Telemedicine, COVID-19 And Liver Diseases

For liver diseases, there have been successful experiences with the use of different modalities of telemedicine [i.e. asynchronous telemedicine (analysis of patient's data by a single physician or multidisciplinary team), synchronous real-time patient management and tele-education]
Our Telemedicine program showed successful results as the sustained virologic responses achieved by those patients treated in primary care settings under the expert guidance.
Currently, this type of care is considered a vital tool for the goal of global elimination of HCV infection.In addition to HCV management, telemedicine offers opportunities for a better management of patients with chronic liver diseases by increasing their access to tertiary care, thus improving efficiency of healthcare delivery at reasonable cost .
We forsee expansion of telemedicine into other areas of hepatology is desirable and hold potential for improving management of pre- and post-liver transplant patients, patients with hepatocellular carcinoma (HCC) and patients with both compensated and decompensated cirrhosis.
It is important to note that in liver transplant setting existing data suggest that use of telemedicine may expedite evaluation and listing of patients referred to liver transplant centers and could improve outcomes (hospital readmissions, and quality of life) after liver transplantation.
In the case of HCC, telemedicine aslo offers the possibility of multidisciplinary evaluation in virtual tumor boards leading to tailored and more effective treatments . Finally, in cirrhosis, telemedicine may enhance self-care and facilitate HCC surveillance eventually preventing readmissions in recently hospitalized patients.
With the onset of COVID-19 pandemic everyone has forced the implementation of telemedicine actions for many liver patients.
Major international societies have released recommendations encouraging the use of remote care to manage patients with all liver diseases, particularly liver transplant patients.
However, the crisis will seriously impact cirrhosis care with social distancing and isolation causing major delays in elective procedures and routine care with potential overwhelm of medical centers managing postponed and potentially decompensated patients in the upcoming months.
Developing robust telemedicine programs and revamping remote care initiatives in hepatology will be critical during COVID times. The next challenge will be how to integrate telemedicine into routine clinical care beyond the COVID-19 pandemic.

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Mental Health Issues in Indian Elderly: A Growing Concern Often Overlooked

India’s senior population is growing faster than ever before. By 2050, one in five Indians will be above 60 years of age - a remarkable demographic shift. But behind this silver lining lies a silent crisis: mental health among India’s elderly.

The Hidden Struggle Behind Aging

Old age brings wisdom, but also biological and emotional challenges. Retirement, loss of loved ones, financial dependency, or health decline can trigger mental distress. Yet, these issues often go unnoticed because families mistake them for “normal signs of aging.”

According to the National Mental Health Survey by NIMHANS, nearly 20% of India’s elderly experience mental health issues, especially depression and anxiety. In rural areas, the situation is worse due to lack of awareness and healthcare access.

Common Mental Health Problems in Indian Seniors

Depression - Often triggered by loneliness, bereavement, or chronic illnesses. Signs include low mood, hopelessness, loss of interest, or changes in appetite and sleep.
Dementia - A progressive decline in memory and cognition, often misinterpreted as forgetfulness. India has over 5 million dementia patients, projected to double by 2050.
Anxiety & Sleep Disorders - Worries about health, finances, or safety cause insomnia, irritability, or constant tension.
Substance Use - Some elderly turn to alcohol or sedatives to cope, worsening mental health.
Psychosomatic Disorders - Emotional pain often manifests physically - headaches, fatigue, or chronic pain without clear medical cause.

Cultural & Social Roots of the Crisis

India’s traditional joint family system once offered emotional security. But with urbanization and migration, many elders now live alone or in old-age homes. The HelpAge India (2024) survey found that 47% of elderly Indians feel neglected by their families, and 36% experience loneliness regularly.

Moreover, stigma remains strong - elders hesitate to discuss “mental illness” for fear of being labeled weak or burdensome.

Health System Challenges

Despite national programs like NPHCE, access to geriatric psychiatry or counseling is still limited. Less than 10% of primary healthcare centers have a trained mental health professional.

However, initiatives like Tele-MANAS (2023) - India’s national mental health helpline (14416) - are bridging the gap by providing free counseling and referral support through phone and telemedicine.

Steps Toward Better Elderly Mental Health

Regular Screening: Routine depression and cognitive checks during health visits.
Community Programs: Local NGOs, senior clubs, and faith groups can provide social support.
Family Awareness: Encourage open dialogue, empathy, and daily engagement.
Physical Activity: Even gentle yoga or morning walks improve mood and sleep.
Digital Inclusion: Teach seniors to use smartphones for connecting with family or online therapy platforms.

The Role of Platforms Like SecondMedic

SecondMedic integrates mental wellness and teleconsultation for senior citizens - offering easy video counseling, medication delivery, and home diagnostics. Elderly patients can book sessions without traveling long distances or waiting in clinics, ensuring comfort and privacy.

Conclusion

Mental health in India’s elderly isn’t just a medical issue - it’s a social one. Aging should bring peace, not isolation. Recognizing emotional distress, breaking stigma, and encouraging conversation can transform how we care for our elders.

A healthy heart and body mean little without a healthy mind. Let’s make sure our elders live with dignity, purpose, and connection.

Help your loved ones find care from the comfort of home - Book an online mental wellness consultation on SecondMedic today ? https://www.secondmedic.com

Real Data, Surveys & Links

National Mental Health Survey (NIMHANS, 2023): 15–20% elderly with mental disorders.
nimhans.ac.in
HelpAge India Report 2024: 47% of elders feel neglected by families.
helpageindia.org
National Programme for Health Care of the Elderly (NPHCE): Govt. initiative for senior health.
nhp.gov.in
Tele-MANAS Helpline (MoHFW, 2023): 14416 - free national mental health line.
mohfw.gov.in

Dementia India Report (AIIMS & ARDSI, 2024): 5.3 million affected, projected to double by 2050.
ardsi.org

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