could just tell the energy in the room was like: you should end it, it’s not going to turn out well,” she says. The doctor told them they could terminate the pregnancy since Omara’s chances of survival were slim. Matt and Lindsey were crushed by the prospect. They wanted to fight.Twenty days after seeing the first signs of trouble, they learned that Omara had an aggressive form of lymphangioma growing out of her neck. The diagnosis came in the form of a dense two-page MRI report. The fast-growing, inoperable tumor had grown into her brain, heart, and lungs. It had wrapped around her neck, eyes, and deep into her chest. It was so invasive, it was pushing her tongue out of her mouth.Her chances of living to the age of viability or birth were slim. Lindsey and Matt made the heartbreaking decision to follow through with an abortion at about 24 weeks. They were just a few days away from it being an illegal termination.On 26 February 2016, Omara Rose’s heart stopped beating. Shortly after, Lindsey was admitted into the hospital for labor induction but the epidural stopped working. “I felt like my insides were being ripped apart,” she says. When the doctor administered a second epidural, Lindsey became nauseous. Her ears rang. The room spun. The doctor rushed in to administer a third epidural.She was conflicted the whole time because while she was in pain, she didn’t want it to stop because she knew by the end of it, “your child is going to be dead”, she says. Matt held her hand the whole time.AndDarla, then 29, and her husband, Peter, had tried for years to get pregnant. When treatments failed, they traveled to the Czech Republic to use donated eggs. A week after the transfer, Peter got a dinner dessert with a message: “Congratulations daddy.” They were expecting twins.But during a routine anatomy scan, the technician was abnormally quiet. Cate was measuring a little behind but she was always the smaller of the two, so Darla didn’t worry much. After a long wait, the OBGYN entered the room and asked Darla to sit next to her husband. “I just knew something was wrong,” Darla says.Darla recalls hearing the doctor say he had never seen this combination of anomalies before.Darla and Peter saw additional specialists, and all confirmed a number of issues. Cate had encephalocele, which is a neural defect that causes brain matter to leak out, slow growth, microcephaly, a very large cleft lip and possible fused digits. Her cerebellum was so underdeveloped that one doctor had trouble finding it and her brain’s midline was shifted, indicating “severe disorganization”.To make matters worse, Olivia’s life was in danger. Cate’s amniotic sac was growing and restricting the growth of Olivia’s sac.If she carried to full term, the restriction on Olivia’s sac would likely mean an early delivery. Darla says that every specialist they saw disclosed there was a high probability that Cate would not survive the delivery but if she did, there was no guarantee the surgeries – removing the encephalocele and placing her brain tissue back into her skull – would save her.Darla cried and Peter prayed. “We needed a miracle and we knew as the day went on we weren’t going to get one.”Their other option was abortion, one they did not take lightly, but one that felt rushed because of Texas’s restrictive abortion laws, which bans abortions after 22 weeks. Darla and Peter had 12 days to decide. “If laws were different ... we would have done more testing – one doctor mentioned an MRI, for example, to try to test the level of her brain function. But we didn’t have that, and knowing what timeline we were on, we spent a lot of sleepless nights researching, making appointments, talking to each other and our therapist, and really just spending time being the four of us,” she says.“Finally, we just looked at each other and said it was okay. We had to do what was best for her. So we knew what we had to do to bring home one.” Darla says she was prepared to deal with it all, but “if it meant Cate was going to suffer, we just couldn’t do that to her”.At 21 weeks and six days, Darla had an injection, and Cate’s heart stopped. “For us, it was completely humane,” she says.In the case of an additional fetus that gets aborted in the womb, the tissue is usually reabsorbed back into the body, but that wasn’t the case this time.“I kept telling Peter, I’m carrying our healthy baby and our dead baby. I can’t reconcile that in my brain. At the same time, it was a comfort to know that I didn’t have to say goodbye right then,” she says.Thirteen weeks after the diagnosis, Darla delivered Cate and then gave birth to Olivia, a healthy 5lb baby. The family took turns holding Cate and later in the afternoon, the chaplain came to take her away.“And then we had to grasp that we were only a family of three,” she says.The agony of ending a wanted late-term pregnancy: three women speak outAndAt each ultrasound, we got news that our baby’s condition had worsened: She had advanced dilated cardiomyopathy, a condition that presents itself in the end stages of heart failure. According to the American Heart Association, advanced dilated cardiomyopathy affects the heart's ventricles and atria as well as the lower and upper chambers. Because heart muscle doesn't contract normally and cannot pump blood very well, the heart weakens and causes heart failure.At each appointment, we learned there was no medicine to stop or alleviate her symptoms. There was no surgery to fix it. Our baby had also developed Hydrops fetalis, a condition, according to the Children’s Hospital of Wisconsin, where fluid collects in at least two different fetal organ spaces. According to a report published in Images in Pediatric Cardiology, mortality rates for dilated cardiomyopathy is highest in the first year after diagnosis, at 79 percent. Once we knew how severe her condition was, I prayed incessantly that her little heart would just stop beating on its own. I’d plead with God to let her pass away without me having to make that gut-wrenching decision.But in the end, I had to decide.Despite seeking any opportunity to help our daughter survive, it wasn’t possible. If our baby somehow made it to birth, our doctors told us her prognosis was morbid. She’d struggle to breathe and eat, two of the most basic tasks in life. She’d repeatedly experience heart attacks, strokes, seizures, and suffocation until one was strong enough to kill her. We had no choice but to make the most difficult decision a person ever faces as a parent: We decided to terminate the pregnancy. In my heart, I wanted nothing more than to take my baby home and watch her grow. But I knew this wouldn’t be a reality for us. We couldn’t put her through physical agony just so we could have a few stolen moments with her. We couldn’t tease our 2-year-old daughter with the role of big sister, especially since it was a role she wouldn't have for long. We couldn’t put on a fake smile as people continued making remarks on my growing belly. We couldn't hide from the truth. Our baby was sick.Forcing her into life would hurt her in ways we'd never know or understand. So we made the most humane and merciful decision we could for our daughter. At 23 weeks, we decided to end my pregnancy. My husband and I didn’t want her to be born into a life where she’d struggled with immeasurable pain from her first breath to her last.Although every doctor mentioned termination was an option in our severe situation, none of the doctors we saw could provide us with any support. Because my husband is in the military, our insurance is federally funded. The Hyde Amendment, passed in 1976, prohibits the use of any federal money toward abortion and also prohibits use of private money to pay for abortions in military-treatment facilities. It meant that our insurance wouldn’t pay anything towards termination of a pregnancy for fetal anomaly, and also that our doctors would not perform the procedure. But what hurt more than anything was the fact that they wouldn’t even point us in the direction of a safe and legal place to have it done. After receiving the most life-changing news, I felt judged and abandoned by my medical providers. Ending my pregnancy was also a part of my prenatal care and it was incredibly frustrating to have all medical support cut off. I was astounded at how inaccessible abortion was in my case. Even though I had the right to choose, it I couldn't access the medical care I needed.My husband and I ended up traveling over 250 miles to a clinic that would perform a dilation and evacuation (D&E). We couldn’t afford the $20,000 out-of-pocket hospital bill for a labor and delivery, so this was our only option.Following the procedure, I never got to hold or see my baby or give her kisses. Because we couldn’t afford a labor and delivery, that option was taken away from me. And despite what anti-choice advocates like Trump would have you think, I am a grieving mother. I cried uncontrollably as I packed away the precious items I’d bought in preparation for our new baby. Since my D&E, there have been nights when I’ve held her footprints up to my cheek, comforted by the fact that her little feet touched this piece of paper. I clutch her tiny box of ashes up against my body and sob, because this is the only way I get to hold my baby. I’m not a cold, callous, selfish person who sought to harm her baby. Terminating my pregnancy was the only way I could protect her.I'm A Mom Who Had A Late-Term Abortion & It's Nothing Like Donald Trump SaysAndThe doctor came in and said, ‘I don’t really know how to tell you this, but we’ve detected a pretty devastating abnormality.’ It’s called Alobar Holoprosencephaly. Basically what it means is that the brain did not divide into two hemispheres. It’s a spectrum disorder, and this was the worst form. Everything just kind of fuses together in the middle. The child would have had one cyclopic eye and a proboscis, no nose. There was no chance of survival. They were stunned that my pregnancy had even made it that far. Normally, people miscarry. They knew that if I carried to term, the baby would not survive, but they weren’t sure what would happen with me. There was a chance I could have a late-term miscarriage, in which case my life would have been in danger, too.They gave us our options, but I knew right away that I wanted to have a D&E [a surgical abortion]. I knew from the minute my husband and I got the news that I was not going to bring a child into the world that was going to die in my arms. If I had chosen to induce labor, I would have had to have been on the labor and delivery floor, and I didn’t want to be that woman with the little red tag on the door. I didn’t feel like I’d be able to recover from that. They referred me to a doctor [who performs late abortions] and who I call my angel of mercy.There was a nine-day gap between the diagnosis and when the first part of the D&E started. That was nine days of feeling movement, and of showing, and having people ask about my pregnancy. Then it was a three-day procedure. First, they give you something to dilate your cervix, and then they send you home. It was Halloween, and I had to sit there while I was cramping and spotting and listen to trick-or-treaters. I pretty much hate Halloween.I went back two days later, and honestly, it was pretty horrible. If the physician hadn’t been so wonderful, I don’t think I would have had the strength to get through it. He held my hand and told me it was going to be cold in the OR, and noisy and bright, and then I would drift off to sleep. When I woke up, I was not pregnant anymore. The awful thing, though, is that you’ve still got to deal with your milk coming in, and your womb shrinking and cramping and bleeding ― and you don’t have a newborn in your arms. At first, I didn’t want to know the baby’s gender, but then five years ago I finally asked if it was a boy or girl. It was a boy.People in the far right like to try and paint you as a heartless baby killer, but I don’t think anyone knows what it feels like to have to let go like that. I’ve always been pro-choice, but it never occurred to me that I’d ever need to have an abortion, and certainly not at age 35 with a husband and a child who was very much wanted. I’m not any kind of genius mom here, but I do know that mothers will do anything they can to take away their child’s pain. And I’m just a mom who didn’t want to put my kid through pain. I have sadness, but I have no regrets.AndIn July 2013, my husband and I found out that I was pregnant with our first child. It was a planned pregnancy and we were incredibly excited. At a prenatal checkup, they told us it looked like we were having a boy, but that they’d confirm at our 20-week anatomy scan.In the middle of that appointment, I realized something was very wrong. When the doctor got to our son’s brain, he kept measuring it over and over again. He told us it looked like something was off. They got us in for an MRI the same day. I’d say we definitely understood the gravity of what has happening, particularly because they were getting us into appointments so fast. Based on the MRI, they suspected hydrocephaly [a severe condition sometimes known as “water on the brain”].The next day, we got into a world-renowned specialist. He’s the kind of guy who, if you get news like ours, you fly halfway across the country to see because he does in utero brain surgery, and he just happened to be right where we live. He told us our son had a malignant brain tumor with a likely related case of hydrocephaly. I wasn’t far along enough to try and deliver him and have the doctor attempt brain surgery, and in utero surgery wasn’t an option. He told us that if I did carry to term, our son would either die at birth or a few hours later go into immediate surgery where he’d have only a 50-50 chance of living. And if he did live, it would be a life of suffering without being able to see, hear, talk or smile. Even given all that, he suggested we wait about a week to get another MRI to re, re, re-confirm that everything they were seeing was right. We definitely knew what was happening, but we also did keep saying to each other, “We’re not there yet.” Every step of the way, we held out that littlest bit of hope.We had the last MRI, which was pretty awful. The machine was so loud and I think the baby did not like it. I could feel him squirming around, like he was trying to get away from the noise. That MRI confirmed everything.At that point, it didn’t feel like it was a decision any more. It wasn’t like we had to consider odds, like, ‘What if?’ We knew that if he lived, it would be a life of suffering, period. No doctors were saying, ‘Well...there’s a tiny chance.’ We felt really grateful for that. I can’t imagine how difficult and complex the choice is for families where there’s more uncertainty.I had a D&E and for me, it was a three-day procedure. My doctor was one of two in the area who provide late-term abortions, five minutes from our house. It is not lost on me how fortunate we were.The people at the hospital clinic were incredibly empathetic. They explained it to me very thoroughly, which was comforting and hard. I knew that what was happening the first and second day was preparation for the procedure on the third day. My memory of it is a little fuzzy, partly because I was under anesthesia and then on pain medications.My husband and I both work in politics, and we watched the debates. I was glad they asked a question about abortion, but then I was so horrified by what Trump said and so personally hurt. I had that moment that undocumented immigrants and sexual assault survivors (and the list goes on and on) have had. There he was saying that my husband and I were inhumane butchers who had our baby ripped out of me.I think that what is important to note is that everyone’s experience is so different. My husband and I had a late-term abortion because our baby had a malignant brain tumor, and almost no one has that. It’s so, so, so rare. The reasons why people chose to get abortions at any stage are different and unique to them. That’s why I think that trying to legislate this choice is so dangerous.Donald Trump, Here's What It's Really Like To Get A Late-Term AbortionAndThe hospital bills came in, reminding me of a conversation about insurance with our high-risk ob-gyn before the procedure. He worried that I might still be on my federal plan from my days on the Hill, in which case I could face more than $20,000 in out-of-pocket costs, because no federal funds can be used for an abortion—even in circumstances like ours. Luckily, I wasn’t. Nonetheless, our balance for the various tests and procedures totaled almost $4,000.I became more passionate about the politics around late-term abortion, given that my own occurred only shortly before the legal window allowing one was set to expire. Had I been a patient in one of 18 states outside Washington, I would have been forced to carry my son to term because of their laws prohibiting abortions at 20 weeks. These bans, underpinned by the scientifically unproven belief that at 20 weeks a fetus can feel pain, are the current animating cause of the pro-life movement. Ohio enacted one earlier this year, a ban in Iowa is awaiting the governor’s signature, and Pennsylvania is considering one. Here in Washington, the Republican House passed a federal version in its 2015–16 session. Some states have even tried to ban D&Es, which would force women like me to undergo labor and deliver a baby that isn’t viable. Luckily, those bans have not survived judicial scrutiny.Mostly I looked forward to trying to get pregnant again. Some people were shocked to hear we’d want to so soon—but why? Expanding our family was the whole point. During the first month we tried to conceive, I was so optimistic that I had moments of actual happiness. Then, on the day that was supposed to be our son’s baby shower, my period came.I had always wanted to be a mom. Wanted it while I was getting that $150,000 law-school education and while I scratched my way toward the right job title and status. Then I found myself on family leave—childless.My Late-Term Abortion

The answer is right here is Quora. Updated 2016. Healthcare startups can be subclassifed into 10 - 12 categories.Doctor Networking & engagementDoctors Discovery Platform / AggregatorsE-commerce /Pharmacy DeliveryPatient Education/Awareness/ NetworkPersonalized Health & Lifestyle servicesConsultation & Appointment/Practice managementHealth Record, Data & Claims ManagementDevices /Tech/ GenomicsHome -healthcareSpecialty-care/Focused CareContent/ OutsourcingList of Startups1.Doctor Networking & engagement: These startups engage Doctors in closed groups (more in lines of a vertical social network). The platforms / products are usually free from Doctors, the revenue is derived mainly from Pharmaceutical industry by e-detailing and market research.DailyRounds > dailyrounds.org - Largest Academic Doctors network with 250,000+ Doctors. Largest Doctor network in India and one of the largest in the world. Doctors share cases and get full access to drugs & ECG database , calculators and guidelines. Backed by Accel Partners, Kae Capital , Beenos & more. Based out of Bangalore. DailyRounds is a social network/medical journal for doctors founded in 2013 by three member team of Doctor, Engineer & Developer.Curofy > curofy.com - Linkedin kind of Doctors networking. Funded By RoundGlass Partner.Based Out of Delhi/NCR region. Have user base over 60,000 Doctors.Docplexus> docplexus.in - Web based discussion forum for Doctors. Verified Doctors can discuss about practice related issues, non medical issues etc. Based out of Pune. Docplexus is an online platform for doctors where they can communicate with peers and other healthcare service providers.Buzz4Health > http://buzz4health.com/ Platform for Doctors for Continuous Medical Education. Based out of Delhi.PlexusMD > PlexusMD.com Based out of Ahmedabad, PlexusMD is designed for doctors, by doctors with custom features to provide you with relevant information,Share updates and opportunities to Drive professional growth.2.Doctors Discovery Platform / Aggregators :Practo > practo.comBased out of Bangalore, help you find the right doctors for your problems, and help doctors digitize their practice. . Have raised $ 124M in 3 Rounds from 7 Investors. Also have done 4 acquisition since founding in 2008. Now have presence in 5 countries, Singapore, Indonesia, Phillipines, Brazil & India.CrediHealth > CrediHealth.com Based out of Gurgaon. Provides a way to learn about your health and get trustworthy health information at your time of need. Help people to compare and select from a comprehensive database of hospitals, doctors and treatments.Lybrate > lybrate.comFounded by Ex-Facebook Employee Saurabh Arora in 2013, an innovative online and mobile-based platform that connects patients and doctors. Based out of New Delhi It have raised $11.43M in 2 Rounds from 3 Investors.Medikoe > https://www.medikoe.com/ Based out of Bangalore, Provides you discovery of services which are personally verified and can be trustedLivehealth > https://livehealth.in/ Based out of Pune, an end-to-end collaborative report management solution. We help you get your medical reports instantly from various healthZoctr > https://www.zoctr.com/ Based out of Mumbai, provides a comprehensive portfolio of home based medical services including long term Intensive Care, Chronic Care & Wellness, Corporate Wellness and Health Check-up programs and other subscription based value added services such as Teleconsulting, Home Laboratory Pick-ups, Home/Online Pharmacy and Emergency Management Support to its customers .Have raised $1M in 3 Rounds from 4 Investors since 2013.PS Take Care> https://pstakecare.com/ Based out of Mumbai ,PSTakeCare is a comprehensive surgery care platform which takes end to end care of patients during their entire surgical journey. Recently, Portea Medical Acquired a majority stake in it.3.E-commerce /Pharmacy Delivery :===================1MG > https://www.1mg.com/1mg (formerly Healthkart Plus) is an online pharmacy network and generic medicine engine. It enables users to find information about medicines prescribed by doctors and also buy them. Users can find drugs by ailments, class, companies, and brands. Launched by Sameer Maheshwari and Prashant Tandon in 2012 and its operations are headquartered in Gurgaon, India. It have raised $22M in 3 Rounds from 5 Investors .NetMeds > http://www.netmeds.com/ Brought to you by the Dadha & Company – one of India’s most trusted pharmacies, with over 100 years’ experience in dispensing quality medicines. Based out of Chennai, it have raised: $50M in 1 Round from 1 Investor.Practo > practo.com Have recently forayed into pharma/medicine delivery in Bangalore and other citiesSpeed Medicine > http://www.speedmedicine.com/home.aspx Based out of Kolkata pharmaceutical partner dedicated towards simplifying your medication needs and ensuring faster and reliable health services.4.Patient Education/Awareness/ Network:Noora Health > http://www.noorahealth.org/Noora Health is an online platform that offers training and information to caregivers and patients after surgeries. Based out of Stanford, California and Bangalore was recently judged as one of the top innovative healthcare organisation in world by FastCompany.SocialBlood > http://socialblood.org/ Quickest way to find blood donor based on facebook platform.Tinysteps > https://www.tinystep.in/ Indias Largest Parenting Network provides networking and info sharing on baby care.Parentlane > http://www.parentlane.com/ Parentlane, is a social parenting platform empowering parents by delivering personalized, timely assistance to raise smart & healthy kids! . Based out of Bangalore, it is backed by CloudNine Hospital Founders.M urgency > http://www.murgency.com/MUrgency - One Global Emergency Response Network (On Mobile Phones). Winner of 3 startup awards in 2016.5.Personalized Health & Lifestyle services:GOQI > http://goqii.com/in-engGOQii is headquartered in California with offices in Mumbai and Shenzhen. It is dedicated to enabling a permanent shift to a healthier lifestyle with the combination of advanced wearable technology, the world's leading experts, coaches and karma. GOQii focuses on sustained engagement & goal reinforcement and offers a complete ecosystem as a single integrated solution, which is a powerful combination of technology and human connection. Have raised Total Equity Funding $13.4M in 6 Rounds from 7 Investors since 2014, and one of the healthcare startup with personal investment from Ratan TataHealthifyme > http://healthifyme.com/HealthifyMe is an application that allows its users to achieve their fitness and weight loss goals from their computers and smartphones. Based out of bangalore, it has raised $6M in 3 Rounds from 9 Investors since inception in 2012.JANA CARE > http://www.janacare.com/ Jana Care works to reverse “diabesity”, the twin epidemic of diabetes and obesity, by embedding mobile technology with diagnostics and proven behaviour change science. Based out of Newton, Massachusetts and Bangalore, the team combines experience in engineering, design, medicine and behavioural sciences.LifeinControl > http://www.lifeincontrol.com/ Based out of Hyderabad, it’s a mobile companion for Diabetes management.GoAktive > http://www.goaktive.com/ is an tech platform that gamifies wellness and fitness and conducts boot camps for its users. Founded in 2015.CureFit > Building the future of healthcare in India .Based out of Bangalore and promoted by Mukesh Bansal of Flipkart fame & funded by Accel, IDG & Kalaari Capital to the tune of $15 Million, Curefit will be an innovative combination of engagement, coaching and delivery through a combination of online and offline channels. To know more one have to decipher the secret code here> http://www.curefit.com/Cipher_and_Key.zip6.Consultation/ Appointment/ Practice management: These are the startup which are leveraging technology to connect doctor and patient in an efficient and effective way.DocsAPP > https://www.docsapp.in/Based out of Bangalore , DocsApp provides Instant and Private consultations from top experienced MD qualified Doctors on the mobile in India within 30 Min!. No need of appointment booking, travelling through heavy traffic and waiting at clinic for the doctor anymore! . Have raised $1.2M in 1 Round from 2 Investors since 2013.Lybrate > https://www.lybrate.com/Practo > practo.comDoctorInsta > https://www.doctorinsta.com/India's 1st Video Medicine Company where One can consult Care-Givers anytime, anywhere.Based out of gurgaon, have raised $3M in 2 Rounds from 3 Investors.Medfixit > http://www.medifixit.com/Zeros > https://www.zeros.co.in/E-Clinic24/7 > https://www.eclinic247.com/Welcome Care (Alternate Medicine) > welcomecure.comSeeDoc > seedoc.co SeeDoc combines advanced video, voice, mobile, and artificial intelligence with the medical knowledge and experience of India's leading Doctors. Based out of Gurgaon, Haryana.Ray Care > http://raycare.co/e-vaidya > https://www.evaidya.comS10 health > https://www.s10health.com/7.Health Record, Data & Claims Management: These cater to the enterprise as well as consumer segment to streamline the data flow across stakeholders in a secure ,easy to use way.Practo Ray > Practo.com Doctors use Practo Ray a SaaS software to manage their practiceeKincare > ekincare.com Based out of hyderabad , empowers you to take charge of your health by enabling you to monitor critical medical info and make it available anywhere.Docengage > docengage.in a comprehensive Healthcare Platform that empowers care providers to manage care life cycle end to end.Praxify > https://praxify.com/ Based out of pune, streamlines clinician's workflow and works seamlessly across various mobile devices to enable right set of information aggregation at the point-of-care, thus improving physician productivity.MocDoc > http://mocdoc.in/ Based out of chennai, it is a single comprehensive solution for Hospital & clinic management.Mediassist > https://www.medibuddy.in/ Promoted by Medi Assist TPA , empowers every retail policy holder to take full charge of their health benefit management and give them access to various self-help features.8.Devices /Tech/ Genomics: These are Product based Startup catering to areas of Medical devices/equipments , New diagnostic technology etc.Satva Medtech > http://sattvamedtech.com Based out of bangalore, focussing on child and maternal healthcare.Axio Bio Solutions > http://www.axiobio.com/ Funded by Accel and IDG it provides blood cloting/ wound managment Dressing products.Medgenome > medgenome.com genomics-driven research and diagnostics company with a mission to improve global health by decoding the genetic information contained in an individual’s genome.Relisys Medical Devices > www.relisysmedicaldevice.com Focuses on Cardiovascular device manufacturers in India.9.Home -healthcare: Provides Healthcare services at the door step ranging from sample collection to long term care.Health Care at Home > http://www.healthcareathomeindia.com/Nightingales > nightingales.inIHHC > http://www.indiahomehealthcare.com/Portea > portemedical.comCare24 > https://care24.co.in/Zozz > https://www.zozz.co/Life Circle Health Services > https://www.lifecircle.in/Healers at Home > http://www.healersathome.com/10.Specialty-care/Focused Care:Swasth India) > http://www.swasthindia.in/ Dedicated to make detection and treatment of cancer in India more convenient, affordable and trustworthy. Ratan Tata have invested in personal capacity in this venture.M urgency > http://www.murgency.com/ Focused in Emergency carePress Red > http://www.press.red/ Hyperlocal Directory to find right healthcare provider . Based out of bangalore32teeths > http://32teeths.com/ ( Innovating in Dental care Space)AdressHealth (Paediatric/ Child Health) > http://www.addresshealth.in/web/ Vision of making the pediatric primary care continuum possible. With integrated child health clinics as a base to reach out to schools, pre-schools and residential groups, runs Child Health Clinics in Bangalore, and reaches out to numerous schools and pre-schools through a carefully orchestrated School Health Programme.Diabeto (diabetes) > http://www.diabe.to/ A combination of Hardware and software tool to mange diabetesMydentist > https://www.mydentist.co.in/Cloud9 > cloudninecare.com (Maternity & Child Health)Eye-Q Hospitals> https://www.eyeqindia.com/ ,( Eye- care)Centre for Sight > www.centreforsight.net/ ( Eye- care)Clove Dental > www.clovedental.in/ (Dental care)Bourn Hall Clinic > www.bournhall-clinic.in/ (IVF)Simple Therapy > https://www.simpletherapy.com/ (Pain Management)11. Content & Databases:Mobile health content > www.mdhil.comWeb health content> www.medindia.netIndia Drug Index - Drug Databases with offline access > Offline Drug Dictionary - IDI - Android Apps on Google PlayDisclaimer - I am associated with Daily Rounds.If have suggestions/additions please edit and add.

“… trans children [ are ] legally being given hormone therapy …” the exact same as any other medical prescription for anyone at any age.What, you wanna discriminate?Why?Discrimination is illegal.The next question would then be:Why would anyone illegally discriminate against trans children by denying them equal access to medical support services and prescription fulfillment?And it’s never even the child’s own doctors who seem to have these contrarian “second opinions”, and it’s all too often non-state-licensed non-physicians who cry the loudest for discrimination against legally equal fellow citizens.Why is that?- - - - - - - - - -In response to others:Prior post:“… Be careful. It's imperative we ensure the phobes understand that TEENS may be prescribed hormones, but CHILDREN are not. The idea that 3 year olds are getting hormones seems to be taking hold out there. Language matters. Children are not teenagers or youth or young adults …”Although I agree 1,000%, I prefer to stop at the“… why can’t we lay-folks with no experience of others second guess state-licensed-physicians and arbitrarily legally limit them to acting on our own uninformed conservative fundamentalist religionist prejudices only? …”.I don't want to even go as far as to explain that“… state-licensed physicians are taking accurate and appropriate care of their patients by providing well-vetted services and often customizing those services to the individual such that no all-purpose outside criteria applies …”I have two discrete and separate approaches:legal for those calling for the denial of legal equality under equal law,extra-legal for those just trying to learn new things and understand and they are not trying to pivot the law around their own prejudices.This question started right off with the legal:How are trans children >legally< being given hormone therapy?So that’s how I responded - legally.If they asked simply extra-legally:Why are trans children given hormone therapy?I’d have gotten into the extra-legal specifics ofwhat is a pre-pubescent versus post-pubescent “child/pre-teen/teen/young-adult”,what hormones did naturally in the womb before birth.what innate and therapeutic hormones do after birth at any time in someone’s life,the desire and fulfillment for one’s own pursuit of one’s own happiness and how modern understanding of our brain and endocrinology supports that for everyone.And so on.- - - - - - - - - -I’m with ya.I just bifurcate the legal and extra-legal so as not to get them confused.Anyone’s legal pursuit of their own happiness does not depend on anyone else’s extra-legal understanding.- - - - - - - - - -Sadly Quora opening “statements” ( hardly ever really “questions” ) are so underdeveloped and immature that we answering do have to cover all points of view, and I appreciate us each pitching in what we can in order to circumnavigate these issues and provide a chance for a useful and complete Quora page nonetheless.- - - - - - - - - -Prior post:“… puberty … blockers can effectively cause a person to become a transgender by affecting the brain and other areas. And the effects are usually not reversible …”Nope.Puberty blockers stop puberty,and have been used for years for children who experience early onset puberty as young as 3 or 4 years old,and when the puberty blockers are stopped, normal natural puberty ensues,all having absolutely nothing to do with being any gender,especially having no ability to cause someone to become one gender or the other,or to be cis* sex/gender or trans* sex/gender, or to somehow become one or the other.Let’s all look stuff up:puberty blockers Google Search, WikipediaSara E. Watson, Ariana Greene, Katherine Lewis, and Erica A. Eugster (2015). Bird's-eye view of GnRH analog use in a pediatric endocrinology referral center. Endocrine Practice:June 2015, Vol. 21, No. 6, pp. 586-589.Jump up to:a b Stevens, Jaime; Gomez-Lobo, Veronica; Pine-Twaddell, Elyse (2015-12-01). "Insurance Coverage of Puberty Blocker Therapies for Transgender Youth". Pediatrics. 136 (6): 1029–1031. doi:10.1542/peds.2015-2849. ISSN 0031-4005. PMID 26527547."Looking at suppressing puberty for transgender kids". Associated Press. March 12, 2016."Transgender Youth Using Puberty Blockers". KQED. August 19, 2016.Jump up to:a b c d Alegría, Christine Aramburu (2016-10-01). "Gender nonconforming and transgender children/youth: Family, community, and implications for practice". Journal of the American Association of Nurse Practitioners. 28 (10): 521–527. doi:10.1002/2327-6924.12363. ISSN 2327-6924. PMID 27031444.Smith, M. R. (2006). Treatment-related osteoporosis in men with prostate cancer. Clinical Cancer Research, 12(20 pt 2), 6315-6319.Panday, K., Gona, A., Humphrey, M. B., (2014). Medication-induced osteoporosis: Screening and treatment strategies. Therapeutic Advances in Musculoskeletal Disease, 6,185-202.Schober JM, Byrne PM, Kuhn PJ (2006). "Leuprolide acetate is a familiar drug that may modify sex-offender behaviour: the urologist's role". BJU International. 97 (4): 684–6. doi:10.1111/j.1464-410X.2006.05975.x. PMID 16536753.Bayar, R. M. (2003-11-28). "Control of the Onset of Puberty". Annual Review of Medicine. 29: 509–520. doi:10.1146/annurev.me.29.020178.002453. PMID 206190.Supporting and Caring for Transgender Children (PDF) (Report). American Academy of Pediatrics. September 2016. p. 11. To prevent the consequences of going through a puberty that doesn’t match a transgender child’s identity, healthcare providers may use fully reversible medications that put puberty on hold.Mahfouda, Simone; Moore, Julia K; Siafarikas, Aris; Zepf, Florian D; Lin, Ashleigh (2017). "Puberty suppression in transgender children and adolescents". The Lancet Diabetes & Endocrinology. Elsevier BV. 5 (10): 816–826. doi:10.1016/s2213-8587(17)30099-2. ISSN 2213-8587. The few studies that have examined the psychological effects of suppressing puberty, as the first stage before possible future commencement of CSH therapy, have shown benefits."Rafferty, Jason (October 2018). "Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents". Pediatrics. 142 (4). Retrieved 23 July 2019. Often, pubertal suppression...reduces the need for later surgery because physical changes that are otherwise irreversible (protrusion of the Adam’s apple, male pattern baldness, voice change, breast growth, etc) are prevented. The available data reveal that pubertal suppression in children who identify as TGD generally leads to improved psychological functioning in adolescence and young adulthood.Hembree, Wylie C; Cohen-Kettenis, Peggy T; Gooren, Louis; Hannema, Sabine E; Meyer, Walter J; Murad, M Hassan; Rosenthal, Stephen M; Safer, Joshua D; Tangpricha, Vin; T'Sjoen, Guy G (November 2017). "Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline". The Journal of Clinical Endocrinology & Metabolism. 102 (11): 3881. Retrieved 3 September 2019. Treating GD/gender-incongruent adolescents entering puberty with GnRH analogs has been shown to improve psychological functioning in several domainsRafferty, Jason (October 2018). "Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents". Pediatrics. 142 (4). Retrieved 23 July 2019.Rosenthal SM (2016). "Transgender youth: current concepts". Ann Pediatr Endocrinol Metab. 21 (4): 185–192. doi:10.6065/apem.2016.21.4.185. PMC 5290172. PMID 28164070.Rosenthal SM (2016). "Transgender youth: current concepts". Ann Pediatr Endocrinol Metab. 21 (4): 185–192. doi:10.6065/apem.2016.21.4.185. PMC 5290172. PMID 28164070.de Vries, Annelou L. C.; Cohen-Kettenis, Peggy T. (2012). "Clinical management of gender dysphoria in children and adolescents: the Dutch approach". Journal of Homosexuality. 59(3): 301–320. doi:10.1080/00918369.2012.653300. ISSN 1540-3602. PMID 22455322.Staphorsius, Annemieke S.; Kreukels, Baudewijntje P.C.; Cohen-Kettenis, Peggy T.; Veltman, Dick J.; Burke, Sarah M.; Schagen, Sebastian E.E.; Wouters, Femke M.; Delemarre-van de Waal, Henriëtte A.; Bakker, Julie (June 2015). "Puberty suppression and executive functioning: An fMRI-study in adolescents with gender dysphoria". Psychoneuroendocrinology. 56: 190–199. doi:10.1016/j.psyneuen.2015.03.007. PMID 25837854.Kreher NC, Pescovitz OH, Delameter P, Tiulpakov A, Hochberg Z (Sep 2006). "Treatment of familial male-limited precocious puberty with bicalutamide and anastrozole". The Journal of Pediatrics. 149 (3): 416–20. doi:10.1016/j.jpeds.2006.04.027. PMID 16939760.Reiter EO, Mauras N, McCormick K, Kulshreshtha B, Amrhein J, De Luca F, O'Brien S, Armstrong J, Melezinkova H (Oct 2010). "Bicalutamide plus anastrozole for the treatment of gonadotropin-independent precocious puberty in boys with testotoxicosis: a phase II, open-label pilot study (BATT)". Journal of Pediatric Endocrinology & Metabolism. 23 (10): 999–1009. doi:10.1515/jpem.2010.161. PMID 21158211.Puberty Inhibitors, by Dr. Norman P. Spack MD- TransYouth Family AlliesCase Study- My son was six when he first demanded a sex change- The Telegraph Online- - - - - - - - - -Prior post:“… an encouragement to behave in the role of the opposite gender …”Is this your personal experience?Do you “… behave in the role …” of your current gender because you were the subject of external “… encouragement …”?And, if someone now again “encouraged” you to “behave in the role of the opposite gender”, would you?At any age?Well then, if yes, then you are unique in the world.If no, then you are most likely similar to others where your sense of your own sex/gender is yours and yours alone, and others “encouraging” you to behave otherwise are …… well. I have no idea what or who they are because I’ve never ever heard of anyone ever “… encourag[ing anyone to ] behave in the role of the opposite gender …”.Are you in the Japanese theater from a century ago?Please, tell us more.Thanks.- - - - - - - - - -Prior post:“… we need to do more research on the causes of GL & T …”Do you have any understanding of the causes of H & C?Or B or A or I or Q or …Please share.Thanks.- - - - - - - - - -2 prior posts from the same person, note the dates and conflicting testimony:Sep 24 “… puberty … blockers can effectively cause a person to become a transgender by affecting the brain and other areas. And the effects are usually not reversible …”But earlier from the same person:Is there any way to cure early puberty? Leroy Souveroff, former Psychotherapist, Alternate Lifestyle Counselor Answered Sep 12“… Yes. You can get hormone blockers from an Endocrinologist.I would recommend this only in severe instances where the physical differences seem to be developing four or more years early …”So you KNOW that puberty blockers have nothing to do with sex/gender, or trans* sex/gender people, but somehow you then forgot your own knowledge and awareness when addressing trans* sex/gender people.Shame on you to knowingly lie.How would anyone receiving your presentation know the difference between your lying, and hate?- - - - - - - - - -^ Illustration video from TED YouTube: Norman Spack: How I help transgender teens become who they want to be Apr 16, 2014 Puberty is an awkward time for just about everybody, but for transgender teens it can be a nightmare, as they grow overnight into bodies they aren't comfortable with. In a heartfelt talk, endocrinologist Norman Spack tells a personal story of how he became one of the few doctors in the US to treat minors with hormone replacement therapy. By staving off the effects of puberty, Spack gives trans teens the time they need.- - - - - - - - - -Question added by George Carrington “… How are trans children legally being given hormone therapy? (How are trans children legally being given hormone therapy?) …” #847997331 · Thank · Report · 23 Sep 2019 9:11 PM.