Sub Logo

Dr K K Aggarwal

Should doctors smile while talking to their patients?

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on Should doctors smile while talking to their patients?

Bhagavad Gita 2.10

“Tam uvāca hṛṣīkeśaḥ

prahasann iva bhārata

senayor ubhayor madhye

viṣīdantam idaṁ vacaḥ”

Tam—unto him; uvāca—said; hṛṣīkeśaḥ—the master of the senses, Kṛṣṇa; prahasan—smiling; iva—like that; bhārata—O Dhṛtarāṣṭra, descendant of Bharata; senayoḥ—of the armies; ubhayoḥ—of both parties; madhye—between; viṣīdantam—unto the lamenting one; idam—the following; vacaḥ—words.

Translation: “O descendant of Bharata, at that time Kṛṣṇa, smiling, in the midst of both the armies, spoke the following words to the grief-stricken Arjuna.”

The answer comes in Bhagavad Gita, the first text book of counseling. When grief ridden Arjuna approaches Krishna, he starts his counseling in a happy and smiling mood.

Arjuna was grief-filled, sad and rebellious. Yet Krishna smiled. The word in the Gita is prahasann, which means to smile before laughing (beginning to laugh).

It was not a weak or full smile or a sarcastic grimace, but a very positive smile.

Half of grief/apprehension is alleviated if a patient sees his doctor smiling or the relatives see a smile on the face of a doctor coming out of operation theatre.

It also gives confidence to the patient (Arjuna) that his doctor (Krishna) has understood his problem fully and has a solution to his problem.

Buddha is also shown smiling and Goddess Kushmanda is also shown with a smiling face.

Should doctors detach themselves?

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on Should doctors detach themselves?

In dealing with patients, the traditional Patient-Doctor relationship model has been that doctor should remain cool, calm and collected at all times.The doctor’s approach needs to be strictly scientific, logical, objective, methodical precise and dispassionate. This has been the model since the era of William Osler, the father of modern medicine. The term used is imperturbability, which means coolness and presence of mind under all circumstances.

Osler said a rare and precious gift to doctor is right of detachment. The right of detachment insulates doctors and protects them from powerful emotions that patients display in their presence like anger, frustration, grief, rage and bewilderment. It also insulates patients from the rolling emotions that doctors may at times feel towards them.

However, a detached attitude also insulates doctors from empathizing with patients. A detached doctor may talk in a language that is over patient’s head.

Detachment is not like a light switch that you can turn on and off to suit the situation. Detachment, as a practice, cannot be in isolation if it becomes your personal style of distracting from the world; it may not be just for the patients but also from your colleague, family friends and even yourself.

I recall when I joined my hospital, the first lesson given to me by my boss was not to get unduly attached with patients. As part of etiquettes, we were taught not to socialize with patients. Even today, the new American Guidelines talk that doctors should not socialize with their patients on social media including Facebook. Even doctors are human beings and their personal life should not be known to the patients. As far as lawsuits are concerned, it is equally true that known patients file a lawsuit much more than unknown people because over a period of time they know your weakness. One should learn to empathize with the patients and yet be detached from its results. Doctors who follow Bhagawad Gita understand this concept very well.

Energy drinks may put heart at risk for sudden death

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Energy drinks may put heart at risk for sudden death

Energy drinks may raise blood pressure and prolong QT interval increasing the risk of sudden cardiac death. In a meta–analysis by Sachin A. Shah at University of the Pacific in Stockton, Calif, with a pooled analysis of 93 people who consumed energy drinks, the QT interval on an ECG was significantly prolonged by 10 ms. The threshold level of regulatory concern is around 5 ms. In another pooled analysis of 132 people by the same group, researchers found a significant increase in systolic blood pressure by 3.5 mmHg that was associated with the consumption of energy drinks.

Doctors are generally concerned if patients experience an additional 30 ms in their QT interval from baseline. QT prolongation is associated with life–threatening arrhythmias. Most energy drinks have caffeine. Drinks such as Monster, Red Bull, Rockstar, Full Throttle and AMP have three times the amount of caffeine as colas. A 16–oz. can of Monster Energy, for example, contains 160 mg of caffeine, which is almost as much as 5 cans of soda.

You look at people the same way as you are

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on You look at people the same way as you are

Honest people look everybody as honest and dishonest people look everybody as dishonest. It all depends on the type of people you interact with. If you do not take bribe, nobody will come and offer bribe to you and you will feel everybody is honest. If you take bribe then everybody will come to you to offer bribe and you will feel that everybody in the society is dishonest.

Never judge people with you personal experience. I recall one of the doctors said that every doctor takes and gives bribe because he was running an imaging centre and every doctor who approached him asked for a bribe. But he did not take into consideration the doctors who did not approach him.

 

Should doctors smile while talking to their patients?

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , , , , | | Comments Off on Should doctors smile while talking to their patients?

Bhagavad Gita 2.10

“Tam uvāca hṛṣīkeśaḥ prahasann iva bhāratasenayor ubhayor madhye viṣīdantam idaṁ vacaḥ”

Tam—unto him; uvāca—said; hṛṣīkeśaḥ—the master of the senses, Kṛṣṇa; prahasan—smiling; iva—like that; bhārata—O Dhṛtarāṣṭra, descendant of Bharata; senayoḥ—of the armies; ubhayoḥ—of both parties; madhye—between; viṣīdantam—unto the lamenting one; idam—the following; vacaḥ—words.

Translation: “O descendant of Bharata, at that time Kṛṣṇa, smiling, in the midst of both the armies, spoke the following words to the grief-stricken Arjuna.”

The answer comes in Bhagavad Gita, the first text book of counseling. When grief ridden Arjuna approaches Krishna, he starts his counseling in a happy and smiling mood.

Arjuna was grief-filled, sad and rebellious. Yet Krishna smiled. The word in the Gita is prahasann, which means to smile before laughing (beginning to laugh).

It was not a weak or full smile or a sarcastic grimace, but a very positive smile.

Half of grief/apprehension is alleviated if a patient sees his doctor smiling or the relatives see a smile on the face of a doctor coming out of Operation Theater.

It also gives confidence to the patient (Arjuna) that his doctor (Krishna) has understood his problem fully and has a solution to his problem.

Buddha is also shown smiling and Goddess Kushmanda is also shown with a smiling face.

(Disclaimer: The views expressed in this write up are my own).

Doctors are God later and human beings first

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on Doctors are God later and human beings first

Doctors are regarded as God because their primary job is to save the life of a patient. In fact, they are the messengers of God to look after the health of the sick person. But, Doctors are God later and human beings first.

To err is human and every doctor is likely to make mistakes. The very fact that a doctor is getting himself insured under Indemnity insurance means that medical errors are recognized as a part and parcel of Government policies.

For any error, the Court has decided a financial compensation to the patient and that compensation is paid by the insurance company as the doctor is covered under the Indemnity insurance. Medical negligence on the other hand, if proved, is not covered under the insurance. Therefore, medical negligence has to be differentiated from medical errors.

The error of judgment and difference of opinion are accepted in the law as not negligence and there are ample Supreme Court judgments to support that. Medical accidents are also exempted from being termed negligence by various Supreme Court clarifications/judgments. For a doctor to be punished under medical negligence, there has to be a proof that he willfully did some omission or commission, which led to the death or caused harm to a person.

A doctor is also not required to possess the maximum degree of skill and knowledge but is required to possess only an average degree of skill and knowledge. Therefore, when an expert is called for an opinion, he should never give an opinion from his level of perception and knowledge but should take into consideration the knowledge of an average doctor of that specialty.

Recently, a friend forwarded a report to me, which showed that in US when the doctors went on a strike, the number of deaths in the city during the strike period reduced. I totally agree with this observation and I am of the firm opinion that if allopathic medical profession ceases to exit, the number of deaths per day will be reduced. But at what cost? It will invariably be at the cost of increased morbidity, impaired quality of life and more sufferings. In that scenario people with sexual dysfunction will live without enjoying sexual life; people with heart failure will live on the bed all the time, patients with TB will be back in sanatoriums, patients with fractures will be bedridden for months together and patients requiring orthopedic surgeries will remain with life–long deformities. To have a better quality of life, one has to pay the price as any intervention or surgery done to improve the quality of life invariably will carry some risk and mortality. Even a simple bypass surgery of the heart carries a mortality of up to 0.5–1%. But for the family whose patient dies that 1% mortality is 100%.

In a follow up program on Aaj Tak, the film actor, Aamir Khan had said that every household in India has a negative story to tell about medical doctors. Aamir probably misunderstood or could not differentiate medical errors, medical accidents from medical negligence. People equate money with medical success. Most of the medical disputes occur in private sector when the patient’s relatives have to pay money for an unsuccessful surgery or treatment. Attempts have been made to compare the results of medical treatment in India from that of abroad. They are totally incomparable as the amount of fee charged by doctors in India is practically a fraction of the fee that is charged in the west. The patient load in India per doctor is also responsible for potential medical errors.

One should also remember that the Drug Controller Government of India (DCGI) does not inform doctors about banned drugs, introduction of new drugs or introduction of new equipment. Most doctors depend on technology to be learnt through the manufacturers of respective machines. The manufacturers either bring the training persons from abroad or support the training of Indian doctors abroad. Their interest is ultimately covered as the doctors once trained ultimately end up in purchasing their technology.

When a new drug is launched, as there is no information from DCGI to individual doctors, they are forced to attend symposia by drug companies, which now come under the purview of an unethical doctor–pharma relationship.

Most doctors will write pharmaceutical drugs of a company, which people think is in lieu of a commission they are getting. The reality is that a doctor will invariably write a drug of a company who is constantly spending in efforts in educating doctors about new technologies and innovations as both Medical Council of India and the Government of India Health Ministry have no such provisions for the doctors. On the other hand, not attending medical educational programs is considered a professional misconduct

Doctors are God later and human beings first

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on Doctors are God later and human beings first

Doctors are regarded as God because their primary job is to save the life of a patient. In fact, they are the messengers of God to look after the health of the sick person. But, Doctors are God later and human beings first.

To err is human and every doctor is likely to make mistakes. The very fact that a doctor is getting himself insured under Indemnity insurance means that medical errors are recognized as a part and parcel of Government policies.

For any error, the Court has decided a financial compensation to the patient and that compensation is paid by the insurance company as the doctor is covered under the Indemnity insurance. Medical negligence on the other hand, if proved, is not covered under the insurance. Therefore, medical negligence has to be differentiated from medical errors.

The error of judgment and difference of opinion are accepted in the law as not negligence and there are ample Supreme Court judgments to support that. Medical accidents are also exempted from being termed negligence by various Supreme Court clarifications/judgments. For a doctor to be punished under medical negligence, there has to be a proof that he willfully did some omission or commission, which led to the death or caused harm to a person.

A doctor is also not required to possess the maximum degree of skill and knowledge but is required to possess only an average degree of skill and knowledge. Therefore, when an expert is called for an opinion, he should never give an opinion from his level of perception and knowledge but should take into consideration the knowledge of an average doctor of that specialty.

Recently, a friend forwarded a report to me, which showed that in US when the doctors went on a strike, the number of deaths in the city during the strike period reduced. I totally agree with this observation and I am of the firm opinion that if allopathic medical profession ceases to exit, the number of deaths per day will be reduced. But at what cost? It will invariably be at the cost of increased morbidity, impaired quality of life and more sufferings. In that scenario people with sexual dysfunction will live without enjoying sexual life; people with heart failure will live on the bed all the time, patients with TB will be back in sanatoriums, patients with fractures will be bedridden for months together and patients requiring orthopedic surgeries will remain with life–long deformities. To have a better quality of life, one has to pay the price as any intervention or surgery done to improve the quality of life invariably will carry some risk and mortality. Even a simple bypass surgery of the heart carries a mortality of up to 0.5–1%. But for the family whose patient dies that 1% mortality is 100%.

In a follow up program on Aaj Tak, the film actor, Aamir Khan had said that every household in India has a negative story to tell about medical doctors. Aamir probably misunderstood or could not differentiate medical errors, medical accidents from medical negligence. People equate money with medical success. Most of the medical disputes occur in private sector when the patient’s relatives have to pay money for an unsuccessful surgery or treatment. Attempts have been made to compare the results of medical treatment in India from that of abroad. They are totally incomparable as the amount of fee charged by doctors in India is practically a fraction of the fee that is charged in the west. The patient load in India per doctor is also responsible for potential medical errors.

One should also remember that the Drug Controller Government of India (DCGI) does not inform doctors about banned drugs, introduction of new drugs or introduction of new equipment. Most doctors depend on technology to be learnt through the manufacturers of respective machines. The manufacturers either bring the training persons from abroad or support the training of Indian doctors abroad. Their interest is ultimately covered as the doctors once trained ultimately end up in purchasing their technology.

When a new drug is launched, as there is no information from DCGI to individual doctors, they are forced to attend symposia by drug companies, which now come under the purview of an unethical doctor–pharma relationship.

Most doctors will write pharmaceutical drugs of a company, which people think is in lieu of a commission they are getting. The reality is that a doctor will invariably write a drug of a company who is constantly spending in efforts in educating doctors about new technologies and innovations as both Medical Council of India and the Government of India Health Ministry have no such provisions for the doctors. On the other hand, not attending medical educational programs is considered a professional misconduct.



Doctors are God later and human beings first

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on Doctors are God later and human beings first

Doctors are regarded as God because their primary job is to save the life of a patient. In fact, they are the messengers of God to look after the health of the sick person. But, Doctors are God later and human beings first.

To err is human and every doctor is likely to make mistakes. The very fact that a doctor is getting himself insured under Indemnity insurance means that medical errors are recognized as a part and parcel of Government policies.

For any error, the Court has decided a financial compensation to the patient and that compensation is paid by the insurance company as the doctor is covered under the Indemnity insurance. Medical negligence on the other hand, if proved, is not covered under the insurance. Therefore, medical negligence has to be differentiated from medical errors.

The error of judgment and difference of opinion are accepted in the law as not negligence and there are ample Supreme Court judgments to support that. Medical accidents are also exempted from being termed negligence by various Supreme Court clarifications/judgments. For a doctor to be punished under medical negligence, there has to be a proof that he willfully did some omission or commission, which led to the death or caused harm to a person.

A doctor is also not required to possess the maximum degree of skill and knowledge but is required to possess only an average degree of skill and knowledge. Therefore, when an expert is called for an opinion, he should never give an opinion from his level of perception and knowledge but should take into consideration the knowledge of an average doctor of that specialty.

Recently, a friend forwarded a report to me, which showed that in US when the doctors went on a strike, the number of deaths in the city during the strike period reduced. I totally agree with this observation and I am of the firm opinion that if allopathic medical profession ceases to exit, the number of deaths per day will be reduced. But at what cost? It will invariably be at the cost of increased morbidity, impaired quality of life and more sufferings. In that scenario people with sexual dysfunction will live without enjoying sexual life; people with heart failure will live on the bed all the time, patients with TB will be back in sanatoriums, patients with fractures will be bedridden for months together and patients requiring orthopedic surgeries will remain with life–long deformities. To have a better quality of life, one has to pay the price as any intervention or surgery done to improve the quality of life invariably will carry some risk and mortality. Even a simple bypass surgery of the heart carries a mortality of up to 0.5–1%. But for the family whose patient dies that 1% mortality is 100%.

In a follow up program on Aaj Tak, the film actor, Aamir Khan had said that every household in India has a negative story to tell about medical doctors. Aamir probably misunderstood or could not differentiate medical errors, medical accidents from medical negligence. People equate money with medical success. Most of the medical disputes occur in private sector when the patient’s relatives have to pay money for an unsuccessful surgery or treatment. Attempts have been made to compare the results of medical treatment in India from that of abroad. They are totally incomparable as the amount of fee charged by doctors in India is practically a fraction of the fee that is charged in the west. The patient load in India per doctor is also responsible for potential medical errors.

One should also remember that the Drug Controller Government of India (DCGI) does not inform doctors about banned drugs, introduction of new drugs or introduction of new equipment. Most doctors depend on technology to be learnt through the manufacturers of respective machines. The manufacturers either bring the training persons from abroad or support the training of Indian doctors abroad. Their interest is ultimately covered as the doctors once trained ultimately end up in purchasing their technology.

When a new drug is launched, as there is no information from DCGI to individual doctors, they are forced to attend symposia by drug companies, which now come under the purview of an unethical doctor–pharma relationship.

Most doctors will write pharmaceutical drugs of a company, which people think is in lieu of a commission they are getting. The reality is that a doctor will invariably write a drug of a company who is constantly spending in efforts in educating doctors about new technologies and innovations as both Medical Council of India and the Government of India Health Ministry have no such provisions for the doctors. On the other hand, not attending medical educational programs is considered a professional misconduct

Doctors are God later and human beings first

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on Doctors are God later and human beings first

Doctors are regarded as God because their primary job is to save the life of a patient. In fact, they are the messengers of God to look after the health of the sick person. But, Doctors are God later and human beings first. To err is human and every doctor is likely to make mistakes. The very fact that a doctor is getting himself insured under Indemnity insurance means that medical errors are recognized as a part and parcel of Government policies. For any error, the Court has decided a financial compensation to the patient and that compensation is paid by the insurance company as the doctor is covered under the Indemnity insurance. Medical negligence on the other hand, if proved, is not covered under the insurance. Therefore, medical negligence has to be differentiated from medical errors. The error of judgment and difference of opinion are accepted in the law as not negligence and there are ample Supreme Court judgments to support that. Medical accidents are also exempted from being termed negligence by various Supreme Court clarifications/judgments. For a doctor to be punished under medical negligence, there has to be a proof that he willfully did some omission or commission, which led to the death or caused harm to a person. A doctor is also not required to possess the maximum degree of skill and knowledge but is required to possess only an average degree of skill and knowledge. Therefore, when an expert is called for an opinion, he should never give an opinion from his level of perception and knowledge but should take into consideration the knowledge of an average doctor of that specialty. Recently, a friend forwarded a report to me, which showed that in US when the doctors went on a strike, the number of deaths in the city during the strike period reduced. I totally agree with this observation and I am of the firm opinion that if allopathic medical profession ceases to exit, the number of deaths per day will be reduced. But at what cost? It will invariably be at the cost of increased morbidity, impaired quality of life and more sufferings. In that scenario people with sexual dysfunction will live without enjoying sexual life; people with heart failure will live on the bed all the time, patients with TB will be back in sanatoriums, patients with fractures will be bedridden for months together and patients requiring orthopedic surgeries will remain with life–long deformities. To have a better quality of life, one has to pay the price as any intervention or surgery done to improve the quality of life invariably will carry some risk and mortality. Even a simple bypass surgery of the heart carries a mortality of up to 0.5–1%. But for the family whose patient dies that 1% mortality is 100%. In a follow up program on Aaj Tak, the film actor, Aamir Khan had said that every household in India has a negative story to tell about medical doctors. Aamir probably misunderstood or could not differentiate medical errors, medical accidents from medical negligence. People equate money with medical success. Most of the medical disputes occur in private sector when the patient’s relatives have to pay money for an unsuccessful surgery or treatment. Attempts have been made to compare the results of medical treatment in India from that of abroad. They are totally incomparable as the amount of fee charged by doctors in India is practically a fraction of the fee that is charged in the west. The patient load in India per doctor is also responsible for potential medical errors. One should also remember that the Drug Controller Government of India (DCGI) does not inform doctors about banned drugs, introduction of new drugs or introduction of new equipment. Most doctors depend on technology to be learnt through the manufacturers of respective machines. The manufacturers either bring the training persons from abroad or support the training of Indian doctors abroad. Their interest is ultimately covered as the doctors once trained ultimately end up in purchasing their technology. When a new drug is launched, as there is no information from DCGI to individual doctors, they are forced to attend symposia by drug companies, which now come under the purview of an unethical doctor–pharma relationship. Most doctors will write pharmaceutical drugs of a company, which people think is in lieu of a commission they are getting. The reality is that a doctor will invariably write a drug of a company who is constantly spending in efforts in educating doctors about new technologies and innovations as both Medical Council of India and the Government of India Health Ministry have no such provisions for the doctors. On the other hand, not attending medical educational programs is considered a professional misconduct

Should doctors be detached?

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on Should doctors be detached?

In dealing with patients, the traditional Doctor-Patient relationship model has been that doctor should remain cool, calm and collected at all times. Doctor’s approach needs to be strictly scientific, logical, objective, methodical precise and dispassionate. This model has been since the era of William Osler, the father of modern medicine. The term used is imperturbability which means coolness and presence of mind under all circumstances. Osler said a rare and precious gift to doctor is right of detachment. The right of detachment insulates the doctors and protects them from the powerful emotions that patients display in their presence like anger, frustration, grief, rage and bewilderment. It also insulates patients from the rolling emotions that doctors may at times feel towards them. However, a detached attitude also insulates doctors from empathizing with patients. A detached doctor may talk in a language that is over patient’s head. Detachment is not like a light switch that you can turn on and off to suit the situation. Detachment as a practice cannot be in isolation if it becomes your personal style of distracting from the world, it may not be just for the patients but also from your colleague, family friends and even yourself. I recall when I joined by hospital the first lesson given to me by my boss was not to get unduly attached with patients. As etiquette, we were taught not to socialize with patients. Even today the new American Guidelines talk that doctors should not socialize with their patients on social media including Facebook. Even doctors are human beings and their personal lives should not be known to patients. As far as lawsuits are concerned, it is equally true that known close patients file a law suit much more than unknown people because over a period of time they know your weakness. One should learn to empathize with the patients and yet be detached from its results. Doctors who follow Bhagwad Gita understand this concept very well.

Doctors are God Later and Human Beings First

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on Doctors are God Later and Human Beings First

Doctors are regarded as God because their primary job is to save the life of a patient. In fact, they are the messengers of God to look after the health of the sick person. But, Doctors are God later and human beings first.

To err is human and every doctor is likely to make mistakes. The very fact that a doctor gets himself/herself insured under Indemnity insurance means that medical errors are recognized as a part and parcel of Government policies.

For any error, the Court has decided a financial compensation to the patient and that compensation is paid by the insurance company as the doctor is covered under the Indemnity insurance. Medical negligence on the other hand, if proved, is not covered under the insurance. Therefore, medical negligence has to be differentiated from medical errors.

The error of judgment and difference of opinion are accepted in the law as not negligence and there are ample Supreme Court judgments to support this. Medical accidents are also exempted from being termed negligence by various Supreme Court clarifications/judgments. For a doctor to be punished under medical negligence, there has to be a proof that he willfully did some omission or commission which led to the death or caused harm to a person.

A doctor is also not required to possess the maximum degree of skill and knowledge but is required to possess only an average degree of skill and knowledge. Therefore, when an expert is called for an opinion, he should never give an opinion from his level of perception and knowledge but should take into consideration the knowledge of an average doctor of that specialty.

Recently, one of my friends forwarded a report to me, which showed that in US when the doctors went on a strike, the number of deaths in the city during the strike period reduced.

I totally agree with this observation and I am of the firm opinion that if allopathic medical profession ceases to exit, the number of deaths per day will be reduced. But at what cost?

It will invariably be at the cost of increased morbidity, impaired quality of life and more sufferings. In that scenario people with sexual dysfunction will live without enjoying sexual life; people with heart failure will be bedridden, patients with TB will be back in sanitariums, patients with fractures will remain on the bed for months together and patients requiring orthopedic surgeries will remain with life–long deformations. To have a better quality of life, one has to pay the price as any intervention or surgery done to improve the quality of life invariably will carry some risk and mortality. Even a simple bypass surgery of the heart carries a mortality of up to 0.5–1%. But for the family whose patient dies that 1%, the mortality is 100%.

In a follow up program on Aaj Tak, the film actor, Aamir Khan, said that every household in India has a negative story to tell about medical doctors. He probably misunderstood or could not differentiate medical errors, medical accidents from medical negligence. People equate money with medical success. Most medical disputes occur in private sector when the patient’s relatives have to pay money for an unsuccessful surgery or treatment. Attempts have been made to compare the results of medical treatment in India with the results of similar treatment abroad. They are totally incomparable as the amount of fee charged by doctors in India is practically a fraction of what is charged in the west. The patients load in India per doctor is also responsible for potential medical errors. One should also remember that the Drug Controller Government of India does not inform doctors about banned drugs, introduction of new drugs or introduction of new equipments. Most doctors depend on learning latest technology through the manufacturers of respective machines. The manufacturers either bring the training persons from abroad or support the training of Indian doctors abroad. Their interest is ultimately covered as the doctors once trained ultimately end up in purchasing their technology.

When a new drug is launched, as there is no information from Drug Controller of India to individual doctors, they are forced to attend symposia by drug companies, which have now come under the purview of unethical doctor–pharma relationship.

Most doctors will write pharmaceutical drugs of a company, which people think is in lieu of a commission they are getting. The reality is that a doctor will invariably write a drug of a company who is constantly engaged in efforts in educating doctors about new technologies and innovations as both Medical Council of India and the Government of India Health Ministry have no such provisions for the doctors. On the other hand, not attending medical educational programs is considered a professional misconduct by MCI and many state councils.

Why are Doctors called God?

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on Why are Doctors called God?

Modern medicine is only couple of hundred years old. Prior to that traditional medicine was used based on the local needs of the country; the oldest of them being the Indian Ayurvedic system of medicine originating from the Atharveda. Unani, Chinese, and Tibetan medicine probably are all offshoots of Ayurveda.

Doctors in India since Vedic times have been equated to God. This has continued today even after modern medicine has taken over. No other profession whether it is priest, lawyers, judges, politicians, commands the same status as that of the medical doctors. Medical profession is the noblest profession.

The role of a doctor is to remove the miseries and save the life of a person and that is one reason most of us think that a medical doctor has been given designation equivalent to that of God. But it has many other perspectives also.

A common man’s perspective of God is a force which can do and undo anything, for whom nothing is impossible, who is the final decision maker, whose decision cannot be challenged, who can give an instantaneous relief, who can punish and reward and he who overcomes miseries. He can also answer the unknown as he is supposed to know everything. In Bhagwad Gita and other Vedic texts, GOD is equated to consciousness, a network of energized information, a force which cannot be burnt by fire, wet by water, dried by air or cut by weapon; a force which is omnipotent, omnipresent and omniscient and still ever-pervading.

A trained qualified medical doctor who has his understanding based on the mind, body and soul has nearly the same characteristics. He overcomes miseries, mystifies his presence as soon as he touches the patient, gives immediate relief, which begins right from the time he gives a healing touch to the patient, his decision often is considered final and his decisions are almost predictable to 100%.

God is the person on whom one has blind belief and faith. At the time when a person is sick or in acute emergency the same belief and faith is seen in doctors.

Deepak Chopra in his book ‘How to Know God’ has explained God of different levels. According to him, God is a person from amongst the society with one step higher level of consciousness. He describes, as per the Vedic text, seven different levels of consciousness a person can posses and they are at the level of fight & flight, reactive consciousness, restful alertness consciousness, intuitive consciousness, creative consciousness, sacred consciousness and unified consciousness. If we take this as the classification then even a ruler of the society may be considered God by many people. But if you take universal criteria then a person who has achieved sainthood, who sees the same consciousness in everybody, treats individuals without caste, creed and religion, who overcomes miseries of people irrespective of their age, status or paying capacity is GOD. A doctor fits into these criteria.

For him every patient is same and his job is to remove his or her miseries at that particular moment. Probably, this is another reason why doctors have been regarded as God at every level of perception and from every segment of the society.

Most people have fear of death, fear of unknown, fear of loss and fear of disability. Whenever there is an unknown fear they think of God. A medical doctor is also remembered whenever there is a health crisis.

Ayurvedic text clearly describes chapters & chapters on the subject ‘how to predict death’. It describes symptoms, which, if present, with certainty one can say that this person is going to die in how many hours, days, months or years. That level of prediction gives public a feeling that doctors are God because they have seen doctors for thousands of years giving verdict that this person is not going to survive after a particular period and that used to happen.

According to Bible every work God does he does through his messenger. Medical doctors are the only certified universal messenger of God in the society. Rest all become God for a particular period, for a particular instance or a particular person.

Health is not mere absence of disease but a state of physical, mental, social, spiritual, environmental and financial well being. This definition fully was used by the Eastern philosophy and Eastern pathies. Modern doctors, however, practice more often an instant practice with emphasis on quick treatment, handling acute emergencies and lifestyle illnesses. They hardly take mental and spiritual health into consideration. That may be one reason why slowly people are withdrawing the status of God from the doctors. They have started equating a medical doctor with any other marketing profession.

Out of four purposes of life: dharma, artha, kama & moksha, dharma is the most important. The literal meaning of dharma is to hold. God is the force with 100% dharma in his life. Dharma of a doctor is to treat and save the life of a person at any cost. One recalls the movie Achanak where the doctor saved the life of a person who has been sentenced to death and the day he saves him the police officer takes him for hanging. The movie ends with a message that a doctor has to do his dharma and police officer has to do his.

At the time of miseries, a doctor is treated as a healer. Nobody bothers whether the doctor came from which religion, caste, race or whether the doctor is male, female or from third gender. People do not bother about the ill habits or out of profession activities of the doctor; they are only concerned about the fact that doctor is a universal healer and overcomes the miseries of everybody who approaches him. A doctor provides free treatment to those who cannot afford or comes to an emergency ward without any money.

Putting doctors under Consumer Protection Act is the biggest blunder done by the government. How can one make God accountable? Can a child born blind at birth abuse or curse God for making him blind.

I think all of us should introspect and remember that doctor is the messenger of God born to remove miseries of the sick individuals.

Doctors are God Later and Human Beings First

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on Doctors are God Later and Human Beings First

Doctors are regarded as God because their primary job is to save the life of a patient. In fact, they are the messengers of God to look after the health of the sick person. But, Doctors are God later and human beings first.

To err is human and every doctor is likely to make mistakes. The very fact that a doctor is getting himself insured under Indemnity insurance means that medical errors are recognized as a part and parcel of Government policies.

For any error, the Court has decided a financial compensation to the patient and that compensation is paid by the insurance company as the doctor is covered under the Indemnity insurance. Medical negligence on the other hand, if proved, is not covered under the insurance. Therefore, medical negligence has to be differentiated from medical errors.

The error of judgment and difference of opinion are accepted in the law as not negligence and there are ample Supreme Court judgments to support that. Medical accidents are also exempted from being termed negligence by various Supreme Court clarifications/judgments. For a doctor to be punished under medical negligence, there has to be a proof that he willfully did some omission or commission which led to the death or caused harm to a person.

A doctor is also not required to possess the maximum degree of skill and knowledge but is required to possess only an average degree of skill and knowledge. Therefore, when an expert is called for an opinion, he should never give an opinion from his level of perception and knowledge but should take into consideration the knowledge of an average doctor of that specialty.

Recently, one of my friends forwarded a report to me, which showed that in US when the doctors went on a strike, the number of deaths in the city during the strike period reduced.

I totally agree with this observation and I am of the firm opinion that if allopathic medical profession ceases to exit, the number of deaths per day will be reduced. But at what cost?

It will invariably be at the cost of increased morbidity, impaired quality of life and more sufferings. In that scenario people with sexual dysfunction will live without enjoying sexual life; people with heart failure will be bedridden, patients with TB will be back in sanitariums, patients with fractures will remain on the bed for months together and patients requiring orthopedic surgeries will remain with life–long deformations. To have a better quality of life, one has to pay the price as any intervention or surgery done to improve the quality of life invariably will carry some risk and mortality. Even a simple bypass surgery of the heart carries a mortality of up to 0.5–1%. But for the family whose patient dies that 1%, the mortality is 100%.

In a follow up program on Aaj Tak, the film actor, Aamir Khan, said that every household in India has a negative story to tell about medical doctors. Aamir probably misunderstood or could not differentiate medical errors, medical accidents from medical negligence. People equate money with medical success. Most of the medical disputes occur in private sector when the patient’s relatives have to pay money for an unsuccessful surgery or treatment. Attempts have been made to compare the results of medical treatment in India from that of abroad. They are totally incomparable as the amount of fee charged by doctors in India is practically a fraction of a price that is charged in the west. The patients load in India per doctor is also responsible for potential medical errors. One should also remember that the Drug Controller Government of India does not inform doctors about banned drugs, introduction of new drugs or introduction of new equipment. Most doctors depend on technology to be learnt through the manufacturers of respective machines. The manufacturers either bring the training persons from abroad or support the training of Indian doctors abroad. Their interest is ultimately covered as the doctors once trained ultimately end up in purchasing their technology.

When a new drug is launched, as there is no information from Drug Controller of India to individual doctors, they are forced to attend symposia by drug companies, which now come under the purview of unethical doctor–pharma relationship.

Most doctors will write pharmaceutical drugs of a company, which people think is in lieu of a commission they are getting. The reality is that a doctor will invariably write a drug of a company who is constantly spending efforts in educating doctors about new technologies and innovations as both Medical Council of India and the Government of India Health Ministry have no such provisions for the doctors. On the other hand, not attending medical educational programs is considered a professional misconduct by MCI and many state councils.

Why are Doctors called God?

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on Why are Doctors called God?

Modern medicine is only couple of hundred years old. Prior to that traditional medicine was used based on the local needs of the country; the oldest of them being the Indian Ayurvedic system of medicine originating from the Atharveda. Unani, Chinese, and Tibetan medicine probably are all offshoots of Ayurveda.

Doctors in India since Vedic times have been equated to God. This has continued today even after modern medicine has taken over. No other profession whether it is priest, lawyers, judges, politicians, commands the same status as that of the medical doctors. Medical profession is the noblest profession.

The role of a doctor is to remove the miseries and save the life of a person and that is one reason most of us think that a medical doctor has been given designation equivalent to that of God. But it has many other perspectives also.

A common man’s perspective of God is a force which can do and undo anything, for whom nothing is impossible, who is the final decision maker, whose decision cannot be challenged, who can give an instantaneous relief, who can punish and reward and he who overcomes miseries. He can also answer the unknown as he is supposed to know everything. In Bhagwad Gita and other Vedic texts, GOD is equated to consciousness, a network of energized information, a force which cannot be burnt by fire, wet by water, dried by air or cut by weapon; a force which is omnipotent, omnipresent and omniscient and still ever–pervading.

A trained qualified medical doctor who has his understanding based on the mind, body and soul has nearly the same characteristics. He overcomes miseries, mystifies his presence as soon as he touches the patient, gives immediate relief, which begins right from the time he gives a healing touch to the patient, his decision often is considered final and his decisions are almost predictable to 100%.

God is the person on whom one has blind belief and faith. At the time when a person is sick or in acute emergency the same belief and faith is seen in doctors.

Deepak Chopra in his book ‘How to Know God’ has explained God of different levels. According to him, God is a person from amongst the society with one step higher level of consciousness. He describes, as per the Vedic text, seven different levels of consciousness a person can posses and they are at the level of fight & flight, reactive consciousness, restful alertness consciousness, intuitive consciousness, creative consciousness, sacred consciousness and unified consciousness. If we take this as the classification then even a ruler of the society may be considered God by many people. But if you take universal criteria then a person who has achieved sainthood, who sees the same consciousness in everybody, treats individuals without caste, creed and religion, who overcomes miseries of people irrespective of their age, status or paying capacity is GOD. A doctor fits into these criteria.

For him every patient is same and his job is to remove his or her miseries at that particular moment. Probably, this is another reason why doctors have been regarded as God at every level of perception and from every segment of the society.

Most people have fear of death, fear of unknown, fear of loss and fear of disability. Whenever there is an unknown fear they think of God. A medical doctor is also remembered whenever there is a health crisis.

Ayurvedic text clearly describes chapters & chapters on the subject ‘how to predict death’. It describes symptoms, which, if present, with certainty one can say that this person is going to die in how many hours, days, months or years. That level of prediction gives public a feeling that doctors are God because they have seen doctors for thousands of years giving verdict that this person is not going to survive after a particular period and that used to happen.

According to Bible every work God does he does through his messenger. Medical doctors are the only certified universal messenger of God in the society. Rest all become God for a particular period, for a particular instance or a particular person.

Health is not mere absence of disease but a state of physical, mental, social, spiritual, environmental and financial well being. This definition fully was used by the Eastern philosophy and Eastern pathies. Modern doctors, however, practice more often an instant practice with emphasis on quick treatment, handling acute emergencies and lifestyle illnesses. They hardly take mental and spiritual health into consideration. That may be one reason why slowly people are withdrawing the status of God from the doctors. They have started equating a medical doctor with any other marketing profession.

Out of four purposes of life: dharma, artha, kama & moksha, dharma is the most important. The literal meaning of dharma is to hold. God is the force with 100% dharma in his life. Dharma of a doctor is to treat and save the life of a person at any cost. One recalls the movie Achanak where the doctor saved the life of a person who has been sentenced to death and the day he saves him the police officer takes him for hanging. The movie ends with a message that a doctor has to do his dharma and police officer has to do his.

At the time of miseries, a doctor is treated as a healer. Nobody bothers whether the doctor came from which religion, caste, race or whether the doctor is male, female or from third gender. People do not bother about the ill habits or out of profession activities of the doctor; they are only concerned about the fact that doctor is a universal healer and overcomes the miseries of everybody who approaches him. A doctor provides free treatment to those who cannot afford or comes to an emergency ward without any money.

Putting doctors under Consumer Protection Act is the biggest blunder done by the government. How can one make God accountable? Can a child born blind at birth abuse or curse God for making him blind.

I think all of us should introspect and remember that doctor is the messenger of God born to remove miseries of the sick individuals.

Doctors are God later and human beings first

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , , | | Comments Off on Doctors are God later and human beings first

Doctors are regarded as God because their primary job is to save the life of a patient. In fact, they are the messengers of God to look after the health of the sick person. But, Doctors are God later and human beings first.

To err is human and every doctor is likely to make mistakes. The very fact that a doctor is getting himself insured under Indemnity insurance means that medical errors are recognized as a part and parcel of Government policies.

For any error, the Court has decided a financial compensation to the patient and that compensation is paid by the insurance company as the doctor is covered under the Indemnity insurance. Medical negligence on the other hand, if proved, is not covered under the insurance. Therefore, medical negligence has to be differentiated from medical errors.

The error of judgment and difference of opinion are accepted in the law as not negligence and there are ample Supreme Court judgments to support that. Medical accidents are also exempted from being termed negligence by various Supreme Court clarifications/judgments. For a doctor to be punished under medical negligence, there has to be a proof that he willfully did some omission or commission, which led to the death or caused harm to a person.

A doctor is also not required to possess the maximum degree of skill and knowledge but is required to possess only an average degree of skill and knowledge. Therefore, when an expert is called for an opinion, he should never give an opinion from his level of perception and knowledge but should take into consideration the knowledge of an average doctor of that specialty.

Recently, one of my friends forwarded a report to me, which showed that in US when the doctors went on a strike, the number of deaths in the city during the strike period reduced. I totally agree with this observation and I am of the firm opinion that if allopathic medical profession ceases to exit, the number of deaths per day will be reduced. But at what cost? It will invariably be at the cost of increased morbidity, impaired quality of life and more sufferings. In that scenario people with sexual dysfunction will live without enjoying sexual life; people with heart failure will live on the bed all the time, patients with TB will be back in sanatoriums, patients with fractures will be bedridden for months together and patients requiring orthopedic surgeries will remain with life–long deformities. To have a better quality of life, one has to pay the price as any intervention or surgery done to improve the quality of life invariably will carry some risk and mortality. Even a simple bypass surgery of the heart carries a mortality of up to 0.5–1%. But for the family whose patient dies that 1% mortality is 100%.

In a follow up program on Aaj Tak, the film actor, Aamir Khan, said that every household in India has a negative story to tell about medical doctors. Aamir probably misunderstood or could not differentiate medical errors, medical accidents from medical negligence. People equate money with medical success. Most of the medical disputes occur in private sector when the patient’s relations have to pay money for an unsuccessful surgery or treatment. Attempts have been made to compare the results of medical treatment in India from that of abroad. They are totally incomparable as the amount of fee charged by doctors in India is practically a fraction of the fee that is charged in the west. The patient load in India per doctor is also responsible for potential medical errors.

One should also remember that the Drug Controller Government of India does not inform doctors about banned drugs, introduction of new drugs or introduction of new equipment. Most doctors depend on technology to be learnt through the manufacturers of respective machines. The manufacturers either bring the training persons from abroad or support the training of Indian doctors abroad. Their interest is ultimately covered as the doctors once trained ultimately end up in purchasing their technology.

When a new drug is launched, as there is no information from Drug Controller of India to individual doctors, they are forced to attend symposia by drug companies, which now come under the purview of unethical doctor–pharma relationship.

Most doctors will write pharmaceutical drugs of a company, which people think is in lieu of a commission they are getting. The reality is that a doctor will invariably write a drug of a company who is constantly spending in efforts in educating doctors about new technologies and innovations as both Medical Council of India and the Government of India Health Ministry have no such provisions for the doctors. On the other hand, not attending medical educational programs is considered a professional misconduct by MCI and many state councils.