Tuesday, October 27

Second Opinion

Mandatory CT-Chest Pre-Hospitalisation. Are Mumbai Hospitals Flouting Norms?
medical, Second Opinion

Mandatory CT-Chest Pre-Hospitalisation. Are Mumbai Hospitals Flouting Norms?

Mrs. Niranjana, a seventy-nine-year-old lady, was lying on the stretcher, outside a private hospital in Mumbai, waiting for admission. She was a case of urinary tract infection and does not exhibit any signs and symptoms suggestive of a chest infection. The hospital wouldn't admit her until the relatives allow the patient to undergo a CT-Chest along with the COVID 19 RT-PCR to screen for possible asymptomatic COVID infection. The story doesn't end here, the hospital forces them to sign a high-risk consent form with a clause that anything may happen during the procedure. In a state of panic, the relatives call me for advice to know if there is a rule like this exists. Of Course, it was more to allay their fears than anything else, sitting a thousand kilometers away, I couldn't be expecte...
The Corona Expose
Second Opinion

The Corona Expose

I know this is a crisis time probably the worst mankind has witnessed over past several decades and even centuries but this will pass as many of our other nefarious pasts. I sincerely hope it does but at what cost I can't foretell, nobody can but, that's not what I am going to talk today. I am going to take you on a tangential line of thinking. My point is when it is gone when the leftover human population would be standing on the ruins of this pandemic that should be a time for retrospection for all, as it is for me today. There are two very important revelations striking out of this retrospection for me today which I am going to share with you. 1. We need to restructure our social system. The way our society is designed today, I think we have got it all wrong. Look at who is th...
The Manifesto I want For My India
a small voice..., Second Opinion

The Manifesto I want For My India

Is the idea of a democracy is just to vote and choose a group of people and empower them with constitutional rights to loot us. If you dismiss this statement as irrational, illogical and a product of negative mindset well, take a brief pause and think again with a microscope of pragmatic analysis. I am sure, many of you, if not all, will have a heart that would want to shout and say 'Yes, it's true' but you dare not because your acquired common sense would compel you to believe it as unconstitutional. A process as pure as a democracy should not be blamed for the fallacy of its execution. There you go, we have a constitution that provides for theses flaws to exist. what is more disturbing however is that not only such fallacies have existed but also nurtured and amended from t...
AAP… A Lost Opportunity
a small voice..., Second Opinion

AAP… A Lost Opportunity

It was perhaps November 2012, I was sitting in my Nursing Home there was a cesarean section about to start and we all were waiting for the anaesthetist of our team to arrive. For some reasons, which were evident when he arrived, an otherwise very punctual man, a very serious and non-political person dedicated to his profession got delayed. What was more perplexing than his unusual deviation from his normal professional discourse was the attire in which he arrived in the operation theatre. A tricolour band carrying the imprint 'I support Do You', around his forehead, a tricolor in his hand and a T-shirt proclaiming ' मैं भी Anna'. Of course, I was curious but as was customary all informal chats were to wait till the time the patient is anaesthetised so I waited and then solici...
Four Gravest Mistakes Of My India
a small voice..., Second Opinion

Four Gravest Mistakes Of My India

I am no political analyst but I am compelled to write this because my nationalist self will not allow me a quieter repose otherwise. With so much talk going around in current arena about nationalism and anti-nationalism about an impactful retaliation and considering the long term repercussions of such retaliation. Well, these are political decisions but then so were many other decisions or mistakes of the past whose long term effects have resulted in our present day crisis.   What are these mistakes I am referring to? Well, as I said earlier, I am attempting to dwell into the subject like a common man with only my nationalist pride as the tool to analyse the dark pieces of history and let me tell you nothing more was ever needed to avoid these grave national crimes, and surely y...
KPS…Opening Minds
Page 3, Second Opinion

KPS…Opening Minds

Having deprived of overnight sleep due to a sick patient in the neonatal unit and having to skip my morning OPD, I concede, I wasn't in the best of my mood for any tangible discussion. But as I always say, life is a set of choices, out of the N number of choices that every moment presents to us, we choose a particular action and that decides the fate of that particular moment, and I am truly glad that today, I made the right choice of attending the KPS board meeting. Fighting the perplexities of mind and body, I stepped into the boardroom and it came as a revelation. what was heartening was not that the meeting was much more cordial than I had anticipated neither the fact that the demeanour of board members carried a certain degree of intellectuality, what came as a revelation to me was...
Padmavati….Pride or Prejudice
Second Opinion

Padmavati….Pride or Prejudice

What is a man without an identity and what is a nation without the sense of pride in its identity? Whether Rani Padmavati had a real historical existence or she was a work of fiction cannot change one basic fact that she was a symbol of pride. We have all grown up reading stories of her Jauhar, the stories that have inculcated in us the values on the premise of which we claim our rightful existence, the stories that we tell our children to teach them values our ancestors lived by, to nurture them with the respectful identity of themselves and their nation. I would have had no issue with the film had the filmmakers not claim it to be a work of fiction. Had Mr Bhansali claimed and believed it to be historically true then it would have qualified to be a case of unravelling the truth and go...
A small voice……Rise or perish
Second Opinion

A small voice……Rise or perish

To my mind, thanks to media bashing and public outcry severely against doctors, this is the best time for the fraternity. The disorganised, asynchronous and highly self-centred fraternity was never so fluid to allow itself to be glued together in a strong cohesive unit. Thanks mainly to the rising incidence of uncalled for violence  against the doctors, this unity seems a gettable dream. Fear is a strong force and fear of losing ones own existence a even stronger  one. The community is frightened and depressed, many of the leading practitioners are ready to quit or have started considering the possibility, they have started discouraging their children from joining the profession, left to itself the profession will fall apart in time sooner than one can imagine. Now is the time to...
Can I afford my patient ?
Second Opinion

Can I afford my patient ?

It feels so condescending even to, cater to a thought such as this but the fact of the matter is that the thought lies well within the realm of reality and the sooner the medicos understand this the better it would be for them. Gone are the days when a doctor's aspirations were, to treat the patient on the merits of the case, but today every patient comes with a package, the package with the question of potential affordability, not merely by the patient but more so for the doctor . The assessment of the net worth of the potential patient becomes a criterion of central importance in patient selection.  In case this is getting confusing let me elaborate- Supreme Court of India had awarded a compensation going into few crores in a medical negligence case, taking into consideration the net ...