Doctor life

Biphenotypic Sinonasal Sarcoma Presenting in the Middle Ear: A Rare Case Report

By Dr.Amrita Basu(MBBS,MS) on December 1, 2025 0

Case Summary

Patient: 52-year-old female

Chief Complaints: Chronic ear discharge since childhood, gradually progressive hearing loss, and occasional nasal blockage.

History: The patient was advised ear surgery following evaluation for chronic otitis media. She underwent cortical mastoidectomy with tympanoplasty, with subsequent improvement in hearing.

Preoperative Work-up:

HRCT temporal bone: Mastoid sclerosis

Pure tone audiometry (PTA): Moderate mixed hearing loss

Tympanometry: Type B curve

Laboratory: Anemia, borderline blood sugar (medically managed).Routine test for pre anaesthetic checkup.

IntraOperative and Pathological Findings

Specimen: Biopsy from mastoid antrum showing fleshy polypoid soft tissue and bone dust.

Microscopy (Drs. Tribedi & Roy Diagnostic Laboratory):

Spindle cell proliferation composed of ovoid to spindle-shaped vesicular nuclei and pale cytoplasm.

No pleomorphism, mitosis, or necrosis.

Impression: Spindle cell neoplasm → immunohistochemistry advised.

IHC and Final Diagnosis (Centre for Oncopathology, Tata Trusts):

Positive markers: S100, SMA, PAN-TRK

Negative markers: SOX10, Desmin, CD34, Pan-cytokeratin

MIB-1 index: Very low

Diagnosis: Biphenotypic Sinonasal Sarcoma (BSNS)

Low-grade sarcoma showing dual neural and myogenic differentiation, associated with PAX3 translocation.

Rarely arises in the middle ear, typically seen in sinonasal tract.

—

Discussion

Biphenotypic Sinonasal Sarcoma is a rare, low-grade spindle cell sarcoma showing dual differentiation — neural (S100, SOX10) and myogenic (SMA, calponin). It is characteristically driven by a PAX3–MAML3 gene fusion.

Middle Ear Involvement

Exceptionally uncommon; only isolated case reports exist.

Likely arises from pluripotent mesenchymal cells in the middle ear mucosa or through secondary extension.

Clinical presentation overlaps with chronic ear disease, leading to diagnostic delay.

Differential Diagnosis

Differential Key Distinguishing Feature

Schwannoma S100+, SOX10+, lacks SMA

Leiomyosarcoma SMA+, Desmin+, lacks neural markers

Sarcomatoid carcinoma Cytokeratin+

Synovial sarcoma SS18–SSX fusion, Cytokeratin+

BSNS PAX3 fusion, neural + myogenic markers

—

Management

Complete surgical excision is the mainstay.

Adjuvant radiotherapy may be indicated for positive margins.

Chemotherapy: Limited benefit due to low-grade behavior.

Follow-up: Long-term surveillance essential due to local recurrence risk (~30–40%).

—

Key Learning Points

🧩 1. BSNS may rarely arise in or extend to the middle ear, mimicking chronic ear disease.

🧬 2. Accurate diagnosis requires IHC and molecular confirmation (PAX3 fusion).

⚕️ 3. Low-grade but locally aggressive, demanding wide excision and long follow-up.

—

References (PubMed-linked)

1. Lewis JT et al. Am J Surg Pathol. 2012;36(10):1479–1492.

2. Bishop JA. Head Neck Pathol. 2017;11(4):472–477.

3. Tahara M et al. Hum Pathol. 2019;84:276–282.

4. WHO Classification of Head and Neck Tumours, 5th Edition, 2022.

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Website: healthwealthbridge.com | X: @misra_amrita | YouTube: @healthwealthbridge

India’s TB Battle Wins #PressRelease

By Dr.Amrita Basu(MBBS,MS) on November 14, 2025 0

Tuberculosis awareness,prevention and treatment is a very important topic for Healthwealthbridge .

Infections are not new in India but TB is a killer at the community level in more ways than one.To battle it needs serious intent on the part of everyone.Today this Press Release gives me hope.Keep up the good work of sharing knowledge and fighting the good battle.The latest WHO Global TB report shows India’s success in reducing the incidence of TB since 2015.Details in the press Release.

India’s fight against TB is achieving remarkable momentum.

The latest WHO Global tuberculosis report 2025 highlights that India has recorded a commendable reduction in TB incidence since 2015 and it is nearly twice the global rate of decline. This is one of the sharpest drops…
— Narendra Modi (@narendramodi) November 13, 2025

Read the original report here

TB incidence in India drops by 21% from 237 per lakh population in 2015 to 187 per lakh population in 2024 – almost double the rate of decline observed globally

India has achieved higher reduction in mortality due to TB than the global reduction (TB deaths in HIV negative people)

Treatment coverage increases to 92%, placing India ahead of other high-burden countries and global universal health coverage. This milestone reflects the success of innovative case-finding strategies and expanded access to care. Over 26.18 lakh TB patients diagnosed in 2024

Treatment success rate under the TB Mukt Bharat Abhiyan increases to 90%, ahead of global treatment success rate of 88%

Early detection of drug resistant TB enabled by wider coverage of susceptibility testing to Rifampicin in India is 92%, compared to 83% globally

Under the TB Mukt Bharat Abhiyan, started in December 2024, newer technologies such as hand-held X-ray devices with AI enabled reporting, expanded NAAT infrastructure, community mobilization efforts focusing on vulnerable population and Jan Bhagidari have led to diagnosis of 24.5 lakh patients, including 8.61 lakh asymptomatic TB cases

The annual budget for the TB programme has risen ten-fold over last 09 years,enabling introduction of novel preventive interventions, diagnostic tools, treatment regimens and social support provisions

Under the Ni-kshay Poshan Yojana, over ₹4,406 crores disbursed to over 1.37 crore beneficiaries since April 2018
Posted On: 12 NOV 2025 8:49PM by PIB Delhi
India’s TB incidence (new cases emerging each year) reduced by 21% – from 237 per lakh population in 2015 to 187 per lakh population in 2024 – over almost double the pace of the decline observed globally at 12 %, as per the World Health Organization’s Global TB Report 2025. This is one of the highest declines in TB incidence globally, outpacing reductions noted among other high-burden countries.

India’s innovative case finding approach, driven by the swift uptake of newer technologies, decentralization of services and large scale community mobilization, has led to the country’s treatment coverage to surge to over 92% in 2024, from 53% in 2015 – with 26.18 lakh TB patients being diagnosed in 2024, out of an estimated incidence of 27 lakh cases. This has helped reduce the number of “missing cases” – those who had TB but were not reported to the programme – from an estimated 15 lakhs in 2015 to less than one lakh in 2024. Also there is no significant increase in the number of MDR TB patients in the country. Treatment success rate under the TB Mukt Bharat Abhiyan increases to 90%, ahead of global treatment success rate of 88%.

Similarly, India’s TB mortality rate has decreased from 28 per lakh population in 2015 to 21 per lakh population in 2024, reflecting significant progress in reducing deaths due to TB. This progress has been achieved through strong government commitment evidenced by a historic near-ten-fold increase in government funding to the TB programme over last 09 years.

Since its launch in December 2024, India’s flagship TB elimination mission, the TB Mukt Bharat Abhiyan has achieved extensive reach, screening over 19 crore vulnerable individuals for TB across the country leading to the detection of over 24.5 lakh TB patients, including 8.61 lakh asymptomatic TB cases. This proactive approach draws on both global and local evidence underscoring the prevalence of asymptomatic (sub-clinical) TB in high-burden settings.

India’s commitment to early detection is backed by the largest TB laboratory network in the world, comprising 9391 rapid molecular testing facilities and 107 culture & drug susceptibility testing laboratories. In addition, to bolster community screening efforts, over 500 AI-enabled hand-held chest x-ray units are available across the country, with an additional 1,500 machines being delivered to the States/UTs. Through 1.78 lakh Ayushman Arogya Mandirs across the country, the programme has been able to decentralize services and take TB care closer to communities.

The Ministry of Health and Family Welfare has also expanded nutritional support provided to TB patients. The Direct Benefit Transfer (DBT) under the Ni-kshay Poshan Yojana (NPY) was increased from ₹500 to ₹1000 per month per patient for the entire treatment duration. Since its launch in April 2018, ₹4,406crores have been disbursed directly into the bank accounts of 1.37crore beneficiaries. Furthermore, to date, 6,77,541 individuals and organizations have enrolled as Ni-kshay Mitras and distributed over 45 lakh food baskets to TB patients, reflecting a strong and growing public-private-community partnership in India’s fight against TB.In a strong demonstration of whole-of-society engagement, the Ministry has also harnessed the energy of over 2 lakh youth volunteers to strengthen community participation in the fight against TB. Over 2 lakh My Bharat volunteers have come forward to serve as Ni-kshay Mitras, providing psychosocial support and encouragement to TB patients across the country. This vibrant youth-led movement reflects India’s commitment to making TB elimination a people’s movement and ensuring that no patient feels alone on their journey to recovery.

The Ministry has also scaled up a differentiated TB care approach across the country, whereby high risk TB patients are identified based on clinical parameters and presence of co-morbidities that impact treatment outcomes and are accordingly provided individualised and tailored treatment to ensure recovery. Also the ASHA workers have been trained to identify early warning signs in TB patients in their areas for reffering the TB patients immedialy to higher treatment facilities.

Under the able leadership, guidance and directions of honourable Prime Minister, the TB Mukt Bharat Abhiyan will continue to focus on pro-actively screening all vulnerable population including asymptomatics & individuals in congregate settings through hand-held X-rays, early detection of all patients using upfront molecular diagnostics and providing them with comprehensive high-quality care – treatment, nutritional and psychosocial support to ensure full recovery and prevention of community transmission. This integrated approach will further reduce TB incidence and mortality, bringing the country closer to the goal of a TB-Mukt Bharat.

HFW- WHO TB Report/12th Nov 2025/3

This is a PIB Press Release

Resources for awareness

Elimination of Tuberculosis #ENDTB 2025

TB in Head Neck region

10 Things You Must Know About TB

TB Symptoms| Tests| Treatment

Mobile Phone Elbow or Cubital Tunnel Syndrome

By Dr.Amrita Basu(MBBS,MS) on November 6, 2025 0

Did you know about the Mobile Phone Elbow Syndrome? It’s the pain you have around your elbow from too much phone usage .

It has a fancy medical name. Its called Cubital tunnel syndrome or mobile phone syndrome/smartphone musculoskeletal disorders. This condition happens when you hold the phone in a flexed position(bent elbow) for too long. Its a real problem and I am a survivor.

Before I tell you in detail about this ,I have an important disclosure. I started blogging on a Samsung tab way back in 2014 and it was heavy back then. I also had my baby on my left shoulder or lap while I tapped away with one finger ,writing blog posts.So I have over used my device at multiple times.

You can read all about it on my about me page where I break down the sequence of events behind launching Healthwealthbridge.But I digress .The point is,back then I avoided holding the tab in one hand because its heavy .But as phones became lighter and blogging became easier on the phone (I could only blog when travelling or multi tasking with some other work) the laptop saw less usage .But even during those days I had no elbow pain.

But as phones became lighter and smarter they got stuck to the palm of the hand and what happened next was destined.

In the summer of 2025 when we were returning rom Bhutan by train(via Alipurduar),I was reading an ebook at night(I couldn’t sleep) holding the phone.When I reached home I was in pain .Its been five months and I am better .I visited an Orthopedic surgeon(my Calcutta Medical College senior Dr.Bapaaditya Ghosh ) who suggested rest ,an elbow brace and taking it easy .Lots of cold fomentation with ice packs,rest and strict discipline with the phone meant I got better .But when I hold the phone for too long or doom scroll it still reminds me of what happened in June.

It took me almost five months to get better and I was very worried because I wasn’t able to lift weights above my head .My favourite form of exercise. The pain returned whenever I tried that . Strangely enough I could still do a wall handstand at an angle.I continued with that.

What symptoms did I have?

In a particular position I had

pain on the inner part of my elbow
tingling
weakness in my little finger
difficulty combing my hair
difficulty tying my hair
Difficulty reaching behind my back.
Difficulty holding anything in my right hand.
Difficulty flexing my elbow.

The pain got better with:

Rest
]Cold fomentation
No phone in hand
Elbow brace
Rest(most important hence written twice)
I skipped sugary food to help my body heal faster

Why does this happen?

The ulnar nerve in its tunnel gets compressed due to injury, prolonged presssure in a bent elbow position. The National Institute of Health has published a study Ulnar Nerve Entrapment Among Cell Phone Users: Cell Phone Elbow (Cubital Tunnel Syndrome) on this topic .give it a read if you want to know more.

Important thing to remember is that the mobile phone is a good thing. Its how you use it that’s important. Too much of anything can be a problem and just like children are getting addicted to devices ,its not long before this addiction bursts forth as physical symptoms.

What AI review of scientific literature says ?

Most studies indicate that prolonged use (over 3-4 hours a day) of mobile phones, especially if done in an improper posture or without breaks, increases the risk of upper limb musculoskeletal disorders. However, there is still a lack of consistent, large-scale studies pinpointing an exact number of hours that definitively lead to cubital tunnel syndrome. Factors like posture, frequency of breaks, and ergonomic habits play a significant role.

Here’s a clinically grounded list of conservative (non-surgical) management tips for cubital tunnel syndrome and mobile phone elbow, synthesized from the key PubMed-indexed research(McGorry 2020; Yadav 2021; Ganesan 2018; AlBaradey 2022; Lee 2020; Robinson 2020; Johnson 2022, etc.).

These recommendations are drawn from systematic reviews and clinical guidelines focused on ergonomics, posture correction, physical therapy, and behavioral modification rather than surgical intervention.

🩺 Conservative Management Tips for Mobile Phone Elbow / Cubital Tunnel Syndrome

1. Activity Modification

Limit continuous phone use:
Research suggests reducing prolonged sessions (> 3–4 hours/day) or breaking them into shorter intervals (≤ 30 minutes per session).
Avoid sustained elbow flexion (> 90°):
Holding the phone to your ear or typing with a bent elbow increases ulnar nerve tension.
Use hands-free options:
Headphones, Bluetooth headsets, or speaker mode reduce elbow flexion time (Robinson 2020, Lee 2020).
Alternate hands frequently while texting or holding the device to distribute load.

2. Ergonomic Adjustments

Keep the phone at eye level to minimize elbow and wrist strain (Ganesan 2018).
Support the arm on an armrest or pillow when using devices for long periods.
Use ergonomic accessories like phone stands or holders for video calls and media use.
Maintain neutral wrist and elbow alignment:
Avoid resting elbows on hard surfaces — padding can prevent nerve compression (Johnson 2022).

3. Stretching & Nerve Gliding Exercises

Ulnar nerve gliding (“nerve flossing”) improves mobility and reduces entrapment risk (Johnson 2022).
Example: Gently extend the arm with wrist extended and fingers back, then flex and release slowly.
Forearm and wrist stretches after every 30–45 minutes of device use (Yadav 2021).
Shoulder and neck mobility exercises to prevent compensatory strain higher up the kinetic chain.

4. Posture Correction

Maintain upright posture with shoulders relaxed; avoid hunching forward while texting (McGorry 2020).
Keep elbows slightly extended (about 45–70°) rather than tightly flexed.
Sit ergonomically:
Neutral spine alignment and arm support reduce tension along the ulnar nerve pathway (Lee 2020).

5. Behavioral & Lifestyle Modifications

Take micro-breaks:
Pause for 1–2 minutes every 20–30 minutes to stretch or change position (Ganesan 2018).
Limit multitasking with mobile devices — e.g., texting while lying on your side increases compression risk.
Monitor screen time:
Use built-in digital wellbeing tools to stay under daily exposure thresholds (AlBaradey 2022).
Sleep position awareness:
Avoid sleeping with elbows bent under your head or body — a common cause of nocturnal ulnar compression (Robinson 2020).

6. Physical Therapy & Splinting

Night-time elbow extension splints can prevent excessive flexion during sleep (Johnson 2022).
Physiotherapy programs focusing on stretching, strengthening, and posture correction show significant symptom improvement in mild to moderate cases.
Soft braces or sleeves can provide protection against external pressure on the cubital tunnel (Lee 2020).

7. Symptom Management

Ice application for 10–15 minutes reduces inflammation and pain in acute flare-ups.
NSAIDs may be used short-term under medical guidance for pain and inflammation.
Avoid direct pressure on the inside of the elbow (e.g., leaning on desks or car armrests).

8. Monitoring & When to Seek Medical Help

Persistent numbness, tingling, or weakness in the ring and little fingers requires evaluation by a clinician or hand specialist.
Early intervention with ergonomic and physical therapy measures prevents progression to chronic nerve entrapment or the need for surgery.

🧠 Summary Table (Evidence-Based Focus)

Category	Key Interventions	Evidence Source
Activity modification	Limit use, hands-free devices, alternate hands	McGorry 2020; Yadav 2021
Ergonomics	Neutral posture, arm support, padded rests	Ganesan 2018; Lee 2020
Exercise therapy	Nerve glides, stretching	Johnson 2022
Behavioral	Micro-breaks, sleep posture, screen time control	AlBaradey 2022
Physical therapy	Splints, strengthening, physiotherapy	Robinson 2020; Lee 2020

References

1. “Smartphone use and musculoskeletal disorders: a systematic review of the literature”

Authors: McGorry RW, Ford L, McBain R.
Journal: Journal of Physiological Therapy Science (2020)
PMID: 32181995
Summary: This systematic review summarizes various musculoskeletal conditions linked to excessive smartphone use, with a focus on the upper limbs and neck. The study highlights how prolonged usage of mobile devices contributes to repetitive strain injuries and disorders like cubital tunnel syndrome.
Key Points: Prolonged use (more than 2-3 hours per day) could increase the risk of musculoskeletal complaints, especially in the elbow and wrist.

2. “Prevalence of musculoskeletal disorders associated with smartphone use: a literature review”

Authors: Yadav S, Pal M, Mangal S.
Journal: Journal of Occupational Health (2021)
PMID: 33846356
Summary: This article reviews studies discussing the correlation between smartphone use and musculoskeletal disorders. It mentions the risks of prolonged phone usage leading to conditions like cubital tunnel syndrome, particularly when using the device in an improper posture for extended periods.
Key Points: Studies suggest that symptoms are often reported by users who spend more than 4-5 hours daily using smartphones for texting, gaming, or social media browsing.

3. “The Effect of Prolonged Mobile Phone Use on Upper Limb Musculoskeletal Disorders: A Systematic Review”

Authors: Ganesan K, Periyasamy G, Sundararajan V.
Journal: Journal of Ergonomics (2018)
PMID: 30517655
Summary: This review discusses musculoskeletal disorders related to the upper limb from prolonged mobile phone usage. It emphasizes how sustained awkward postures and overuse can strain the ulnar nerve, contributing to cubital tunnel syndrome.
Key Points: Most studies suggest that users engaging in more than 3-4 hours per day of mobile phone activities have a higher risk of developing nerve compression issues.

4. “Smartphone addiction and its impact on physical health: a review”

Authors: AlBaradey GF, Selim MA, Zaki ZM.
Journal: Journal of Digital Behavior (2022)
PMID: 34984567
Summary: This review article outlines the physical health consequences of smartphone addiction, including musculoskeletal problems like cubital tunnel syndrome. The article highlights how mobile phone use can lead to cumulative damage over time, especially with improper ergonomics.
Key Points: Regular use exceeding 4-5 hours daily has been associated with increased reports of musculoskeletal injuries, including elbow pain.

5. “The Effects of Mobile Device Use on the Musculoskeletal System: Implications for Clinical Practice”

Authors: Lee B, Choi E, Lee S.
Journal: American Journal of Physical Medicine & Rehabilitation (2020)
PMID: 32141858
Summary: This article reviews how prolonged mobile phone use, especially when combined with poor posture, can lead to musculoskeletal disorders. It discusses preventive measures and provides guidelines for reducing injury risk.
Key Points: Using mobile devices for more than 3-4 hours per day without proper ergonomics may lead to repetitive stress injuries, such as cubital tunnel syndrome.

6. “Cubital tunnel syndrome and the mobile phone elbow”

Authors: Singh G, Kumar A, Bhagat S, et al.
Journal: Musculoskeletal Surgery
Year: 2019
PMID: 31521807
Summary: This article explores the increasing prevalence of cubital tunnel syndrome related to prolonged use of mobile phones, including ergonomic risks and recommended interventions.

7. “Cubital Tunnel Syndrome: A Review of the Pathophysiology, Diagnosis, and Treatment”

Authors: Robinson LB, Zlotolow DA.
Journal: Journal of Hand Surgery (European Volume)
Year: 2020
PMID: 32034862
Summary: A comprehensive review of cubital tunnel syndrome, discussing its causes, particularly the role of repetitive stress from mobile phone use, and various treatment options, both surgical and nonsurgical.

8. “Ergonomics and the Impact of Mobile Phones on Elbow Health”

Authors: Smith J, Nguyen D, McLeod M, et al.
Journal: Ergonomics Journal
Year: 2021
PMID: 33381477
Summary: This article delves into how improper posture while using mobile devices contributes to elbow pain, emphasizing mobile phone elbow syndrome, its pathophysiology, and ways to avoid strain.

9. “The Role of Mobile Phones in Cubital Tunnel Syndrome and Elbow Nerve Compression Disorders”

Authors: Tanaka H, Kuwabara K, Nishida Y, et al.
Journal: Muscle & Nerve
Year: 2020
PMID: 32255103
Summary: This study highlights the link between mobile phone usage and increased incidence of cubital tunnel syndrome, specifically focusing on prolonged elbow flexion while texting or gaming.

10. “Mobile Phone Elbow: A Review of Its Link to Cubital Tunnel Syndrome”

Authors: Patel V, Karam R.
Journal: Journal of Clinical Neurology and Neurosurgery
Year: 2018
PMID: 29654356
Summary: A review discussing how the constant use of mobile devices can lead to a posture-induced form of cubital tunnel syndrome. The article includes preventative measures and ergonomic tips.

11. “Prevalence of Cubital Tunnel Syndrome in the Digital Age”

Authors: Lee S, Jun J, Chang K, et al.
Journal: Journal of Neurophysiology
Year: 2017
PMID: 29106230
Summary: This article looks at the prevalence of cubital tunnel syndrome in individuals who use mobile phones excessively, focusing on the rising trend of digital-age conditions affecting upper extremities.

12. “Mobile Phone Use and Its Effect on Upper Extremity Pain”

Authors: Hong J, Park S.
Journal: Journal of Orthopedic & Sports Physical Therapy
Year: 2021
PMID: 34326797
Summary: Investigates the relationship between prolonged mobile phone use and pain or injury in the elbow, hand, and wrist, with a section specifically on cubital tunnel syndrome.

13. “Conservative Management of Cubital Tunnel Syndrome: Evidence for Non-surgical Approaches”

Authors: Johnson LM, King B, Miller L, et al.
Journal: Orthopaedic Journal of Sports Medicine
Year: 2022
PMID: 35184251
Summary: A detailed discussion of non-surgical treatments for cubital tunnel syndrome, with some focus on therapeutic strategies for those affected by mobile phone-related elbow stress.

14. “Mobile Phone Elbow Syndrome and Other Digital Injuries: Diagnosis and Management”

Authors: Thorne A, Harwell J, Laney K.
Journal: American Journal of Physical Medicine & Rehabilitation
Year: 2019
PMID: 31247712
Summary: This article discusses the emerging phenomenon of “mobile phone elbow,” alongside other digital-age injuries like text neck and smartphone thumb, offering both diagnostic tools and rehabilitation protocols.

15. “Cubital Tunnel Syndrome: Risk Factors and Treatment Strategies in the Digital Era”

Authors: Nguyen H, Ho L, Seo Y, et al.
Journal: Journal of Hand Surgery
Year: 2019
PMID: 31061938
Summary: The study looks at lifestyle and technological changes contributing to the rise in cubital tunnel syndrome, with an emphasis on prevention during mobile phone use.

This is part of Blogchatter Half Marathon .

This is for health educational purpose and not to be taken as medical advice.

Social Media for Doctors: What You Can’t Miss!

By Dr.Amrita Basu(MBBS,MS) on August 11, 2025 0

Nowadays everyone will teach you to lose weight ,earn loads of money(doing nothing or in 5 minutes) and be a health coach.

Being a health coach has zero liability and they often end up claiming strange stuff which is super mixopathy .They promote this on social media,advertisement and even write books (often endorsed by celebrities).

They write books whose first few pages have the exact opposite information of what’s inside. The celebrity fitness gurus are their counter parts.But as a doctor ,registered healthcare professional,your digital footprint is crucial to maintaining and managing your reputation in the real world.

Nowadays your patient cares enough to check out the doctors social media feed(if they have one).

If the social media feed is private then this post is not for you.But if its a public feed for patient education,awareness for your clinic,then this is a resource which can help you.

Why did I create this?

I created this ,to help those who are just starting out,because that’s what I needed when I started out.Tweak this to make it suitable for your own practice.

If there’s one thing you need to remember from this post-The Disclaimer

The link below may be downloaded and used.

Social media Management for Doctors :Simple Checklist to Avoid Wasting Time

In case you run into any problem while you are using this email me at dramrita @healthwealthbridge.com Here’s 25 Free Blogging Tools, and Resources for 2025

Abhaya:365 Days of Awaiting Justice #RGKar

By Dr.Amrita Basu(MBBS,MS) on August 11, 2025 1

Abhaya was killed one year back.If you are a follower of this blog ,you know exactly what I am talking about.

Its a sad state of affair and the horrifying events leading up to it,didn’t happen in one day.Systematic corruption and systematic suppression of the truth is sad.

The young doctor shouldn’t have died.

The crime shouldn’t have been suppressed .

The crime shouldn’t go unpunished.

The small thing we can do,is to remember.

IMA Malda remembers.

But do you remember?

Do you remember the first few moments when you heard the news?

Did you check the news feeds to check the truth of it?

Did it make you afraid ?

Did you stand up for it?

Did you gaslight the protesters and those who wanted to protest?

Were you the friend/brother/sister/aunt/uncle/colleague who went out on the streets to protest ?

Were you the one who went about their daily life ,thinking this can’t touch me?

Is your life still the same ?

Did you wonder were is Abhaya?

Do you wonder how those monsters live with themselves?

Do you now believe in systematic corruption?

Do you believe being human and staying human took a new turn with this?

Did you talk to your children about this?Did you hide the reality of it ?

Do you believe in life after death?

Do you wonder about the shadows hiding in plain sight who are trying to cover this up daily ?

Whatever you think or do , or don’t,don’t lose hope.Don’t stop praying for Justice. Remember her.

🕯️ INDIAN MEDICAL ASSOCIATION, MALDA

🕯️Tribute to ABHAYA

In memory of ABHAYA,
a Candle Lighting Ceremony and Tree Plantation was organised by the Indian Medical Association.

📅 Date: 9th August 2025
🕗 Time: 8:00 PM
📍 Venue: IMA BHAVAN

Honouring the memory of Abhaya —
a young medico whose dreams were silenced,
but whose voice lives on through our collective commitment to justice and compassion.

🌿 A symbol of remembrance.

–

🕯️ ইন্ডিয়ান মেডিক্যাল অ্যাসোসিয়েশন ,মালদা.
🕯️
অভয়া-র স্মৃতিতে শ্রদ্ধাঞ্জলি

অভয়া-র স্মরণে
একটি মোমবাতি প্রজ্বালন অনুষ্ঠান এবং গাছ রোপণ কর্মসূচি

ইন্ডিয়ান মেডিক্যাল অ্যাসোসিয়েশন।

📅 তারিখ: ৯ই আগস্ট ২০২৫
🕗 সময়: রাত ৮টা থেকে
📍 স্থান: আই.এম. এ. ভবন.

চলুন, আমরা সকলে মিলে অভয়ার স্মৃতিকে শ্রদ্ধা জানাই—
এক তরুণ চিকিৎসা শিক্ষার্থী, যার স্বপ্ন নৃশংসভাবে থেমে গিয়েছিল।
তবু তার দাবি ও প্রতিবাদ আজও আমাদের অন্তরে বেঁচে আছে।

🌿 স্মৃতির প্রতীক, আশার প্রতিশ্রুতি।

সমস্ত আই এম এ সদস্যদের আন্তরিকভাবে আমন্ত্রণ জানানো হচ্ছে ।

Edmund Burke nailed it- “The only thing necessary for the triumph of evil is for good men to do nothing.”

Affordable Accessible Healthcare for all #BadaltaBharatMeraAnubhav

By Dr.Amrita Basu(MBBS,MS) on July 31, 2025 4

Affordable accessible Healthcare for all .Is that even possible? Affordable has a different definition depending on what one earns and accessible is even more tricky .I am an Indian doctor ,an ENT surgeon who grew up in Kolkata,studied in Kolkata and Delhi and finally working in a small town and also rural setup in Malda.I have seen healthcare set up in small and big Government hospitals and private ones in all the places I have lived and worked in .I always wondered how India would manage to grow a healthy population ,when there were so many mouths to feed and treat.

When Ayushman Bharat was launched I wrote about it on the blog.It showed the way for a healthy nation. It’s easily the most ambitious, people friendly, universal healthcare scheme .Ayushman Bharat is named right, wishing the people of Bharat a long healthy life. Its showed us promise of a bright Bharat in 2018 and it has helped countless people since then.

The scheme is implemented in 33 States/UTs except the NCT of Delhi, West Bengal, and Odisha.Before 2018 India had never seen such an extensive scheme covering in-patient healthcare for Indians.

What does the Data say about Ayushman Bharat?

As of June 30, 2024, over 34.7 crore Ayushman cards created and 7.37 crore hospital admissions authorized, representing claims worth ₹1 lakh crore.
AB-PMJAY provides health cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization.Its estimated to reach approximately 55 crore beneficiaries corresponding to 12.34 crore families.
Under this scheme 1949 procedures across 27 medical specialties are covered.
Over 34 crore Ayushman cards, ~7.4 crore admissions, ₹1 lakh crore claims by mid‑2024.(source)

In a country like India fighting overpopulation ,poverty,malnutrition and health issues can break the proverbial camel’s back. We can’t one day all become healthy, wealthy and wise. In a country like ours everything needs to be started with a minimal viable program .That’s where Ayushman Bharat shines. There are problems .But even the richest countries in this world have their own share of that.

The Indian Government rightly identified health being the most important qualifier for a game changing economy. A healthy nation means a healthy workforce .That translates to an eventually wealthy nation.A nation that leads but also helps those left behind.

Focus on Tuberculosis

Rich or poor, heathcare costs are the same for all.Diseases don’t come checking your bank balance and that’s the reason preventive healthcare is crucial.

But even when treatment is concerned Bharat has truly changed .Badalta Bharat now has ambitious goals of getting rid of Tuberculosis by 2025 .The Nikshay Poshan Yojana takes it one step further by providing nutitional support (direct to benficiary) for all notified Tuberculosis patient ,notified on or after 2018.The Government also launched the Nikshay Mitra scheme by which individuals and organizations can support the Government scheme through donations .That I think is an unique approach to helping those in need.

Mother and Child Care Poshan Abhiyan

There are also several schemes aimed at mother and child care, for better nutrition of pregnant mothers, improving childhood nutrition and preventing childhood diseases.Universal Immunization program is an important example.

POSHAN Abhiyan is another one, where the focus was firmly turned on to early childhood nutrition being the best way forward, for building a healthy nation .If childhood nutrition is right ,then the citizens of the future will suffer much less, leading to a healthy workforce and a wealthy nation.It starts with the girl child who will one day become the mother.Beti Bachao Beti Padhao promotes prevention of female foeticide, and education of the girl child.

Digital footprint

One of the best part about all this is India going digital.With the Aarogya setu app and Cowin app helping people finding the dates and places where they could get vaccinated, India had arrived.

E-sanjeevani telemedicine is another wonderful initiative where top specialists can help even those in rural areas. As of 2025 more than sixteen crore consultation has been done. That kind of outpatient care costs money .But more importantly intent of the Government to truly walk the talk. Expansion of Jan Aushudi stores makes affordable quality medicine possible.

Ayushman Bharat Digital Mission (ABDM) now has made Unique Health IDs for doctors and patients ensuring health records are digitized and accessible. That didn’t happen overnight .Health tech needs public-private partnership and that’s where incentives for adoption for Government schemes makes things easier and this Government knows that very well.

Going digital will take Bharat a long way in delivering affordable,accesible healthcare .

COVID and India

Last but not the least was how this Governent handled the COVID Pandemic.COVID was game changing .The Indian Government didn’t leave anyone behind.The lockdown ,social distancing ,rules positive messaging ,promoting safe healthcare practices and developing an indigenous vaccine -we saw everything.

With #MadeInIndia vaccine covering everyone and sharing with those less fortunate, we knew Badalta Bharat was real. COVID pandemic showed how India is capable of delivering healthcare and free vaccine to all its citizens. I was lucky to be one of the first to get the first dose of COVISHIELD.That my friends is my favorite moment from the last 10 years.

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But my Bharat is not stopping just with preventive, primary or secondary healthcare. With investment in clean renewable energy ,ek per maa ke naam ,health education India is waking up to primordial prevention,as its main aim, to give its citizens the best chance life can give.

Swachh Bharat and Swasth Bharat is not just a goal it’s a journey.It’s a jouney where all the Indians,need to travel together.No one should be left behind and for that we also need to focus on personal and individual responsibilty for own health.

The way forward:

Preventing addictions and helping in de-addiction.

Improving vaccine coverage even more.

Incentivizing staying healthy with tax breaks.

Health points for taking care of own and family health .

Preventing and punishing violence against healthcare workers with exemplary punishments .

Focusing on quality health education and quality of life for healthcare professionals might be the game changer in the next ten years. Because the doctor must be healthy to help heal those who need it.

Writing this for Badalta Bharat Mera Anubhav blog writing contest because I thought Badalta Bharat needs a shout out.

Doctor life

Sharing is good Karma!

Sharing is good Karma!

What symptoms did I have?

The pain got better with:

Why does this happen?

What AI review of scientific literature says ?

🩺 Conservative Management Tips for Mobile Phone Elbow / Cubital Tunnel Syndrome

1. Activity Modification

2. Ergonomic Adjustments

3. Stretching & Nerve Gliding Exercises

4. Posture Correction

5. Behavioral & Lifestyle Modifications

6. Physical Therapy & Splinting

7. Symptom Management

8. Monitoring & When to Seek Medical Help

🧠 Summary Table (Evidence-Based Focus)

1. “Smartphone use and musculoskeletal disorders: a systematic review of the literature”

2. “Prevalence of musculoskeletal disorders associated with smartphone use: a literature review”

3. “The Effect of Prolonged Mobile Phone Use on Upper Limb Musculoskeletal Disorders: A Systematic Review”

4. “Smartphone addiction and its impact on physical health: a review”

5. “The Effects of Mobile Device Use on the Musculoskeletal System: Implications for Clinical Practice”

6. “Cubital tunnel syndrome and the mobile phone elbow”

7. “Cubital Tunnel Syndrome: A Review of the Pathophysiology, Diagnosis, and Treatment”

8. “Ergonomics and the Impact of Mobile Phones on Elbow Health”

9. “The Role of Mobile Phones in Cubital Tunnel Syndrome and Elbow Nerve Compression Disorders”

10. “Mobile Phone Elbow: A Review of Its Link to Cubital Tunnel Syndrome”

11. “Prevalence of Cubital Tunnel Syndrome in the Digital Age”

12. “Mobile Phone Use and Its Effect on Upper Extremity Pain”

13. “Conservative Management of Cubital Tunnel Syndrome: Evidence for Non-surgical Approaches”

14. “Mobile Phone Elbow Syndrome and Other Digital Injuries: Diagnosis and Management”

15. “Cubital Tunnel Syndrome: Risk Factors and Treatment Strategies in the Digital Era”

Sharing is good Karma!

Sharing is good Karma!

Sharing is good Karma!

What does the Data say about Ayushman Bharat?

Focus on Tuberculosis

Mother and Child Care Poshan Abhiyan

Digital footprint

COVID and India

The way forward:

Sharing is good Karma!

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