#Medical-Consumer-Protection-Act: Pros & Cons: Advantages & disadvantages


As in last few decades, patients are defined as  consumers and Medical Consumer Protection Act takes roots, the whole system of medicine and healthcare has changed. All the new changes in regulation, insurance and legal system have resulted in facilitating and exercising an easy control of medical industry over health care, each revision has affected doctors adversely. They have been reduced to just only one small component of the industry, who deliver care and remain at receiving end for poor outcomes. Other important stake holders are patients. How this change has been beneficial for patients?   

     Suppressed professionals can be used to work more, get less paid and can be dragged to courts easily. It should be a win-win situation for all, except doctors. Therefore everyone makes merry, while doctors sulk, except those who can mingle with the present scenario,  act smart and are able to entrench themselves in  changed business and legal milieu.

Disadvantages of medical consumer Protection Act (Negatives, cons)

1 .Promotes Defensive medicine: Every patient with any illness has a potential for  complications. Progression of any disease state can cause death.  If doctors start looking at every patient as a potential litigant, especially while dealing with very sick ones, practice of defensive medicine is a natural consequence. This may manifest as excessive investigations, more use of drugs, antibiotics and even reluctance or refusal to treat very sick patients. Worst scenario of excessive fear will be refusal of very sick patients in emergency situations or non-availability of doctors.

2. Erosion of doctor-patient relationship: Stray and occasional Incidents about negligence, the cases in courts or their outcome attract wide publicity in media. People are unable to understand the correct application of such stray incidents to themselves. But they always try to imagine themselves being in the chaos or scenario projected. Because of prejudiced notions, a sense of mistrust gradually creeps in, which then extends into   and involves their own  imagination and  circumstances. This sense of mistrust multiplies manifold whenever there is some adverse or even small unpleasant event. Ultimately doctor and patients move forward together with a strained relationship and the treatment goes on with a surmounting sense of mistrust.

 3. Increased cost of care:   With the increasing need for defensive medicine, there is a need to document everything and to offer everything possible in the world, leading to increased  medical costs.  Insurance companies, medical industry and lawyers have positioned themselves in between doctor and patients. They charge everyone on both sides, heavily for allaying the fears, both  patients (medical insurance, lawyer fee) and doctors(indemnity insurance, lawyer’s fee) alike. The vicious cycle of rising costs, need for insurance, medicolegal suits, and high lawyer fee (for patients and doctors) goes on unabated. All these contribute significantly to overall increased cost of health care.

             25 factors for rising cost and expensive medical care.

4. Enhanced insecurity in medical profession: Needless to say, consumer protection act has increased the anxiety and insecurity of  the medical profession. One keeps wondering which patient will prove to be his bane and finish his total career, will result in professional hanging or a media trial. There is a real probability of being entangled in these problems in present era in day to day practice.

              Disadvantages  of being a doctor, nurse

5. Unnecessary litigation: Legal cases can be put on doctors for various trivial reasons,  for example the sense of revenge or to extract money or simply for avoiding  to pay for services.  In an era where family members, brothers and sisters fight for money, it will be naïve to think that idea of making money from doctor does not exist. These ideas  are further stoked by the incidents of previous high compensations granted  by courts .

   

6. Increased paper workexcessive documentation and time consumption: crucial and large chunk of time of doctors and nurses,   goes in completing documentation. Needless to say, this time previously was dedicated solely to patient service. Management is now-a day more worried about completing paper work as well. Initially it was a symbolic documentation, but now there is requirement of mammoth paper work. It leads to consumption of time that was meant for real discussions for the benefit of patients.

7. Doctors used as scape-goats for revenge: Any unsatisfied patient can vent his anger by putting complaint or case against the doctor.  This is done to some extent for revenge or just finding a human factor which can be punished. Not uncommonly doctors are used as scape- goats to have a concession on the patient treatment by administrators. Everything can be easily put on doctors as they are universal final link to a patient’s treatment and adverse effects.

8. Distraction of doctors from the primary point of intention:  Nothing else ever has distracted doctors more than  medico-legal cases and punishments. In certain circumstances, saving themselves becomes more important than saving a patient. Uncertainty of prognosis, grave  emergencies, split second lifesaving and risky decisions that may later be proved wrong by retrospective analysis with wisdom of hindsight.   Complex  medico-legal situations are endless distractions that have creeped in and are enough to distract doctors from primary point of intentions ‘the treatment.

9. Early retirement or burn out:  Becoming a doctor and practising has become a tough job. After people have reached a point of financial security or when near point of burn out, doctors tend to leave practice. No wise man will like to face medicolegal complexities in older age. Taken to court for a genuine decision is enough to spoil and tarnish  health, wealth and fame that was  earned by  slogging  the doctor’s whole life.

10. Reluctance to do emergency, risky work: If the decision to decide or act or help someone in an emergency situation, puts one’s own life and career to risk, why should anyone put himself in that difficult  position?  Therefore increasingly, financially secure doctors are staying away from the riskier jobs.

11 .Only Doctors are sufferers of the act: Patient can have poor outcome because of any reason. It can be severe disease, poor prognosis, rare or genuine complications or even unintentional mistake or human errors, system errors or deficiency. But retrospectively doctors can easily be blamed because of wisdom of hindsight.  All patients, who are unsatisfied or with unrealistic or unexpected outcome can go to courts. Whatever court decides, harassment of doctors is full and permanent. There is no compensation possible for the sufferings and agony spanned over years, even if court decides in favour of doctor.

12. Spoils teamwork among doctors; Whenever there is adverse outcome in any patient, all the doctors involved may start looking  for,  whom to blame  among themselves. All of them will try to pinpoint each other’s mistake.  Such situation produces a bitter and worst kind of disagreements among various teams or specialties. Mutual understandings take a back seat and the teamwork is spoiled permanently. Administrators in a bid to be safe,  encourage putting doctor’s concerns against each other, creating a strange sense of enmity. Ultimately  a mutual understanding and team work takes a hit.

13. Doctors converted to cheap labour:

Hugely benefitted are medical industry, law industry and administrators; The ease with which doctors can be harassed  has lead to rampant misuse of consumer protection ac and t has instilled a sense of deep fear in mind of medical professionals. The act has been used as a whip against the  doctors by all these three stakeholders. Fear of medicolegal cases has reduced doctors to cheap labour. Industry has used the protective systems to gain the maximum out of doctors hard work.  Benefits to law industry and lawyers  are obvious and don’t need to be elaborated. Besides this, even insurance industry has collected money both from doctors and patients by creating the fear.

14. Confusion while treating; Right decisions ?  A certain element of doubt always remains in minds of doctor whether he will get justice in the long run, or will end up being victim of sympathy towards patient or clever lawyering.  What was medically right and judicious decision at that real time situation may be  looked as  wrong later, especially when retrospective analysis  is done over years with fault finding approach. So taking medical decisions is becoming more difficult amid future uncertainty of disease.

15. Delayed treatment in emergency situations: Due to prejudiced minds, it is not uncommon for patient’s relatives to keep seeking second opinion, thereby delaying consent for procedures, surgeries and treatment. Though doctors know this problem, but they obviously cannot proceed without necessary documentation. With increasing mistrust, even emergency treatments are delayed. Delay in surgeries or therapies are a common outcome.

16. Instigation by law industryWindfall profits for lawyers and law industry at the cost of doctors is a disadvantage for medical profession: One can see zero fee and fixed commission advertisements on television by lawyers in health systems even in developed countries. They lure and instigate patients to file law suits and promise them hefty reimbursements. There is no dearth of such relatives, lawyers who are ready to try their luck sometimes in vengeance and sometimes for lure of money received in compensations.  This encouragement and instigations of lawsuit against doctors is a major setback for medical profession.

17. Hostile environment for young impressionable doctors: The young and bright doctors complete their long arduous training and then suddenly find themselves starting the work in a hostile environment. They find it strange to find themselves  at the receiving end of public wrath, law and media for reasons, they can’t fathom. They work with  continuous negative publicity, poor infrastructure and preoccupied negative beliefs of society.

18. Doctors have become ‘Sitting ducks’  for  continuous blackmail: Even with routine complications amongst very sick patients, a threat looms over doctor’s head. People do not accept even the genuine complication, what to talk of unintentional mistakes.   Mistakes   are always easy to be  pinpointed with retrospective analysis and with lawyers pondering over it for years. In such situations, doctors are sitting ducks for  any kind of blackmail.

 19. Demoralization of medical professionals – as selectively applied: strangely it applies   only to doctors. All of other professions are   out of it. Selective application is what demoralizes doctors.  Considering the uncertainty and kind of work of medical profession, actually it should be other way around. 

The consequences are like victimization.

Advantages of Medical Consumer Protection Act: (Positives, Pros)

1.  Redressal of grievances:  patient will get satisfaction, if there is a genuine negligence case

2.  Better quality of care ;  medical systems will improve as they will need to lessens the errors and  court cases. Better systems from abroad are also copied to improve the efficiency.

3. Better introspection by medical profession: although doctors from the beginning are sensitive about their work and always look at how better results can be achieved. But act will make this process more formal and official.

4. Training of medical professionals: it will be difficult to put errors under carpet.  Doctor will like to get trained better as no one want to be in soup.

5. Future  learning from court cases:  each and every court decisions  is viewed carefully by medical fraternity. Improvement in protocol and policy making is a natural consequence.

6.  Eye openers for medical profession: court cases and decisions have acted as eye opener for medical profession. It gives an idea, how law looks at medical treatment. It has made clear that medical science and medical law are a bit different. In real time, things are easier to be said than done.

 7. Better documentation and communication: for doctors to save themselves, documentation is the key. Previously doctors were doing everything, but not documenting much. But now there is lot of stress on documentation.

   Stress itself is not a bad thing. It can often help us perform at our best, expand beyond our limits and  achieve  better results.   The real problem lies in the fact that in this age,  anxiety prevailing more for care givers, a sense of injustice prevails . Stress generated can alter the ways, the patients get treated.  If the core of the health care  (medical hands) are harmed, no one can benefit in the long run.

21 occupational risks to doctors and nurses

Reel Heroes vs Real Heroes

Violence at #NMMC HOSPITAL VASHI Mumbai- shame on law and order agencies


Attacks and assaults on doctors appears to be  one of the indicators of  a lawless and uncivilized society and  poor governance.  Doctors  have become punching bags for all the malaise prevalent in the  health system. A failing and inept system, which is unable to provide health to people and  security to doctors. The system  hides behind their working  doctors and presents them as punching bags. The  impunity with which attendant easily and brutally assault doctors and vandalize hospitals  is really appalling. Similar violent incidents all over  should be  shameful  to law enforcing agencies. Are we a lawless society? More problematic is the government apathy and silence of human right commission and similar organizations.

     Unwillingness or failure of government to prevent such attacks on doctors will have deep ramifications on future of medical profession. Silence of authorities, human right commission is really appalling. 

 Media, celebrities, film stars in spreading the hatred against the medical profession and creating an environment of mistrust is unpardonable, where stray incidents were portrayed as generalization, just to earn money and fame.

    Empathy, sympathy, compassion and trust  of the doctor towards the patient, will definitely get a hit after these incidents. Everyday  the news of assaults on doctors, court cases against doctors, negative projection of the medical profession   in the media are viewed  by doctor’s community anxiously..

      Merely taking some token  action and showing  protest will not solve the problem. It does not compensate for the  damage done to medical profession. Sympathy, compassion and trust of the doctors towards patients will definitely reduce. Who will be  the ultimate sufferer, does not need a Einstein brain to predict.

                    This insecurity or fear of the uncertainty tends to affect the thinking process of doctors and the way they practice medicine or deal with the patients. Many will like to be defensive in practice, or try not to treat very sick patients.  Why would someone try complex surgeries, if there is greater  risk involved? Few will limit themselves to follow protocols. Going extra mile  along with risk, which not everyone will like to take. Many will become health managers or do something else than do active clinical work. Who should risk his life while doing routine work?

     Patients might get their revenge for the  naturally occurring disease, but they will lose compassion and trust of doctors in the long run. If that is the way to impart justice in this era, doctors will have to find some way to save themselves.

Patient relatives vandalized NMMC Hospital Vashi, Mumbai

Relatives were booked for vandalising the Navi Mumbai Municipal Corporation (NMMC) hospital in Vashi following the death of a 50-year-old man. Of the seven, the four men were arrested. The patient, Venkatesh Suryavanshi, a resident of Juhu gaon, was shifted from a private hospital in Koparkhairane to the NMMC hospital on Tuesday afternoon. At the time of admission, Suryavanshi, who had tuberculosis, was in a critical condition and had very low oxygen levels. An antigen test had declared him negative for COVID-19.“At the time of admission, after checking his condition, vitals and the history papers, we had said that his chances of survival are very less. He was admitted to the ICU ward,” Prashant Jawade, medical superintendent, NMMC hospital, said.Suryavanshi died during treatment around 3.45 a.m. on Wednesday. After getting to know about the death, his sons Rupesh (22) and Sandesh (20), along with their friends Pankaj Jadhav (22) and Rohit Namwad (32) entered the ICU ward and started vandalising the department. Three women who followed them assaulted security guard Satish Dere.“I was told that they also carried a few sharp weapons with them. The security guard has received injuries. Our engineers are analysing the damage and finding the losses that we incurred,” Mr. Jawade said. Chief Medical Officer Majur Shaikh and a few other hospital staff were also allegedly attacked.

According to the police, the seven had vandalised three ventilators, one dialysis machine, two fans, one table fan, and two nurse stations.

     Advantages-Disadvantage of being a doctor

     25 factors- why health care is expensive

     REEL Heroes Vs Real Heroes

    21 occupational risks to doctors and nurses

     Covid paradox: salary cut for doctors other paid at home

Dr Deben Dutta Mob Lynching & Murder: Lesson for Doctors


Dr Deben Dutta   lynching and murder by mob in Assam last year, was a new low in the current era of deteriorating doctor- patient relationship. In the era, where consumerism was imposed on doctors in most crude form, media and law industry taking advantage of the situation for their benefit.  Complexity of medical science has taken a back seat. The consequences and the brunt of resultant negativism were borne by doctors. Dr Deben Dutta was victim of venomous negativism spread by media against doctors in general.

     Every incidence of verbal, legal, and physical assault is a trust breaker. It is not only erosion of patient’s trust on doctors but the vice versa is also true.  As a rule of nature, as violence increases, compassion decreases. Patients might get their revenge for one stray incident, but they will lose compassion and trust of doctors in the long run. Millions of lives saved everyday by medical professionals were of no consequence.

   GUWAHATI: An Assam court on Tuesday awarded death sentence to a tea garden worker and life imprisonment to 24 others in connection with last year’s lynching of a 73-year-old doctor. Dr. Deben Dutta, a senior medical officer of the Teok Tea Estate hospital in Jorhat district, was lynched by a mob on August 31 last year for his alleged delay in treating a worker, Somra Majhi. Dutta was attacked with sharp weapons and he succumbed to his injuries on the way to a hospital. He had served at the tea garden for over four decades. His killing had triggered widespread outrage.

   The impunity   with which attendant easily and brutally assault doctors is really appalling.  Should  such incidents  be shameful to law enforcing agencies? Are we a lawless society? More problematic is the government apathy and silence of bodies like human right commission.

          In this case, at least the culprits have been brought to book and punished by the court. But still the root cause for such gruesome incident is not addressed. The danger for the medical fraternity is still lurking due to many factors. Risk to the doctor not only comes from the infectious diseases, but can be there because of physical and legal assaults. It can be just consequent  to  venting out  emotions of angry relatives, resulting from a  natural  poor prognosis, but blaming the doctor. Doctors who are universal common link present at the time of death of patients, become victims and punching bag.

       There are lessons to be learnt by doctors from such episodes. As patients are turning into   consumers, health providers cannot remain simply doctors as before. They need to develop skills to anticipate danger and save themselves.  They need to assess their place of work for their own and their family’s safety.

      Aspiring doctors should choose this profession carefully and take a well informed decision.  Such incidents are warning signs for the young generation, who are oblivious   and ignorant to the risks faced by doctors in present era.

   Advantages-Disadvantage of being a doctor

   25 factors- why health care is expensive

   REEL Heroes Vs Real Heroes

   21 occupational risks to doctors and nurses

   Covid paradox: salary cut for doctors other paid at home

Chilling Story: Surgery that Killed the Surgeon Himself


Doctor' suicide or murder by media trial

        Aspiring doctors, especially those who spend millions and golden years of life to become doctors, should know the reality of present era. How cruel the society has become towards doctors.

      Struggling to become a doctor, slogging in wards to learn and earn degrees, work in inhuman conditions, listen to endless abuses, tolerate the false media criticism, dragged in courts for alleged negligence, work with fear of physical assaults, work without proper infrastructure and manpower, endangering their own lives, exploited by medical  industry and administrators, poorly paid and  still not respected.    Arm chair preachers would just say “yes, as a doctor, they should do it as moral duty.”

         Not only corona virus, but society may also drive doctors to death.

    The consequence and reverberations of the poor prognosis landed on the doctor, subsequent to the death of the patient.  Media and celebrities usually   have proudly   projected on screen and television that it is right to be disrespectful towards doctors. They have made it appear correct to masses that doctors  be beaten and assaulted, in case there are unexpected results or in case of dissatisfaction. But such  news is viewed by medical community anxiously and is definitely a poor advertisement for younger generation to take medicine as profession. As incidents are widely publicized and masses following their “Reel Heroes” depicting violence against the doctor is seen as a routine and looked as an   easily do-able  adventure  due to  non-willingness of  authorities to take stringent action.

Kerala: Doctor ends life, medical fraternity blames ‘social media trial’

In a tragic incident, a young doctor from Kerala has died by suicide, reportedly after facing allegations of negligence following the death of a patient in his clinic.

Dr Anoop Krishnan, an Orthopedic Surgeon who used to run Anoop Ortho Care Hospital in Kollam was found hanging inside his house on Thursday. He had also cut his vein before hanging himself. The young medic had also inscribed the word ‘sorry’ with his blood inside the bathroom before he took the extreme step.

The 35-year-old was reportedly under stress for days after a 7-year-old girl who he had operated in his clinic died due to some complications.

The girl who also had a heart condition was admitted to Anoop Ortho Care Hospital for a surgery to fix a bent on her leg. Due to the girl’s heart condition, many others had reportedly declined to perform the surgical procedure.

Following the death of the patient, her relatives had filed a complaint against Dr. Anoop for negligence, alleging that an error in giving anesthesia caused the death. There were also protests outside the hospital by the relatives of the girl and an alleged smear campaign online against Dr. Anoop and his family. This, according to people who knew him had affected the young doctor who had made a reputation as one of the best orthopedic surgeons in the city.

Police said they are yet to ascertain whether the suicide was directly linked to the patient’s death.

  Advantages Disadvantage of being a doctor

   25 factors- why health care is expensive

   REEL Heroes Vs Real Heroes

Dead Body swap # Covid; unprecedented stress- Bizarre mistakes


Two incidents of dead body swaps have happened in last few months. Strangely two mistakes out of   correct millions  are enough to label hospitals, doctors  or health systems  as  callous. Covid times are  toughest times for health care staff and hospitals as well.

   Definitely it is sad and  painful  incident. Without doubt, swapping bodies and causing distress to relatives is really shocking.  There will be a  demand for exemplary  punishment to  health  care workers involved. There is a little doubt that they will meet the stringent punishment, as this is regarded as unpardonable, given the involvement of health care staff.

  But is that the right way? Will chopping the hands, that were trying to rescue, is of help?

          No one will like to see, how health workers have been  stressed. Under the unprecedented circumstances, how fewer number of frontline workers have been battling the pandemic.

      Armchair preachers cannot imagine the stress and the hard work, these   warriors are burdened with. There can be multiple ways to look at these unforeseen mistakes.

  1. Punish the health workers, make an example by taking away their jobs. So everyone  will learn.
  2. Check the faults in the system, make the whole system fool-proof by learning from the mistakes, so it becomes more robust with times to come.
  3. Counselling   of the personnel involved along with improving the system.
  4. Understand the stress and circumstances of front line workers and improving their working conditions, so as to reduce their  burden.
  5. Check the past record, if someone has done thousands right things, do not hang him for a single error, especially intoday’s unprecedented circumstances.  

Most desirable  at such crucial times will be encouragement and psychological support to front line workers.

Bodies swapped at private hospital in Delhi,

NEW DELHI: A private hospital in southwest Delhi’s Dwarka committed a grave error by handing over the body of a Christian woman to the family of a Covid-positive Hindu woman. The 69-year-old woman, Garikapati Parisuddam, was not infected with the novel coronavirus and had passed away on Monday morning.

AIIMS sacks one, suspends another for swapping of dead bodies

An ambulance with four corpses – including that of Anjum B – left from the hospital on Tuesday afternoon. Three of the persons who had died were Hindu and were taken to a crematorium before the van left for the ITO burial ground.

  Just  delivering professional death sentence for  single, system errors  or unforeseen mistakes will have  future implications.  It is like chopping the hands,  that were trying to help.

           As Corona has unmasked the real risk to health workers and society has dealt with heath workers shabbily. Next younger generation of aspiring doctors, who is a witness to the cruelty shown towards health staff, may be forced to think about their decisions to become health workers. Possibly the administrators need to ponder now, who will treat people  in next pandemic.

  Advantages-Disadvantage of being a doctor

   25 factors- why health care is expensive

   REEL Heroes Vs Real Heroes

Aspiring Doctor: Watch the naked administrative oppression


 

Covid has been treated by doctors at great personal cost. It has resulted in even death of healthy doctors and nurses, thousands of them have stayed away from their families, for the  sake of patients. But does that kind of unparalleled sacrifice has resulted in any enhancement of  respect or prestige to the medical  profession. Has the death of medical professionals, while serving ailing fellow human beings  was enough to halt the oppression of this gentle and humble  community by administrators. Was it enough to stop physical or verbal assaults, legal or financial  exploitation. Was it enough to alter the course of oppression  by medical  industry or moral blackmail by society. Sadly it is getting more worse. Doctors and nurse have been reduced to sacrificial lambs, that are easily slayed, when administrators want to put  themselves on high moral  pedestals.

This order of district collector to arrest a doctor for raising a voice for raising serious administrative issues, for speaking the truth and not for some alleged mistake. one naked example of how medical fraternity is being suppressed.
The young aspiring doctors need to watch these times carefully, to understand completely, what they are getting into. Even while embracing death for welfare of other human beings, does not get them deserved respect, one needs to be careful about the coming times.

The contribution of doctors towards society is not recognized rather defamation of medical profession as a whole continues unabated.Doctor's dignity is sacrificed blatantly to prove greatness of administrators.General behaviour of people is far from the sense of decency towards doctors and nurses. Aspiring doctors need to watch bashing of medical profession and all such factors. There is possibility that earning a medical degree puts them at a lower pedestal in society.
 










 
 

Whistle-blower Doctor who informed about Corona-sacked in Kerala


 

The ease with which doctors can be punished for doing even the right has finished the independence of the medical profession. The harassment of Chinese whistleblower doctor and now  sacking of the doctor who informed authorities about the coronavirus patient in Kerala are just an example of day to day troubles doctors are facing in every day working. These incidents are just the tip of the ice-berg. The evolving systems in the present era have made it difficult to deliver health care in the right way, as a consequence to routine harassment of doctors. Who will be the ultimate sufferer does not need an Einstein brain to predict.

 

 Kerala: Doctor who informed authorities about patient with coronavirus symptoms sacked by clinic.. Adoctor in Kerala on Tuesday alleged that she was sacked by the management ofthe private clinic she was working with for informing authorities about an NRI patient who reportedly declined to undergo the mandatory check for coronavirus. Dr Shinu Syamalan said the patient had come to the clinic recently with suspected symptoms of the virus. “When he was asked whether he had visited any foreign countries, he said he was coming from Qatar. But he had not reported to the health department about his foreign trip,” she said. When he was directed to inform about his foreign travel to the state health department, which has been monitoring people coming from abroad for the virus, he refused and said he was going back to Qatar, she told reporters. Concerned over the health of the person who had a high fever, Syamalan informed health and police authorities. “Officials who let the patient go abroad do not have any problem, but I have become jobless,” she posted on social media. 3/10/2020 Kerala: Doctor who informed authorities about patients with coronavirus symptoms sacked by the clinic – Times of India https://timesofindia.indiatimes.com/city/kochi/kerala-doctor-who-tipped-authorities-about-patient-with-coronavirus-symptoms-sacked-by-clinic/articleshowprint/74564864.cms 2/2 She alleged she was sacked by the management of the clinic for reporting the matter to police and informing the public about the incident through social media and through television. “The argument of the management is that no one would turn up for treatment in the clinic if they come to know that it was visited by patients with suspected symptoms of Coronavirus,” she said. There was no immediate reaction from the management of the private health clinic. Official sources said the district medical officer (DMO) at Thrissur has complained to the collector against Shinu Syamalan accusing her of defaming health officials. Sources said the DMO informed the collector that health officials had tried to prevent the patient from traveling abroad immediately after getting information from Syamalan.

corona virus unmasks risk to doctor and nurses

21 occupational risk to doctor and nurses

Reverberations of the slap #CMRI-hospital-Kolkata;whether to choose medical profession?


The consequence and reverberations of the slap landed on the doctor, subsequent to the death of patient in CMRI hospital  Kolkata,    are  more than  routine.  Media and celebrities usually   have proudly  projected on screen and television that doctors can be beaten and assaulted, in case there are unexpected results or in case of dissatisfaction. But the news is viewed by medical community anxiously and is definitely a poor advertisement for younger generation to take medicine as profession. As incidents are widely publicized and masses following their “Reel Heroes” depicting violence against the doctor is seen as a routine and looked as an   easily do-able  adventure  due to  non-willingness of  authorities to take stringent action.

doctor assault is like corona virus

In such cases, everybody seems to get falsely satisfaction  by the fact that the doctor must have been the culprit, who was   unable to save the patient. Medical community becomes anxious as the fear of more brazen attacks as the incidents can trigger   many more. As patients will continue to get treatment in hospitals and few cannot be saved, so every death declaration may be a harbinger to such attacks in future.

Doctors will be scared and avoid risky patients   or difficult surgeries may be avoided.

There can be complications or genuine poor prognosis. Even mistakes and errors are part of treatment.  The problem is that soft skills, deep knowledge and polite behavior is now been taken as weakness of doctors and not helping them   anymore. A notion  that   assaulting a doctor under emotional  outburst is taken as normal and should not be punished.

Brutality against doctors reveals a deep prejudice and lawlessness, merely on the basis of perceived negligence. Government is either unwilling to act and establish a strong culture of deterrence, so justice been elusive for medical professionals.

Even murderous assaults on doctors are not enough to shake administrators, courts  and doctors’ body out of slumber.  Definitely such violence, if unabated will be   poor advertisement for   next generation to take medical profession as a first choice.

female doctor assault 

#Choosing-to-be-doctor in lawless society: A self inflicted disaster #uncivilized-society #Govt-apathy serving an uncivilized society

21 occupational  risk to doctor and nurses

Corona Virus unmasks danger to nurses and doctors, which administrators prefer to refrain or oppress


 

Working of a doctor and nurses has never free from risk to themselves. The risk is generally underestimated, although it often involves major  risk  to their  life. Problem is that  majority of people, society, governing bodies  and even doctors themselves do not perceive or acknowledge  many times  the risks seriously.  Deadly Corona virus has unmasked and unveiled the danger to nurses and doctors,  the topic often suppressed, shunned by administrators and those who govern.

    An extreme example is the Chinese doctor, who was reprimanded, humiliated and made to apologize for doing right.  But this one example  is tip of the iceberg, for the Global phenomenon, where risk to front line workers is ignored routinely. They are just taken as  the routine workers, who have consented to be sacrificed. Chinese doctor Li Wenliang, one of the eight whistle-blowers who warned other medics of the coronavirus outbreak but were reprimanded by the police, died of the epidemic on Thursday,

 

  As per reports, 40 staff members of Wuhan hospital are  infected with Virus.

    Administrators and regulators refrain to study data that would establish and quantify the occupational hazards of being a doctor and nurses. Some of these hazards may be known, but there is no comprehensive analysis of workplace risk for physicians and nurses, like those that have been done for other professions. As physicians, we have a sense of the risk, and yet we remain engaged, continuing to care for our patients as we know  “these things” happen. Perhaps society prefers to remain blissfully ignorant of the sacrifice and risk their doctors  and nurses take on, comforted by the fantasy of the serene  hospital. Perhaps we  all despise to let reality and data shatter the illusion.

   But since  these risks are increasing exponentially every day, because of unknown and mutated germs (bacteria and viruses),  awareness is needed.  There are lesser set procedures, lack of awareness, not protective equipment or supportive society, governance and  laws, at most of  the places globally.  doctors  and nurses continue to work  in danger zones. These risks can be of varied types and contracting the diseases is just one of them.

Patients carrying specially unknown germs are  handled by doctor and nurses, who have no clue, what they are dealing with.   Time gap in such  patients coming to the  hospital  and  the exact diagnosis of finding a dreaded disease, may be  quite dangerous to doctors and nurses. To add to the problem, In  large number of patients, exact viruses cannot be diagnosed or even suspected. In many cases of ARDS, the causative organism cannot be  isolated or identified.  It is important for  doctors and nurses  to take universal precautions at every level. There can be many more viruses or germs which are yet to be discovered or mutated ones that  are unknown.

H1N1, Zika,  Ebola,  SARS  are few examples,  just to imagine that they existed and handled by health workers as unknown germs, till they were discovered.

Worst part is that our systems are not defined to prevent, treat or compensate or even acknowledge for these big disasters, if it happens to healers. These problems are not known to students, when they decide to take medicine, nor they are taught in medical school. Most of the time they have to fend for themselves, if problems occur.

Everyday globally, the doctors and the nurses  greet the new day and return to their work of taking care of their patients, knowing well the risk  involved.

Maybe it is time that we are little more aware  and acknowledge that even doing everything in best manner and honestly, they are in a  conflict zone and  are all in harm’s way. Just be careful and be mindful that  doctors, nurses, and healthcare workers,  may get  sickened, injured, disabled even  as they care for their patients in best manner.

21 occupational hazards to nurses and doctors

Corona outbreak Whistle-blower Chinese doctor was harassed; dies of infection


Chinese doctor Li Wenliang, one of the eight whistle-blowers who warned other medicsof the coronavirus outbreak but were reprimanded by the police, died of the epidemic on Thursday, official media reported. Li, a 34-year-old doctor who tried to warn other medics of the epidemic, died of coronavirus on Thursday in Wuhan, the state-run Global Times reported. He was the first to report about the virus way back in December last year when it first emerged in Wuhan, the provincial capital of China’s central Hubei province. He dropped a bombshell in his medical school alumni group on the popular Chinese messaging app WeChat that seven patients from a local seafood market had been diagnosed with a SARS-like illness and quarantined in his hospital. Li explained that, according to a test he had seen, the illness was a coronavirus — a large family of viruses that includes severe acute respiratory syndrome (SARS) which led to 800 death in China and the world in 2003. Li told his friends to warn their loved ones privately. But within hours screenshots of his messages had gone viral – without his name being blurred. 2/6/2020 Chinese doctor who first warned about coronavirus outbreak dies . When I saw them circulating online, I realised that it was out of my control and I would probably be punished,” Li was quoted as saying CNN recently. Soon after he posted the message, Li was accused of rumour-mongering by the Wuhan police. He was one of several medics targeted by the police for trying to blow the whistle on the deadly virus in the early weeks of the outbreak. Overall 564 people have died in China due to the virus and 28,018 confirmed cases have been reported from 31 provincial level regions, the National Health Commission reported on Thursday.

corona virus

doctor nurses at risk from mutated virus

21 occupational risk to doctor and nurses

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