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If you’re looking for a second opinion on doctors in India, second medic is the place to be. At second medic, they provide you the desired services for an online second opinion doctor. There, you have the access to free consultation from doctors wherein you can also chat with the doctors and get free online prescriptions.  

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Contact Tracing during Covid Times

Contact tracing aims to identify the people who have been in close proximity to a person who has tested positive.

Testing is quickly becoming a statistic of national pride. Countries are clamoring to test more and more people and increase accessibility for the population to receive testing. We will cover testing, its aims, and its future in a separate blog. Testing people is only half the story. It gives us information on who is infected, but to minimize the spread of infection other measures must be introduced alongside it. Contact tracing is one of these measures.

WHAT IS CONTACT TRACING

Most people who fall ill or test positive for COVID can spread the virus 2-3 days before getting the first symptoms. They can unintentionally infect the people they meet in public or work with. If infected, these people can also spread the infection without knowing it, and this leads to a rapid spread of COVID in the community, as we saw at the start of this pandemic.

Lockdown has been very good at reducing R0 (rate of infection spread), but this is done crudely by physically keeping people separated in their own homes. As R0 reduces and lockdown restrictions ease, this will no longer be feasible. By aggressively testing the population we can identify people who may be infected and instruct them and their household to remain in lockdown.

Contact tracing aims to identify the people who have been in close proximity to a person who has tested positive. This is traditionally done by questioning the infected person about their recent travel, people they met, where they work, and so on. These contacts are then instructed to isolate as well and can be tested to confirm infection. By preventing these potentially infected patients from spreading the infection, the R0 decreases and the second peak in infections is prevented.

This is not a new concept and is used often for communicable diseases such as tuberculosis or sexually transmitted infections. It has also been used in previous pandemics including 2003 SARS outbreak. In 2014 Liberia experienced one of the largest contact tracing efforts in history, with 25,000 people identified annually. Similarly in the US 29,000 people were monitored by state and local health departments after returning from West Africa, and this laid the groundwork for future COVID-19 contact tracing efforts.

The WHO has laid out guidelines for identifying potential contacts, including:

Being within 1 metre of a COVID-19 case for >15 minutes;

Direct physical contact with a COVID-19 case;

Providing direct care for patients with COVID-19 disease without using proper personal protective equipment (PPE);

COVID TRACING

Today countries have updated their methodology for contact tracing, utilizing technology and smartphones to increase the accuracy and volume of data available to public health officials.

South Korea had contact tracing plans in place due to the MERS epidemic in 2015, and this was built upon for COVID. Contact tracing utilizes smartphone GPS data, credit card transaction records, and surveillance camera footage. At Seoul’s Incheon International Airport, there are walkthrough facilities to test people with symptoms of COVID and follow up those without symptoms in 3 days. New arrivals also have to download a government smartphone app to track their location and provide info on symptoms.

Singapore��s mobile app also utilizes Bluetooth data to determine devices that have been in close proximity to the infected persons’ phone and tracking these devices can identify potential contacts. It has over 1.1 million users, just under one-fifth of the country’s population.

Apple and Google together own almost the entire mobile operating system market with their respective iOS and Android platforms. They have worked together to create a framework that can allow governments to efficiently create and utilize contact tracing apps. Their efforts use Bluetooth Low Energy beacons. Nearby devices that wirelessly “shake hands” create randomly generated codes without any user-identifiable details (name, location etc). Based off Bluetooth data it can provide an estimate on distance and length of contact.  If one of the devices is identified as belonging to an infected person, all devices that have been in close proximity are alerted.

LIMITATIONS

There are limitations present, both with the methodology used and with contact tracing itself. For one, it is quite a laborious and expensive process, and works well when there are low levels of infection in the community. During pandemics, it can quickly overwhelm the contact tracing departments if they are not adequately prepared and provide excessive information that cannot be utilized effectively. It is also not useful during a lockdown, as the lockdown itself artificially lowers infectivity. Instead, it must be implemented once the peak has passed.

Effective contact tracing is also expensive and labor-intensive. The state of Massachusetts has budgeted $44 million for its contact tracing program with 2,000 tracers. If implemented nationally it would cost the US an estimated $3.6 billion and require as many as 300,000 tracers. For app-based contact tracing to work around 80% of the population needs to have the app installed, and we have seen even small countries like Singapore struggle to push past 20%.

Finally, a major issue is a privacy. Poorly coded apps with little transparency can fail to anonymize vital personally identifiable data. This may be accessed by third parties or sold on to others, putting the privacy of millions of people at risk. There are also concerns by privacy watchdogs on the unfettered access by governments to this data, and whether this can be used in an oppressive manor.

If implemented correctly contact tracing has the potential to have a significant impact on reducing infectivity and allowing states and countries to open up their economies quickly and safely. Of course, this depends on the widespread use of contact tracing, and people abiding by government suggestions. Sadly, in the news, it is now too common to see resistance to basic measures such as use of masks in public, so we will have to see whether contact tracing will have any better success.

Dr Rajan Choudhary, UK, Chief Product Officer, Second Medic Inc

www.secondmedic.com

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Corona Virus in young patients and Kids

Kids seem to be relatively unaffected by COVID, but this does not mean they are invulnerable.

Kids seem to be relatively unaffected by COVID, but this does not mean they are invulnerable. As with adults, some children have pre-existing cardiac, respiratory, or metabolic conditions, and are therefore more vulnerable to the effects of COVID. Interestingly, children appear to have one more symptom when infected with coronavirus – COVID Toes.

I personally came across this phenomenon recently, with a young patient asymptomatic for COVID who presented with unusual symptoms of dark bruises on his toes. This had been present for just a few days. He did not have any pain, itching, swelling, no recent trauma, or injury to the feet. Circulation to his feet was normal, with no other rashes or skin changes, no other abnormal features in the history to note. It was certainly an odd presentation and certainly could have been an example of COVID toes.

This new phenomenon was noticed in April and has not gained as much notoriety because it is fairly rare compared to the major COVID symptoms, such as fever, cough, and lethargy.  Doctors have described lesions on the feet of young people, usually purple-colored, around the tips of the toes. They have been compared to chilblains, painful swellings on feet, and toes that appear in the cold. Similarly to chilblains they do not cause any permanent damage and usually regress in days to weeks.

It's not clear why they occur or the mechanism behind the discoloration, because the presentation is rare and in healthy patients. We know COVID can cause systemic inflammation and can increase the risk of clot formation. It may be that localized inflammation is occurring in the toes, causing the vessels to clamp down and reduce blood flow to the area. This is similar to the mechanism for chilblains forming in the foot. Micro-clotting could also be partially responsible for this phenomenon.

COVID Toes is not the only skin symptoms related to COVID. In a paper published in the British Journal of Dermatology, researchers described five common skin presentations in 375 COVID patients. These were:

Asymmetrical chilblain like lesions in the hands and feet, found in younger patients lasting up to 2 weeks.

Small itchy blisters in the trunk and limbs, found in middle-aged patients before they present with symptoms, lasting about 10 days

Pink or white areas of raised skin, itchy, usually on the body

Raised bumps called macropapules, lasting about a week, seen in more severe infections.

Mottled, blotchy red-blue skin (known as livedo) seen in patients with severe illness.

So if you are currently suffering from COVID or have recently recovered from an infection, and suddenly notice odd colored toes, you too may have a case of COVID toes.

Dr Rajan Choudhary, UK, Chief Product Officer, Second Medic Inc

www.secondmedic.com

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This video talks about the reasons one might need a second opinion and why they should choose second medic for that. It also goes on to explaining how to register for the website and the steps to be followed to get the second opinion you need.

Visit site for more information: Second medic

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If you’re looking for a second opinion on doctors in India, second medic is the place to be. At second medic, they provide you the desired services for an online second opinion doctor. There, you have the access to free consultation from doctors wherein you can also chat with the doctors and get free online prescriptions.  

For More Information Visit: secondmedic.com

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They need a helping hand

We do not need much to lead a happy life.

They need a helping hand

It was Gandhi who had said, “the true measure of any society can be found in how it treats its most vulnerable members.” One of the brighter sides of the ongoing Corona pandemic is that we are living in a world of equals. This is one malady that has not spared the mighty. In that sense, there is absolute ‘socialism’ in the Corona-land! No discrimination at all. And yet there are sections of the society that are much more susceptible to the brunt of the calamity than most of us. Who are they and what can the rest if us do to help?

People can be vulnerable for many different reasons. The most obvious ones are the medically vulnerable, those with chronic illnesses like diabetes, lung conditions, kidney failure, cancer patients on chemotherapy etc. Their illness or treatment thereof makes them more prone to catch the infection than people with normal health. They need to be wrapped in wool and kept strictly indoors.

Then there are the socially vulnerable, the elderly living by themselves and not able to drive. They may have visitors taking care of their needs in normal times. Not so in this lockdown.

These people have their needs as usual. We could help them with their normal shopping, procuring their medicines from the pharmacy etc. We could just ask them intermittently if they need something from outside.

Finally, there are financially vulnerable. Those who do not have the cushion of a regular monthly salary. Those who work on daily wages. The cleaners, the gardeners, the farm labors, the porters, the rickshaw pullers, the people who sweat it out in the rain and the sun to make your life that much more comfortable. What are they going to do? Where will their wages come from? They need you now just as you need them in merrier times. To help them is your obligation owed to them. To not do so at this time will be inhuman. To abandon them when they need you will be selfish. To ignore their need will be immoral.

This little creature Corona or ‘kununa’ as my little niece Mishty calls it, has taught us a big lesson - we do not need much to lead a happy life. Many of us have enough to spare some for our few less fortunate brothers and sisters. After all that’s the true measure of our society!

Dr Vibhash Mishra Chief Medical Officer Second Medic Inc

Second Medic

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COVID-19 MYTHBUSTER

Rumours, theories and suggestions that are being spread on Facebook, WhatsApp and social media.

MYTHBUSTER

There are many rumours, theories and suggestions that are being spread on Facebook, WhatsApp and social media. Most of these have no truth to them, do not work as treatment, or can be dangerous to your health. They use language that makes them sound scientific, and usually claim to come from a reputable institute, medical journal or doctor. Many people will automatically trust this, without questioning whether the legitimacy of the advice given. We have covered the dangers of these social media posts in our blog: https://www.secondmedic.com/Web/blog_single/The-dangers-of-Social-Media-blind-Forwards-

Here we will go over some common myths about COVID-19 and Coronavirus that you will encounter. If you have come across any new myths or theories, or you want to check something you have read or been sent, email us at info@secondmedic.com

5G mobile networks DO NOT spread COVID-19

This is a myth that has been spreading recently, claiming that the new 5G towers being erected are spreading COVID-19. This is not true and there is no scientific evidence to support this.

Coronavirus spreads on small droplets that are coughed up by infected people. It is possible to prove this by looking at these droplets under an electron microscope. 5G networks use radio waves to operate, similar to 4G networks and other mobile network technologies. Radio waves cannot carry or transmit viral particles.

Another theory is that 5G radio waves cause damage to the human body. Radio waves have very little energy and pass through the human body without causing any harm. They have less energy than sunlight, and we are exposed to sunlight daily without harm.

People are claiming that 5G and coronavirus arrived at the same time, and so must be connected. Simply linking two things together does not mean one causes another. 5G technology does not exist in many countries with COVID-19, and yet some of these countries have been hit harder than well developed countries.

Destroying masts because of this conspiracy theory is harmful, as these masts carry mobile network signals that allow people to phone in emergencies, and for emergency responders to communicate with hospitals, fire stations and the police. Destroying these masts can cause serious harm to others.

Coronavirus WAS NOT developed in a laboratory as a weapon by China/Russia/US

Multiple reputable labs and universities across the world have analysed the coronavirus responsible for COVID-19, and have determined there is no evidence it was produced by humans. It is very similar to pre-existing coronaviruses that have caused the SARS and MERS pandemics. Conspiracy theories such as these are being used to shift the blame to others and gain political points in the news, rather than focus on what is important – preventing the spread of the virus and treating those that are ill.

Holding your breath for 10 seconds or more without coughing DOES NOT prove you are free of COVID-19

One popular test that has spread on WhatsApp states you can see whether you have COVID-19 with one simple test. If you can hold your breath for more than 10 seconds without coughing or feeling any discomfort, you do not have COVID-19 and are safe. It says that COVID-19 causes fibrosis in your lungs and this can stop you from holding your breath. There is no evidence supporting this theory.

Many people who have had COVID-19 can hold their breath for 10 seconds, and many people who are virus free are unable to hold their breath. The only way to determine if you have had the virus is through a nose or throat swab to check for the virus. If you have symptoms of COVID-19 (fever, dry cough, feeling tired, shortness of breath), you should assume you have the virus and isolate yourself.

Drinking alcohol DOES NOT protect you against COVID-19

Alcohol is a disinfectant. Washing your hands with alcohol based hand gels can destroy the bacteria. However drinking alcohol is not the same. When you drink alcohol it is processed by your body to release energy, and it loses its disinfectant properties. Drinking too much alcohol can cause alcohol poisoning and damage your liver.

Hundreds of people have died as a result of drinking methanol, a dangerous form of alcohol.

Spraying alcohol over your body will kill any virus that is on your skin. But you should only use alcohol based hand gels, as they have the right amount of alcohol that does not harm your skin. Alcohol based gels will not cure COVID, as the virus causing the symptoms is in your lungs, not your skin.

Drinking bleach DOES NOT protect you against COVID-19. IT CAN KILL YOU

Just like alcohol, disinfectants and bleach can kill the virus if sprayed onto a surface that has the virus. But drinking them is highly dangerous and can be lethal. If ingested bleach will destroy your stomach just like it destroys the virus, and it will continue to destroy your body depending on how much is ingested.

DO NOT DRINK BLEACH.

Similarly do not spray disinfectant or bleach on your skin. It is  highly irritating and can cause a lot of damage, especially if it gets in your eyes, nose or mouth.

Dr Rajan Choudhary, UK, Chief Product Officer, Second Medic Inc

Second Medic

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Strokes in the young and healthy: how is COVID causing clotting

SeIn the news, there has been a rush in stories linking Strokes in young and healthy patients, patients who also have COIVD-19. This is certainly worrying news, and at first glance, it is difficult to explain. How does a respiratory virus, one that is very similar to the coronavirus responsible for the common cold, cause such serious issues in a completely unrelated organ system? In this two-part series we will first go over the basics of clotting and its function, how clotting can cause problems, and finally how COVID can lead to clotting disorders.

STROKES

Before we progress, if you or a family member are having any of the following symptoms, contact your local emergency services immediately. Strokes can be devastating, and treatment needs to be given as soon as possible to save as much of the brain as we can. Early recognition can be the difference between manageable long term effects and crippling disability.

Remember, act F.A.S.T

Facial Droop on one side

Arm or hand on one side feels numb or weak with reduced power (same in one leg)

Slurred speech making it difficult to understand

Time to phone an ambulance

Other symptoms can include sudden loss in balance, sudden loss in vision in one eye, problems swallowing, and more.

PLUGGING A HOLE

We have an intricate network of vessels to transport oxygen, nutrients, and signals to cells and organs across our bodies. Damage to these blood vessels causes blood loss, reduction in oxygen and nutrient delivery to these cells, and organ damage if the issue isn’t rectified. Failure in multiple organ systems across the body will eventually lead to death. Our blood has cells and proteins that work together to form a clot at the site of injury. This acts as a plug to physically stop the leak, but also encourages repair of the blood vessel and surrounding tissue.

A clot can be triggered in three different ways: blood stasis (pooling up in one area), exposure of blood vessel lining, and pro-coagulant factors released into the blood. When triggered a coagulation cascade occurs to form the building blocks of a clot – it works so well that even a small trigger can create a response big enough to repair the damage. These form a mesh trapping platelets and other blood cells into a plug. Immune cells also arrive to destroy any organisms that might enter from the trauma site that caused the injury, and these immune cells also instruct nearby cells to begin the repair process.

As with everything in our body the whole process is very tightly regulated. The cascade has triggers and accelerators, but it also has brakes. These brakes stop a clot from growing too big, or from clots forming spontaneously when they are not needed. They also help dissolve a clot once the vessel is repaired and it isn’t needed.

WHEN IT GOES WRONG

Heart attacks and strokes. These devastating cardiovascular diseases are well recognized by the public as a leading cause of disability and death. Both can be caused by abnormal clotting. How does our finely tuned clotting cascade turn abnormal? Let's go back to the three triggers of blood clotting.

Vessel damage: Eating a high fat and cholesterol diet can cause fatty plaques to build up in our arteries. This is known as atherosclerosis, and it is extremely common. The plaques can narrow your arteries and reduce blood flow. If this happens in your coronary arteries supplying your heart muscles, your heart might not receive enough oxygen when you exercise or exert yourself. This can cause chest pain, known as angina.

If the plaques burst open it can expose the vessel lining, causing a large clot to form. This clot can become dislodged and be carried away by the blood. It will eventually get lodged in a narrow artery, blocking it and stopping blood from entering. The tissue and cells supplied by that artery will not receive oxygen and eventually die. If this happens in the coronary arteries it can cause a heart attack. In the arteries supplying the brain, it can cause a stroke, leading to neurological deficits.

THIS IS THE MOST IMPORTANT LEARNING POINT, and this is why a healthy diet low in fat and sugars is so important.

Stasis: Our heart pumps blood at high pressures through the arteries. But in the veins, there is very little pressure to drive the blood back to the heart. In our arms and head, gravity helps blood flow down to the heart. But from our legs? When we walk the muscles in our legs squeeze the veins and move the blood. Valves make sure this flow is only one way, back to the heart.

If we sit or lie down in one place and don’t move, the blood isn’t pumped back and pools up in our legs, causing a clot to form. This usually happens in our calves (known as a DEEP VEIN THROMBOSIS, or DVT). The calf becomes swollen, painful, red, and hot. If this clot is dislodged, it can end up in our lungs causing a PULMONARY EMBOLISM. A large PE can block blood from entering the lungs and can be fatal. This is why you should take regular walks on long haul flights, to prevent blood from pooling.

Pro-coagulant: Sometimes the factors in our blood responsible for triggering a clot can be triggered accidentally. Cigarette smoke contains many toxins and harmful chemicals that, when inhaled, end up in your blood. These chemicals can cause damage to vessel linings, and also cause the clotting cascade to be triggered more easily. Some medications, such as the Combined Oral Contraceptive Pill, also have a similar effect, though the risk of getting a clot is still very low.

The immune system can also trigger a clot. The protein mesh formed in the blood can also capture bacteria and viruses around an infection site, making it easier for immune cells to find and destroy these invading organisms. In cancer patients, this process is sometimes triggered by unregulated cancer cells.

WHAT HAVE WE LEARNT?

Our clotting system stops us from bleeding to death from a small wound. People who have bleeding disorders are clear examples and need to be extremely careful if they injure themselves. But unregulated, our body can end up harming itself. If there is one thing you should take away from this, it is that a high sugar/high-fat diet with little exercise can directly increase your risk of having a heart attack or stroke. This is why doctors emphasize so much the importance of a good diet and exercise.

In our next blog, we will look at how this clotting problem is implicated in COVID patients.

Dr Rajan Choudhary, UK, Chief Product Officer, Second Medic Inc

Second Medic

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COVID AND CLOTTING: A BRIEF LOOK

At the Mount Sinai hospital, a case series of five patients have been put together, ready to be published in the New England Journal of Medicine. It details patients aged 33, 37, 39, 44, and 49 who all began to experience a sudden onset of symptoms including slurred speech, confusion, drooping on one side of the face, and feeling dead in one arm. At the time of writing one has sadly died, two remain hospitalized and one is in rehab. Only the youngest is able to speak. All of them were found to be COVID positive.

This drastic case series highlights a growing problem of strokes and clotting disorders in COVID patients, one noted by medics across the world. This blog looks at whether this is a common occurrence and what may be causing it.

Before reading this blog it will be helpful to read our previous blog on why and how blood clots.

THE START

In mid-February Tang et al published a paper noting that patients with abnormal clotting parameters were associated with a poorer prognosis. In their study, 11% of their patients died, but out of these patients, 71% had these abnormal parameters, compared to just 0.6% of survivors. The patients who died also demonstrated DIC (disseminated intravascular coagulation), a condition in which clotting is triggered in the patients' blood across the body, not just at the site of injury.

There is one major issue with this study. In most European hospitals patients receive anticoagulant medications on a daily basis. This is because lying in a hospital bed when ill can promote the formation of clots in your legs. Most hospitals in China do not provide this anticoagulation, but even then the incidence of clotting is remarkably high.

https://onlinelibrary.wiley.com/doi/10.1111/jth.14768

After this, the evidence begins piling up. 9th April, Cui et al found 25% of patients with severe COVID had clots in their legs, of which just under half died. Looking at a specific clotting parameter (D-DIMER) was remarkably accurate at predicting high-risk patients.

Italian doctors found in 16 patients in critical care with severe Acute Respiratory Distress Syndrome (a severe inflammatory condition caused by COVID) also had deranged clotting parameters.

French studies had found these sickest patients often had large clots in their lungs, blocking blood flow in the lung and causing severe issues in keeping the patient's blood well oxygenated.

Some studies showed even patients hooked up to artificial lungs (known as ECMO) were not safe from the problems caused by excessive clotting.

https://onlinelibrary.wiley.com/doi/10.1111/jth.14854

https://onlinelibrary.wiley.com/doi/abs/10.1111/jth.14820

WHY?

So why is this occurring? As with everything in medicine, the answer is complicated and usually multifactorial. So we will simplify it.

We must look at the platelets in our blood. These fragmented cells have an important role in triggering the clotting cascade and creating a clot. During an infection white blood cells (important immune cells responsible for finding and destroying invading organisms) release many chemical signals around an infection site. This triggers platelets, the formation of small protein meshes that can literally net the viral particles in the blood.

But it looks like they have an anti-viral role as well. Researchers have found specialist receptors on platelets that recognize viruses in the blood, leading to the release of specialist anti-viral molecules that target and destroy the viruses. This is an interesting finding because it is white blood cells that are known to destroy invading organisms.

So how does it go wrong? In severe infections, there is a very large viral load, and this can cause an excessive response. Too many white blood cells release too many chemical signals, causing too many platelets to activate. The same thing can occur with the virus directly activating too many platelets at once. This results in clots forming in the blood throughout the body, including the lung and the brain. It is another instance of the body falling victim to its own protective mechanism.

A second problem is that as these platelets are activated, they and the clotting proteins in the patient’s blood are “used up”. This is dangerous, because without these platelets and clotting proteins the body is unable to stop any bleeding sites. Profuse bleeding can occur from small injuries, further complicating the treatment of the patient.

https://onlinelibrary.wiley.com/doi/full/10.1111/jth.14781

https://onlinelibrary.wiley.com/doi/10.1111/jth.14832

https://onlinelibrary.wiley.com/doi/epdf/10.1111/jth.14818

So what can be done?

Hospitals have already started looking at giving patients with severe COVID anticoagulation therapy. And it seems in patients with deranged clotting, giving anticoagulation therapy can lower mortality.  The International Society on Thrombosis and Haemostasis (Clotting) has recommended that patients with severe COVID receive high dose anticoagulation medication to thin their blood, because these patients are at such high risk of clots. This regime will be used for hospital patients and those in critical care.

https://onlinelibrary.wiley.com/doi/10.1111/jth.14817

https://onlinelibrary.wiley.com/doi/10.1111/jth.14860

And what about for the everyday public? Should we be worried? So far the data suggests this is only happening in people suffering from severe symptoms of COVID. But the incident in New York certainly raises some questions, and it will be interesting to read their report in NEMJ. Should you panic and start taking anti-coagulant medication at home? Definitely not. But what you should do is be educated in the symptoms of common diseases caused by clots. Diseases such as strokes and DVTs.

STROKE

Remember, act F.A.S.T

Facial Droop on one side

Arm or hand on one side feels numb or weak with reduced power (same in one leg)

Slurred speech making it difficult to understand

Time to phone an ambulance

Other symptoms can include sudden loss in balance, sudden loss in vision in one eye, problems swallowing, and more.

DVT

Look out for a swollen, painful calf on one side that is hot to touch.

PULMONARY EMBOLISM

If you have a swollen, painful calf and are also having trouble breathing, with some sharp stabbing pain in your chest, contact the emergency services as soon as possible.

Dr Rajan Choudhary, UK, Chief Product Officer, Second Medic Inc

www.secondmedic.com

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A group of experts across the country come up with a thought out plan in order to help you get the best advice. Every symptom and each diagnosis is carefully studied before forming any opinion. All conclusions are based on thorough examination of the patient and the disease.

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Second Opinion Psychiatric Diagnosis

The doctors demonstrate an all-time professional behavior while handling all your concerns. They are trustworthy and are known for their goodwill. They are always willing to help and provide the best advice and well thought answers to the visitor’s inquiries.

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Covid-19 Second Opinion

Second medic We are in the middle of a global pandemic and it is natural to have questions related to the covid-19 disease that is on a constant rise. Second medic will provide you with all the answers to your concerns related to the same. 

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Second Opinion Psychiatric Diagnosis– Second Medic

There are times when a diagnosis or a symptom might cause a state of anxiety or restlessness. In order to cope with that, one would need a second opinion on their apprehensions. Visit second medic for the best online second opinions in India.

For More Details Visit: https://www.secondmedic.com/second-opinion-services/psychiatry

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Online Medical Consultation – Second Medic

The doctors at second medic are committed to providing the best possible support one would need at a time of health related concerns. Therefore, you can trust them with the best opinion for you and your families as well.

Visit Us For More Information: https://www.secondmedic.com/second-opinion-services/general-medicine?/Second-opinion-services/36