The 300-page book contains 20 stories divided into three parts viz – Larva & Pupa Syndrome, Hope & Fear & Medical Lawsuits. The book is available worldwide on Kindle Amazon, Apple, Barnes & Noble, Tolino, Kobo, Scibd, BorrowBox, Baker & Taylor , Vivilo, Overdrive etc.
While doctors are usually blamed for any mishap, be it natural poor prognosis or genuine complications, rarely people get to know their side of the story — how a dying patient affects their psyche, how they deal with these patients and their kith and kin, what are the kinds of abuse and threats made when they are not able to save a life despite their best efforts. Dr Pankaj Kumar, Director Critical Care at a Delhi Hospital, India has come out with an insightful account of these very aspects of a doctor’s life.
His book ‘At the Horizon of Life & Death’ is a Reality Fiction that reflects the sensitivity involved in dealing with patients facing death.
Through the eyes of its protagonist Dr Anand, the book captures significant moments in the treatment trajectory of critical patients. The book tries to create awareness regarding pertinent issues faced by the medical professionals like demoralisation, expensive medical education, the extreme pressure and suicidal ideation, the plight of the nurses and support staff, assaults and violence and the medico-legal intricacies involved in day-to-day practice among others. The author has also taken care to guide aspiring doctors to make well-informed career decisions.
Part One (Larva & Pupa Syndrome)- talks about the expensive medical education, and the issues students face in medical college.
Part Two (Hope & Fears) talks about the beginning of doctors’ professional journey, the disease demons they face while dealing with critical patients, dilemmas of doctors and patients near death situations.
Part Three (Medical Lawsuits) is about how doctors are always working under the threat of medico-legal lawsuits.
While stories are fictional, the scenarios and the problems in them are very real — things that he faced or saw his colleagues facing.
Medical profession has become victim of mistrust generation and blame culture. Everyone keeps harping about the few black sheep in the community, while larger good work of doctors is not highlighted enough.
The stories span from Dr Anand’s initial days in the emergency room and capture his struggles in complex medico-legal scenarios over the next four decades. This book is an effort to bring back focus on the treatment of the patient as opposed to the mistrust, legal frameworks and policies surrounding the healthcare practice.
The book is self-published, available worldwide on Kindle Amazon, Apple, Barnes & Noble, Tolino, Kobo, Scibd, BorrowBox, Baker & Taylor , Vivilo, Overdrive etc.
Medical consumer protection act was implemented in 1995. Patients defined as consumers and hence doctors converted to service providers in lieu of some money. Consequently the changed definitions altered the doctor-patient relationship in an irreversible way. Instead of the earlier congenial relationship, now-a day’s doctors and patients are fighting in courts, whereas most of aspects of the law still remain grey after 26 years of implementation. Here in this case even courts differ in the interpretation (among themselves) of the law after more than two decades of its implementation.
The doctors are supposed to treat, provide relief and save lives are the most affected, it is needless to say that the way of treating patients has been altered like never before. Medical lawsuits and complaints (right or wrong) are breaking medical professionals from within, not to mention the toll it takes on someone’s confidence and belief, which takes a lifetime to build.
The reality is that neither doctors, nor patients were ready for such a legal relationship, and the system was not robust enough for such a change. To work with weak infrastructure, non-uniform medical education along with legal threats pushed doctors into a shell and forced defensive practice. It caused erosion of doctor-patient relationship and escalated cost of care.
Medical business, insurance and legal industry made full use of the opportunity to have the benefits of changed doctor-patient relationship. Doctors were used as scapegoats for poor infrastructure by administrators and further exploited by law industry.
Justice eluded doctors at all stages.
It is discouraging for medical professionals to note that courts are still clarifying the law even after 26 years of its implementation. What is more disheartening that many more aspects about the medical-consumer protection act are either remain unclear and create difficulty for doctors. To differentiate medical mistakes, poor prognosis from negligence is a very fine line and difficult to judge. Therefore medical profession has become a subject to blackmail by patients, lawyers and sitting ducks for punishments. The consequent insecurity among doctors, practice of defensive medicine, enhanced costs, excessive documentation and the distraction from the primary point of intention (treatment) are few of the side effects, which will definitely be passed on to the patients inadvertently. After all doctors have to save themselves as well.
Consequently being consumer may be overall a loss making deal for the patients.
The point to ponder is that courts themselves differ on interpretation of law even after 26 years of its implementation.
The Supreme Court has reiterated that service rendered by medical officers on behalf of a Hospital, free of cost, would not fall within the ambit of medical consumer protection act.
Justice and Health- Both are crucial for happiness of the living beings as well as society as a whole. Hospitals are full of patients and so are courts with litigants. None of the people go to hospital and courts happily and everyone invariably wants early relief.
Once a patient visits hospital, he will ponder over about the benefit of the visit. So is the person visiting the courts. Did they were imparted justice?
None of patient, who visits hospital, comes back without treatment. Doctor gets few minutes to decide. Most of the time, for the investigations and the treatment few visits are required. But there is no pendency. In Government hospitals, even appointments are not given. A doctor sitting in outdoor will see hundreds of patients. On emergencies night duties, doctor will not be able to count how many he/she has stabilized or numbers treated.
Even in such chaotic systems, doctor can be punished, dragged to courts or assaulted for unintentional mistakes, that are almost always secondary to load of patients or inept infrastructure.
The work at hospital continues day and night, 24 hours and 365 days, despite almost always lesser number of doctors and required manpower. Systems in hospitals are designed and maintained meticulously to have no pendency what-so-ever situation is. Larger number of patients go back home treated and very few unfortunate patients are unable to recover, but still whatever is required- is done invariably.
Justice is needed for satisfaction of soul and peaceful mind, is of same importance what is to the health of body. Justice delayed gives a sense of hurt and pain to soul. Pendency in courts simply reflects the grave injustice people are living with.
There are about 73,000 cases pending before the Supreme Court and about 44 million in all the courts of India, up 19% since last year.
According to a 2018 Niti Aayog strategy paper, at the then-prevailing rate of disposal of cases in our courts, it would take more than 324 years to clear the backlog. And the pendency at that time was 29 million cases. Cases that had been in the courts for more than 30 years numbered 65,695 in December 2018. By January this year, it had risen more than 60% to 1,05,560.
Grave injustice for medical professions:
A doctor making wrong diagnosis (gets few minutes to decide) can be prosecuted, but courts giving wrong verdicts (get years to decide) are immune?
2. Compare the remuneration of lawyers to doctors. Doctors gets few hundreds to save a life (often with abuses) and lawyers can get paid in millions (happily).
3. Doctors treat the body and larger is still not fully known about mechanisms. Still doctors can be blamed for unanticipated events. Whereas law is a completely known and written subject.
4. If health is citizen’s right so should be a timely justice.
Despite doing so much for patients, still people’s behaviour to doctors and hospitals is not respectful. Doctors are punished for slight delays and people and courts intolerant to unintentional mistakes. But people can’t behave in the same manner to courts and legal system and tolerate the blatant injustice for years.
It has taken 23 years to end harassment of a doctor to decide upon a problem, which should not have been there at all. Practically doctors can be dragged to courts, blackmailed, harassed and assaulted with impunity just because of any adverse outcome. So the legal and illegal demonization of medical profession has become a routine, while law industry makes merry at the cost of doctors. Natural complications, genuine poor prognosis, and death that occur after some treatment can be easily pinpointed to the doctors. Saviours are fighting the death as well as court cases to save themselves. In this case, Supreme Court was kind enough to give a favourable verdict, but not all doctors are lucky enough. Many suffer because of frivolous cases, poor medical governance and unwise decisions.
The bench said: ‘In spite of the treatment, if the patient had not survived, the doctors cannot be blamed as even the doctors with the best of their abilities cannot prevent the inevitable…’ A doctor can assure life to his patient but can only attempt to treat everyone to the best of his or her abilities, said the Supreme Court.
No doctor can assure life to his patient but can only attempt to treat everyone to the best of his or her abilities, said the Supreme Court on Tuesday, as it underscored that a doctor cannot be held guilty of medical negligence just because a patient has not survived.
“There is a tendency to blame the doctor when a patient dies or suffers some mishap. This is an intolerant conduct of the family members to not accept the death in such cases. The increased cases of manhandling of medical professionals who worked day and night without their comfort has been very well seen in this pandemic,” lamented a bench of justices Hemant Gupta and V Ramasubramanian.
The bench added: “In spite of the treatment, if the patient had not survived, the doctors cannot be blamed as even the doctors with the best of their abilities cannot prevent the inevitable…The doctors are expected to take reasonable care but none of the professionals can assure that the patient would overcome the surgical procedures.”
It underlined that there must be sufficient material or medical evidence should be available before the adjudicating authority to arrive at the conclusion that death is due to medical negligence. “Every death of a patient cannot on the face of it be considered to be medical negligence,” said the bench.
The court said this while allowing an appeal filed by Bombay Hospital and Medical Research Centre against the National Consumer Disputes Redressal Commission’s order to pay ₹14.18 lakh to the family of one Dinesh Jaiswal, who died in June 1998 following unsuccessful surgeries of his gangrene in his limbs.
The family attributed Jaiswal’s demise to negligence in conducting surgeries, absence of the treating senior doctor, lack of operation theatre, and a broken-down angiography machine. The hospital, however, refuted all allegations, stating the best possible treatment by present medical professionals and within the resources available was provided.
In its 2010 judgment, the national consumer commission invoked the principle of “res ipsa loquitur” (mere occurrence of certain event can lead to an inference of negligence of the other side) to hold the hospital guilty of medical negligence.
But the top court on Tuesday set aside this judgment, noting the order suffered from legal as well as factual infirmities.
“It is a case where the patient was in serious condition impending gangrene even before admission to the hospital but even after surgery and re-exploration, if the patient does not survive, the fault cannot be fastened on the doctors as a case of medical negligence. It is too much to expect from a doctor to remain on the bed side of the patient throughout his stay in the hospital which was being expected by the complainant here. A doctor is expected to provide reasonable care which is not proved to be lacking in any manner in the present case,” held the bench.
The court underlined that there was never a stage when the patient was left unattended and mere fact that the main treating doctor had gone abroad cannot lead to an inference of medical negligence because the patient was admitted in a hospital having 20 specialists in multi-faculties.
“The patient was in a critical condition and if he could not survive even after surgery, the blame cannot be passed on to the hospital and the doctor who provided all possible treatment within their means and capacity,” it said.
On the aspect of delay in re-exploration after the initial surgery threw up complications due to non-availability of an operation theatre, the bench noted that it was only a matter of chance that all the four operation theatres of the hospital were occupied when the patient was to undergo surgery.
“We do not find that the expectation of the patient to have an emergency operation theatre is reasonable as the hospital can provide only as many operation theatres as the patient load warrants. If the operation theatres were occupied at the time when the operation of the patient was contemplated, it cannot be said that there is negligence on the part of the hospital,” it said.
The court added that a team of specialist doctors was available and also attended to the patient but “unfortunately, nature had the last word” and the patient breathed his last. “The family may not have coped with the loss of their loved one, but the hospital and the doctor cannot be blamed as they provided the requisite care at all given times,” it maintained.
The deceased’s family was paid ₹5 lakh as interim compensation by the top court in March 2010 when it had agreed to examine the hospital’s appeal. The bench said that this amount shall be treated as ex gratia payment to Jaiswal’s family and will not be recovered by the hospital.
In present era, Doctors and Nurses have become sitting ducks for assaults, punishments and harassment for every reason, inept medical system, whether right or wrong. An unfortunate example of not only plight of health care workers but the strange kind of governance, is the arrest of doctor and nurses at Ahmed Nagar -Pune blaming them for fire in the hospital. Strangely, the administrators and staff responsible for the maintenance and infrastructure safety are not in the picture.
Making health care workers scapegoats for such tragedies just reflects not only the inept governance and poverty of justice but also the callous attitude of authorities towards real issues.
Ahmednagar hospital fire: Medical officer, 3 nurses arrested
A medical officer and three staff nurses were arrested Tuesday on charges of causing death by negligence and culpable homicide not amounting to murder after 11 people lost their lives last week in a fire incident at a hospital in Maharashtra’s Ahmednagar district. Medical officer Dr Vishakha Shinde, and staff nurses Sapna Pathare, Asma Shaikh and Channa Anant were arrested under sections 304 and 304A of the Indian Penal Code (IPC), said Manoj Patil, Superintendent of Police, Ahmednagar rural police.
Quoting Ahmednagar police, HT earlier reported that 70% of deaths were caused by smoke from the fire while the remaining died after directly getting caught in the blaze that broke out in the Intensive Care Unit (ICU) of the Civil Hospital. Most of them were senior citizens undergoing treatment for coronavirus disease (Covid-19). In connection with the incident, an FIR was registered against unidentified persons under Section 304(A) of the IPC.
The fire broke out last Saturday at 11am on the ground floor of the hospital, where 17 patients were admitted, of which 15 were on either ventilator or oxygen support. While 10 patients died in the blaze at the spot, one person later succumbed to injuries.
Dr. Anil Athare, president, IMA, Ahmednagar said it was shocking that clauses of Section 304 and 304A were applied against the medical officer and the three nurses, remarking that doctors and nurses were “always made scapegoats” in such cases.
“Instead of accusing the medical staff on ground, why is anyone not questioning the officials of the Public Works Department (PWD) and Electrical Department regarding wiring and maintenance works which caused the fire in the first place,” said Dr. Athare, demanding that the arrested medical personnel be released immediately.
The medical profession and education have become a business and now the regulation of medical education has also gone that way which is the nation’s tragedy, an anguished Supreme Court said on Tuesday, giving one chance to the Centre to put its “house in order” and take a call on reversing the changes made to the NEET Super Speciality Examination 2021 syllabus.
The apex court was not satisfied with the justification given by the Centre, National Board of Examination (NBE) and National Medical Commission (NMC) on making the last minute changes after the notification for examination was issued in July.
“This is how botched up our education system has become,” it said.
A bench of Justices D Y Chandrachud, Vikram Nath and B V Nagarathna in an over two hour hearing gave time to the Centre, NBE and NMC to come up with a solution by Wednesday morning and said it will continue hearing the matter to avoid any prejudice to the young doctors.
“This matter is part heard and you can still put your house in order, we will give you time until tomorrow. We will not adjourn the part heard matter now as this will only cause prejudice to the students but we hope better sense prevails. If there is a sense of obduracy, then we are armed with law and they are long enough to reach out to the obduracy. We are giving you one opportunity to reform,” the bench said.
The top court was hearing a batch of pleas of 41 Post Graduate doctors and others who have challenged the last minute changes made to the syllabus after the notification for examination was issued on July 23 for the test to be held on November 13 and 14.
Additional Solicitor General (ASG) Aishwarya Bhati, appearing for the Centre, said the court should not get the impression that the last minute change in syllabus was done to fill vacant seats in private colleges and they will try to persuade the court to dispel this notion.
The authorities should show some concern for the students, as these are the students who do not start preparation for these course two or three months in advance but right from the time they join a Postgraduate course, they aspire for a super speciality, which requires years of commitment, it said.
The government has to balance out the investment made by the private sector in these medical colleges but it should equally think in the interest of the medical profession and the interest of students, the top court said.
“The interest of students must weigh far higher because they are the people who are going to be a torch bearer of providing medical care and it seems perhaps we have forgotten them in the whole process,” it said.
The top court said that prior to 2018, 100 per cent questions came from the feeder courses; from 2018 to 2020 there was major modification under which 60 per cent marks were from super specialisation and 40 per cent from the feeder super specialisation courses.
“Now what is sought to be done is one hundred per cent questions will be from primary feeder speciality which is general medicines. It is completely overlooking the facts that you are fundamentally changing the examination pattern and you are doing it for an examination announced to be held in November, 2021,” it said.
The bench added that NBE and NMC are not doing any favour in asking the court to push back the examination by another two months.
It told Bhati, “It does not matter as these doctors will join the Super Speciality courses two months later, so long the seats are filled up it does not matter. This shows us the length to which your clients are willing to go to ensure that seats are filled up. Nothing should go vacant”.
Bhati said that seats going vacant is not the only consideration that has weighed on experts but it is the comparative opportunity and comparative ease which will be in larger public interest of the students that has weighed with the experts.
The bench said, “So what really happened is this for all specialisation of super speciality, starting from critical care medicines, cardiology, clinical haematology and other courses the specialisation is only going to be and the examination will be on general medicines.”
“The idea is that general medicine has the largest pool, the largest group in PG, so tap and fill up the vacant seats. That seems to be the logic behind this, nothing more and nothing less”.
The top court said, “You may have a rationale; we are not saying you may not have a rationale. The question is that all changes, which you have brought has caused serious prejudice to the students. Problem is that you didn’t plan for the future. You did not have a vision and all that you do is that just because you have a certain degree of authority you will exercise it in whatever time you want”.
The bench asked Bhati and senior advocate Maninder Singh, appearing for NBE, what was the great hurry to do it for this year as heavens would not have fallen except for the fact that some 500 seats would have remained vacant in some private medical colleges.
On September 27, the top court said, “Don’t treat young doctors as football in the game of power,” and warned the Centre that it may pass strictures if it is not satisfied with justification for last minute changes to the syllabus.
Increasing murderous attacks and assaults on doctors is worrisome, an indicator of a lawless, uncivilized society, poor governance and broken health system.
Think of a profession, where a brilliant student studies hard for 10 to 15 years, does day and night duties, save innumerable lives. Start earning pittance and get conveniently labelled as thug, thief and butcher by Medical Middleman. These brilliant doctors can be abused, assaulted and dragged to courts with impunity. They have become sitting ducks for punishments and physical assaults or can get killed because of instigation created by MEDICAL MIDDLEMEN.
Role of media, celebrities, film stars and prominent personalities in spreading the hatred against the medical profession and creating an environment of mistrust is unpardonable.
Who are these Medical middlemen? How they have benefited enormously by using one single selective negative narrative?
All those, who with some clever tricks, have placed themselves between doctor and patients. They earn money by promoting mistrust between the two actual stake holders. These Middlemen have no stake, but still want to get benefited by stroking emotions.
One poor outcome out of millions lives saved, is enough for these opportunistic parasites to portray whole medical community as dystopian one.
Most important of these Middlemen are the ‘Reel heroes’ who in a quest to be projected as Real heroes, got placed themselves between doctor and patient by airing vague narratives. By self-appointing themselves as custodian of health of masses, ‘the Reel heroes’ and celebrities gave true meaning to their work of ‘ACTING’ that otherwise was no more than a trifling entertainment.
Media and many celebrities have used fear in public mind to garner accolades and money for themselves, but at the same time created paranoia in minds of people against medical profession. And when masses worshipped ‘the Stars’ as their true well-wishers, they aired advertisements to sell tobacco, soft drinks, junk foods and other sweet poisons to public and children.
Media and celebrities made money and fame by riding on the vulnerability of medical profession. By winning the faith by demonization of doctors, all these middlemen sold their products, news items shows and created a brisk business.
Words used cleverly by such middlemen are ‘Few Doctors’. What majority of other doctors do to save millions was not of much concern and consequence. Public would not know, how to differentiate good or bad ones.
But this was merely a posturing on television; to be a Real hero, actually signified nothing for those unknown ‘Few doctors’, but the denigration of medical profession and attempts to belittle the whole doctors’ community was full and complete. The mistrust generated and demonization of the real well wishers of the patients was irreversible.
These middlemen instigated masses against health care workers by their acidic comments and vitriolic spewed venomous words.
The consequence was the loss of trust on their doctors, the only ones, who were in position to help patients in the emergency situations. The taunts and torment on doctors multiplied manifold in many forms verbal, legal, abuse and physical assaults.
These MEDICAL MIDDLEMEN, with distorted projection earned huge accolades and money, but they promoted feelings of enmity or hatred between doctor and patient.
The aspiring doctors need to know the media role in today’s times. They would carry the image, whatever media projects. A clear understanding in required, before they sacrifice their youth and life without knowing what is in store for them at the end of the long tunnel of study and training.
Students while choosing medical career, should take a well informed decision before entering this profession, which is dangerous to doctor themselves even when discharging their duties in the best manner.
Attacks and assaults on doctors is an indicator of a lawless, uncivilized society, poor governance and broken health system. Doctors have become punching bags for all the malaise prevalent in the system. A failing system which is unable to provide health to the people and security to doctors. The rickety system hides behind their hard working doctors and presents them as punching bags. The impunity with which attendant easily and brutally assault doctors is really appalling, should be shameful to law enforcing agencies.
Are we a lawless society? More problematic is the government apathy and silence of human right commission. Here comes the point that what is the role of our doctor’s organizations, human right organizations, parent hospitals and institutes.
Role of media, celebrities, film stars and prominent personalities in spreading the hatred against the medical profession and creating an environment of mistrust is unpardonable. They projected single stray incident as an example and portrayed as generalization just to earn money and fame for themselves.
Hence by selective projection the blame for deficiencies of inept system, powerful industry, inadequate infrastructure and poor outcomes of serious diseases is shifted conveniently to doctors, who were unable to retaliate to the powerful media machinery.
The demonstration of the cleft that separated doctors from the actual overpowering controlling medical industry and administrators is not given, in order to maintain the prejudice with its dangerous bias towards doctors, who are in forefront and are visible to public.
Unwillingness or failure of government to prevent such attacks on doctors will have deep ramifications on future of medical profession. Role of doctor associations, parent institutes have been spineless and not encouraging.
Such bestiality should create havoc in minds of civilized people but this apathy to such incidents clearly indicates otherwise. Have we become so uncivilized that an incident such as this just remains as a small news item in a local paper? Can’t we see that such incidents are harbinger of many more in future? It is important to realize that this is the time to unify and condemn such episodes vehemently and prominently so that the miscreants realize that they cannot get away with it.
Doctors in remote area, where there are minimal medical facilities, doctors are at more risk than ever; they are at mercy of local goons with no protection.
Silence of lords is a death sentence to the medical profession as a whole.
Doctor assault is definitely a poor advertisement for the medical students, who want to be doctors or others who want to buy a private medical college seat by paying millions. Why should one become doctor or pay millions and bear risk of being beaten or killed, while doing such a stressful duty. People will be fearful to be doctors on a free seat, leave alone on the paid seat.
The People who rue the scarcity of good doctors, should now introspect, “do they deserve to have good doctors?”
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.
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.
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.