Wednesday, August 27, 2014

Empty vessels make the most noise – Doctors Vs Neeya Naana !

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'Neeya Naana' (http://en.wikipedia.org/wiki/Neeya_Naana) is a very famous program in Vijay TV which attracts a lot of people because of its presentation style (credit goes to Mr. Gopinath) and the subjects it discuss. Last week's (on 17/08/2014) episode created a lot of irk among the doctor fraternity in Tamilnadu. This particular episode discussed about doctors' clinical practice style in the current scenario. As usual there was a lot of annoyed audience (read patients) on the audience panel and they raised very valid questions to the doctors' panel in the program. Most of the doctors failed to convince the audience. The anchor also cross questioned some doctors regarding their ethical practice (please watch the episode http://www.tamiltwist.com/2014/08/neeya-naana-17-08-2014-vijay-tv-debate-show/ ). I also felt most of the questions taken up by the audience were valid and as public servants doctors were supposed to answer there queries, but most of them failed in their task.


After the telecast of the show, the entire doctor fraternity (except good doctors) got screwed up and IMA made their statement clear by asking all the doctor fraternity to lodge complaint against Vijay TV to Indian Broadcasting Foundation (ibfindia.com).


As a common man I have got a lot of doubts regarding doctor's commitment towards society;

Students who comes out with flying clolors in plus-two examinations and medical entrance tests, when asked about their future plans, will tell "I want to become a doctor and wants to serve our society especially poor"! But these same students will protest against the government's policy of compulsory one-year rural service. If at all they opt for the rural service, most of the doctors won't be available in the hospitals and primary health centers in villages!

I personally know a lot of parents who works really 'hard' to make their son/daughter a doctor. Their main motive is to get a 'elite status' for their son/daughter in the society and a ' great price tag' in the marriage market. And of course, once they finish their study they will look forward to reap the benefits in many 'ways'! We cannot blame them because education now a days has became a sheer business where as a student if you invest a lot, you can reap a lot after completing your studies! So once they complete their study, it will be money-making time for them and they will do anything for that, starting from colluding with labs and scanning center to accepting gifts from pharma companies for pushing their products! I do remember in one debate similar to Neeya Naana in some other TV channel, a doctor was saying "if we won't accept the gifts from the pharma companies, some other guy will take it on behalf of ours"! Okay, that logic is well and good, but my simple request to people like them is to why do not you accept that gift from the pharma companies and contribute that to a poor patient's healthcare expense? Sounds like Robinhood theory...is not it ? But why they do not became Robinhood for the poor !

Days are gone where healthcare has been seen as a social service and non-profit sector. Now there are a lot of for-profit healthcare setups who publicly says we are here for making profit and sometimes giving service! Even that is the case, a hospital or a doctor is not permitted to loot a patient unethically.

Another thing really concerns me is the emotional temper of the new-gen doctors. Most of the new-gen doctors are short tempered and they think that once they became doctors they are the supreme powers. Their curriculum also teaches them not to be empathetic towards the patients and must see patients just like a 'sample study material'!

Two days back one of my friend visited a local doctor in Tirunelveli. While consulting, the doctor got a call from another patient. He was asking about some lab results' value after googling about it. Doctor answered his queries satisfactorily. Then the doctor told my friend that – "that fellow might have seen 'Neeya Naana' yesterday" ! My question is who made the doctor to think like that and what made the patient to search google for the lab results' validity!


Now about the doctor's protest against the Neeya Naana program. A few years back there was a Tamil movie called 'Ramana', starring actor-turned politician Vijayakant. In that movie, a lot of unethical practices of doctors have been shown very sarcastically. I did not see any protest from doctor's side or IMA against that particular movie at that time! Both the 'Ramana' movie and the 'Neeya Naana' talk show are made for infotainment purpose only. If that is the case why the doctor fraternity became frustrated only at this time?!

I have also seen doctors taking credit of the good things like a successful liver transplant, heart transplant, success of a complicated microsurgery etc. If they can take credit, why do not they take the responsibility of the unintentional outcomes of the treatment they does? It is very painful to say that a majority of the doctors are least concerned about answering the questions of the patients and their attenders. In any part of the world if you pay for a service, you will always expect proper accountability from the person/organization that gives you the service. If it is not delivered, customers will obviously become frustrated. So it is responsibility of the doctors to speak to the patients and convince them on their language and condole them if anything goes wrong!

In my opinion, doctors must introspect about their activities and understand what does really meant by 'service'. Instead of that if doctors' organizations like IMA, NHB etc starts witch hunting the whistle blowers who one way or other way managed to say that "king is naked", they must sit and discuss what really motivated poor patients to talk like that (TRP rate of the Vijay TV does not matter to the poor patient, he only wants correct diagnosis and treatment). It is also high time for the miscreant doctors to come up clean and take the patients into confidence, if not programs like 'Neeya Naana' might be conducted in the hospital itself, not by Mr. Gopinath but by the patients themselves! So my dear Doctors, Arise and Awake and stop not till the goal is reached !