u/Key-Worry5328

This is about the Instant Consult mode on Practo.

Patients just have to login and pay and the system connects them to any available doctor.

A patient pays Rs.500-700 for a consultation and the doctor gets around Rs.100 (actually Rs 90 because they deduct ten percent as tax at the final payout).

It's even less for audio only consults.

For that Rs100 (Rs 90 ), we're expected to take a proper history, review reports, write prescriptions, answer queries, and then provide a 7-day follow-up.

And that follow-up is a story in itself.

Some patients use it the way it's meant to be used. Others start asking about completely different problems a few days later. Some ask for advice for their spouse, parents, or children. I've even had patients try to get prescriptions for multiple family members from a single consultation.

Then there are the occasional abusive patients. When that happens, you're pretty much on your own. Reporting it doesn't always result in any meaningful intervention.

What really gets me is the medicolegal aspect. During onboarding, we're basically told that if anything goes wrong legally, it's our problem to deal with. The platform gets its share of the consultation fee, but the liability sits with the doctor.

Same as the title.

It's been 10 days since I started Ozempic. I'm eating in a calorie deficit, getting a good amount of protein, and doing strength training.

I'm not lifting very heavy, but I've noticed that I get exhausted quickly, my recovery is slower, and my muscles stay sore for longer.

How do you all handle this?

Just wanted to share my first week's experience with Ozempic 0.25 mg.

Days 1–3:

No hunger and the food noise was gone. I managed to eat around 1,100 kcal/day and stayed well hydrated.

I couldn't pass stool, so I used a suppository.

I walked on the treadmill for 30 minutes each day.

As for side effects, I had no nausea or pain, but I burped more than usual. I also noticed that my emotional state felt somewhat muted. Apparently, this happens to some people on GLP-1 medications.

Days 4–5:

My hunger returned slightly, but I didn't have the intense hunger pangs I used to. The food noise was still much easier to ignore.

I was able to eat around 1,400 kcal/day.

I added some weight training along with the treadmill.

My bowel movements returned to normal without any intervention, and my mood improved.

I also noticed that the knee pain I'd been experiencing, which I suspect was related to my poor diet, had disappeared.

Days 6–7:

These days were a little trickier. Hunger and food noise returned, although they were still better than before starting Ozempic. I ate around 1,700 kcal/day.

I didn't exercise.

I took my second dose early today. My appetite already seems more subdued, and my mood feels normal so far.

I'm hoping the appetite suppression lasts longer this week.

Weight loss so far: 2 kg.

Took my first-ever dose on Sunday evening.

From Monday to Wednesday, I didn't feel hungry at all. And of course, I was constipated and had to use a suppository. Along with the reduced appetite, I felt that my emotional state had dampened a little.

Yesterday evening, I felt slightly hungry, and I could finish my dinner, which wasn't the case for the previous three days.

Today, my hunger level is higher (although not entirely back to how it used to be), and I could pass stool without any intervention.

My next dose is two days away, so I'll see how things go until then.

Lost 2 kg so far.

I take online consultations on Practo. Here's how it works: The patient pays anywhere between ₹450 and ₹650 to Practo for an instant consultation, and they are then assigned to any available doctor at that time. The consultation takes place via video or audio, as per the patient's preference. Once the consultation is completed, the doctor issues a prescription, and the patient gets one week of free follow-up.

It's convenient for both the doctor and the patient. The doctor gets to work from home, patients get access to doctors within minutes.

But deentlo certain irritating aspects unay

1. Doctors cut is Rs 90 per consult.

2. Poni fee emundile, intlo kurchuni convenient ga work chesthunam ankundam, but then e one week free follow up ni exploit chese patients untaru. Valla issue sort ipoyaka one or two days tharvatha they text asking for advice regarding their relatives.

( NOT ALL PATIENTS, UNTARU ILANTI VALLU oka 10 percent )

Alanti vallaki reply ivakunda ignore chese option kuda ledu, if we do that, fresh consultations will automatically get blocked till we respond to all their queries. We don't even get the option to flag such issues because Practo's customer care service is sh*t

3. Lack of situational awareness in some patients. Serious issues ki kuda online consultations chestharu. Like a very bad allergic reaction to a drug or insect bite. If the patient comes from a remote place then it's understandable. But educated people staying in Metros do this and it annoys me. They waste precious time.

And ofcourse the mandatory boothulu thittatam when the treatment doesn't give immediate magical relief.But that part I am okay with, it comes with the job.

90 percent patients are nice and polite.

And I enjoy my work.

But that ten percent patients sometimes ruin my mood.

Starting lo baadhaga anpinchedi day motham.

Now I just vent and move on. Ivalti vent audience meere.

Thank you for reading.

Burra thinesthunaru relatives who are LIC agents, policy teeskomani. And when I actually considered taking one they tried selling me the costliest policy available. I refused and eventually took a policy for a lower price, just mohamaatam koddi.

Teeskunedaka vadalledu.

Now I am curious,intha venta padi padi cheypistharu policies how much they must be making from this ani.

Started Ozempic two days ago.

My food noise is definitely lower (though I'm feeling mildly hungry today), but I've also noticed something else. I feel... flat. I'm not really sure how to describe it. It's like my emotions are a little muted.

I'm not sad or depressed. I just feel like my emotional responses have been dialed down a notch. Has anyone felt the same?

Started Ozempic two nights ago.

My food noise is definitely lower (though I'm feeling mildly hungry today), but I've also noticed something else. I feel... flat. I'm not really sure how to describe it. It's like my emotions are a little muted.

I'm not sad or depressed. I just feel like my emotional responses have been dialed down a notch. Has anyone felt the same?

Started Ozempic 0.25 mg two nights ago. Day one was good, with hardly any side effects, and the food noise vanished. Yesterday evening, I felt slightly hungry, and I noticed the same thing this morning. It's only mild, but since my next dose isn't due for another four days, how do I tide myself over until then?

So, I am a female with a height of 174cms and weight 94.5 kgs. Recently did my blood work up and found that my LDL cholesterol is quite high. Been struggling with weight gain for a while now. Tried eating in a calorie deficit but the food noise consumes me most of the time and I tend to over eat.

I have gained about 20 kgs in less than two years.

Been thinking about starting GLPs for a while now and finally got the courage after the blood work up.

I just have a few queries, I took the first dose of Ozempic - 0.25 mg at around 8 pm today and immediately after a few minutes started experiencing mild bloating.

And usually around this time of the night I get the urge to snack but today I don't.

Do you think it's just my imagination?

Because from what I have gathered the effect starts sometime between day one and three.

But I am experiencing it within a couple of hours of the injection.

If there's anyone in this sub who's on Ozempic please do share your experience with it, especially the first week with 0.25mg

This is about the Instant Consult mode on Practo.

Patients just have to login and pay and the system connects them to any available doctor.

A patient pays Rs.500–700 for a consultation and the doctor gets around Rs.100 (actually Rs 90 because they deduct ten percent as tax at the final payout).

It's even less for audio only consults.

For that Rs100 ( Rs 90 ), we're expected to take a proper history, review reports, write prescriptions, answer queries, and then provide a 7-day follow-up.

And that follow-up is a story in itself.

Some patients use it the way it's meant to be used. Others start asking about completely different problems a few days later. Some ask for advice for their spouse, parents, or children. I've even had patients try to get prescriptions for multiple family members from a single consultation.

Then there are the occasional abusive patients. When that happens, you're pretty much on your own. Reporting it doesn't always result in any meaningful intervention.

What really gets me is the medicolegal aspect. During onboarding, we're basically told that if anything goes wrong legally, it's our problem to deal with. The platform gets its share of the consultation fee, but the liability sits with the doctor.

I was just annoyed and felt like sharing.

Planning to quit soon.

Someone has asked what changes I'd recommend so that the experience will be better for both the doctor and the patient. I am adding my answer here:

In my opinion, the compensation should be at least 50% of what they are charging.

They should provide prompt resolutions when we raise concerns.

Patients are assigned to doctors based on the Patient Satisfaction Score. The better rating a patient leaves, the higher the chances of that doctor being assigned more patients. However, that rating also includes app-related issues. If a patient faces a problem with the app and leaves a low rating because of it, it still affects the doctor's Patient Satisfaction Score. This is extremely unfair. What can a doctor do if the app malfunctions? I have written to them multiple times pointing this out, but received no response.

There should be a middleman between doctors and patients. Let them take a brief history and assign the appropriate specialist. Otherwise, under the current system, patients are assigned at random. A patient may seek a General Surgeon’s opinion but get assigned to a General Physician instead. It's a waste of time for both the doctor and the patient.

They should ask patients to upload ID proof. Doctors should also be allowed to flag rude patients. I feel patients would be more conscious of their behaviour if some form of ID proof were uploaded to the portal. (I might be wrong—do let me know if there's a better way.)

Practicing doctor here

I often see patients assuming that when they use Practo Instant Consult, they'll be connected to a specialist in the relevant field.

In reality, that's probably not how it works most of the time.

The payout for an instant consultation is around ₹90, and even lower for some audio consultations while they charge anything between Rs 450 to 650 from the patient.

At that rate, it's difficult to expect many experienced specialists to spend time sitting in the instant consult queue.

As a result, a lot of these consultations are likely being handled by MBBS doctors. There's nothing wrong with that. Most common illnesses can be assessed and managed perfectly well by an MBBS doctor, and many do an excellent job.

That said, if you already know your problem is related to a specific specialty say a skin issue, migraine, thyroid problem, heart problem, etc you might be better off searching for the appropriate specialist and booking a DIRECT consultation with them instead of using Instant Consult.

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Same as title

Seeing such people a lot these days.

And honestly, it's becoming annoying.

They will loudly call out- " Sir can I speak with you for a moment?", " Ma'am can I talk to you about something?"

Uncomfortable anpisthaadi.

And when you give in and go talk to them, they don't accept whatever amount that you are willing to pay.

Daantlo kuda they have a minimum amount.

Charity is a good thing.

But pushing people into doing it is not.