Wednesday, May 30, 2012

DOES AAMIR KHAN NEED HEALING ??

The so called ‘Mr Perfectionist’ is on fire & almost all the Indians are very much passionate for the show 'Satyameva Jayate'. Even I was a huge admirer of this show until the last episode. Episodes on 'Female foeticide', 'Child sexual abuse' and ‘Dowry issue' are very much useful for both the society & the government. It was great to see the 'child sexual abuse act' to be passed by the Govt of India within one week after the episode. But he has made me swallow something which is hard to digest. Telecasting the episode with the name ‘Does Healthcare need healing?' & blaming all the doctors is like a double edged sword for the society. Though the episode was very sensitive for non medicos, in future it’ll pose a tough situation.

In all the social networking sites, plenty of discussions are going on about this particular episode of SMJ (Satyameva Jayate). As usual, medicos are opposing this episode & non-medicos are supporting it. Only person who is silently enjoying this is Mr Aamir Khan. I can't understand why people call it 'SOCIAL SERVICE' even if the actor demands Rs 3 crore for each episode of SMJ. OK, Let's get serious & I shouldn't eye on someone else's salary!! There is not a single profession on this planet in which there is nothing called 'CORRUPTION'. Bureaucrats, doctors, engineers, actors, directors, scientists, police officers politicians.... all are amalgamated with corruption. If someone says his/her profession is absolutely clean, he/she must be the biggest liar/Imbecile of this universe. But we have to admit the fact that the way of corruption & the degree of corruption are different in different professions. One traffic police officer taking bribe doesn't mean all of them are bad. One A.Raja trying to own planet-M(Money) doesn't mean that all politicians are money minded. There are good people like Dr Kalam & Mr Vajpayee too. One Azharuddin trying to fix matches doesn't mean that all cricketers are insane. The Dravids, Sachins & Kumbles still reinforce the fact that 'Cricket is a gentlemen's game'. 

I admit that Indian healthcare system needs some significant positive steps & the Govt of India is the one who should be responsible for the ill system. But instead of focusing on that issue, Mr Aamir 'insane' Khan has thrown every bit of allegation towards the doctors in India. Yes, there are few bad doctors but majority don't fill into the natures of a doctor as described by Aamir Khan & his mentally retarded research team. There are huge numbers of honest doctors in India who are working in conditions that Aamir can't even imagine while sitting in his air conditioned bungalow. Nobody beats an actor for a bad movie, but people do beat doctors for minute mistakes in peripheral areas. In that show Aamir took the interview of Dr Devi Shetty & described him as the role model. But I would love to remind others that he is an extraordinary surgeon who has graduated from KMC, Manipal & completed his Cardiothoracic surgery fellowship in London. Comparing his attitude & skills with other doctors is same as comparing Don Bradman with Gambhir. I mean, even if both are good players, there is only one 'Bradman type' player. Average Indian doctors dedicate more than 12 years for their study & majority of them work in non-workable atmosphere for an underpaid salary. If Aamir Khan (w/o any significant qualification) can't do SOCIAL SERVICE (in the name of SMJ) for Rs 30000, how can he expect a doctor to do TRUE SOCIAL SERVICE with full potential with the same salary in a village?

I am not sure how much idea does Aamir Khan have regarding 'Generic drugs' & 'Pathological tests'. I know that, for megalomaniacs like him, the best doctor is ''Dr Google’’! Now after this particular episode, patients will always have a doubt regarding the lab investigations sent by a doctor even if it is highly accurate. Now onwards, the blind followers of Aamir will definitely overestimate the amount of medicines & lab investigation prescribed by a very honest doctor. He has created such a situation in which the public won't get honest doctors; they will get only 'Very Corrupted' & 'Less corrupted' doctors. This is a serious disgrace to the honest doctors. Now young students will think twice before entering the medical stream. Who wants to be passively tagged as 'corrupted'/'unethical' even after working honestly???


You left your 1st wife & married your secretary Kiran. Isn't it an example of ''DOMESTIC FEMALE ABUSE?? Your children from your 1st wife are deprived of a father's love just because of the fact that their father loves another lady. Isn't it an example of ''CHILD ABUSE''??? Aamir Khan must learn the fact that ''CHARITY BEGINS AT HOME' !!

Ok.. For 1 minute, let me be the anchor of SMJ & Aamir just an actor. How the actor would feel, when I declare in a national television that ''SINCE SHINY AHUJA IS A RAPIST, MOST OF THE ACTORS ARE RAPISTS'' .......'' SINCE KASAB & LADEN ARE TERRORISTS, MOST OF THE MUSLIMS ARE TERRORISTS''....???  After this part of my show, I would love to do a fake attempt to pacify the actor & Muslim fraternities by inviting Mr Amitabh Bachhan & Dr APJ Abdul Kalam respectively as Aamir did it by inviting Dr Devi Shetty. I am having the same feeling that Aamir would have felt after watching my hypothetical show. (aap ne kia to chamatkar, hum ne kia to balatkar ??)

For those who think this article is the product of overreaction to the show, I must say that this is not my over reaction, rather it is a tribute to all the honest doctors who are working extremely hard for the underprivileged people in shitty working conditions being underpaid. I admit that, the concept of the episode was perfect but the blame game was played by using doctors as a soft target. It is Govt's responsibility to establish more medical colleges, improve the market for generic medicines & after all punish the real bad & unethical doctors. If Aamir Khan wants to do real social service, he must fast with Anna Hazare, he must buy generic medicine to distribute in the PHCs worth the amount he is getting from star plus. 

SATYAMEVA JAYATE!!!!!!


Saturday, May 19, 2012

CHILD ABUSE: THE ROLE FOR PEDIATRICIANS


'Every child born into the world is a new thought of God, an ever fresh & radiant possibility'.
'Children are the bridge to heaven'.
'Every child comes with a message that God is not yet discouraged by humanity'

Our brain always gets entertained by the aforementioned quotes on children. Whenever we see a beautiful healthy baby, we tend to say ''Ohh..So sweet/Cho chweet'' & on the other extreme when we see poor or underprivileged baby, ''Oh My God... '' is the 1st line that our tongue passes. Does our duties & responsibilities get a full stop mark right there?? Do we ever try to have a deep sneak at the so called 'active-healthy' babies or the 'poor-underprivileged' babies? I realize the fact that, the general population must be giving a sarcastic expression especially after going through the 'deep sneak' term. I agree that we don't have enough time to look into the matters behind the babies. But the most blessed professionals who can do this 'deep sneak' job seriously are paediatricians.

According to a report by CPS (Child Protective Services) around the world in the year 2006, 64% of all the child abuse cases comprise of domestic neglect, 2%-Medical neglect, 16%- physical abuse, 8.8%- Sexual abuse, 6.6%- Psychological abuse. Whenever we hear about the term 'Child Abuse', we always draw a picture of sexual abuse in our visual cortex. But as evident from this report, child abuse is much more than sexual abuse. According to dept of Woman & child welfare of the Govt of India in 2007, approximately 53% of children are victims of sexual abuse. We can always use the term 'Iceberg phenomenon' to child abuse because we see a fraction of the real occurrence in our society.

Now let's refocus on the roles of a pediatrician towards the prevention of child abuse. Other than the parents, if someone has the legal access to examine the body parts of a baby, he/she is a pediatrician. Pediatricians are close to the parents. So he/she is positioned in the best possible place to assess the risks & consequences of child abuse. According to a report from AAP (American Academy of Pediatrics), the universal prevention of child maltreatment must begin with an approach that assess the care giver's strength & deficits. So the key term is ''Anticipatory guidance''. A pediatrician must be ready to tackle all the issues which may impose risks of child abuse. So identifying the possible risk factors is a cornerstone for the prevention this issue.  For example, a mother suffering from post-partum  depression is often a source of negligence for the baby. So the pediatricians must have an eagle's eye on psychological aspects of the parents as any negative change in parent's psychology will definitely affect the child care at home. Another crucial situation is the evaluation of a child with disabilities. Most often, the children with physical/intellectual disabilities become the victim of maltreatment. Here the biggest reason is the parental frustration. Same is the risk, when the baby is a product of unplanned pregnancy. So the pediatricians must look for the aforementioned factors (parental depression, unplanned pregnancy, child with disability) carefully to assess the risks of child abuse.
 
After doing 5 months of Pediatric rotations in USA, I realize that, the Americans are much more aware of these issues than Indian (Now, don't drag me into the controversy that I am biased in favor of US). Each & every examination room in USA pediatric hospitals has the child abuse report forms hanging on the wall. It is the role of the pediatrician to report any suspected case of abuse. I guess we lack that part in India. There should be more awareness among paediatricians about this issue. Fixed follow-ups of all child patients in regular intervals should be strict in Govt hospitals & careful assessments during these follow-up visits can reduce the risks of child abuse to a great extent.   I strongly feel, instead of following the American culture, we must follow at least this useful & important aspect which can keep our babies secured. 

Special thanks to Aamir Khan’s 'Satyameva Jayate'' & Prof Howard Dubowitch ( Dept of Child abuse, University of Maryland school of Medicine) as they have inspired me to type about this topic.



Friday, May 18, 2012

VICKY DONOR: What I have learnt??

My biggest problem is that I can't shut my grey matters off while watching a movie. This time 'Vicky Donor' snatches the attention of my grey matters. It is not wise to spend 2 hours in watching something but not learning anything. So here are the facts:

1) If you want to score a half century (in terms of no of children) with a very high strike rate, Sperm donation is the best possible path.

2) Charity doesn't always begin at home.


3) Patients positively attend the silver jubilee of the clinic of their doctors.

4) Bengalis & Punjabis can fall in love with each other.

5) Sperm donation can be a good source of income (gifts).

6) Sample collection rooms of infertility clinics are very exotic !!

7) It is better to donate than to waste ;) ;)


MY NAME IS KHAN & I AM ARROGANT !!


Till the last Wednesday, he used to be my all time favourite celebrity. I was a huge fan of his style, sense of humour & attitude. But some of his recent unpardonable activities are forcing me to remove my name from his fan club. According Sigmund Freud, 'Ego' is a basic instinct of a human, Dear Mr Khan, you are somewhere ahead of this term now a days. Had Dr Freud been alive, he would have discovered some new terms based on SRK's public behaviours. 

Few weeks back, this megalomaniac super star was detained in an NY airport. At that point of time he didn't say a single word. Not a single sign of protest in public was there regarding the cause of his detention. It was just because of the fact that, unlike in India, he doesn't have stardom in USA.  He went to the prestigious Yale University & sprinkled few quotes (stolen from internet) on the NRIs at Yale. Then he came back & cheered for his team KKR in IPL matches & rest is history.

Now the same person was obstructed by a Mumbai Police official in Wankhede Stadium for some security reasons. But the situation was different; now he was not in USA, he was not obstructed by an American official. Perhaps that was the biggest reason of his spontaneous rowdyism. How can an ordinary Indian police officer stop a superstar?? That is a serious disgrace to a Bollywood superstar!!! That is most disheartening aspect of reality. As soon as we realize that, the person standing in front of is not so powerful/ esteemed, we tend to overlook/dominate the person. Now this man is overfilled with arrogance & egos. Instead of blood flow, his brain is getting 'success flow'. He forgets the fact that there are much better actors in India who are not as arrogant as him. Now onwards, he may earn much film fare, IIFA awards but he mayn't be able to earn the respect of common sensible Indian people. Someone has rightly said that ''We are where we are, as we are, because of what we are''. 

I am not sure what SRK would teach his children: 

'A' for - Arrogance 
'B' for- Ban
'E' for- Ego etc...   :(



Sunday, May 13, 2012

FEMALE DOMINANCE IN SOCIAL NETWORKS !!!

[P.S: This article is not designed for short-tempered/narrow minded girls, so if you are one of these characters, please don't go through it]

If we open the pages of history & mythology, we can well visualize the fact that, we the Indians have been spending our lives in male dominant societies. Although the degree of male dominance is gradually decreasing, we can't frankly declare that our society is a neutral one. But if we try to take a serious glimpse into the virtual world, we can realize a completely different pattern of dominance. 

It is surprising to note that, the sex ratio in social networks is tilted more in favour towards females but in real world in India, we have a different picture. According to a study, 69 % of females use social networking sites & among all the users, 58 % are females!! But we always had an impression that males outnumber the number of hours they spend in Social networks than their female counterparts. Now some of geeks will point a mistake in me by saying that the above data is not exclusively from India. I would appreciate their comment but even if I reduce 7-8% from the above numbers (69 & 58), they would still stamp on the fact that females are more dominant in social networking sites.

Besides the quantity issue, the females also dominate males on the issue of quality. If you consider the 'No of LIKEs' & 'No of comments' in Face book as a symbol of dominance, then you'll realize that females are 'Mammoths' & males are just 'Moths'. Even if an average looking girls gives an update '' I am happy today'', you'll witness millions of 'congrats/ what/How' in the comment section. But if a boy gives the same update, there would be only 4-5 leg-pulling comments!! A simple 'Good Morning' update from an average girl gets so much attention from others that would even make Katrina Kaif envious. If updates can create such situation, it is easy to imagine what pictures would do. When a girl posts one of her good looking pictures after short listing millions of bad ones, it creates euphoria among boys. There comes shower of terms like 'Looking cute'/ Cho Chweet/ Amazing'. Within a fraction of time, the picture gets more ornaments in the form of 80-90 likes & endless comments using all the sweet adjectives available in the galaxy. Such ATTENTION is always a source of pride for psychiatrists who love to treat ADHD.

Now what is the biggest reason for this paradox? In real world, it is hard to be a hypocrite for a long duration. But in social networking sites, almost all of us are hypocrites until proved otherwise. All seems to be loyal/cool/stylish in social networks, while in real life 'you are what you are' in most of the times. A 'Rakhi Sawant' is always 'Rakhi Sawant' in real life, but in Face book/twitter, she can create an illusion of being an 'Aishwarya Rai'...  Another reason for this dominance is female-seeking behaviour of males. I wouldn't type much about that because it is universal.

[PS: This blog was not intended to complain that females are getting more attention in social networks, rather it is to make others realize that, the male-female status can be equalized only if we can be perfect in our real life as we are in our social networks]

# if you are girl & you don't like this blog, please go through the parenthesized part on the top ;)