Who said doctors can’t be ethical and successful?

When doctors enrolled themselves in the profession, they are bound to
observe certain professional ethics and decorum. That is not for sainthood
but for the upkeep of a certain code of professional conduct which was
practised by our seniors. That gave us the social recognition and dignity we
earned collectively.

Now there is value erosion, everybody admits. Breach of medical ethics is
seen not as grave, restrained and punished timely, but is being overlooked
and condoned easily as an “inevitable evil of the prevailing conditions.”

The strength of the majority is not used to correct the wrongdoing of a
minority, but to justify its misdeeds and approval by the whole body as a
“survival strategy.” Professional associations are also resorting to strikes
to safeguard their business interest and protection from the “public” whom
they are supposed to serve. The old fashioned and the not-so-smart ethically
practising doctors are becoming a minority. Even a laughing stock! No
wonder, the same society that treated us once as “god” is now treating us as
“dogs” as lamented by Dr. Manorama Gadde (Open Page, The Hindu, July 17,
2011 <http://www.thehindu.com/opinion/open-page/article2233675.ece>).

Who is at fault? Rather than taking it to the “media” accused of using
“doctors as punching bags,” it is high time for introspection.

What happens, for example, if we refuse to pay 25 per cent of the fees to
the local RMPs to get referral cases? My firm belief is that if a doctor is
ethical, skilled and very good in his/her profession, people flock to that
doctor. Client satisfaction is the best advertisement for a doctor or
hospital. People may be unlettered, but their wisdom can differentiate the
bad from the good doctor. It is only the mediocre and below average who need
advertisement props.

I have seen very poor patients travel from far off tribal areas and
districts and across State borders to Ganiari near Bilaspur city to receive
the good services of a group of committed specialist doctors who passed out
of the AIIMS, Delhi. These doctors do not even put up a decent nameboard.

I started paediatric practice in a 150-bed mission hospital in a rural area
where not more than five or six patients came a day. Within a few months,
the number grew up to almost 90, and it became unmanageable for me as a
specialist to give quality time and attention to my patients. Finally, I was
compelled to restrict my outpatient tokens.

Many local practitioners referred patients to me, instead of to the district
headquarters hospital, because they knew I did not pass any remark on the
missed diagnosis or the not-so-correct case management by the referring
doctor. Moreover, would get a return referral slip, in a sealed cover, on
what the diagnosis turned out to be upon investigation and the lines of
management that I followed.

*In India, no qualified doctor willing to practise ethically is going to
starve. There is enough revenue generation from consultancy for everybody’s
need, but may be not enough to everybody’s greed.* The “greed” is often
perceived and firmly believed as “need” when you actually embark upon
certain ambitions of life for the sake of survival in cut-throat
competition. One more building block, one more operation theatre, a CT scan
machine and similar sorts, for which banks are ready to advance loans fast
but also quick to retract when EMIs are delayed. The stress is passed on to
the middle class patients who might not have actually needed it at all. Why
join that rat race?

*By Dr. K.R. Antony*



*(The writer is a former Health & Nutrition Specialist for UNICEF and former
Director, State Health Resource Centre, Chhattisgarh. His email id is
 
kranton...@gmail.com<http://www.thehindu.com/opinion/open-page/kranton...@gmail.com>
)*


  http://dendrytes.com/Blog/archives/646

-- 
Adv Kamayani Bali Mahabal
+919820749204
skype-lawyercumactivist
*
*
*The UID project i**s going to do almost exactly the same thing which the
predecessors of Hitler did, else how is it that Germany always had the lists

of Jewish names even prior to the arrival of the Nazis? The Nazis got these
lists with the help of IBM which was in the 'census' business that included
racial census that entailed not only count the Jews but also identifying
them. At the United States Holocaust Museum in Washington, DC, there is an
exhibit of an IBM Hollerith D-11 card sorting machine that was responsible
for organising the census of 1933 that first identified the Jews.*
*
*
*http://saynotoaadhaar.blogspot.com/*
*http://aadhararticles.blogspot.com/*
*http://www.facebook.com/home.php?sk=group_162987527061902&ap=1*<
http://www.facebook.com/home.php?sk=group_162987527061902&ap=1>

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