Leisure, Lifestyle & Wellness
Satyamev Jayate & doctors: Look at the spurious basis of modern medicine

One cannot blame the doctors; they are also tempted. Unfortunately, the black sheep outnumber the good ones. But the bigger issue is the spurious basis of so-called modern medicine

"I have not observed men's honesty to increase with their riches"-Thomas Jefferson 

The problem of corruption in the medical world is too gigantic to tackle on Sunday morning television. The show Satyamev Jayate is right in its conclusion that there is lot of corruption in modern medicine, as in any other field in India, including cinema. Let us admit that there are good, bad and ugly doctors just as there are people in every other field, including the media and the judiciary. Politicians are a class apart and have reached the Everest of corruption in India. Man, in the palace or pad; castle or cottage, is governed by the same passions and emotions, was Shakespeare's opinion. One should also not be naïve to believe that stricter rules and tighter controls by watchdog bodies will set things right. Only change of heart among the concerned people will change the system and not rules, regulations and policing. 

Building corporate hospitals and insurance covers are also not the answer. In fact, a recent study covering14 industrialized countries showed that where there were more doctors, more specialists and more hospitals, death and disability rates were very high compared to countries like Japan where there are fewer doctors per capita and very few specialists. Health indices and longevity were also inversely proportionate to the number of doctors and specialists. We need family doctors as in Japan to "cure rarely, comfort mostly, but to console always". (JAMA 2000; 284: 483) Healing is basically to humour the patient long enough to help nature to heal the sickness. Medical insurance has been a curse in the USA and it is making its way into India in a big way!

In several places like Bogota in Columbia, Saskatchewan in Canada, Israel, and Los Angeles County in the US, etc, when doctors went on strike for various reasons, death and disability rates in society plummeted to very low levels only to go back to the original levels when they came back to work. Human health depends on clean drinking water, a roof on top in place of the star-lit sky for the poor, three meals a day, and a job to do with adequate sanitary facilities and not by hi-tech modern medicine. A humane, compassionate and empathetic family doctor will add to these basic needs. 

Modern medicine is based on the reductionist western science, which has become a dangerous fanatical religion trying to proselytize the whole world for the sake of making money even at the cost of human life! Modern reductionist medical science is completely faulty. Audits in their own backyard have shown the medical establishment to be the leading cause of death and disability even in the US but the government there could not control the medical establishment mafia there. Michael Moore, in his film SICKO shows members of the US Congress walking in with labels attached to their chests giving details of the millions that they had clandestinely received from the pharma lobby, starting from the then President Bush to the very last Congressman.

What we probably need is for someone with Aamir's charisma to make people see the truth and deschool society's thinking about medicine and healing from its current obsession with a pill for every ill. The truth, there is an ill following every pill! Medical research is flawed too and has become a dangerous enterprise again running after money. "The attitude of the American Medical Association (AMA) towards lay practitioners is as rigid as the attitude of the church was towards the lay interpreters-and has the blessing of the law," writes Paul Feyerabend in his book Against Method.

AMA was started fifty years ago after some MDs in the US got together to start the Homeopathic Association as the methods of blood letting and hot iron applications in modern medicine practiced those days were inhuman. Mr McWilliams, one of the presidents of the AMA, once admitted that "we did not fight the homeopaths on any scientific principles. They came to our domain and took away our practice; so we banished them!" In this game, many doctors themselves get trained under a system, fully believe in what is taught at medical school, and are the dark about its faulty science base.  

The doctor is also a pawn in the hands of the pharmaceutical mafia which influences medical textbooks to include doctored research and sexed up remedies all to amass huge profits through drugs and devices which in the long run are of little benefit to the suffering humanity.

When people get better it is PURELY due to their firm faith in the system which provokes (proven now) powerful drugs in the human brain that cure the illness, the Expectation Effect of physics. Reductionist chemical drugs that we use in modern medicine are the leaders in the cause of human death through adverse drug reactions (ADRs).  However, the establishment tries to kill all other alternate, simple but effective methods of sickness care one by one-the latest under the guillotine is homeopathy, a very useful and scientific method of healing. There are many others, not to speak of the mother of all medical wisdoms-Indian Ayurveda. Emergency surgery and corrective surgery with emergency resuscitation methods are a boon in modern medicine.

Alternate effective systems were finished off using what is now famous-the Flexner report of 1910 in the USA. Up until 1899 the most popular systems were chiropractic, homeopathy, radio aesthesia, herbal medicine and many other healing methods along with a tottering chemical drug using modern medicine. With one stroke of the pen they were all banished as unscientific after the Flexner report. Curiously Mr Flexner was only a retired headmaster of a school, run by Andrew Carnegie. Today's prohibitively expensive cancer treatments were developed by destroying all alternate systems and by suppressing the famous Fitzgerald report of 1953 (a secret document till very recently). The Fitzgerald report is now in the public domain due to the Right to Information (RTI) movement and is available on the Internet. It shows how useful and inexpensive methods of treatment were banished. 

Even today, government scientists in India conduct reductionist research based on holistic herbal drugs using western medical science. I would like Amir Khan to read the great classic, AGAINST METHOD, by Paul Feyerabend to understand how the fallacious western science in general and medical science in particular are converting every medical student into toeing their line of thought. In my opinion this book is an all time great and exposes how money runs and control science research today: many ace researchers are only working to get more funds, thicker CVs and an occasional Nobel Prize. They do not work for human good.  My own book, What Doctors Don't Get to Study in Medical School also discusses these issues. Many stars of Indian medical research are funded by get lots of money from pharma lobby for doing so called research and the latest trend is that they get 'Big' western medical degrees free if they are with the pharma giants!

Occasionally genuine scholars also get those degrees Honoris Causa also. Unfortunately, the black sheep outnumber the good ones.

When we got political independence we should have followed the Chinese model of encouraging traditional Indian wisdom in healing which flourished for centuries. The Chinese did that very effectively and did not import westerns science and medicine whole-heartedly. Chinese medicine is doing well even in the west today. Unfortunately, China too has begun embracing western science!

Amir Khan would do a favour to mankind if he joins us as our brand ambassador in our efforts to push genuine health care to our masses through the Wellness Concept. This is about assisting the body's immune system to keep one healthy as long one lives. It is the essence of Ayurveda-swasthashya Swaastha rakshitham-preserve the health of the well segment. The idea has to be sold against the modern medical claptrap of regular check ups, drugs for every minor alteration in the human physiology and disease mongering efforts of the establishment called the health scare system. The concept is simple and could help people of all ages. Its three salient features are tranquillity of mind, change of mode of living from an unhealthy to healthy lifestyle and regular moderate exercise. In addition, consumption of sathvik food in moderation, with no tobacco and alcohol, also help.

I do not blame the doctors; I blame the system and corrupt environment in general in the country for the mountain of corruption in the medical fraternity. Making money is our religion today and money is our God. Unfortunately, society also respects only those that make it big in any field, whatever might be the means to get rich. So doctors too are also tempted. Authenticity and merit have turned into weaknesses in India.  

In a beautiful study "Failure of scientific medicine-the Innu community study" in Canada, the authors showed that up until money came into their lives, Innus, the aboriginal race off the coats of Saskatchewan, had a happy sustenance economy and were healthy. With money, diseases and unhappiness came into their lives.

Sathyam in the medical field is not corruption but the faulty science and its system. That satyam eva jayate. Who wants sathya? In India the slogan is Anritam eva jayate-Na satyam.

 "Every kind of peaceful cooperation among men is primarily based on mutual trust and only secondarily on institutions such as courts of justice and police"- Albert Einstein

(Professor Dr BM Hegde, a Padma Bhushan awardee in 2010, is an MD, PhD, FRCP (London, Edinburgh, Glasgow & Dublin), FACC and FAMS. He is also editor-in-chief of the Journal of the Science of Healing Outcomes, chairman of the State Health Society's Expert Committee, Govt of Bihar, Patna. He is former Vice Chancellor of Manipal University at Mangalore and former professor for Cardiology of the Middlesex Hospital Medical School, University of London. Prof Dr Hegde can be contacted at [email protected])

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COMMENTS

Bhagavan ps

3 years ago

Further, there is one more issue that has been totally ignored that could be a case for gross medical negligence. This is an issue consequent to the banning of a drug / formulation. Kindly read my blog on the link below:

http://pharmainfo.net/bhagavanps/blog/82...

Bhagavan ps

4 years ago

Besides, bringing out new molecules and formulae has become a fasion and a money making trade, irrespective of its need and rationale. We have only one gate for the approval of the molecules and formulations called DTAB – Drug Technical Advisory Board. If one looks at the protocol prescribed to get a new drug / formulation approved and the composition of this DTAB, the cat will be out. The Indian Govt knowingly or unknowingly comes out with periodical moderations in regulations and policy with claims of making the drugs more rationale and treatment cost effective, without knowing the quality of the DTAB formula. That’s why I say it is not just sufficient to change the formula of pricing procedure. The drug price issue is going hay wire due to lack of regulatory provisions to control irrational and unwanted high end cosmetized formulations. India needs a NATIONAL MEDICATION POLICY under Health ministry to address the issue comprehensively from the patient end unlike the present National Drug Policy which is under Ministry of petrochemicals. Petroleum ministry is doing its job of promoting industry effectively and the Health ministry is a mute spectator at the mercy of the petroleum ministry. The national Technical Drug Advisory Board (DTAB) also needs to be revamped. Now it is a full house of doctors with MBBS + qualification who know nothing about pharmacy, Pharmaceuticals let alone pharmaceutical technology. It works purely on data and detailing delivered by the pharma companies. The Committee should have more of pharma experts, rational drug use activists and few doctors to look into the medical aspects.It is my experience that it is easier to convince a doctor technically than a pharmacist. Many a time the doctors dont show up their inability to understand and accept the promotion to cover up their ignorance. Few doctors had argued with me that what is approved by the Govt for marketing should be safe. The same doctors argued that the brand they use (expensive ones) is a reliable one and cannot trust the inexpensive ones available. patients are suffering with soaring drug prices as total issue: approval and prescribing has been left to the doctors with no control and rationale. Hope, I have driven home the issue and I look forward for a National Medication Policy and a revamped DTAB for the good of the patients.

Bhagavan ps

5 years ago

Further to this I wish to share another stream of discussion going on in http://www.pharmainfo.net.as I feel the content is quite apt here also.
The link is:
http://www.pharmainfo.net/dr-rezahaider/...#comment-41287

nagesh kini

5 years ago

Long long back the GOI appointed a Sastry Committee which submitted a very exhaustive report on hospital costs. It could have been a bench mark for all Health insurance related issues and good practices. Neither the GOI Min. for Health nor Finance nor IRDA or the insurance sector want to apply their minds and even make any feeble attempts to implement it.
They feel there is no 'malai' or kickbacks, only stringent norms and standards.

REPLY

Bhagavan ps

In Reply to nagesh kini 5 years ago

Thank you sir, I never knew that such a report exists.

How come none of the organizations like MCI, IMA, DGHS made no mention of it during discussion on the forum of satyamevejayate!

whenever any committee comes out with a report recommending certain measures that may ensure controls, regulation with checks and breaks with tightened nuts and bolts, such reports are cleverly buried and forgotten and with the passage of time it loses its validity.

The idea is if it is implemented it can be taken forward with periodical review and updation.

If it is not at all implemented, there comes a need to update the report itself or developing a new report that takes years, raises lots of dust and mud so that it also goes the way of the earlier report!

Hence I appeal to you sir, please dig out if you can a copy of the sastri report and publish it at least on the net to show to the world and request the GoI to implement it.

good information sir, Thank you.

Bhagavan ps

5 years ago

Standardize hospital Service:

Wardboy surgeon:

The least that I was expecting after the said episode was not the initiation of the punishment process which I know will be dragged for months with know deterrent results but standardization of Hospital SOP and implementation and publication of the same.

There should be a responsible person at every level / stage of activity and movement of the patient, support staff and doctors should be documented like a log book of material handling and movement.

There are institutions (ISI) which have developed such SOPs and if necessary can develop SOPs which can be adopted.

The advantage of having an SOP is that it assigns accountable responsibility for each person in the service chain with assigned Key Responsibility commonly being called K R A in the corporate sector which also helps in evaluating the performance which will also help in awarding appraisals / disciplinary actions.

I hereby call upon the Min of Health GOI to initiate action in this direction so that there will be minimum adherence uniformly through out the country.

This SOP should be the minimum parameter to accord approval for a clinic or a hospital or a diagnostic center

Bhagavan ps

5 years ago

The wardboy is suspended and the CMS is transferred - News.

What does this mean? People may feel that both have been punished while they are not!

punishment in govt:

compulsory leave, Suspension, transfer to a place, transfer to a no-place cut in increment, dismissal etc are the way in which a Gvt servant is punished.

But the compulsory leave, Suspension, transfer to a place, transfer to a no-place are not the punishment at all in terms of the rule. They are only the means to facilitate inquiry.

Therefore it could be said that the CMS of the UP hospital has escaped punishment and the axe has fallen on the wardboy. these ward-boys are normally not sensitive to actions like Memo, warning, Transfer, Suspension. They feel the pinch only when dismissed.

The duration of departmental procedure can be completed within a month or can be dragged to many years depending on the clout-weight of the person affected.

Normally doctors are never punished!

Because, when the treatment becomes successful, the entire credit goes to the attending doctor. But, when the treatment fails ready alibi is found among the supportive staff and one or two among them are victimized to cushion public ire.

Bhagavan ps

5 years ago

A WARD BOY PERFORMS SURGERY IN A UP HOSPITAL - News. Shame, shame,shame. Well, once upon a time India was known for the land of sadhus, sanyasies and snake-charmers. Now, we have more qualified quack doctors who have outnumbered all. As long as we have qualified quacks to support quacks the real quacks continue to have hay day. What a shame on the profession? Well, I know the most concerned IMA and IMC take good care of the profession and their professionals. But who will take care and compensate the patient who is not even VIP? Can we have some preventive measures for this health problem?

Bhagavan ps

5 years ago

A case for National Medication Policy:

http://www.pharmainfo.net/bhagavan-p-s/9...

harish singla

5 years ago

thanks far reply yes we should not drag the issue but subject was wrong and there is 2 topics.
1 drug manufecturing indutry in india
and its short comings far human
2 medical profeshion adopting wrong prectice at the cost of ailing humanity
thanks

Bhagavan p s

5 years ago

This is in response to the comments of Mr Harish sangla.

True, there is slum in every city. Likewise, there could be some black-sheep even in India.
Health care of almost over 99.5% of the Indian population is taken care by the Government hospitals and few NGOs both in the preventive and curative sector.
These institutions use only the generic drugs and brands that are competitively priced. Only time tested molecules with a minimum of 3 -5 years market standing are used . All health problems are attended with limited number of drugs that are declared as ‘Essential drugs’.
For example, Malaria is treated with specific medicines with least morbidity in Govt hospitals where as the treatment is dragged like an elastic rubber for weeks and months costing in tens of thousands.
The pride is that few years back the hospital drugs were found being stored and used in a private nursing home. Such is the quality and look.
It is only the small sector of population more so in urban and semi-urban area look for private service providers. These private service providers have absolutely no control on the medicines they use. Any thing new that comes into the market that too with any offer gets into the armory.
Unfortunately, it is this micro group that is talking on the quality of drugs like experts and is dictating terms.

Mr Harish comments that ‘there is diffrence between rosad side kyosk cooking and 5 star hotel’. Well, a freshly fried pakoda, bajji masala vada etc are safer than the same ones in 5 - star hotel where it is prepared from week old stale and frozen materials, because the computer doesn't permit it to be thrown without any revenue! Ok, lets not drag this issue and close it in lighter vein.

Looking into statistics,
(Quote)
1. “ India is the 3rd largest Pharma producer in the world and Indian Pharma industry is one of the most developed industry globally.
2. The pharmaceutical industry in India is stated to be valued at approximately US$ 12.26 billion as per industry estimates.
3. This industry is growing @ 10-11% per annum on compounded growth rate basis.
4. Although total turnover of pharmaceutical industry is estimated at 21.04 billion, about 65% of this revenue is from exports.
5. It spends around 18 % of this revenue on research and development (R&D) activities.
6. Additionally, India’s clinical research industry is estimated to be a US$ 2.2 billion with a high growth rate of 23%. Moreover, Indian pharmaceutical off-shoring industry is slated to become a US$ 2.5 billion opportunity by 2012, due to low R&D costs and a high-talent pool”.
[Ref: http://www.investindia.gov.in/?q=pharmac...

Bottom line: ‘High priced drugs are only a myth against the low priced drugs’
Thank you

REPLY

RNandakumar

In Reply to Bhagavan p s 5 years ago

Just like IT industry no doubt though serving the foriegners more than us pharma idustry here depends on the patented molecules of western countries. In the name of secrecy we have almost killed indian medicine. Your statistics only indicates our manifacturing capacity not inventing one. The crucial point of discussion here that doctors who are decision makers on behalf of patients are loosing slowly their compassion but are allowing money to dictate their lives. And that their profession noted for selfless service and sacrifice is turning out to be a money spinner at any cost.

Bhagavan ps

In Reply to RNandakumar 5 years ago

YES, Nandakumar, you are 100% right.
The stat indicates exactly what you have said from Industry to the consumer.
I fully agree with you
We have destroyed and are destroying the our age old treasure of valuable knowledge and skill and with that we are losing every thing due to mad run for money.
We are proudly opting for pizza and so called Chinese by looking away from our traditional Idli, Dosa etc and destroying its original taste and aroma by putting add-ons in the name of modernization. This is only a one example.
Again, you are right and hit the issue right on its head by saying that
"The crucial point of discussion here that doctors who are decision makers on behalf of patients are loosing slowly their compassion but are allowing money to dictate their lives. And that their profession noted for selfless service and sacrifice is turning out to be a money spinner at any cost".
Off course, in this era it is too much to expect free service, sacrifice and over-deication.
But simple things like: polite personalized talks and reasonable explanation to the doubts of the patient, transparency in prescription, rational affordable medication and availability at least on phone and trust on the co-professionals should be practiced.
Again one more episode happened:
A doctor prescribed TELMISAT AM 5 (R)TABLET [Rs 80/-) and I asked him whether I could take TELMIKIND AM (R) [Rs 30/-].
Dr: TAKE ONLY WHAT I HAVE PRESCRIBED.
Added to this is the plight of the ethical and rational practitioners.
The mindset of the people has been so much influenced by the irrational practitioners that they are reluctant to accept advise with no medication / simple medication.
Creating awareness among the people is also equally important to fight against the evil.
Thank you.

Bhagavan ps

In Reply to RNandakumar 5 years ago

YES, Nandakumar, you are 100% right.
The stat indicates exactly what you have said from Industry to the consumer.
I fully agree with you
We have destroyed and are destroying the our age old treasure of valuable knowledge and skill and with that we are losing every thing due to mad run for money.
We are proudly opting for pizza and so called Chinese by looking away from our traditional Idli, Dosa etc and destroying its original taste and aroma by putting add-ons in the name of modernization. This is only a one example.
Again, you are right and hit the issue right on its head by saying that
"The crucial point of discussion here that doctors who are decision makers on behalf of patients are loosing slowly their compassion but are allowing money to dictate their lives. And that their profession noted for selfless service and sacrifice is turning out to be a money spinner at any cost".
Off course, in this era it is too much to expect free service, sacrifice and over-deication.
But simple things like: polite personalized talks and reasonable explanation to the doubts of the patient, transparency in prescription, rational affordable medication and availability at least on phone and trust on the co-professionals should be practiced.
Again one more episode happened:
A doctor prescribed TELMISAT AM 5 (R)TABLET [Rs 80/-) and I asked him whether I could take TELMIKIND AM (R) [Rs 30/-].
Dr: TAKE ONLY WHAT I HAVE PRESCRIBED.
Added to this is the plight of the ethical and rational practitioners.
The mindset of the people has been so much influenced by the irrational practitioners that they are reluctant to accept advise with no medication / simple medication.
Creating awareness among the people is also equally important to fight against the evil.
Thank you.

Bhagavan ps

In Reply to RNandakumar 5 years ago

YES, Nandakumar, you are 100% right.
The stat indicates exactly what you have said from Industry to the consumer.
I fully agree with you
We have destroyed and are destroying the our age old treasure of valuable knowledge and skill and with that we are losing every thing due to mad run for money.
We are proudly opting for pizza and so called Chinese by looking away from our traditional Idli, Dosa etc and destroying its original taste and aroma by putting add-ons in the name of modernization. This is only a one example.
Again, you are right and hit the issue right on its head by saying that
"The crucial point of discussion here that doctors who are decision makers on behalf of patients are loosing slowly their compassion but are allowing money to dictate their lives. And that their profession noted for selfless service and sacrifice is turning out to be a money spinner at any cost".
Off course, in this era it is too much to expect free service, sacrifice and over-deication.
But simple things like: polite personalized talks and reasonable explanation to the doubts of the patient, transparency in prescription, rational affordable medication and availability at least on phone and trust on the co-professionals should be practiced.
Again one more episode happened:
A doctor prescribed TELMISAT AM 5 (R)TABLET [Rs 80/-) and I asked him whether I could take TELMIKIND AM (R) [Rs 30/-].
Dr: TAKE ONLY WHAT I HAVE PRESCRIBED.
Added to this is the plight of the ethical and rational practitioners.
The mindset of the people has been so much influenced by the irrational practitioners that they are reluctant to accept advise with no medication / simple medication.
Creating awareness among the people is also equally important to fight against the evil.
Thank you.

Bhagavan ps

In Reply to RNandakumar 5 years ago

YES, Nandakumar, you are 100% right.
The stat indicates exactly what you have said from Industry to the consumer.
I fully agree with you
We have destroyed and are destroying the our age old treasure of valuable knowledge and skill and with that we are losing every thing due to mad run for money.
We are proudly opting for pizza and so called Chinese by looking away from our traditional Idli, Dosa etc and destroying its original taste and aroma by putting add-ons in the name of modernization. This is only a one example.
Again, you are right and hit the issue right on its head by saying that
"The crucial point of discussion here that doctors who are decision makers on behalf of patients are loosing slowly their compassion but are allowing money to dictate their lives. And that their profession noted for selfless service and sacrifice is turning out to be a money spinner at any cost".
Off course, in this era it is too much to expect free service, sacrifice and over-deication.
But simple things like: polite personalized talks and reasonable explanation to the doubts of the patient, transparency in prescription, rational affordable medication and availability at least on phone and trust on the co-professionals should be practiced.
Again one more episode happened:
A doctor prescribed TELMISAT AM 5 (R)TABLET [Rs 80/-) and I asked him whether I could take TELMIKIND AM (R) [Rs 30/-].
Dr: TAKE ONLY WHAT I HAVE PRESCRIBED.
Added to this is the plight of the ethical and rational practitioners.
The mindset of the people has been so much influenced by the irrational practitioners that they are reluctant to accept advise with no medication / simple medication.
Creating awareness among the people is also equally important to fight against the evil.
Thank you.

Bhagavan p s

5 years ago

True, all ills should not be pointed at medical profession and for that matter no profession is totally error free.

But the issue is not the error or the mistake but the ego, unethical practice and arrogance added with corrupt practice by a considerable majority of the people in the profession.

What can be cured within just Rs 10/- is made to cost in hundreds.

As regards the quality of Indian drugs, they are among the best globally. Many of the NRIs abroad carry the low priced Indian brands or generics from India. Drugs manufactured in India are well accepted all over the world.

Let’s be proud of it.

Our enforcement Laws and Rules and Machinery are quite good and effective but lot more needs to be done in approval and follow up of new drugs.

My concern is of the common man, who cannot afford the brands prescribed and should have a option to choose with the help of a pharmacist a generic or a low priced brand within his reach.

Why he should pay Rs 75/- when the same is available at Rs 35/- with absolutely no difference in quality and which the same prescriber buys for his personal use!

What does this indicate? Is it a service in the best interest of the patient?

Incomplete prescriptions, prescription errors and irrational prescriptions are rampant and is taxing the common man.

All these ills and prescription errors get minimized in the best interest of the medical profession and professionals if a system of checks and audit is introduced.

This is an era of corporate culture where all human and human values are digitized with sentiments and deduced into numbers and statistics.

Hence, every one is or has to be trusted with a pinch of suspicion. may be it is little more here!

Satyameva jayate

REPLY

harish singla

In Reply to Bhagavan p s 5 years ago

i am sorry i dont agree with u as ur statment is not based on fects,i am NRI having medician bussiness since 1962 and now exporter since 1998,find out how many medician fectories in india adopting GOOD MANUFECTURING PRECTICE AS PER WHO NORMS.there is diffrence between rosad side kyosk cooking and 5 star hotel cooking like this medician coming far indian public from various fectories not as per standred required.i have documentry proof.
moreover subject was branded medician and generic,bribe or cash by docters,these r 2 diffrent subject so should be hendeled sapartatly,in this industry consumer has no direct connection with medician or fectory but docter prescribe who is not manufecturing medician,trade teach them.hope it is clear

harish singla

5 years ago

i feel it is unjustice to oint out only medical profeshion without giving evidence how many total medician fectories in india having WHO GMP(MEAN GOOD MANUFECTURING PRECTICE)there is no participation by dryg controler of india or all india manufectuer association or pharmaceutical export promotion council,fect will come out max fectories getting licence to manufecture medician by bribing and without GOOD MANUFECTURING FECILTY IN THERE UNITS

Bhalchandra V Gokhale

5 years ago

As Dr B M Hegde rightly points out, the medical education system is certainly at fault. Many doctors have remained ignorent about many useful treatment like chelation, IV hydrogen peroxide and ozone therapies

As per my knowledge chelation therapy has been catagorized under
"V System of Medicines Not Even Considered for Discussion of Recognition" by Medical Council of India. In my humble opinion this is based on some armchair research done by American Medical Association, American Heart Associateion and the like of them.

In reality chelation therapy can make about 85 to 90% bypass surgeries or angioplasties unnecessary. Or it can save as many as 90 to 95% diabetic foot from amputation. Per my understanding based on scientific and statistical reasoning and observations both bypass surgery and angioplasty are second grade remedies compared to chelation therapy.

I consider it as a conspiracy by medical cartel.

Many safe and effective treatments have been ignored by MCI because they are inexpensive and do not give good returns to the doctors/hospitals/pharma cartel.

According to me this is equally worrysome as doctors taking cuts etc.
Unfortunately this point has not been touched in Satyamav Jayate

I have observed that MCI and other "Disease" Associations have hindered efforts of propagation of useful and scientific information helpful to the patients.

Bhagavan p s

5 years ago

A non-hypertensive and non-diabetic 89 years old lady walked into a hospital with a complaint of respiratory spasm caused by crackers smoke was admitted and administered a nebulizer, IM/IV bronchodilators and a course of steroids along with an IV drip.

On the 4th day the MD advised Blood sugar test and her blood test revealed high sugar level.

She was administered that anti-diabetic tablet at night. on the prescription of the attending MD.

By morning the patient became restless and was struggling for life.

The MD was informed and without waiting for the MD immediately the patient was loaded with glucose IV and by afternoon the patient looked quite relaxed.

The MD who came in the evening said ‘I see,I see and Ok Ok ‘and left the hospital without attending to the case sheet.

The night staff ritually went through the case sheet and administered all the medicines that included the said 'anti-diabetic' tablet.

The patient fell back into the same crisis this time irreversibly in spite of the efforts of the hospital staff.

The patient breathed her last by afternoon.

The otherwise hale and healthy lady who had walked into the hospital had to be carried out for final rites.

The 89 year old lady was self dependent with good stamina and energy to wash her clothes, cook for every one, read books comfortably.


This tragedy could have been averted had there been prescription scrutiny by a Clinical pharmacist before administering the drug, as the hyper-glycemic status was only natural consequence of steroid therapy and it could have been addressed after recovery from her present problem.

- – The patient was my mother!

A professor of urology examined a 10-year-old boy complaining of painful micturition (Urination) and handed over prescription to his father.

The father combed all leading medical stores in Bangalore city whole day only to learn from all that the company had withdrawn the drug many years ago.

The process of contacting the professor and convince him to get modified prescription delayed the treatment by over twelve hours.

But he was not ready to accept the reality in the market and told the parents of the boy to go any other doctor if they want, after collecting the fee.

The parents moved on to another doctor an experienced GP who prescribed very simple medicines and the boy became cheerful with in about 4 hours.

The GP also told that the drug prescribed by the Prof was a out dated one and has been withdrawn by the manufacturer long back!

The Prof. fee was Rs 200/- and the GP collected Rs. 10/-.

This ordeal could have been avoided had there been a professional pharmacy service to check the prescription and to keep the clinicians updated.

Can we continue to accept:

'Doctors are no wrong doers'

Satyameva jayate

REPLY

nagesh kini fca

In Reply to Bhagavan p s 5 years ago

I thought big hospitals have in place Ethics Committee to audit death cases. The report, if any, on your mother's case needs to be looked into.

Bhagavan p s

In Reply to nagesh kini fca 5 years ago

Well, it is interesting to know that ethics committee, PM department are well in existence in many of the major hospitals.

The ethics committee seriously involves itself when there is a proposal for animal experimentation. Any animal experiment done without its approval is violation of the law.

But humans don't fall under the purview of this law. In case of humans the ethics committee can do only postmortem observation

Which ethics committee controls and regulates the stand alone clinics and small time nursing homes / hospitals which are mushrooming with no standards with respect to location, infrastructure, minimum manpower, air space and ventilation, waste disposal arrangement etc .

Secondly, I am interested in preventable errors, irrational prescription,etc through prescription verification and prescription audit, not on postmortem report on the event.

If there is a immediate official charge on any doctor, the local IMA jumps into the arena to protect and gives him forum to explain his view point and others of his like endorse what he says.

Had I raised the issue forcefully at that time, same thing as above would have happened. Because even the other doctors and the nurses in the same hospital either hide out or stand in support of the MD and immediately manipulate the records in favour of the doctor and the hospital or at the most would have fired the poor honest nurse.

What is the solution to prevent such unfortunate events.

What if this had happened on children or bread earning younger member of a family instead of an 89 year old lady?

I strongly command the IMC and IMA to come out with a standard SOP incorporating prescription verification and audit and also make it mandatory to provide a photocopy of the entire case sheet of the patient.

SATYAMEVA JAYATE

bhagavan p s

In Reply to Bhagavan p s 5 years ago

Good,

All round silence

Thats the problem of the patients with the Indian doctors

But my question why the IMC and IMA is shy to accept the weakness and deficiency?

Why don't the Govt impose prescription verification system and audit and expose qualified quacks cheating the patients.

kumar

5 years ago

It is high time that Amir Khan take up the illegal enforcement of Govt.'s approval to force PG Medical students to work continueously beyond 12 Hours. In Most of of the cases these students work beyond 24 hours. Insuch a case how do you expect proper medical attention as these very students are the first to attend any paitent. Further the Stipend to these students are quite low and the condition of hostel is worst than VT Station in Night.

Sensex, Nifty may try to rally after a minor dip: Monday Closing Report

More than a day’s correction may be needed to get back to a positive trend
 

The market, which was in the positive till noon trade, was hurtled into the red following remarks by S&P that India would be the first among BRIC nations to lose its investment grade rating. We had mentioned in our Friday’s closing report that Nifty may find its first resistance at 5,100, after which there may be a minor correction. Today the index crossed this level after which it slipped into the red during the last hour of trade. We may see the correction extending tomorrow, as well. However, if the negative move continues for more than a day, the downward trend may set in. Today the National Stock Exchange (NSE) saw a higher volume of 71.82 crore shares.

The market opened in the positive on news that the European Union, on Saturday, agreed to led up to 100 billion euros to Spain to help its beleaguered banks. The news also boosted the Asian markets in morning trade. The Nifty opened 29 points higher at 5,097 and the Sensex resumed trade at 16,805, up 86 points over its previous close.

The early gains were supported by banking, metal, power, auto and capital goods sectors which witnessed good buying interest. The upmove enabled the benchmarks hit their intraday highs in the first half hour itself with the Nifty going up to 5,124 and the Sensex rising to 16,894.

Meanwhile, the rupee rose by 32 paise to trade at 55.10 against the dollar in early trade as the greenback weakened against euro overseas.  The Indian unit had lost 48 paise to close at 55.42 against the dollar in the last session.

The market remained range-bound till the noon session after which strong selling pressure was the benchmarks pare all their gains and venture into the negative territory. The decline followed a warning from ratings agency Standard & Poor’s (S&P) that India might be the first among BRIC nations (Brazil, Russia, India and China) to lose its investment grade rating.

The news also saw the benchmarks fall to their day’s lows towards the end of trade. At this point, the Nifty dropped to 5,041 and the Sensex went back to 16,627.

The market ended the trading session marginally off the lows, snapping its five-day winning streak. At the close, the Nifty settled 14 points down at 5,054 and the Sensex lost 51 points to finish at 16,668.

The advance-decline ratio on the NSE was 802:739.

The broader markets closed on a mixed note. The BSE Mid-cap index dipped 0.20% while the BSE Small-cap index rose 0.21%.

BSE Consumer Durables (up 0.99%) and BSE Fast Moving Consumer Goods (up 0.19%) settled higher while all other sectoral indices ended in the red. They were led by BSE Capital Goods (down 1.64%); BSE Healthcare (down 1.34%); BSE Realty (down 1.02%); BSE Oil & Gas (down 0.75%) and BSE Auto (down 0.56%).

Tata Power (up 2.18%); Bajaj Auto (up 1.85%); Hindustan Unilever (up 1.58%); GAIL India (up 1.55%) and Coal India (up 1.44%) were the top gainers on the Sensex. The main losers were Cipla (down 2.25%); BHEL (down 2.21%); Larsen & Toubro (down 1.99%); Jindal Steel (down 1.93%) and Tata Motors (down 1.40%).

Tata Power (up 2.23%); Bajaj Auto (up 2.07%); Grasim Industries (up 1.55%); HUL (up 1.40%) and Siemens up 1.32%) were the key gainers on the Nifty. The main laggards were HCL Technologies (down 3.46%); BHEL (down 2.83%); Cipla (down 2.62%); Sesa Goa (down 2.52%) and L&T (down 2.40%).

Markets in Asia settled in the green on easing of banking concerns in Spain after EU leaders agreed to lend 100 billion euro to help Spanish banks deal with their liquidity issues. Positive economic data from China also supported the gains.

The Shanghai Composite climbed 1.07%; the Hang Seng surged 2.44%; the Jakarta Composite advanced 1.07%; the KLSE Composite rose 0.50%: the Nikkei 225 gained 1.96%; The Straits Times jumped 1.82%; the KOSPI Composite surged 1.71% and the Taiwan Weighted settled 1.72% higher.

At the time of writing, the key European indices were trading with gains of 0.97% to 1.95% and the US stock futures were in the positive.

Back home, foreign institutional investors were net buyers of shares totalling Rs202.01 crore on Friday while domestic institutional investors were net sellers of equities amounting to Rs81.48 crore.

Hinduja Group flagship firm Ashok Leyland today said it has supplied 100 ‘Falcon’ buses to Ghana for $7.6 million (about Rs42 crore). The vehicles have been inducted to the fleet of a transport company—Metro Mass Transit—in which the Government of Ghana has 45% stake. The buses will ply on 360 routes throughout Ghana, both inter and intra-city. The stock closed at Rs26.70 on the NSE, up 0.38% over its previous close.

Metkore Alloys & Industries is set to build a world-class 1,65,000 tonnes per annum capacity ferro chrome smelter project in Oman with an envisaged investment of $80 million. The company is negotiating with a local firm for a joint venture agreement, but no agreement has been signed so far. The stock surged 2.86% to close at Rs14.40 on the NSE.

The Dhampur Sugar Mills today said its board has approved the merger of JK Sugar with the company and shareholders of the latter will get 275 shares for every 1,000 shares they hold. The proposed merger is subject to regulatory and other approvals, the company added. Dhampur Sugar settled 1.35% higher at Rs45.20 on the NSE.

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Alstom gets Rs55 crore order from NTPC for equipment supply

 

Alstom would supply complete station control equipments to NTPC's Solapur and Mauda projects in Maharashtra

New Delhi: French company Alstom has secured two contracts worth over Rs55 crore from state-run NTPC for supplying equipment to the state-run company's Solapur and Mouda projects in Maharashtra, reports PTI.
 
"These contracts worth Rs55.4 crore have been awarded to Power Automation and Controls (PAC) Business of the company in India," Alstom said in a statement.
 
The turnkey scope of the projects cover a combined area of complete station control to be manufactured by Alstom's manufacturing facilities in India and Europe.
 
While, the automation solutions for the project will be integrated locally by setting up a integration facilty in India, the electronic cards and assemblies will be manufactured by Alstom facilities in Europe, it said.
 
"The Power Automation and Controls business is a major component of Clean Power offering of Alstom," Francois Carpentier, Vice President, Thermal and Renewable Power, Alstom India.

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COMMENTS

Prashant

5 years ago

no one is going ti die if we ban diesel passenger cars / SUVs altogether...

RNandakumar

5 years ago

The price parity between petrole and diesel defenitely will make the car buyer to think twice before opting for a diesel one as petrole car offers maintainance advantage for city or urban living consumers. Diesel cars should be taxed to the level of making the subsidiaries for fuel equal. This would also create a level playing field between the car manifacturers. Thus a consumer who wants to travel long on road only would opt for diesel cars.

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