I also want to share a Story of me what I face in Fortis Shalimar Bagh Delhi. We admitted our child Kamal (Patient ID-0020154)on 29/04/2011 in hospital for brain tumour operation. At the appointment total expenditure told by doctors arount2-3 lakhs and 10 days hospitalisation, but after operatiion they inform almost total excision of tumour and successfull operation. But after 3 days child health again become serious and they shifted child in ICU . They done twice operation of Stent in brain, but still was not sure and confused about treatment. We said many times that please consult your seniors but all in vain. There was no improvement in child health and doctors were confused about treatment. When we admit our child, he was fully conscious and walking on his feets and talking normally. But after 22 days of treatment at discharge time child was in a worst condition and total expenditure was 5 lakhs, We allmost borrow this money . We done test(MRi) from another hospital, The reports is showing that tumour is not removed from brain. only 1/4 is taken out. After this Situation I complaint in Fortis HO and after that Shalimar Bagh Fortis contact me and appointment fix with Mr. Sunil Kapoor with doctors at Jassa Ram hospital on 16-09-11. But the fortis Shalimar bagh admn. behaviour was rude and nobody ask about improvement in patient status. Their main moto was that they are right and patient parents are wrong. Mr. Sunil kapoor was also talking with sense of a rich man which had no sense of mind and only knows the language of money. He said that what will do the HO. It seems that fortis organisation is mismanagement organisation where the doctors and admn. staff do what they want. Nobody had the power to interfare tham.Mr. Sunil said that if you go to hotel you had to pay for that. It seems that fortis is a Hotel with doctors and there moto is only earn money not well being of patients. Nobody was there for find a solution for patient and parents problem. This is showing that how the private hospitals like fortis treat their patient and what is doing their management.
By
Jagdeep Ohlan, Engineer Maintenance, ACPL
| 09 20 2011 13:41:40 +0000
Yes, most of them do get unethical, because according to them, being ethical is not the same as being practical or professional. They mix up ethics and professionalism.
By
neha singh, Content Editor, Avestia Corp
| 10 05 2010 14:11:36 +0000
I quote you;" doctors are also people & if everybody tries to extract money from them especially during there studies whether office clerks or at there work place or at any citizen facility like power, water connection etc. they also will learn it. the same way other people do. what happen in courts, police stations, municipality etc. everyone perhaps knows & when a doctor has to face it there is chances to loose there morality as well." HOW NICELY YOU ARE REACTING TO THE EVILS AND VENTING YOUR FEELINGS. HOW THE PATIENT MIGHT BE REACTING THEN?
By
Dr. Prahallad Panda, Specialist Surgery, Paradip Port Trust, Paradip, Odisha, India
| 09 25 2010 14:44:24 +0000
The debate is not about money. No amount of money can equal the ethical services of a doctor. It is human nature to complain when money is paid for any service, particularly when the amount is heavy. The debate is about ethics. Ethics is a mindgame in which the treating doctor has to be true to his conscience. No external body can find out the deviation of ethics all the time but the deviation comes to limelight in some instances. Knowing his limitations is part of ethics for a doctor. Ethics is well described in letter and should be covered fairly thorough in the exams for all undergraduates. Ignorance of the principles of ethics can be no excuse for unethical acts. Evidence based medicine influences ethics. No evidence can be 100% correct and it is always a fact that the judgement and decision of the treating doctor is final. This judgement sometimes would be life saving to the patient. That is why doctors are considered equivalent to gods. The situation in any illness should be discussed well with the patient/attender, and all the future directions be considered. The patient can be involved in decision making to take a particular direction. The future course of events that can happen and the actions to be taken in such instances can be written down in the case sheet and signed by the patient as well as the doctor if we have to be careful to avoid litigations. We see sometimes the logical course of action is not taken by some doctors (a minority). It is heart pricking when we come to know that economic motives were behind such actions. If such actions don’t happen, a lot of time/money/resources/pain in mind and body can be saved for the patient and it will be of benefit to India as well as our mother earth.
By
Balasubramanian NTR, Physician, Sri Gayathri Medical Mission
| 09 21 2010 12:58:36 +0000
That is true. Nobody says that there is no improvement in health sector. No doctor is going to kill a patient whether unethical or ethical knowingly. Doctor treats a patient say without any illegal gratification and with illegal gratification; the treatment is same, be it appendicectomy for example; the difference is ethics. If a doctor goes for say X-Rays of brain for a patient of appendicitis; what you call it? And that is the debate.
By
Dr. Prahallad Panda, Specialist Surgery, Paradip Port Trust, Paradip, Odisha, India
| 09 20 2010 07:50:34 +0000
How could you know that some investigations those are not required for you are being ordered! People have experienced it. Other doctors observed it. Do you know In India, many do not follow the rates prescribed by central health service. If they at all follow, order for many unnecessary investigations. Some hospitals keep patients long time in ICU, even though the patient can well be treated in cabin or ward. It is not the hygiene that costs more.
By
Dr. Prahallad Panda, Specialist Surgery, Paradip Port Trust, Paradip, Odisha, India
| 09 18 2010 07:59:27 +0000
How you rate a hospital going for serum electrolyte and hepatitis B examination in a diagnosed case of spondylolithesis, deemed to be managed conservatively? Do you think spending more hours before books make them as most ethical persons in the society, which itself ranks somewhere in 70 in transparency!
By
Dr. Prahallad Panda, Specialist Surgery, Paradip Port Trust, Paradip, Odisha, India
| 09 18 2010 01:56:07 +0000
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By
dishnetwork promotion, Dishnetwork Authorized Retailer, www.alvisat.com
| 09 17 2010 16:12:34 +0000
So, there comes the ethics. It is applicable to all the doctors. Gandhiji once refused to plead further for his client, when he came to know the truth. Doctor is a scientist, he need to act scientifically; probably should not bother for loosing a patient. There are very good Govt. and private doctors in India who go for minimal investigation and even minimal drugs; they also earn good money and reputation.
By
Dr. Prahallad Panda, Specialist Surgery, Paradip Port Trust, Paradip, Odisha, India
| 09 16 2010 17:51:44 +0000
That is true to some extent. That is half truth rather. - Will you go for CT scanning of brain of a person who is having headache, sneezing and running nose; in fear of cancer of brain that might be causing headache? Then what is the value of clinical examination?
- Go for serum electrolyte examination of a patient diagnosed as spondylolisthesis; instead of a good digital X-Rays examination.
That is where ethics comes. Nobody will ever mind even for a costly MRI, though not always required in a case of spondylilisthess.
By
Dr. Prahallad Panda, Specialist Surgery, Paradip Port Trust, Paradip, Odisha, India
| 09 16 2010 13:16:41 +0000
Yes, they have gone unethical. Now a days their main objective is to make money at any cost. In the process of making money if any thing wrong happens to the patient then they hardly worried. It looks as if they have forgotten all ethics.
By
Suresh Prasad Gupta, Freelancer, Pharmaceuticals
| 09 16 2010 09:31:07 +0000
"Yes service has become a major business today ". We find many new hospitals and new technology in them but are they accessible by everyone is a big question..... Then wht is the use of getting such expensive technology when its not useful....
By
Anita Rai, Marketing Manager, Leading Pharmaceutical Co.
| 09 16 2010 08:49:10 +0000
Many times big hospitals and doctors go unethical in practice. They often order unnecessary investigations for a disease which are not even remotely related.This practice is more often seen in non-govt. hospitals. Even they collect money from their colleagues.
The only purpose is to collect money in whatever way possible. Indirectly, government is responsible, not being able to provide reasonable health care in the Govt. run hospitals.
Good and reputed doctors often choose to leave Govt. hospitals for various reasons, importantly for lack of respect and low payment.
By
Dr. Prahallad Panda, Specialist Surgery, Paradip Port Trust, Paradip, Odisha, India
| 09 15 2010 07:59:37 +0000
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Yes its true what patients reacts but consider the laws which states that they are customer, as now service tax has been added to, in current world every person has become an customer in other sense so don't bother about reaction if you are providing services to customer. rather to make moral pressure on doctors try to be humble human being in real life so that there is no role for customer or service in human interpersonal relation otherwise one day student will become customer & teacher will be service providers only not the personality maker.
By
ASHUTOSH SRIVASTAVA, Senior resident, SGPGI
| 05 17 2011 19:53:33 +0000
as for as ethics is considered & money extraction, the onus is not only on single profession there are overall degradation in each sector of society & doctors are only reflecting those attributes imparted by society itself. doctors are also people & if everybody tries to extract money from them especially during there studies whether office clerks or at there work place or at any citizen facility like power, water connection etc. they also will learn it. the same way other people do. what happen in courts, police stations, municipality etc. everyone perhaps knows & when a doctor has to face it there is chances to loose there morality as well. A WELL KNOWN SAYING IS KEEP THE ENVIRONMENT CLEAN REMAIN HEALTHY WEALTHY FOREVER.
By
ASHUTOSH SRIVASTAVA, Senior resident, SGPGI
| 09 25 2010 12:28:22 +0000
IT IS JUST A FASHION TO BLAME MEDICAL PROFESSION ,THE MOMENT PEOPLE HAS TO PAY FOR ANY MEDICAL SERVICES. AS FOR LAST SO MANY YEARS GOVT WAS THE ORGANIZATION WITH MEDICAL PROFESSIONALS AND WERE FREE FOR ALL. IT IS TRUE THAT ONLY MEDICAL PROFESSIONALS ARE AVAILABLE ALL 24 HRS IN ANY CORNER OF THE WORLD ......AND PLEASES NOT FOR MONEY ...OK
By
narendra gemawat, Freelancer, Hospitals
| 09 21 2010 10:52:20 +0000
surely if they are unethical nobody is going to support them & take tt. through them. the story of indian health itself says the true picture. in 1948 we have the life expectancy of just 32 yrs. now above 65 yrs. any well behaved community knows the couple can support their alone baby upto the maturity so they do not go for 4-5 babies only 1/2 is sufficient. the older people are enjoying better health nowadays. yes the areas not properly covered but the cause is poor governance not unethical doctors.
By
ASHUTOSH SRIVASTAVA, Senior resident, SGPGI
| 09 19 2010 15:14:02 +0000
they are not..some people are saying such things because big hospitals charge you more then a ordinary hospital..but dear friends quality comes for a cost and these hospital provide quality in terms of hygiene, safety, ambiance etc..they want there patient to be perfectly alright whether pathologically, physically or mentally thus they are providing each test, services..
By
kamakshi dubey, MBA/PGDM student, institute of management studies, davv
| 09 18 2010 05:58:14 +0000
Patient's recovery and their improvement after the intervention (may it be pharmacological, moral, social or emotional) of the doctor brings the best of feeling in the world to him. Nowdays, there is a tendency in general population to be very suspicious about the way doctor treats. No one considers the years doctor has spend in front of books. As far as going unethical is considered i dont think that any doctor who has spent 15-20 years of his life for benefit of the patients would perform any act which has potential to tarnish his only earning - the image. Second issue is BIG hospitals....I must say that in bigger hospitals there is somethimg known as audit and clinical governance which makes functioning of hospital so transparent that it is impossible to go unethical even if someone (who have acquired degree by some other means) wants to go that way.
By
Dr Anurag Trivedi, Neurophysician, Artemis Health Institute
| 09 17 2010 15:12:08 +0000
Rich patient go to big corporate to spend money. Patients trust more in MRI/CT diagnosis rather than clinical diagnosis of doctor. In such hospitals Patient first shows MRI rather than giving history. Rich people consist of 10% people but consuming 90% of total health care cost of the country. Doctors doing every thing to satisfy their client (patient). If doctor does not prescribe investigation/treatment as requested by patient, than patient will go to other doctor to get done unnecessary test. Patient also believes that high billing doctors are top doctors.
By
Vasantray H Panchal, Interventional Pain Specialist
| 09 16 2010 15:57:16 +0000
the present era of evidence based medicine has created a wrong impression with the people who has not real picture and medical profession is slow in creating awareness because of various reason , and specially man-handling of the professionals by some.
By
narendra gemawat, Freelancer, Hospitals
| 09 16 2010 10:57:52 +0000
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