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Dr. R.Srinivas

Neurosurgeon, Chennai

Dr. R.Srinivas Neurosurgeon, Chennai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. R.Srinivas
Dr. R.Srinivas is a popular Neurosurgeon in Tambaram, Chennai. He is currently practising at rm polyclinic in Tambaram, Chennai. You can book an instant appointment online with Dr. R.Srinivas on Lybrate.com.

Lybrate.com has a nexus of the most experienced Neurosurgeons in India. You will find Neurosurgeons with more than 28 years of experience on Lybrate.com. Find the best Neurosurgeons online in Chennai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Respected doctors, I am a male of 29 years of age, I am suffering from generalized anxiety disorder feeling like I am in a dream like state, light headed, foggy vision, stiff head, head feeling numb, depersonalization, tough to carry on life since 1 and half year. One of psychiatrist tell me that I had taken lots of medicine as I was hospitalized 3 times in a year and therefore depersonalised has taken place and feeling numbness in head due to heavy medicine and waves r feeling in my head. Eat healthy sleep healthy will create stamina and slowly your anxiety will be improved. please answer.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Respected doctors, I am a male of 29 years of age, I am suffering from generalized anxiety disorder feeling like I am...
Dear Viraj, General Anxiety disorder treatment consists of Cognitive Behavioral Therapy, life style changes, relaxation therapy and meditation. Once you learn how to manage your anxiety yourself with the help of the above treatment methods, You will be cured. The process is a bit lengthy and could take any period between one year to 2 years according to the depth of the anxiety problem and the circumstances at which the patient lives. Keep the period of treatment in mind, prepare yourself to take up the treatment and consult a psychologist online or in person. Take care.
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I have a obstructive sleep apnea problem and have been using CPAP machine for last 3 years. How can I sleep without CPAP machine and what should I do for the same? I tried to sleep without CPAP machine but I awake frequently at night and feeling sleepy all day.

DNB(Respiratory Diseases), MBBS
Pulmonologist, Jabalpur
The best treatment available to manage obstructive sleep apnea (osa) is cpap. You are using it for 3 years now, itself is an indication that you feel benefit by using it, so why do you want to leave it and try other therapies, which are usually not very effective for osa. Not taking treatment for osa for a long time can have detrimental effects on health. I suggest you keep using your cpap machine, and also get evaluated periodically with your sleep specialist for seeing the latest situation of your condition and pressure changes that may be required if any.
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PHD
Doctor, Delhi
Sleep Paralysis...
Waking Up And Being Unable To Move
Have you ever woken up in the middle of the night terrified and been unable to move?
Sleep paralysis is a phenomenon that occurs when a person wakes up from a sleep being unable to move, speak, or react.
It usually occurs as a person is about to fall asleep or as they are about to wake up out of sleep, and is usually accompanied with breathing difficulties.
This may not sound like a big deal for those who haven?t experienced it, but it can be terrifying at times.
You are totally paralyzed and unable to wake yourself up.
When you are in a state of paralysis,it is the brains natural response to think that you are under attack, so your brain naturally enters into a state of ?flight? mode.
Sometimes, sleep paralysis is accompanied by hallucinations or the feeling that there is an intruder in the room.
Some people even claim to sense the presence of demonic entities that sit on their chest, or aliens that stand over top of them.
In fact, the Chinese used to call this experience ?Gui Ya? which means ?ghost pressure?, and they believed that a ghost would come sit on your chest as you sleep and paralyze you.
What is the scientific reason reason this is happening?
Well, there isn?t any confirmed theory out there yet.
The most plausible scientific explanation is that it is thought to occur when the mind wakes up out of REM sleep while the body is still in a state of atonia to prevent sleepers from acting out their dreams.
I would agree with this for the most part, but who have experienced sleep paralysis with eyes open as one was sitting up in bed after waking up from a sleep, so one know for a fact my brain was not in a REM state of sleep because one could already been awake for several minutes.
In this notification, we will look at what to do to stay calm during sleep paralysis, how to prevent it from happening, and how to use it to your own spiritual advantage.
What to do when you can?t move
I have had a great deal of experiences with sleep paralysis, and have now reached a point where it no longer bothers one anymore.
The first time it happened to someone, One can tried to fight it and forcefully wake myself up from it.
This only caused by ones fear and anxiety and was completely ineffective.
If you wake up and realize you are in a state of sleep paralysis, don?t resist it.
The minute you resist it, you will start freaking out.
Accept it, and treat it as an opportunity to practice patience and peace of mind.
Conscious breathing really helps keeping your mind from entering freak-out mode.
Breathe in slowly and consciously, and exhale slowly and consciously.
Don?t panic.
Make it your mission when you are in sleep paralysis to be as calm as you can, and treat it as a chance to be fully present within your body.
Enter a meditative state of mind, and it will shortly pass with time.

There have been times where one have heard voices in ear while being paralyzed, but One remained calm by meditating and practicing conscious breathing.
It?s kind of like taking psychedelic drugs.
You can give yourself a bad experience by what you choose to think about and where you allow your mind to wander.
It can only have power over you if you give it your power.
Keep your attention inside your breath.
Pretend that you chose you would experience sleep paralysis at that time, and full embrace the experience with peace of mind.
Prayer has also brought many people peace during scary experiences of sleep paralysis, so if you feel comfortable calling out to God, that will only help bring you more comfort.
Preventing sleep paralysis
There are several factors that have been identified as increasing your chances of experiencing sleep paralysis.
Some of these include physical fatigue, under-sleeping, and erratic sleep schedule,stress, and an overuse of stimulants.
For me personally, oversleeping is what has caused most of my sleep paralysis experiences.
Most of the happen when one choose to go back to sleep even when one can rested, or when one take a nap throughout the day.
So a big way to prevent paralysis from happening is to have a proper sleep schedule.
Healthier sleep habits is the best thing you can do to avoid this experience.
Another big way to prevent sleep paralysis is to not sleep in supine position.
This is what supine position looks like:
When you sleep flat on your back in supine position, your soft palate is more likely to collapse and obstruct your breathing.
This causes you to wake up out of deep sleep while your body is still in a state of atonia from REM sleep.
Sleeping on your stomach (in prone position) or on your side is a good way to prevent this from happening.
Using sleep paralysis to your spiritual advantage
Sleep paralysis can be a burden for some, and an opportunity for others.
Not only can you treat it as a test to see how present and calm you can become,you can also use it a chance to try to initiate an out-of-body experience or a lucid dream.
Remember, some part of you remains in REM sleep while your waking mind is alert and attentive.  What if this REM atonia is a sort of toolbox that enables you to use your will, intention, and visualization to leave your body and enter into new worlds?

Affirm to yourself that you are going to have an out-of-body experience, and visualize yourself hovering over top of your own body.
Feel yourself starting to leave your body, and stay calm in your mind knowing that you will soon be outside of your body.
Many people claim that they try to induce sleep paralysis on purpose as one of the beginning stages of astral travel.
Don?t think if yourself as a victim to a scary experience.
Think of yourself as a pioneer on the edge of a world of lucid dreams and astral travel and create the experience you want for yourself.  Science tells us that we are literally at the brink of the world of sleep and dreams and the world of waking life.
Why not use it to your spiritual advantage and experiment a little bit?
The truth is, there is really nothing to be scared of.
Nobody has ever died or been injured from being in sleep paralysis,and it usually doesn?t last for more than 30 seconds.
Work with it, practice presence, clean up your sleep schedule, and if you feel like you?re up to it, use is as a launching pad for the exploration of other dimensions.
3 people found this helpful

He is suffering from brain tumor. He went to Singapore for surgery operation was successful but tumor start get form again. What should we do now?

M.S (surgery), M.Ch - Neuro Surgery
Neurosurgeon, Gurgaon
Consult a neurosurgeon who is trained to handle brain tumors. These days multiple treatment options are available for brain tumors but primary treatment still is surgical removal.
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Hello doctor I am 27 years old male suffering due to depression. I also face first stroke which is similar to epilepsy before 2 years but my ctscan, eeg ,mri reports are normal ,doctor recommend me 1 etillam 0.5 capsule at night, I take it since last 4 months, is there any safe alternative to this capsule without side effect ,please help me thanks in advance.

MD - Psychiatry, MBBS
Psychiatrist, Ghaziabad
Hello doctor I am 27 years old male suffering due to depression. I also face first stroke which is similar to epileps...
I suggest if you are fine now and not having any anxiety symptoms you can stop taking etilaam daily and shift it to sos basis that is take it in day whenever required when you feel very tensed and anxious.
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Worried About Dementia?

MBBS, DPM (Psychiatry)
Psychiatrist, Thrissur
Worried About Dementia?

Worried about dementia?

Getting a diagnosis
If you are worried about yourself, or someone close to you, it is worth discussing your concerns with your general practitioner (GP). A diagnosis will help the doctor rule out other illnesses that might have similar symptoms to dementia, including depression. There are drugs available that appear to alleviate some of the symptoms of Alzheimer’s disease in some people. Whether you are someone with dementia or a carer, a diagnosis can help you to prepare and plan for the future.
Every person experiences dementia in their own individual way, but there is usually a decline in memory, reasoning and communication skills and a gradual loss of the skills needed to carry out daily activities.If you are feeling confused, agitated or forgetful, you should see your GP. If you are close to someone who is showing these symptoms, you could suggest that you accompany them on their first visit.

Becoming forgetful does not necessarily mean that you have dementia. Memory loss can be an effect of ageing. It can also be a symptom of stress or depression. In rare cases, dementia-like symptoms can be caused by vitamin deficiencies and/or a brain tumour.
The GP is the first person to consult. The GP may then refer the person being diagnosed to a specialist consultant. Assessments can include conversations with the person being diagnosed and those close to them, a physical examination, memory tests and/or brain scans.

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How Physiotherapy Can Help with Neurological Disorders

MSPT (Master of Physical Therapy), BPT
Physiotherapist, Gurgaon
How Physiotherapy Can Help with Neurological Disorders

Neurological disorders are problems with any one or a combination of the central nervous system or any of its peripheral systems such as cranial nerves, neuromuscular junctions, and the autonomic nervous systems among others.

Some extreme examples of neurological disorders are:

- Dementia
- Alzheimer's disease
- Parkinson's disease
- Epilepsy
- Disorders brought on by strokes
- Multiple sclerosis and others

What is physiotherapy and how can it help?

Physiotherapy is a form of treatment where practitioners use physical forms of treatment such as massages, exercises, heat treatment and other controlled forms of external stimuli to treat physical disorders.

This method of treatment can be very effective in correcting neurological disorders.

Some of the physiotherapy techniques, which can be implemented to help patients, are as follows:

  • Electrical Stimulation: This method is commonly used to treat muscular problems, especially incurred after an accident or any other form of injury. In this method, controlled electric stimulation is given to specific nerve areas over the skin to stimulate them.
  • Heat treatment: This method involves applying heat to parts of the body such as joints or muscles where there is nerve or muscular damage. This treatment is especially effective for muscle related problems.
  • Ice or cold treatment: Vertically opposite to the principle of heat treatment, ice or cold treatment is used to contract muscles within the body. This is especially effective where inflammation needs to be controlled.
  • Manual therapy: Possibly the most common form of physiotherapy, this method employs massages, pressure points, stretching and hands on strengthening exercises and helps regularize nerve impulses to areas where they have been affected.

'Consult'.

Tip: 5 Reasons You Must Rid Yourself of Anxiety on Daily Basis

3813 people found this helpful

I am 30 years old male, I have migraine headache, what is the solution of this type of headache?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hyderabad
You have not mentioned the age and since how long you have this problem. Avoid foods that aggrevate the problem. Don't take spicy fried food sour food during the attack.
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Occupational Therapy In Autism.

Bachelor of Occupational Therapy (BOT)
Physiotherapist, Mumbai

Occupational therapy has a big role in children with autism. To improve their attention. Concentration. And sitting tolerance. Which is an absolute necessity of every child become independent in age appropriate activity? In autism, children lacking eye contact. There in own world lot of distraction. Sensory seeking behaviour. Stereotyped behaviours. Repetitive thinks of some nonmeaningful play. Spinning objects. Moving around. Unable to sit at one place. Which interferes in the day to day life. Occupational therapist having knowledge and skills of sensory integration. Can only handle that kind of children? They will get benefit from purposeful and meaningful play activities provided in each therapy sessions is going to improve the child sense of orientation. Surrounding and sense of entity as a child that I am also having some role in society and I have to perform well confidently. Occupational therapy also improves fine motor and gross motor skills in children which are required in daily routine to perform the task eg. Writing. Climbing. Also, the occupational therapy helps to improve the sensory integration in speech area to communicate with oromotor musculatute. And last but not the least take the child towards independence in social and environmental challenges. Guys if you see any signs of motor delay or speech delay. Please consult a neuropaediatrician and occupational therapist who are practicing in paediatrics.

1 person found this helpful

I have migraine, I use paracetamol (at least 2 in a week). Is Paracetamol cause any side effect?

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
Among the various analgesics used for headache paracetamol is safest. I will share some tips to decrease your headache episodes so that need for analgesics is decreased. Follow these lifestyle changes to avoid headache 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke. 4. Exercise daily (aerobics and cardiovascular) 5. Identify your headache trigger and try to avoid it.
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Hello I am 34 year old man and I have cervical last 1.5 year and problem of in mri report C4-C5. Now in this time our hand fingers became numb in every time. So what can I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hello I am 34 year old man and I have cervical last 1.5 year and problem of in mri report C4-C5. Now in this time our...
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Sir in your case we need to see your detailed neurological examination including assessment of motor power, sensory examination and evaluation of deep tendon reflexes. Also mri images are required so that I can see the amount of compression and advise you accordingly. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & regards
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I am 26 old male. I am suffering numbness problem last two year. I already done nerve conductivity test for my both legs. It report showing nothing. When I am going to neutral call in morning in Western toilet sheet after that when I am stand up. That time both legs suffer from numbness. It is very difficult for me Walk that time. It will take 1 to 2 minutes for make my self normal. Even hand also suffer numbness problem. Please suggest me which type of treatment I need to take.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 26 old male. I am suffering numbness problem last two year. I already done nerve conductivity test for my both l...
Please undergo following blood tests CBC,ESR,VITAMIN B-12 Start taking diet rich in vitamin B-12 and a Vitamin B-12 supplement. Sources of Vitamin B12: 1. Vegetables: None. 2. Fruits: None. Food: Eggs, Brown Rice, Fish, Yogurt(Dahi), Milk and milk products like Cheese, Cow and Soy Milk.
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Brain Surgery - Know The Purpose Behind It!

IFAANS, DNB (Neurosurgery), MBBS
Neurosurgeon, Ghaziabad
Brain Surgery - Know The Purpose Behind It!

The most powerful and amazing organ in our body is the brain. It differs from many other organs of our body not only by its shape, but also by its special type of cell called neurons. When these cells gets affected or dead it can never be reverted or regenerated which is the most exclusive nature found only in brain cells. The cells in other parts of our body has the capacity to regenerate (can be replaced or new one can be grown or produced), but brain cells are exception. Hence any damage to the brain, injury or trauma is really a crucial thing to be considered with utmost care.

Brain surgeries really need skill, proper training, confidence and intelligence to perform this highly complicated and risky surgery.

Purpose:
Brain surgeries are performed to:

  1. Remove the brain tissues that are grown abnormally
  2. Aneurysm is clipped to prevent flow of blood cliff off an aneurysm
  3. Biopsy purpose or to remove the tumour
  4. Make a nerve free
  5. Drain the abnormal blood or clot collection or to drain any excessive fluid collection caused by infection.
  6. To implant artificial electronic device as a treatment for conditions like Parkinson’s disease

Types:

  1. Biopsy: A part of brain tissue is removed for the brain or whole tumour is removed.
  2. Craniotomy: The skull bone is opened to remove tumour, an aneurysm and drain fluid or blood from infection.
  3. Minimally invasive endonasal endoscopic surgery: Endoscopic devices are inserted through the nose to remove the lesions or tumour.
  4. Minimally invasive neuroendoscopy: Similar to endonasal surgery but small incision is made.

Risks:

  1. Anaesthesia risks like breathing difficulty, allergic reaction to medications, excessive bleeding or clots and infection.
  2. Risk related to the brain surgeries are seizures, coma, swelling of brain, infection to brain or meanings, surgical wound infection that intrudes to the brain structures, abnormal clot formation and bleeding.
  3. General risks include muscle weakness, disturbances in memory, speech, vision, coordination, balance and other functions that are controlled by the brain. If you wish to discuss about any specific problem, you can consult a neurosurgeon.
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I am thyagarajan I am 22 yrs old. I have tremors through out my body. Whenever I indulge in physical activities I feel joints aching and shivering in hands.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. My advise to you will be to consult a neurophysician for your complaints of tremors or shivering as these may be some kind of dystonias. Also please get few blood tests like esr, crp, serum vitamin d & b12 levels, serum uric acid and serum electrolytes done and send reports across to me. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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Easy Fix to Stop Migraine in Just 3 Minutes

PGDHM, PGCDM, MD - Internal Medicine, MBBS
General Physician, Ahmedabad
Easy Fix to Stop Migraine in Just 3 Minutes
How to stop migraine in 3 minutes

Migraine pain can be very excruciating and can go on for days at an end. Only those who suffer from it know how blinding the pain can be and how badly it disrupts your life and daily schedule right at its onset. At most times, you end up taking painkillers which do not give permanent or immediate relief from pain.

There is one antidote which is known to stop migraine pain in just 3 minutes.
To make this antidote, you will need lemon juice, peel of a lemon and some himalayan salt. Himalayan salt is important because the crystals are packed with rich nutrients - as many as 84!

Mix two teaspoons of himalayan salt with juice of two lemons and grated crust of one lemon. Put the mixture in a jug or a bottle and add a glass of water. Shake or stir it well and drink this water in one go. While the drink doesn't taste very good, it has amazing properties and cures migraine pain within the next three minutes.

If you would like to consult with me privately, please click on'consult.
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My mother suddenly got seizure her age is 60 y, the doctor advised rest and given eption tabs, sodium and potassium levels are lower than desired level, the ct scan and eeg reports also normal, why this happen suddenly to my mom, please help me in this regard.

MBBS, MD - Internal Medicine
General Physician, Delhi
Dear seizure can occur at any age but also it can have many reasons. From your statement it seems that low sodium might be a cause. Low potassium does not cause seizure. However please upload all test results for a proper diagnosis and then a management plan.
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My 5 year old daughter diagnosed with dyskinetic cerebral palsy she can not walk and talk she start neck holding from 9 month age. And sitting 4 year age she problem in learning tasks please tell me about her best treatment option.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Don't worry, nothing to worry as you encourage your daughter with good neuro physician & and do have neuro developmental therapeutic exercises with qualified neuro or ndt specialist physiotherapist and good speech pathologist and qualified special educator or all this in one good quality special school near to your home and correct follow up with them and neuro physician may help her to do her functional activities to maximum extent.
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I have taken lot of parkin tablets for 1year long long back ago I totally stoped long before is there any danger or side effects

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
You may take as advised unless You specify why you are taking and for what condition/ If there is no side effects you may not take it but may need it if symptoms of parkinsons appear.
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Sir my age is 23. Height 6 ft. Weight 76 kg. Sir from 7 month I am having numbness and tingling all over body along with muscle and bone pain. I am having excessive and new hair growth all over body except my chine beard and moustache have retarded growth but whole body including eyebrows chest head pubic excessive hair growth. I am having dark colored urine. My bp is 150/100. I am noticing chest and too much belly fat enlargement like pregnant lady from some month. Earlier I used to eat 6 chappati all 3 time but due to abdominal pain from 4 month my chappati reduced to 1 at each time. Still I am gaining weight on abdomen and chest. Whenever I sit on my legs I used to feel tingling and during sleep my leg become numb. I am also having shooting left half head pain from backside and pain on pressing too and from there headache goes to whole head. I am having abdominal pain from middle to lower part. I do not have gastric problem. Sir as I had many blood test for cbc they came normal except tlc reduced .I had 4 ultrasound of abdomen. And 1 plain MRI of upper abdomen.in that came right renal cortical cyst. As I was suspecting of adrenal gland tumour. I had one xray of cervical .it came incomplete segmentation of C1 and C2. Sir my problem is not detecting because doctor do not take my problem as serious as much as I am having. Sir I had my cortisol checked it came 234ng/ml morning. Please help.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Sir my age is 23. Height 6 ft. Weight 76 kg. Sir from 7 month I am having numbness and tingling all over body along w...
Do take balanced diet and hyderated on regular time schedule everyday do regular physical activity and stretching and strengthening exercises and breathing exercises for about 15 minutes duration each time regularly best wishes.
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My daughter is taking eptoin 50 mg from last year but still seizures occurred now doctor changed to valproate. Does this medicine have side effects on health?

Internal Medicine Specialist, Ajmer
All antiepileptic medicines have side effects and there is no benefit of giving medicine which is not able to control the disease, so switching over to the other is good.
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