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By Meghna Nair
“Medicine is a profession where one can play God.” That is probably the most clichéd statement one can come across.
In time of health crisis, doctor is synonymous with God to us. But what happens when the doctors have other plans?
A huge doctor-diagnostics centre nexus has been exposed in the North-Eastern state of Assam. According to a report published by Assam Tribunal, many doctors prescribed unnecessary tests to the patients in exchange of huge commissions.
But, this isn’t the first time it is happening. In the past few years, several cases have come to the limelight wherein people have been prescribed expensive tests for no substantial reason.
A very grave instance was reported in Assam wherein a couple was forced to sell their newborn because they couldn’t handle the medical expenses owing to the caesarian section the mother underwent. The height of irony is the fact that the incident happened in a government hospital in the capital city of Dispur.
The incident, although occurred in 2012, had brought up the issue of various kinds of nexuses existing between doctors and pharmaceutical companies, diagnostic centers etc.
According to the same report, doctors demand 30-50 per cent commission from the diagnostic centers by cash every month on MRI and CT scans.
Everyone knows that the field of medicine is well paying and that is one of the many reasons why it is one of the most sought after professions in India. Why then, are the doctors getting greedy and exploiting the common man?
“It is true that doctors get paid well, but there is a huge disparity between how much a doctor practicing in the city earns, as compared to his rural counterpart. The difference is not small. For example, if in cities like Delhi, a doctor is earning Rs. 60,000 a month, in rural areas the earnings would amount to as low as one third of this, i.e. roughly 20,000 rupees a month. That is a big disadvantage,” says Dr. Abhishek Shankar, who is currently practicing in AIIMS, New Delhi.
Be it Delhi or Andhra Pradesh, these nexuses are omnipresent. A nexus of an Ahmedabad based pharmaceutical company and 40 doctors from Telangana was exposed in 2013. The doctors were pushing the sales of certain drugs in exchange of expensive gifts from the company.
A sting operation conducted by a private media outlet in 2014 revealed shocking details about the issue.
As reported by the media, the doctors struck deals with the pharmaceutical companies and provided monthly stats and details about the patients they tended to and took bribes ranging in lakhs.
“There are many frauds in this profession. Many people with fake degrees open up clinics and prescribe useless tests to the unassuming patients to rake in the commission. They are maligning the profession and are responsible for the distrust people have,” says Dr. Rakesh Gupta, a practicing Orthopedician.
Are doctors alone responsible for this problem?
It is true that doctors do have a share in this, but the blame rests equally on the masses.
With changing times and the information available on the internet, there exists a general distrust among people towards doctors.
But, as they say, “half knowledge is a dangerous thing” and that is exactly the problem.
A headache becomes a migraine, a migraine becomes a cluster headache, and there is really no limit to the ever escalating presumptions of people. Then such a person goes to the doctor and he gets treated for simply a headache and not a cluster headache, the patient starts doubting the doctor’s competence because he has already assumed the worst.
“These days the financial status of the middle class has improved and people now have less patience and increased paying capacity. They can afford to pay the consultation fees and the cost of the treatments.
When the middle-class man comes to government establishments like AIIMS, he has to wait for his turn among the working class people. This requires patience. Now, the thought process has become such that if at all they can escape the wait, and get things done, they’d not really mind paying a few bucks. That is where the problem starts,” says Dr. Abhishek Shankar.
But how much is too much? How can the patient be more aware?
Diagnostics is a crucial branch of medicine. Today, the progress of this very branch has resulted in the possibility of curing myriad diseases which were a huge threat to mankind in previous days.
The advancement of diagnostics has been a boon. In government hospitals, the number of patients is huge. But the job of a doctor becomes easier with diagnostic tools.
Earlier on, the doctor used to talk to the patient, take detailed history, use his/her clinical acumen and then if needed, uses diagnostic tools.
But now, the number of patients has increased manifold and government hospitals do not let you devote too much time on one patient when you know there are 99 others waiting outside for their turn. This is where diagnostic tools come in handy.
“Diagnostics is very important and it helps you be efficient and accurate. With the help of these tools, diagnosing is easier and the room for error is significantly reduced. But then, some people misuse these facilities and scandals arise,” Dr. Shankar says
But what should a patient do in case he/she isn’t satisfied with the doctor’s advice?
“When in doubt, go for a second opinion! And preferably go to a government run institution if you are afraid that the doctor is prescribing unnecessary tests,” Dr. Gupta adds.
Each illness is different and different diseases also affect different people differently. One can only keep his/her eyes and ears open and try to approach government hospitals to avoid being victims of commercialization.
Atop the Vindhyagiri hills in Karnataka, a 57-foot-tall statue stands. This is the statue of Lord Gomateshwara, or Bahubali, as he is known to the local patrons. The surrounding area is filled with temples where each of the many Jain Tirthankaras sits.
Sharavanabelagola is named after a pond that is located at the foothills. 'Bel' in Kannada means white, and 'kola' means pond. This is a sacred water body to the activities of the temples. It is a tourist attraction and a pilgrim destination located 85 kilometres from Mysore, and 145 kilometres from the capital, Bangalore.
The pond that Sharavanabelagola is named after Image source: wikimedia commons
Since the statue is placed at such a great height, pilgrims are made to make a journey to the top of the hill by foot. They are required to climb the stone steps barefoot as an act of piety and devotion. Palanquins are offered only to senior citizens who wish to worship at the temple.
In 3 B.C, when India was ruled by the Mauryan Dynasty, Chandragupta Maurya became a Jain monk and took up residence in the Chandragiri and Vindhyagiri hills. He is supposedly responsible for the establishment of the temple complex at Shravanabelagola, where he lived till he died. Later on, his grandson, Ashoka made some additional changes to the place.
A shop in the tourist section that sells handmade items Image source: wikimedia commons
Every twelve years, a Mahamastabhisheka is conducted, and Jains from every part congregate to witness it. The statue is washed with water, rice flour, sugarcane juice, saffrom, sandalwood paste, gold, and silver flowers, curd, ghee, milk, and turmeric, and all the monks offer special prayers. The surrounding temples and rocks are preserved as archaeological wonders owing to the 800 edicts and inscriptions found here which span 600 to 1830.
Keywords: Shravanabelagola, Jainism, Chandragupta Maurya, Ashoka, Karnataka
By Siddhi Jain
The author who named the book after her twin sons -- Puhor and Niyor -- is a parent who has seen and heard the tales of ridicule and discrimination suffered by many in India and beyond. She says the book is an artistic illustration for kids that details how different families can live and coexist. Whether it's children with two dads or two moms, children with a single dad or single mom, and even multiracial family units, Borthakur's book teaches love, understanding, and compassion towards unconventional families.
Beyond race, gender, color, and ethnicity which have formed the bases for discrimination since the beginning of time, this book aims to bring to light a largely ignored issue. For so long, single parents have been treated like a taboo without any attempt to understand their situations; no one really cares how or why one's marriage ended but just wants to treat single parents as villains simply for choosing happiness and loving their children.
Homosexual parents, a relatively new family system, is another form that has suffered hate and discrimination for many years. Pritisha emphasizes the need to understand that diversity in people and family is what makes the world beautiful and colourful. 'Puhor and Niyor's Mural of Family Stories' is a firm but compassionate statement against all forms of discrimination on the bases of sexual identity, gender, race, and even differences in background
'Puhor and Niyor's Mural of Family Stories' is a firm but compassionate statement against all forms of discrimination on the bases of sexual identity, gender, race and even differences in background. | Photo by Ben Wicks on Unsplash
Written for a global audience, the book is targeted at kids between the ages of five and 10, the reason it is embellished with colourful images of families of different types is to appeal to children's sense of sight and drive home the message at the same time. Borthakur believes children are the best place to start because the ages between five and 10 are the most formative, where little ones pick up habits, beliefs and perceptions.
The Guwahati-born author says, "With this book, I'm not trying to take away the job of parents in forming habits, I simply want to do my part as a parent. It is important that we impart the right values in our kids in a bid to build a better, more inclusive and tolerant global society that is fair to everyone." The author's first attempt at a book was an Assamese poetry 'Anubhav', published in 2010.
Set to be published under the label of Author's Channel, the book is like an adventure; a journey into uncharted territories, untouched subjects and matters long ignored. In her words. "The book takes a critical stand in defense of people in society who have had to undergo severe emotional torture for no cause of theirs. It is a terrible conception to think such people any less of a human just for being different," says publisher Aruna Naidu. By September 30, this title, priced at Rs 299, will be available online and in offline bookstores. (IANS/ MBI)
Keywords: Book, children, Guwahati, Puhor and Niyor's Mural of Family Stories, moral, story, kids, discrimination, equality
If you feel that clean and well-groomed hands are just an essential prerequisite for women, you might like to think twice. Men should equally pay attention to their hands because our hand houses 1,500 bacteria living on each square centimeter of its skin. You can easily assume what havoc it can create in our body because in India we have the culture of eating with our hands and spaces beneath nails can become breeding heaven for germs. Moreover, clean and maintained hands boost confidence in their daily life activities. Therefore, it's important to keep your hands clean irrespective of your gender by washing or sanitizing at regular intervals. And, to keep them groomed, you don't have to visit a salon.
Rajesh U Pandya, Managing Director, KAI India, gives easy and completely doable tips to follow at home:
* Refrain from harsh soaps: You should be mindful of the soap you are using to wash your hands. Your soap can have a moisturizing element in it like aloe vera or shea butter. Ensure that you're washing your hands with normal water as hot water can make your hand's skin dry and scaly.
You should be mindful of the soap you are using to wash your hands. | Photo by Aurélia Dubois on Unsplash
* Clip your nails regularly: Make use of your personal nail clipper to cut your nails. After cutting your nails at a comfortable length also file them using a nail filer. Never share your nail care clipper as the germs can get transferred to your loved ones. Also, don't forget to use grime remover to remove hidden germs in corners and beneath nails. Also, you may like to file your nails to have a smooth finish.
* Good quality Nail Clipper: Do not use a rusted or chromium coated nail clipper as it might be harmful to skin and might cause dangerous bacterial infections.
* Stop the habit of nail chewing: Sometimes anxiety or extreme boredom can lead to chewing of nails. This habit only makes your nails uneven and ugly. Sometimes, our unclean nail folds give rise to viral, bacterial or fungal infections, which in turn can make us sick if we chew our nails.
Make use of your personal nail clipper to cut your nails. | Pixabay
* Exfoliate your hands: Similar to the way you exfoliate your face; your hands also need it. It helps to keep the dry skin at bay and keep your hands soft. You can buy a scrub or make one at home using brown sugar and olive oil. After scrubbing, you need to massage your hands with moisturizer.
Similar to the way you exfoliate your face; your hands also need it. It helps to keep the dry skin at bay and keep your hands soft. | Wikipedia
* Don't use your nails as tools: Always keep in mind that your nails are like jewels. Never use them to pry things open such as pop cans, removing keys from the ring, opening letters, or scraping off labels. This results in unnecessary breakage of nails, making your hands look dirty.
Never use your nails to pry things open such as pop cans, removing keys from the ring, opening letters or scraping off labels. | Photo by Sammy Williams on Unsplash
* Be aware of nail or cuticle inflammation or redness: If there are any signs of infection, disinfect the skin as soon as possible with an anti-bacterial or anti-fungal ointment.
(Article originally written by N.Lothungbeni Humtsoe) (IANS/ MBI)
Keywords: Nails, groom, hand, exfoliate, chew, nail clipper, bite, cuticle