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  • IMMUNISATION SCHEDULES ARE DIFFERENT FOR DIFERENT COUNTRIES.
  • EVEN IN INDIA, NATIONAL IMMUNISATION SCHEDULE IN PUBLIC HOSPITALS IS ALSO DIFFERENT FROM WHAT PEDIATRICIANS PRACTICE.
  • ALTHOUGH PRINCIPLES REMAIN SAME, THE NATIOANL PROBLEM AND BUDGET PUT A LOTS OF CONSTRAINT ON PUBLIC HOSPITALS TO DEFER NEW VACCINES.
  • NATIONAL BODIES OF PEDIATRICIANS ALSO HAD CHANGED THE VACCINATION PROGRAMS IN 2012,2013,2014,2016 GREATLY MAKING IT NOT SO EASY FOR PARENTS TO REMEMBER IT.
  • MANY VACCINE AVAILABILITY IS AFFECTED BY INTERNATIONAL MARKET. FOR EXAMPLE; IPV IS NOT AVAILABLE IN PRIVATE SECTOR IN MAHARASHTRA IN 2016; BUT IS FREE IN GOVT SECTOR.
  • ITS ALWAYS BETTER TO HAVE DISCUSSION WITH PEDIATRICIAN WITH DETAILED CONSULTATION AND FOLLOW A PROTOCOL LAID DOWN BY YOUR DOCTOR.

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Pediatric consultations and advice in difficult cases and diseases affecting children upto age 18 years. Second opinion clinic, pediatric respiratory and neurology consultation clinic Dr Kondekar's Postulates Every disease often presents in typical bookish picture... cos these books are written with decades of observations and research. if not so, either we havent read the books or may be its time to go.. read.. or write about If a disease doesnot improve with therapy; any of following is likely that... 1. If diagnosis is right .. we are surely missing some complications 2. If not so then the treatment of choice is either wrong,inadequate, and incomplete in drugs or dose or duration. 3. If not so..then most likely diagnosis is wrong or incomplete. A twist in diagnosis can bring dramatic results. 4. if not so.. then we need some patience and time for same or new treatment and its effect. All diseases do not have complete cure; but there is lot more to do in almost every case to improve quality of care and therapy.