As the medical care advances human care has taken the back seat. It is said super specialists read more and more about less and less ! In the process they fail to see the patients as a single biological unit instead as collection of organs .
While organs in turn are looked as pile of data.Hence the treatment they provide lack the soul !
In the prevailing circumstances , how do we ensure modern medicine does not interfere with these vulnerable souls,either to live in peace or leave in peace ?
It appears doctors are not at fault . The system is biased towards raw science .Highly trained doctors are tied down by both true and pseudo scientific Intellect .Often times they are compelled to do some procedure or interventions just to justify the premier status of the hospital .While few do it to show off their expertise or to impress their peers others are simply bound by rigid and obsessive protocols and guidelines . Few others do it for the burning desire of scientific accomplishment .
One can offer hundred reasons for doing a procedure . . . but we always struggle to justify with a valid reason for not doing a investigation or procedure !
In fact , the concept of appropriateness criteria came out with good intention .But , it had failed miserably.
The irony is . . . we need to indulge in something to avoid something.
Example 1 If homocystiene and hsCRP vanish from the CAD screening industry Adiponectin and Vitamin D3 comes in with a thunderous applause like a new Hollywood movie !
Example 2: In cath lab for leaving alone an insignificant coronary stenosis , we have to do another procedure called FFR to satisfy scientific ego ! (I know one senior doctor , who left a 80% LAD lesion for medical management without FFR ( with all his clinical acumen ) was ridiculed for being unscientific !)
Here is a recent perspective article NEJM has discussed this important issue that plague us
Why should big Tertiary teaching hospital are flooded with super specialists which by default shun basic human care ?
Read this article*
*The article I have quoted may not be completely relevant here . . . It answers few of the queries raised!