Posted in Uncategorized, tagged accc aha guidlines, ethics in medicine, GDMT, OPTIMAL MEDICAL THERAPY, principles of practice of medicine, WHAT IS CONSERVATIVE MEDICAL MANAGEMENT on December 16, 2023|
Conservative management conveys two tangentially opposite meaning.
For the superior “physicians & Interventional cardiologists” it would mean
For the “Inferior genre of physicians” it will sound like this
Reference
This is a partial repost from a 2008 article . https://drsvenkatesan.com/2008/11/30/what-do-we-mean-by-conservative-management-why-it-is-often-considered-as-an-inferior-form-of-treatment-in-medicine/
Posted in bio ethics, Medical education, Medical ethics, medical satistics, tagged best medical quotes, bmj, dr venkatesan sangareddi, first do no harm primum nocere, hippocrates, Hippocratic oath, inappropriate medcial care, jamanetwrok, lancet, madras medical college, medcial ethics, medical science future, nejm, nobel prize in medicine, over treatment, principles of practice of medicine, william osler on September 8, 2023|
Postamble
This quote is being sent for the annual meet of “Right care movement” I know ,this can sound outrageous, permissble limits of abuse ? Up to 2% or 5% ? Let it be anything . Meanwhile try to enlighten yourself , the key differences between misuse & abuse.
Posted in Uncategorized, tagged art of healing, best book in medicine, cost effectiveness in medicine, definition of medical care, ethics in medicine, evidence based medicine, harrison principles davidson, medical education, medical science is an art or true science, nursing vs medical profession, principles of practice of medicine on May 30, 2021|
This 90-second video clip is a “perfect provocation”
Allan Savory is a renowned ecologist from Africa. He is a global leader in environment and eco protection. He is making this famous comment, during one of his interviews from the deep forests of Zimbabwe, after years of ground-level work in the field of desertification and climate change. I can understand his feelings, as we also encounter similar situations at ground zero of the health care delivery system. (I wonder if there is anything called peer-reviewed bedside caring)
We realize wide gaps between academia, patient care, and research are the norm, not an exception. One reason for this is, even well-learned medical professionals find it difficult to comprehend, that the practice of medicine is essentially an art, administered with love, care, service-mindedness. A cost-effective infrastructure with an immense amount of teamwork is critical ( Of course, guided by a fair amount of knowledge, expertise based on good scientific principles)
Final message
As Savory says, let us hope, the future looks bright, that welcomes young researchers from the fringes of the scientific community. Let them be conferred with all courage and resources to course-correct medical science from its frequent aberrant and awkward turns.
Posted in bio ethics, Cardiology -Patient page, cardiology -Therapeutics, Clinical cardiology, general medicine, Medical education, Medical ethics, medical quotes, Two line sermons in cardiology, tagged clinical acumen, dr venkat quotes, ethics in medicine, evidence based medicine, guidelines protocols, principles of practice of medicine, rcts in medicine, william osler on March 31, 2021|
Posted in Cardiology quotes, cardiology-ethics, tagged best medical quotes, dr venkatesan quotes, ethics in medicine, evidence based medicine, evidence vs experience based medicine, hippocrates ethics, limitations of ebm, medical education, medical ethics quote, medical industry, principles of practice of medicine on February 13, 2021|
Because . . . its current course is not always in the right direction & not everyone is ready for course correction as well!
Reference
Posted in Medical education, Medical ethics, medical quotes, Venkat quotes, tagged best medical quote, drsvenkatesan, drsvenkatesan.com, ethical quote in medicine, ethics of medical practice, Hippocratic oath, hippocratic quotes, madras medical colllege, primum non nocere, principles of practice of medicine on January 14, 2021|
Posted in bio ethics, medical quotes, Quotes, tagged bioethics, medical education, principles of practice of medicine, princniples of learning, quotes on education, Thirukuraal on October 26, 2020|
Today is one of the most auspicious days in Indian traditional festive time. Saraswathi pooja, a celebration of the Goddess of knowledge and education. I would like to share one of the all-time great quotes on learning from Thiruvalluvar a sage poet who lived in the southern Indian state of (mine), Tamil Nadu in 4th -5th century BC 2500 years ago.
This Thirukural number 391 in the chapter of education goes on like this. (In the Tamil Language)
It says
Karka : Learn
Kasadara: Here comes the punch. Kasadara means pure. He says simple learning is not at all-sufficient. One has to learn from good sources, learn deep that should be devoid of errors, contaminations, and falsehoods.
Karpavai : Thus you learn all lessons in life meticulously.
Katrapin: So, after this hard and enlightened learning, what we should do? He answers next.
Nirka Atharkku Thaga: This means , don’t just stop with learning, follow it with action in a righteous way. Unless we do that he warns to conclude ( in another poem in the same chapter) there is no purpose of learning itself and we are again at risk of becoming illiterates.
So, what does this Thirukural teach the Nobel professionals who follow cutting edge medical research?
I think I need not elaborate . . . Acquiring knowledge and true learning has become two different processes.
It’s just a sample of one kural (Quote) among 1330 poetic quotes written in 133 chapters by this great philosopher of Tamil Nadu who shared the same timeline with Aristotle and Socrates of ancient Greece 5000 miles west of India. For those ,If you are interested in his monumental work on literature which can be referred to as the manual for effective living (I wish to call it as “Standard operating protocol” for human life) please follow the link.
Posted in Uncategorized, tagged artificial intelligence, dr s venkatesan, dr venkatesan sangareddi, future of medical ethics, gene therapy, hippocrates, journal of medical ethics, lown foundation, madras medical college, medical ethics, medical quotes, nano medicine, nejm bmj lancet, noble profession, principles of practice of medicine, quotes medical ethics best, sir william osler on January 28, 2020|
Posted in Uncategorized, tagged bioethics, dr venkat quotes, ethics of medicine, evidence based medicine, future of medicine, hippocratic quotes, practice guideline for medicine, principles of practice of medicine on May 19, 2019|
Somehow the concept of Evidence based medicine (EBM )never excited me in spite of great strides it has made. Probably the main reason for this is, EBMs origin, quality, and credibility is currently severely compromised. (Though It appears to ooze science 24/7 and make us believe in it too !) Herewith, sharing some of the forbidden thoughts(with lots of pun) for a (un)successful practice of EBM. This is definitely not meant for young and novice medical professionals. Strictly for the ones who can segregate sense from non (S)
Reference
Posted in bio ethics, Cardiology - Clinical, Clinical cardiology, medical quotes, Two line sermons in cardiology, tagged alfred noble noble profession, medical ethics, modern medicine, nobel prize for medicine, principles of practice of medicine, science humanity medicine on May 23, 2014| Leave a Comment »
Why not Nobel prize for clinical science ?
Nobel prize was constituted to reward people or organisation who make a huge impact on the welfare of man kind. It is given in various categories for outstanding contributions in Physics, Chemistry, Literature, Peace, Physiology or Medicine, and Economic Sciences
Unfortunately, there is a strong bias towards raw basic science when it is given in the filed of medicine.Do you know ,there is no Nobel prize exclusive for medical science ? It shares with human physiology the only field included for Nobel prize in medicine.
Evolution of human history reveals it is not the stunning scientific discoveries that impact the mankind . It is largely dependent on how we use them . It is true and natural ,invention of sub atomic particles , decoding quantum mechanics and trans-cellular signals always generate great interest than others.
In medical science, time and again we have seen problems arise in applying fruits of scientific research into practical usage in the patient domain in the bedside.
What is use of rewarding inventor of nitric oxide with a Nobel prize , when billion-dollar nitrate industry is thriving on a non existing life long indication of stable angina .
It is surprising to note , Nobel committee does give credit to wisdom & intellect while awarding prize in peace, literary or economic sciences. For some reason it lacks such a vision when it comes to medical sciences !
We have seen Nobel prize being awarded to organization that strive for peace and welfare of society and community like UN ,EU etc.The world health organization is the premier power supposed to provide and regulate the health in this planet.I do not recall any time WHO was close to considered for the Noble prize in medicine !
Nobel Ironies
Nobel committee rewards economists who point out lacunae in vital world macro and micro economics theories.
Dubious men(Heads of state ) are decorated with Noble peace prizes for preventing a war in one geographical area while doing exactly the opposite elsewhere !
In this modern millennium where scientific pursuits are contaminated and many of the research questions are misdirected or irrelevant , Nobel committee needs a through rejig in the manner in which medical Nobel prize is being awarded. We know ,Noble’s death wish was to award the brightest mind with highest scientific breakthroughs in those world . . . but
I guess Alfred Nobel if alive would have changed his rules .He wouldn’t have imagined modern science would systematically devalue common sense and reinventing it would also deserve an award equivalent to Nobel !
Some of the medical discoveries that deserve noble medical prize
How about Nobel prize in cardiology for preventive cardiologist who successfully terminates a million statin prescription and restoring natural exercise directed lipid regulation in them ?
How about Noble prize for a noble physician sitting in corporate hospital infested with all commercial ingredients who could resist and argue successfully against inappropriate tonsillectomies and appendectomies ?
I am sure , such a man will be a laughing stock for most of us !
An appeal to Nobel committee
It is a wish , Noble prize in medicine is to be included for people who do yeomen services in preventive and clinical care and professional who carry forward the legacy of caring for the sick with clinical application of available scientific wisdom !
In this scientifically obsessed world , It will be a new beginning in the way future medical research will be directed and nurtured ! Only then the true power of Noble prize in medicine will be realised !
Reference
Link to Wikipedia Nobel prize in Medicine
Dr.S.Venkatesan MD 