Medical Consumers

Doctors are paid for their services- very often these are astronomical fees. While the complexities of a human body are certainly governed by an unknown force (some may call it God), medical science will certainly help in a large number of cases. So its natural for a patient to expect relief from their complaints.

Yet in some cases, things go horribly wrong and instead of relief, the patient may land up with something much worse. Then there is talk of ‘suing’ the doctor, taking legal action etc.

So is medicare in India covered under consumer laws?

In Pune, Rida Shaikh succumbed to H1N1 infection. We all grieved for the loss of this young girl on the threshold of her youth. Was Jehangir Hospital at fault? Were her doctors negligent? What test did Ruby Hospital really perform (the results were returned faster than the usual time required for a H1N1 test)?

A television discussion last week dealt with this topic and here is what I understood:
A doctor cannot be sued for error of judgment or difference of opinion. In most cases, it is another team of doctors who investigate and they will always stand by their own. How does one then prove that the doctor was at fault? Read the full discussion here.

Our legal system being what it is, a case will take forever to reach a logical conclusion.

Where does that leave us? Are we not entitled to some legal protection such situations?
What are our rights, if any, as medical consumers?

Other instances of negligence/oversights/mistakes (whatever be the word play used) that may cause death or damage are certainly punished such as the recent Delhi Metro under-construction bridge collapse where Gammon India was to be issued a show-cause notice.

This argument can go on for ever and the issue would still remain unresolved. In the meanwhile, each one of us needs to focus on our health.
Take a rain check of your lifestyle..
Is your diet a healthy one?
Are you exercising regularly?
Do you practise stress-management techniques?
Do you follow basic hygiene practices?

As some one said, one should never have to require services of professionals wearing a black or white coat.
Stay well!

Phoren or Indian

The H1NI1 outbreak in India surely owes its origins to foreign countries. Many of the positive cases in India are people who have travelled abroad.
Among warnings issued to people to prevent H1N1 infection is to avoid foreign (phoren) travel.

I can’t speak for other parts of India but in Pune certainly, foreign (phoren) returnees are always looked upon in awe. Lets say till this H1N1 outbreak. Suddenly nobody thronged to visit people returning home from visiting their kith and kin or their foreign holiday.
Those who did, were openly asked questions if they suffered from symptoms, did the people they stayed with suffer symptoms and so on….
Discomforting? Certainly…
Embarrassing? Probably…
Arrogant? Certainly not…

The dilemma is worse with visiting foreign (phoren) relatives (particularly those keen for a desi experience in their northern hemisphere summer).

This weekend there are many more people moving around wearing masks on their faces. Pune girls/women are not new to such facial protection used as they are to tying long scarves or dupattas around their heads.
As we try to protect ourselves will the namaste/ namaskar (an Indian form of greeting people with folded hands) be a more hygienic form instead of the foreign (phoren) hand-shake?

What do we eat?

Dals are an important source of protein for vegetarians. Several experts advice preparing them in different combinations for maximum benefits.
Yet the current situation is hardly conducive to a wholesome vegetarian diet.
Prices of dals have gone through the roof.
Tur dal costs Rs 100 per kilo with some ‘premium’ varieties costing much more.
Other varieties are not far behind.

There are several reasons being thrown around. Some blame it on commodity trading.
Others on inadequate production. Read this Financial Express report.
There are reports of huge stocks of imported dal lying (rotting is the word used by some) at ports across India. Read this India Today report.
Our Parliament too witnessed some action on this issue. Read about it on this report on rediff.com.

Inflation on 30 Jul 2009 stood at minus 1.54%. Read about it at Commodity Online.
Where does that leave the vegetarian common man?
Most are in no mood to be explained intricacies of economics. The people need concrete action.

Marie Antionette supposedly asked people to eat cake if they dont have bread.

What do we eat?

Why swearing may be good for you…

Cut your hand/ stumbled on a stone and hurt your toe nail/ finger caught in the door hinge…
One usually swears whenever such accidents occur. Ever wondered why?

A study published in the journal NeuroReport by experts from the Keele University found that study participants who cursed freely were able to tolerate pain about 50% more than those who did not swear. Click here to read the full news. Though the exact link between swear words and pain relief was not found, researchers attributed the analgesic (pain relief) effect of ‘colourful’ language to the ‘fight-flight’ response it triggers in our body.

Keeping a ‘stiff upper lip’ while in pain may not be such a good idea after all…

Amazing Heart recovery

Hannah Clark of England is thought to be the only person in the world in whom her failing heart sufficiently recovered so that the transplanted heart could be removed. Read the story here and here. Professor Magdi Yacoub of Imperial College London and Hannah’s doctor since the begining has co-authored a report about this miracle in the Lancet journal.

Hannah developed a type of cancer due to drugs given to prevent her body from rejecting the transplanted heart. As the doctors changed medication plans her body responded with her own heart healing and recovering.

Miraculous Rain

The specter of a drought loomed largely over us all through summer of 1999. Southwest monsoon had reached Bombay ahead of time but now seemed hesitant to cross Dahanu. In Bhuj, in the sweltering heat one heard of travails of people who had to wait endlessly for water tankers or ladies who had to trudge miles to fill just a few pots of water. The countryside had become bare. The notorious Keekar of Kutch too was reduced to thorny stems. The ground was parched and cracked. On the highway we frequently encountered herds of restless cattle, all moving towards the towns in search of water and fodder.

The famous Hamirsar Lake in Bhuj had been reduced to a large muddy puddle. In winter Pelicans and many other varieties of large and small birds were a common site there. Now the lakebed was home to hundreds of cattle waiting out the long hot days. There were no signs of birds other than a few crows sitting desultorily on the cows. I had heard of a particularly bad year when the lake had dried out completely and a circus was able to camp there. I prayed fervently for things to be better that year even if it meant not enjoying the circus!

And then suddenly the Heavens opened! Dark heavy clouds poured the nectar of life onto us. Every creature, leaf and twig drunk up the water with glee. Children danced in the rain and no one denied them the pleasure of enjoying those first showers. I am sure some of the adults envied them wishing that they too could join them. I know I did!

Over night the landscape around me changed. The bare brown cracked earth of the day before was now an endless carpet of green. It was almost as if the seeds in the soil were only waiting for the rain to burst to life. We could hear the birds chirping and sparrows were soon busy building nests. The air was filled with the smell of wet earth and was full of Hope and Promise again.

It was only after two days that the weather cleared up enough for us to venture out for our evening walk. The area was suddenly full of different types of birds. Some splashed in the plentiful puddles of water while others were feasting on the large number of insects who too were out to savour the cool rainwater. I watched the antics of the birds in wonder. Each one seemed to have an area marked out for itself, pecking away at every little bug who dared to come out. All of a sudden they would break into a cacophony as if alerting each other of some intruder. One of them stood on the tarred road with wings wide spread, as if, inviting me to come fly with him. My husband said they were Egrets but their name meant little to me, as I watched them enjoying the aftermath of the rain.

Along the road I counted at least six different types of grasses growing. Some of the tiny plants had even flowered in these two days, their little purple blossoms making a flamboyant show on the green carpet. It was almost as if each plant however tiny, was exercising its right to bloom. All the plants, trees and bushes had donned a new wardrobe bearing no resemblance to the thorny stems of yesterday. The desert had become green in an incredibly short time.

The insects continued to amaze and irritate me at the same time! Over the 3 days of rain, we had several varieties of winged invaders in our home, buzzing around the lights. Their life was to last only until the next morning as some strange force of nature drew them to their end towards the lights.

Out on the roads the earthworms, snails and caterpillars were out in full strength. I saw a bewildering variety of 6 and 8-legged creatures all running to hide under a blade of grass as soon as they heard a footfall. The Hamirsar Lake was full again. The water reflected diamonds as it picked up the weak sunlight and its surface rippled in the breeze. The cattle on the lakebed had long gone back to their villages led by the farmers who hastened home to sow their fields.

As I watched the raindrops fall, I was struck by the life giving powers of the rain. The flora and fauna seemed as if infused with a new life and I vowed to recharge my mind with each cloudburst. The sound of the falling raindrops, the birds and crickets singing and the wind whispering in the leaves has the power to instantly bring peace and tranquility.

The monsoon is upon us again and the urban jungle responds differently to the downpour. Yet the first showers bring a welcome respite from the summer fury. I do not fret for the loss of a days work but sit back and let the rain work its magic.

What(er) on earth?

Puneites misery continues with water supply on alternate days. What is worse is are the distribution anomalies as is the blatant wastage that occurs in the pipelines.

The dailies carry reports of tanker water suppliers demanding above prescribed rates for water. The PMC claims to have taken some steps in this regard.

Now Mumbai too faces a 30% water cut. Click here for details.

Did you know that only 1% of world water is usable by humans. Click here for some interesting information about sources of water.

Every drop counts

The infrastructure crisis in Pune city continues. Roads, electricity and water take turns in testing patience of Punekars.

Water currently is the chart topper with monsoons playing truant. Though the Met office says June 2009 rainfall met average levels, dams that supply water to the city are drying up and fast. Currently we face a 40% water cut with supply on alternate days.
Through the year the Khadakvasla and Panshet dams that supply water to Pune serve as picnic spots substituting for Mumbai’schowpaty‘ (beach). The amount of rainfall in the Khadakvasla and Panshet dams is closely reported in Pune dailies.
More constructive action on part of citizens is required.
Saving water in all possible means is of utmost importance at all times.
Install rain water harvesting systems in existing buildings. While the cost may seem high, it would be shared by several people and returns over time would make this investment worthwhile.
Washing machines consume a large quantity of water. Change to manual washing and use the machine only to spin dry the clothes. Else use the ‘economy’ mode available on the machine.
Click here for some tips on saving water at home.
Click here for the latest satellite image of the country to get an idea of upcoming rainfall.
We are paying the price for carelessness and irresponsibility that we resorted to through the years. Simply praying to rain gods or blaming the system now will not count. All round and year round efforts are required at times with some personal discomfort.
Every effort counts to make each drop of water go a longer way.
Do it. Now.
There is no time to lose.

Numbers of Note

Came across some interesting figures. Click at relevant places to read the entire story.

One quintal of sugarcane yields about 9 kgs of sugar.
One tonne of sugarcane yields about 120 kgs of jaggery.
One barrel of crude oil (about 160 lit) yields 5 to 19 litres of petrol subject to quality of crude, refining process used and refiners specifications.
Organic milk contains can contain up to 71% more omega-3 fatty acids compared to conventionally produced milk, a study by the University of Aberdeen showed.
Calorific value of domestic coal in India has fallen to about 3,500 kcal/kg from about 5,900 kcal/kg in early 1960s, according to Power Ministry estimates.
India was placed in third spot as third best place to survive the economic crisis by a Servcorp International Business Confidence survey.
Digest these numbers for now.
Best wishes.

U Turn

Just watched the Marathi play ‘U Turn’. Its not for me to answer why many new Marathi plays have English titles but that in any way does not take away from merits of this play. The play explores loneliness of a spouse when a husband-wife are not together any more- either due to death of one partner or divorce. Some choose to go in for a ‘companion’ yet will society or more pertinently will their family members accept this arrangement?

U Turn explores the developing relation between a divorced Major of the Indian Army (played by Dr Girish Oak) and a widow (Ila Bhate). The strict, no-nonsense disciplinarian Major is very lonely and has advertised for a companion in a newspaper. Rama Gokhale happens to ring his door bell and from there on both go on an emotional roller coaster. Rama often delved into the days gone by whereas the Major firmly stayed only in the present. Both dote on their only children who inturn have often expressed concern for their parent’s loneliness.
As the couple enters this new relation that has as not yet really received social sanction, they naturally assume full support from their respective kids. Rama befriends and opens her heart to Madhu, the Major’s daughter who is in the final stages of pregnancy, ready to offer all support necessary at this delicate stage. The Major goes all out to learn of the well being of Sahil, Rama’s son when news of terrorist attacks in London reaches them- which is where Sahil lives.
All through this phase, Dr Oak and Ila Bhat beautifully depict the subtle changes in the Major and Rama’s personalities, their fears, joys, anger and grief as the situation unfolds before them. Do the children really accept their parent’s new found partner and joy? Can the parents handle the reaction? Do they live for their children or should they think of themselves now that their children are independant adults? Does this couple follow the direction of the time trodden path or do they take a U Turn?
The cast, director and other team members have won several awards at the state level. This two act two character play is heavily recommended.
Be Happy!