Tuesday, 2 July 2019

What is Medical Hakikat? Part - 2


Please Note: This article is intended only for Doctors and medical undergraduate and post-graduate students. Non-Medicos please do not read this article.

I may not agree with your views, but yet I will defend your right to say it — Voltaire

Please read the part one of the blog post before reading this: https://agnipathdoctors.blogspot.com/2019/06/what-is-medical-hakikat.html

Loss of confidence of doctors itself on doctors

When the assault occurs in government setup, some private doctors comment; ‘we take ten minutes to do what they (government) do in ten hours, therefore such assaults occur’. When it occurs in private setup, some government doctors comment; ‘we do in Rs 100 what they (private) do in Rs 10,000, that’s why such attacks occur on them’. Even in MBS hospital I was shocked to hear doctors commenting, if there is no negligence then why will be there be attacks? When in fact, in most attacks on doctors in MBS Hospital, true negligence was not even remotely associated.

As soon as such allegation happens, a core committee of doctors should immediately verify the facts from multiple avenues, including patient’s case-sheet, other staff, and patient’s statements. If the facts are in our favor then immediate strong action should be launched without any hesitation.

Lack of solidarity & unnecessary leg pulling

There is a destiny which makes us brothers. None goes his way alone — Edwin Markham

On a trip to Singapore, a group of doctors visited a crab farm. They saw baskets filled with crabs from different countries. All the baskets were covered except one. They asked the farm-manager, ‘why this basket is without lid and others are covered?’ The manager replied, ‘Doc, these baskets have covers to prevent the crabs from climbing out and escaping. That basket is filled from doctor crabs from India, hence a cover is unnecessary’.

Why? enquired the doctors. ‘Because’, explained the manager, ‘As soon as any crab reaches the top and start to escape, the other crab pulls its leg back to the bottom’.

Doctors are at present a divided lot with Surgeons vs Physicians, GPs vs Specialist vs Super-Specialist, Government vs Private sector, Senior vs Juniors, Residents vs Consultants, even MBS vs other government hospitals and so on.

Even though we deny this, but some examples will make it clear. Some GPs complain that when they refer a case to specialists sometimes they (specialists) make comments in front of the patient that his initial treatment was not up to the mark. Same is the complaint by some specialist for super-specialist. Some time back, a patient with eye dermoid was referred to Jaipur from ophthalmologists of MBS Hospital but was successfully operated by ophthalmologists in another government hospital. This was given as prominent news in media by the treating doctors that what MBS Hospital Doctors cannot do, they can do. That too with the involvement of senior IMA members who have held high posts in IMA executive. The rest of the doctor community served as a mute witness to this public game of one-upmanship.

Another type of news article appearing commonly is that so and so patient was asked to consult specialists in Jaipur or Delhi but was successfully managed in Kota by local specialists. This sometimes implies (maybe entirely unintended) that the referring doctor was either fool or ignorant of local skills for unnecessarily referring the patient outside Kota.

We forget even though an intern or first-year surgery resident can do it, why do doctors take their relatives to a top-level consultant for something as simple as appendectomy? The reason may be the same, i.e. although the skills are available locally they want their patients or relatives to have the benefit of the highest possible care.

There are also allegations that doctors criticize each other in front of patients. Sometimes there may be really faults and negligence in the previous diagnosis or treatment, but it has been written many times in JIMA in the address of IMA National President, as there are many variations in disease and treatment, we should avoid making any adverse comments in front of the patient.

If you have some special skill or experience, do inform other doctors. But do not expect that your colleagues will necessarily refer the patients to you even though you have the required expertise. IMA and other doctor’s organizations should create forums where doctors can discuss and inform each other about their shortcomings and raise valid requests and objections. Most importantly we should avoid displaying our frustration in front of patient or media. 
(If you have any genuine objection, please feel free to use ‘Agnipath’ to convey your thoughts to others – Editor).
  
(To Be Continued in 3rd Part)

 (Based on allegedly true incidents)
— ND
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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 
DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm.

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