"When everybody is TRYING TO PASS THE BUCK, IT IS HEARTENING TO SEE SO MANY READY TO CARRY THE CAN- SPECIALLY WHEN THEY CAN '
"But, every life is precious and cannot be forsaken just to save on ICU costs."
"vicarious liability? You are responsible for your subordinates fault"
This is thrown about by many Administrative doctors and non clinical doctors without
really knowing what it exactly means and what is included in it
"If the child dies can we blame the mother. ??!
There is an element of negligence
no doubt. but the blame has to be taken by the dialysis tech &the hospital that
employed him. If a terrorist holds a person as a hostage_.& police is not even
aware of it &the hostage gets killed do you hold the police as negligent."
If the attendees had wanted doctor to come
( the question is were they willing to pay? were there standard protocols and
Policies in place in the dialysis center,to follow in case of emergencies and complications?
why did the technician refuse to call the doctor ? for a manifest deterioration of
condition of patient , then irrespective of cost cutting plea it would be expected that the doctor pays
the visit in cases wherein complications have arisen. or appeared to have arisen.
It shall be true about all those situations wherein there is sudden deterioration
in admitted patient' s condition due to any cause.
All jobs should be properly defined and only the person concerned or on duty
should be taken for task if any untoward thing happens.
If complications occur very frequently during and after dialysis
then round the clock doctor should be posted .
we are still underdeveloped/developing country and we don't have resources
to provide same medical treatment as one gets in developed nation.
These things should be made clear to all citizens.
As there is no proper risk management system in our country,
doctors are only held responsible for all others mistakes.
Every lawyer who deals with medical malpractice knows this.
"go after deep pockets"" include each and every person involved in the care of patient whether theyb have any role in the particular incident or not.
Even in USA there is no medical doctor in a dialysis center. but the center will have
definite policy on record and the tech will call 911.
If the patient and companions refuse to use the Ambulance to go to a Hospital then they have to sign an against medical advise form absolving the dialysis center of its responsibility.
We are, to a great extent, responsible for this exponential growth of consumer cases
against doctors. Firstly, we deified ourselves and assumed greater powers
than we really have and, many a time, claim to do wonders
We are no longer humble enough to state that we only dress the wound and nature (God)
heals We have taken medicine to the marketplace,to make big money. That has brought, in its wake, the market forces have come to our area also.
Another reason due to which the problem gets compounded is the jealousy of our own
brethren who might inadvertently create a situation where the patient's relatives
become suspicious.
If the patient gets worse and is Then shifted to another hospital,
someone there might inadvertently say "If only you had come early,
we would have been able to do lot for the patient." This single sentence,
though not the complete truth, is the single most Important abettor
of consumer complaints.
These days, the huge bills of most corporate hospitals work as seeds
for litigation to grow. In some cases, the grievances are genuine Keeping dying
(and dead) patients in the intensive care units (ICus) with tubes stuck into all
possible orifices, or wheeling dead patients from operating tables into ICU s,
to be kept there for some hours on ventilators before they are declared dead,
admitting apparently healthy people for all sorts of tests and scans,
removing the appendix for every minor pain in the abdomen, abdominal deliveries
where normal delivery was feasible, operating on the wrong side or wrong limb,
leaving operating instruments inside the patient's body or
administering dangerous wrong medications, the list of genuine consumer complaints
is growing. But complaints, regarding the competence of a fully qualified and
licensed doctor, fall in the grey zone.
A country where quacks thrive and qualified radiologist are harassed for small
slips like form filling, non-technical slips, clerical errors etc
and projected as unethical practitioners under PCNTD act.
What else can be expected from bodies run by unqualified persons.
"In any case, in the days of teleconferencing live surgery demonstrations
are becoming a rarity. This will take the form of either televised relay of
live surgery from the host country by the senior surgeons, or a video demonstration
with question and answer session. Logistically this would be immensely easier,
less dangerous and more acceptable to everyone."
". For example, a regular patient coming for diabetes or hypertension medications may not take more than 3 minutes, if sugar and BP are normal. On the other hand, an elderly patient with multiple comorbidities on multiple medications may take 15 minutes. So, the duration can be tailored as per the needs of the patient. On an average, 8-10 minutes per consultation would suffice.
Read more at: https://www.docplexus.in/#/app/posts/5cdf6cab-03fe-4e12-934a-cd4d472fbc23
Copyright 2018 © Docplexus"
Dr. Arun Gupta
ENT
Jan 20 2018
On one hand govt thinking of bridge course to make Ayurveda prescribe allopathy. On other hand not allowing qualified MBBS use ultrasound. Govt is killing talent in name of ultrasound misuse.
Compare benefits of ultrasound, many have not been given renewal even with 20 yrs experience of having done ultrasound, only because of one reason- Training certificate.
Those who submitted false training certificate got renewal. Honest person like me was denied, who had been doing ultrasound for last 20 yrs I repent having living in/this silly country, and not gone to USA in 1974
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