Checking up on the elderly

At the age of 75, Ramakant Narayan's aspirations in life have been largely
fulfilled - his children live abroad and his late wife had a wonderful life.
Once an energetic and playful man, he is now a diabetic, with a urinary
track infection and suffers from dementia. His children make regular phone
calls, but there isn't anyone to care for him. This is where Dr Kusum
Doshi's At-Home Medicare Services comes into play.

Located at Vile Parle, a Mumbai suburb, Dr Doshi's At-Home Medicare Services
is a small and welcoming practice. Its aim is to ensure proper care for
elders - from medical check-ups to supervising their daily medicines and
mental well-being, in the comfort of their homes. The services include
monthly house-calls by doctors for consultation, weekly monitoring calls,
repeat tests and home delivery of medicines.

"We believe that mental health is as important as physical health and
facilitate the care of both", says Dr Doshi. While mental health is provided
through support and communication, physical health is cared for by doctor's
visits, facilitating medical tests, consultations and medicines.

But why did a 60+ woman start this service? When Dr Doshi's brother passed
away 10 years ago, his wife struggled to cope with his death and went into
serious depression. So much so that she has to be force-fed through a tube
to keep her alive. "It was then that I realised the need to set up a clinic
to care for the elderly," says Dr Doshi. So, in 2004, she studied geriatric
care at the Indian Medical Association and on the fifth day of Navratri her
At-Home Medicare Services was launched.

Issues with senior citizens' health are usually stress-related and triggered
by lack of financial support and insurance. The consequences are neglect of
health, loneliness and depression. Despite the obvious need for such care,
Dr Doshi struggled to find patients for the first two years. She visited
yoga ashrams and elder-care centres to propagate her At-Home Medicare
Services. She got her first patient in 2007 after which news spread and she
has 50 patients today.

At-Home Medicare Services charges an annual fee of Rs10,000 which includes a
yearly full-body check-up, weekly calls and monthly visits by doctors.
Services under this plan are currently available between Bandra and Andheri
in Mumbai and can be extended to other parts of the city on payment of
additional conveyance. The service has tie-ups with pathological
laboratories, specialist doctors, nurses and chemists. Blood, urine and
stools tests are done at home and it even helps organise full-time nursing
care.

At-Home Medicare is a for-profit entity but operates like a social
organisation and even offers emotional support to elders. "Otherwise it
leads to anxiety and depression and to Alzheimer's and dementia," says Dr
Doshi. She encourages patients to take up hobbies to keep their mind alert.
She also organises monthly outings and other activities.

Dr Doshi's core team comprises two teenage volunteers and her driver. The
girls simply call members, chat with them and remind them to take their
medicine. "At their age, most members are lonely and need to talk to
someone," says Dr Doshi. She has requests to set up branches across Mumbai,
especially at Worli, Kandivali and Ghatkopar, but can do it only if she has
more volunteers. "I believe that you need one doctor for 50 patients," says
Dr Doshi. Moreover, volunteers and doctors need to have done geriatric
medicine to be a part of this effort.

Any person in India or abroad can subscribe to or sponsor this service to
benefit a relative, friend or stranger. These are the details:

At-Home Medicare Services

Dr Kusum Doshi's Polyclinic, 1, Ankita Apts, Nehru Road,
Vile Parle (E), Mumbai 400 057
Tel: (+91) 22 2614 1334
Email: [email protected]
Website: www.at-homemedicare.com

http://www.moneylife.in/article/78/8949.html

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