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Exclusive: ‘The Ethical Doctor’ Author Dr Kamal Mahawar explains Grim side of the noble medical profession in India
A sixty-year-old man with chest pain goes to his local family doctor. Chest pain is a common clinical condition and can result from a number of conditions. However, it promptly takes a patient to the doctor because deep inside, every patient is worried that it could be due to a heart problem. Family doctors and cardiologists are aware of this fear in patients’ minds and will not hesitate to exploit it. When the survival of your own family is at stake and when the hospital has given you targets to achieve for the month, even the most conscientious cardiologist will not hesitate in recommending stenting even if it is not strictly necessary or required at all.- Excerpt from “The Ethical Doctor”
Sept 04, 2016: It’s been a long night, alternating between cups of coffee and a monstrous packet of chips, I had imagined sporadically about life without a uterus like the forty-year lady mentioned briefly in the book ’The Ethical doctor’. It started off as a casual read after an evening of friendly banter with a couple of doctor friends over medical corruption. I wouldn’t lie; the words did take me off guard but I played along dumbly. Corruption amongst the Gods; our hallelujah healers, how plausible is that?
‘Ethical doctor’ helped me climb the ladder from an atheistic to a realist. Closing the book cover that night, it was established that my newfound knowledge about Cuts and Commissions, Unnecessary Tests and Treatment and more on the similar lines could now easily piss off a doctor. I looked up the name of the author, Kamal Mahawar, unsurprisingly the man had many titles to adorn the name, he was a Bariatric Surgeon for Sunderland Royal Hospital, UK, an Associate Clinical Lecturer, an Editorial Board Member for “Obesity Surgery” and the Chairman of Webmed Limited. The book must be a Gospel message, I thought!
A man practicing in UK writes a book about Indian medical conduct, undoubtedly there will be questions thrown at him. I had my own set in a thought bubble over my head that needed answers that night.
Days later, I (Reporter Karishma Vanjani) got a chance to pen them down for Newsgram, after an interview with Doctor Kamal, himself. *Self-applauds*
A distant hum in the background was the only sound accompanying the unmissed anticipation of the conversation. I broke the ice by questioning him about his journey to becoming a veritable doctor-writer, in the likes of Danielle Ofri.
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- Karishma: So, What inspired you to move out of the hospital corridors and turn into an author cum doctor?
Dr. Mahawar: It’s an honor to be referred by this label. I wouldn’t want to give you a very clichéd answer but years after I settled into my role as a doctor, I thought to myself what have I given to a country that gave me a free medical education and so much more. My stint in the Aam Aadmi Party (AAP) was part of the same journey; a journey to find ways to contribute to the Indian society without shadowing a judgment on it.
Now, we can’t deny that there are problems in the system that goes deep. I mean as a surgeon, I can come back and maybe do 20 operations a month but even if 100’s or 1000’s of surgeons like me went back, it won’t change anything, will it? Problems are profound and it was only when I realized the importance of addressing the structure of the system in place that I started writing.
- Karishma: Your book “The Ethical Doctor” talks about how easy it is to dupe people when it comes to the matters of life and death. It has a very good insight into the medical profession in India. The readers would love to know about your life in India that helped you understand more on the lines of Medical fraud.
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Dr. Mahawar: From 1991-2011, I played my role in India- learning, practicing and absorbing the people and the environment around me. I also went back to Delhi for seven months in 2014, but sadly I couldn’t work looking at how the system functioned. Today, as a columnist for the Indian medical times, I say things impartially. I have written several opinion pieces in the last 3-4 months and people do come out and criticize you. However, I believe that till the time you don’t put your self-interest aside, the society won’t move forward. Everything I know, I tried to share it through my book and that’s all I have done.
- Karishma: Would you like to comment on the Kidney racket in Mumbai’s Hiranandani, hospital? This has been the first time senior doctors at a large institute in the city have been arrested for unethical medical practices. There are arrests and pre-arrest bail pleas are being made, let’s just say there must be an absolute havoc in the hospital?
Dr. Mahawar: You’ll actually find a blog on this topic by me on the Indiatimes portal. I would like to say that it’s not just doctors and hospital owners who need to do some soul-searching here. Why would there be an incentive for a doctor to cheat if he’s rewarded properly? Doctors pass out with 10 years of experience as their leverage but also a family to pay for. If you pay him 20,000 a month how do you expect him to survive?
A lot of my Indian friends in England say they want to go back to India but they are so put off by the nature of the practice that they would rather not. Where are the jobs for people to go to? We talk about doctor’s being unethical but has the government created a system where people can go and work after qualifying? Where is the system?
Dr. Kamal Mahawar, a man of expertise, experience and understanding will show you the good bad and the ugly side of the most revered profession in the world through his book. By the end of the interview, he happily disclosed that there’s another book in the pipeline and we, here at Newsgram wish him the very best for it! Dr. Mahawar can be contacted at @kmahawar
– Interviewed by Karishma Vanjani of NewsGram. Twitter: @BladesnBoots
NEW DELHI - India Navy sending four ships for exercises and port visits with the Philippines, Vietnam, Singapore, Indonesia and Australia to strengthen cooperation in the Indo-Pacific region, its navy said Wednesday, as China's maritime power grows in the area.
The Indian ships will spend more than two months in the region, the navy said in a statement.
Commander Vivek Madhwal, the Indian navy spokesman, said four ships will take part.
The ships will also participate in a multilateral exercise, MALABAR-21, along with the Japanese, Australian and U.S. navies, the statement said.
It said the exercises will enhance coordination with friendly countries, based on common maritime interests and a commitment to freedom of navigation.
"Besides regular port calls, the task group will operate in conjunction with friendly navies to build military relations and develop interoperability in the conduct of maritime operations," the statement said.
The U.S., India, Japan and Australia are part of the Quad regional alliance created in response to China's growing economic and military strength. Washington has long viewed New Delhi as a key partner in efforts to blunt increasing Chinese assertiveness in the Indo-Pacific region.
India is also in a continuing standoff with China over their disputed border in the eastern Ladakh region. The countries have stationed tens of thousands of soldiers backed by artillery, tanks and fighter jets along their de facto border, called the Line of Actual Control.
Last year, 20 Indian troops died in a clash with Chinese soldiers involving clubs, stones and fists in a portion of the disputed border. China said it lost four soldiers.(VOA/HP)
The UK government on Thursday announced that it will move India from the red to the amber list on Sunday, in the country's latest update to the 'Red-Amber-Green' traffic light ratings for arrivals into England amid the Covid-19 pandemic.
This means the visit visas for the UK from India are open, in addition to other long-term visas that have remained open. But travellers from India arriving in England can complete a 10-day quarantine at home or in the place they are staying (not mandatorily quarantine in a managed hotel).
The UK government also announced that arrivals from France to England will no longer need to quarantine if they are fully vaccinated. The step aligns France with the rest of the amber list now that the proportion of beta variant cases has fallen, where those who are fully vaccinated with a vaccine authorised and administered in the UK, the US or Europe do not need to quarantine when arriving in England.
This move also simplifies the system to three categories, as well as the green watch list to give travellers notice where green status is at risk.
To continue cautiously reopening international travel, Austria, Germany, Slovenia, Slovakia, Latvia, Romania and Norway will be added to the government's green list, having demonstrated they posed a low risk to UK public health.
Besides India, Bahrain, Qatar and the UAE will also be moved from the red to the amber list, as the situation in these countries has improved.
The data for all countries will be kept under review and the government will not hesitate to take action where a country's epidemiological picture changes, a statement by the UK government said.
Following an assessment of the latest data, Georgia, La Reunion, Mayotte and Mexico will be added to the red list as they present a high public health risk to the UK from known variants of concern, known high-risk variants under investigation or as a result of very high in-country or territory prevalence of Covid-19.
Arrivals from Spain and all its islands are advised to use a PCR test as their pre-departure test wherever possible, as a precaution against the increased prevalence of the virus and variants in the country.
Transport Secretary Grant Shapps said: "We are committed to opening up international travel safely, taking advantage of the gains we've made through our successful vaccination programme, helping connect families, friends and businesses around the world.
"While we must continue to be cautious, today's changes reopen a range of different holiday destinations across the globe, which is good news for both the sector and travelling public."
Since February, anyone who arrives in the UK from a red list country has been required by law to book a stay in a managed quarantine facility for 10 days.
In order to ensure taxpayers are not subsidising the costs of staying in these facilities, which have gone up, the cost will increase from August 12. Alternative payment arrangements remain available to those who genuinely cannot afford to pay and rates remain the same for children up to 12.(IANS/HP)
A Hindu temple in Pakistan's Punjab province was reportedly vandalized by hundreds of people after a nine-year-old Hindu boy, who allegedly urinated at a local seminary, received bail, a media report said on Thursday.
According to the Dawn news report, the incident took place on Wednesday in Bhong town, about 60 km from Rahim Yar Khan city.
Besides the vandalization, the mob also blocked the Sukkur-Multan Motorway (M-5), the report added.
Citing sources, Dawn news said that a case was registered against the minor on July 24 based on a complaint filed by a cleric, Hafiz Muhammad Ibrahim, of the Darul Uloom Arabia Taleemul Quran.
The sources said that "some Hindu elders did tender an apology to the seminary administration saying the accused was a minor and mentally challenged".
But, when a lower court granted him bail a few days ago, some people incited the public in the town on Wednesday and got all shops there closed in protest, the report quoted the sources as further saying.
A video clip showing people wielding clubs and rods storming the temple and smashing its glass doors, windows, lights, and damaging the ceiling fans went viral on social media.
In response, one Twitter user said: "Ganesh Temple, village Bhong in Rahim Yar Khan, Punjab has been ravaged. Another day, another attack on Hindus in Pakistan."
Another said: "Yesterday, the mob ran amok at Temple over minor boy issue who allegedly urinated, the boy said to be mentally handicapped. Hindu community made an apology for the boy — a case registered against the nine-year-old boy. Those vandalized temples, no FIR registered against them."
District police spokesman Ahmed Nawaz Cheema said Rangers had been deployed in the troubled area and the situation was under control.
A small town close to the River Indus and Sindh-Punjab border, Bhong houses a number of gold traders who originally hail from Ghotki and Dehrki (Sindh), according to the Dawn news report.
A ruling PTI member representing the minority said he had been in touch with the local Hindu community and influential Rais family of Bhong since the issue surfaced.