Posts Tagged ‘ethics in medicine’
What Deepawali shall mean to a modern Homo-sapien ?
Posted in Quotes, Science and Religion, Venkat quotes, tagged Deepawali, ethics in medicine, festival of lights, hippocrates on November 2, 2013| 1 Comment »
Today , November 2nd 2013 is Deepawali , Nearly 1 billion people celebrate it
Wishing you all happy and Deepawali , Let goodness and wisdom prevail over evil and Ignorance !
Deepawali is an ancient festival of lights , millions of Hindus celebrate It with sanctity.
It is a war on darkness and ignorance .On this day goodness prevailed over evil (Asura)
Unfortunately , In the current versions , it would seem Asura’s also join Deepawali celebrations and enjoy it with more vigor ! which is supposed to eliminate them !
Please ensure , that doesn’t happen . . . at least in your domain !
God is supreme . . . he will never allow the evil to take over the world ! Be a soldier to God’s Army !
*For more about this great Hindu festival click on the Link here Deepawali
When cost of dying . . . exceeds cost of living . . . this world will go nuts !
Posted in Cardiology classics, cardiology-ethics, Cardiology-Statistics, general medicine, Quotes, Social medicine, Venkat quotes, Wintage cardiology, tagged affluent vs poor health care, cost of living, crude detah rate, do not resucitate dnr, ethics in medicine, health budget, health care priorities, health economics, health expenditure gdp, health insurance, health management, health policy for the future, hippocrates, inappropriate health care delivery, mercy killing, obamacare, primary health care, private vs public health care, sharing medical resources, terminal illness, tertiary health care, who world health organisation, withdrawl of life support, world food program wfo on October 29, 2013| Leave a Comment »
News : In any developed nation , 90 % of total health expenditure is exhausted in prolonging final few days of human life !
When cost of dying . . . exceeds cost of living . . . this world will go nuts !
The current real world experience from India’s five star hospitals indicate, many elderly rich men and women spend their last few days before being buried or burnt .They spent an average of 15 lakh Rs per death . This amounts to the entire “life time” cost of living of majority of Indians .
Image courtesy from Flicker/ Rachel sian photostream
When human organ donation is considered a greatest philanthropic act, there is one more excellent alternative for those who can’t do it .If only every super rich translate their cost of dying into cost of others living ! many new lives will bloom .
The exorbitant rise in cost of dying in India , is a recent development and reflects the affluence , honor , pride and of course lots of prejudice lack of wisdom ! Instead of filling the deep pockets of greedy corporates why not the rich add new lives ? !
Final message
Let all elders with irreversible conditions , who have finished their life , shall die peacefully at home .Why don’t we ( Affluent . . . would be cadavers !) cross sponsor their dying cost to a public health , nutrition or medical fund .
After thought
Oh America , . . . Am I right ,? Obama thought it and implementing it too ! I would believe , his health care policy is a small first step in this direction !
An Idiot’s approach to evidence based cardiology !
Posted in bio ethics, cardiology journal club, Cardiology quotes, tagged ethics in cardiology, ethics in medicine, evidence based cardiology, guidelines in cardiology, guidelines in medicine, principles of medicine on October 20, 2013| Leave a Comment »
The current fad called EBM has lots of lacunae. Though evidence based approach is considered the ultimate journey towards truth ,lot of non academic factors contaminate it .In it’s current form , it is difficult to comprehend it.
This is an attempt to decode the mystery of EBM expressed in a simplified lay person’s term .They are the ones from whom we learn medicine. They are our teachers in the true sense.
By the way ,it is also my approach to EBM .Sorry , if this post sounds arrogant ! It is not the intention .Truths often times appear brutal .
And . . . the Genius approach to EBM for comparison
If Hippocrates arrives in cath lab by BMW . . .
Posted in Cardiology -guidelines, Cardiology -Interventional -PCI, medical quotes, Two line sermons in cardiology, Uncategorized, tagged cath lab ethics, ethics in medicine, hippocrates, primum non nocere on August 31, 2013| Leave a Comment »
The doctrine of modern medicine goes something like this . . .
For most medical problems , there would be a solution. Keep trying . . . till you get it !
*But , just make sure that problem on hand deserves a solution in the first place !
Modern medicine continues to remind us every day , the much hyped solutions often end up in new problems and many times worse than the original problem !
Oh ! what a great a quote ! When I was boasting myself . . . My wife reminded me , this is just plagiarized version of a 2000 year old Hippocratic thought !
Primum non nocere . . . first do no harm !
But , Hippocrates’ life was not contaminated with drug eluting stents, I pads, and BMWs
If Hippocrates arrives in cath lab today by BMW which sucks 50000 Rs EMI ,Everolimus coated coronary jewellery will definitely tempt him !
You can’t simply compare lives separated by 2000 years
. . . I told my wife !
Medical Education in India : The future looks bleak and tense !
Posted in bio ethics, Medical education, tagged ethics in medicine, Medical education in India, private medical colleges In India, Waht price medical degree on June 28, 2013| Leave a Comment »
This is a wonderful and realistic article on the Issue by none other than former Health secretary of the Government of India Ms Sujatha Rao
http://www.thehindu.com/opinion/lead/doctors-by-merit-not-privileg
IPL 2013 : A cricket carnival derailed by manic media !
Posted in cardiology-ethics, tagged ethics in life, ethics in medicine, hippocrates oath, india cricket on May 21, 2013| 2 Comments »
April-May is carnival time in India . . . cricket carnival. In IPL . . . Indian premier league , eight teams will fight for the cup . IPL 2013 became a smashing hit , until last week when three players were arrested for spot fixing in an over . And for the past 10 days the entire Indian media has gone into manic reaction over it !
Still , the sport was wonderful , the skills shown were extraordinary , and what happened was an aberration just like in any other aspect of life . IPL is perfect mix of sports , business , commerce and some sleaze . Actually in a successful business model , one should actually be surprised if corrupt practices does not occur !
The game of cricket can never be killed by money ! The way the issue was handled by the media and the reactions and public debates for me looks irrelevant . Is it justified ?
We the people and media has much much important things to do in India !
Fixing a Fix . . .
Politicians fix voters by giving money !
Media fixes news for money !
Students of the noble profession are desperate to fix examiners with money !
Finance ministry’s annual budget is fixed by business tycoons !
Private medical colleges fix entrance exams after getting money !
Super powers fix terrorists selectively for money for self benefits !
Drug companies fix doctors with money !
Doctors fix labs by getting money !
Anxious parents try to fix marks of their children for money !
Government fixes tender for money !
Live kidney donors are fixed by criminal cartels for money !
Advocates fix false evidence with money !
Innocents are fixed as criminals after getting money !
Thousands of marriages are fixed with money after hiding illicit relations !
Huge bank loans are fixed based on false affidavits and promises !
TV reality shows are fixed with mad money !
Even pilgrims fix Darshan time by paying huge money !
And finally . . . One cricketer bowled one of the balls . . .wide . . . . in one of the over after getting money !
The whole world erupted !
Postamble
Can there be any justification for justifying wrong things in life ?
If life is a fight between good and evil , I thought it is absolutely absurd to justify it until recently . . . but a great epic of India , Bhagawad Gita which is considered as the ultimate guideline for living ,differs (Or is it my perception !)
The summary of the epic goes something like this
- Whatever happened has been good.
- Whatever happens is good
- Whatever will happen is also good.
Bhagavad Gita has one more sermon to confuse us ( me ) completely !
“Do your duty , do not expect any returns and do not watch injustice silently , protest and fight it with your full potential” !
I welcome the experts of the Bhagawatham to clarify me on this issue !
Shocking mindset of pharma companies ! Who is educating whom ?
Posted in bio ethics, cardiology-ethics, tagged doctor drug company nexus, ethics in medicine, freebies pens and doctors drug company, hippocrates oaths ethics, industry sponsorship of drug trials, MCI regulation and doctor ethics, medical practice ethics', pharma companies and doctor sponsorship on April 21, 2013| Leave a Comment »
News : It seems the pharma companies are worried about the new MCI (Medical council of India ) guidelines that restrict sponsorship for conferences and freebies to individual doctors . They think it is a big set back as it may interfere with doctor’s education and knowledge !
They have proposed new amendments and has asked the health ministry to advice the MCI accordingly .(ie To help them bring back the corrupt and bad practices that influence doctors prescribing behavior !)
It is true , for the growth of medical science , we require some sort of a business model and tax holidays for the companies for true & land mark discoveries . Currently the MCI allows to sponsor medical events or a conference for an institution or organization . But what these companies want is official permission to provide incentives to individual doctors and influence them ! . More shockingly they said doctors knowledge will suffer without these industrial support . It is an outright insult to all doctors who get educated for over decades* . In fact the heads of pharma companies require few lessons from the medical fraternity , how many drugs with dubious scientific value is playing havoc in health of the society !
Of course ,we can not blame the pharma companies for all . It is a collective evil.
Counter point
*This is a second slap on the face of medical profession ! I am sorry to say this , many of us ( Including the blogger ! ) are some way responsible for this state of affairs . Shockingly , few of our colleagues are proud to have illicit relationship with drug companies ! Younger generation no longer consider this as an offense , since they are born and brought up with capitation fee as their principal fodder. Commercial forces has taken over medical profession . Many of the colleges are owned by business barons and alcohol vendors in India . It is a well known fact , MBBS seats are now sold for 50lakhs (like 3 bed room flats ) . Agents transact black money in secret basements of medical colleges once considered as temple of the noble profession .
So what is in-store for the future ? . . . Self regulation is best regulation . . . Mahatma told us ! . It may be the most idealistic solution . . . but currently it appears self regulation is as bad as no regulation !
Link to the article
When a cath lab becomes a breeding ground for criminal activity . . . we are shocked !
Posted in Uncategorized, tagged ethics in medicine, hippocrates, inappropriate stents, italian cardiologists on November 13, 2012| 2 Comments »
It doesn’t make news if police arrest Robbers , militants , or Terrorists ! Here is a shocking news !
Why should a group of nine cardiologists , arrested from a scientifically advanced country like Italy ?
A news clip from the Forbes November 11th 2012 .
Nine doctors were arrested . . . 12 device and pharma companies have been banned form entering Italy.
Reason : They indulged in inappropriate coronary interventions which has caused fatal injuries .
Do you think these cardiologist are at fault ?
Come . . . join us . . . An open Invitation to scientific fraud !
Posted in bio ethics, medical quotes, Venkat quotes, tagged ethics in medicine, fraud in science, paid science and open access article on September 27, 2012| Leave a Comment »
I was stunned to read this article regarding the proliferation of open access , author paid scientific literature from “The Hindu ” dated 27th September 2012 .
It only shows how the scientific world is being consumed by commercial interests .
It seems at every level of journal creating and publishing there is vested interest .
I wonder peer reviewed journals could mean nothing in the near feature .
Let us join the new movement called “Paid science”
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Dr.S.Venkatesan MD 