It was delicate few minutes in one of my recent visits to a corporate hospital , when I noticed an emergency physician hesitated to follow my advice to prescribe IV Digoxin for a patient with Atrial fibrillation and fast ventricular rate.His fear was, his consultant, a modern day cardiologist wouldn’t like it as Amiodarone has become a default drug for atrial fibrillation in that Institution. I could sense. . .he felt so out of place to take on my suggestion.
I reminded the young physician , the uniqueness of Digoxin and its un-diminished value for this particular indication ,still he was reluctant and didn’t oblige.
I realised , it was my mistake to expect a place for the humble fox glove in corporate crash-carts of centrally climate controlled cardiology suits !
“Medicine need to be practiced not only with best science(Truth) but also in a holistic and cost efficient manner . There is no place for glamor, glitter and commerce in your prescriptions ! In near future , teaching Medicine to students would essentially become “more of moral” than “science” .
Link -Which is the best combination for rate control in Atrial fibrillation