”MYTHS AND FACTS OF MEDICAL PRACTICE”
*1. MYTH – MEDICAL PROFESSION IS A NOBLE PROFESSION*..
FACT- EVERY PROFESSION, WHETHER OF A TEACHER, SOLDIER, TAILOR OR SHOPKEEPER, IS NOBLE, IF DONE WITH SINCERITY AND INTEGRITY.
*A CARELESS DOCTOR CAN KILL ONE**, A CARELESS DRIVER CAN KILL DOZENS, A CARELESS ENGINEER CAN KILL HUNDREDS..
*2. MYTH – AS IT IS A SERVICE TO HUMANITY, DOCTORS SHOULD NOT RUN AFTER MONEY*.
FACT – MONEY IS AN IMPORTANT MEASURE OF SUCCESS. RUNNING AFTER IT IS NOT GOOD FOR ANYBODY, BUT EARNING MORE MONEY BY DOING MORE WORK IS NOT A MORAL CRIME.
AND ALL WHO ADVISING DOCTORS, THEMSELVES RUNNING AFTER MONEY, AREN’T THEY?
*3. MYTH – DOCTORS MUST BE HUNDRED PERCENT HONEST.*
FACT- DOCTORS DO NOT COME FROM MARS OR VENUS. IF SUPREME COURT JUDGES OR ARMY GENERALS CAN BE CORRUPT, SO CAN A FEW DOCTORS. AS A CLASS, THEY ARE STILL BETTER THAN POLITICIANS, BUREAUCRATS, LAWYERS, POLICE OR PSU ENGINEERS.
*4. MYTH – MOST OF THE TIME, DOCTORS DO NOT UNDERSTAND THE DISEASE AND WRITE UNNECESSARY AND COSTLY DRUGS AND ADVISE TESTS AND TREAT ON A TRIAL BASIS.*
FACT- DOCTOR PATIENT RELATIONSHIP IS BASED ON TRUST, IF YOU DO NOT TRUST YOUR DOCTOR, GO TO ANOTHER ONE. MEDICAL SCIENCE IS A LIFE LONG LEARNING PROCESS, AND ALL TREATMENT, TO SOME EXTENT IS BASED ON TRIAL AND ERROR. THE SAME MEDICINE, WHICH WORKS FOR ONE PATIENT MAY NOT WORK ON ANOTHER.
SECOND, THE RESPONSIBILITY OF PROVIDING QUALITY DRUGS AT AFFORDABLE PRICES LIES NOT WITH THE DOCTOR, BUT WITH THE STATE AUTHORITIES, JUST LIKE PROVIDING FOR BETTER ROADS, UNADULTERATED QUALITY FOOD AND DAIRY PRODUCTS, UNINTERRUPTED POWER AND WATER SUPPLY ETC AND ETC. LIKE CLOTHS, CARS AND MOBILE PHONES, COSTLY DRUGS ARE GENERALLY BETTER THAN CHEAP ONES. HOWEVER, IF THE GOVERNMENT MAKES IT MANDATORY TO WRITE GENERICS, IT SHOULD ENSURE QUALITY AND THE CONSEQUENCE OF POOR/NON EFFICACY SHOULD NOT BE BLAMED ON DOCTORS.
THIRD, TESTS ARE DONE FOR PATIENT’S OWN SAFETY. JUST LIKE WEARING A HELMET OR SEAT BELT, INVESTIGATIONS INCREASE THE SAFETY. MOST OF THE DOCTORS IN INDIA ARE TRAINED TO WORK ON CLINICAL HUNCH AND COMMON SENSE AND NOT RELY TOO MUCH ON TESTS, AND ADVISE MUCH LESS TESTS THAN WHAT IS ACTUALLY WRITTEN IN THE BOOK OR DONE IN THE DEVELOPED WORLD.
*5. MYTH – TREATMENT COSTS ARE INCREASING IRRATIONALLY*.
FACT- COMPARED TO WESTERN WORLD, TREATMENT COSTS IN INDIA ARE STILL VERY LOW, AND MANY FOREIGNERS ARE COMING HERE FOR THIS REASON. AND IT WOULD BE WORTHWHILE TO THINK ABOUT ANY OTHER SERVICE OR PRODUCT WITH AS RAPID ADVANCEMENT IN TECHNOLOGY AND EQUIPMENT AS MEDICAL SCIENCE, WHOSE COST IS NOT INCREASING
*6. MYTH – DOCTORS ARE NEXT TO GOD*..
FACT – DOCTORS ARE AS HUMAN AS CAN BE. THEY ALSO GET TIRED, FALL SICK, HAVE FAMILY COMMITMENTS, GET UPSET AND STRESSED SOMETIMES AND CAN SUFFER FROM ALL THE FRAILTIES OF A HUMAN BEING. IF ANYONE WANTED TO BE TREATED BY GOD THEN THEY CAN VISIT THE TEMPLE..
Now a days, a lot of myth being spread by media and the politicians about generic and non generic drugs. So let us be clear about Drugs …..
1. Drugs are developed by pharma companies in labs and after lots of clinical testings for their safety and efficacy they enter into market as branded drugs in patented form by which means no other company can market that particular drug. This patent is given to the innovator for 20 years to recover the cost of that particular drug’s development.
2. Generic drug is nothing but that drug which is out of patent and can be manufactured and marketed by any company. Obviously generic drug becomes cheaper as it doesn’t involve the cost of drug development now.
3. As far as India is concerned , here in India we have 3 types of Medicine.
a) Patented and branded drugs means newly developed drugs
b) Branded generic drugs which majority of the drugs in India are.
c) Generic drugs sold by name of salt or active ingredient
Before 2005, India used to have process patent that means Indian companies were free to manufacture any new or old drug through a different process than the process adopted by innovator by application of reverse engineering. This made Made in India drugs the cheapest in the world.
But after 2005, UPA Government signed a pact regarding product patent in World Trade Organisation which marked the end to availability of cheap new drugs in India as now Indian manufacturer were not allowed to make new drugs through different process.
This led to sale of new life saving drugs at exorbitant prices by multinational pharma giants. These days newly marketed drugs particularly for cancers, heart diseases, diabetes and many other life threatening diseases are out of reach of majority of patients due to their exorbitant prices.
So, we can easily understand that its the govt. policy which has led to the high cost of treatment and not the Indian pharma companies or doctors.
Regarding branded generics, let me tell you it is to ensure quality. As we know in every commodity brand value is built through strong and stringent quality control measures.
How can a doctor or patient ensure the quality if pure generic drug by salt name is sold ? Then the patients will be at the mercy of the chemist who will simply sell the brand with maximum profit.
So I request my worthy PM Modi ji to look into the matter carefully and discuss the matter with experts before uttering bad words about the doctors and Pharma co.s who serve the ailing humanity with utmost zeal and dedication. The loss of relation of Trust by such immature statements without knowing the facts fully is really damaging for the health of the nation.
N.B. HERE I WOULD LIKE TO MENTION VERY STRONGLY THAT IN INDIA COST OF TREATMENT AND ALSO COST OF THE MEDICINE IS THE LEAST IN THE WORLD. AND INDIAN DOCTORS ARE CONSIDERED THE BEST IN THE WORLD DUE TO THEIR HARD WORK AND DEDICATION.
Let’s not kill our pharma companies which have provided us the quality medicines at the most affordable prices .
Let’s Respect our doctors who serve the ailing humanity with utmost dedication, hard work, sacrifice and quest for excellence ; keeping the patients above themselves…….
- Acute Coronary Syndrome
- Acute Decompensated Heart Failure
- Acute Pancreatitis
- Adrenal Insufficiency
- Alcohol Withdrawal
- Blood Transfusion – When to Transfuse and Risks Involved
- Central Line Infections
- Community Acquired Pneumonia
- Constipation in Adults
- COPD – Gold criteria for classification
- Cushings Syndrome
- Decreased Urine Output
- ECG for Interns
- Electrolyte Replacement
- Foot Ulcers
- GI Bleeding, Upper
- GI Prophylaxis, Indications
- Hospital Acquired Pneumonia
- Hypertensive Emergencies
- Intern Orientation – Sign Out
- IV Fluids
- Lipid Management – 2013 ACC-AHA Guidelines
- Management of Inpatient Hyperglycemia
- Mechanical Vent
- Pain Treatment Options
- PRBC Transfusions Medicine Floor
- Pulmonary Embolism, Diagnosis
- Renal Stones
- Shock Mini Lecture
- ST Elevation on EKG
- Used PRN Medications
- Vasopressors and Inotropes
- Ventilator Basics
- VTE Prophylaxis
- Weaning from the Ventilator