Thread by @spinesurgeon

What Rights to Patients Have
And
What Rights Patients Don't Have

- -

Assume
I want to Go from Chennai to Delhi in a Flight

I have Many Rights
1. Right to Choose
2. Right to Safety
3. Right to Information

But
I don't have many rights too

I have the right to Choose
Which Airlines
Which Time
Which Class
Which Seat Front or Back
Which Seat Window or Aisle
Which Food Veg or Non Veg

I also have the right to know
How Much Baggage Allowed
Which Terminal
Which Gate
How to Put on Safety Belt

What to do in case of Emergencies - Put on your own Mask before helping others - is the most important point, by the way
Which Conveyor Belt my Luggage will come

Fortunately (or unfortunately, if you are an "eager consumer") my right ends here

I don't have the right

I don't have the right
To Decide Flight Route
To Decide Which Runway to Take Off
To Decide the VR Rotation speed
To Decide How Much Fuel to Carry

These are all technical Decisions which I am not qualified to make

Also
I cannot expect my Pilot to Ask Permission to me

Also
I cannot expect my Pilot to Ask Permission to me for Each Stat Deployment, Pitch Up, or other Manouvres

While Being a Passenger Gives me a lot of Rights
It still does not give me everything I demand or Everything I like

Being a Passenger does not allow me to sit in cockpit and meddle with controls myselft

Being a Passenger does not permit me to ask useless questions to Pilots or Cabin Crew

Being a Passenger does not give me a right to ask the cabin crew explain everything to

Being a Passenger does not give me a right to ask the cabin crew explain everything to half dozen relatives and two dozen friends

Being a Passenger does not give me a right to be rude with the Crew

Being a Passenger does not give me a right to demand 3 flights from my town

There is a clear cut Line
About What rights a passenger has and what he does not have
The Lakshman Rekha is clear and distinct

But Sadly
When it comes to Patients and Hospitals
It is assumed that Patients have right over everything
Whatever they demand is assumed as right

Even when their demands are Greedy and Unrealistic, it is not questioned
But
Doctors and Healthcare workers are forced to accomodate

Going an extramile to help one patient is perfectly fine
But
Not at the cost of every other patient
This is the most important point

When a patient demands something
Media, Political Parties and many times Govt too immediately support that demand without asking a simple question

IF THIS DEMAND IS IMPLEMENTED, will other patients get affected

Without this question, the demand is accepted

And Gradually We have implemented not just one, so many demands

Few of these demands reduce mortality (death) and morbidity
For Example
1. Need of Fire Safety
2. Need of Laminar Flow
3. Need to have Wheel Chair and Stretcher at Gate
4. Check Lists
5. Transparent Fees

6. Use of Signages
7. Time Outs

But
Most of the demands have no impact whatsover in Patient Care
But
Merely serve to boost the ego of the patient or relatives of both
What is Wrong in Ego Boost, you may ask
This ego boost comes at a very high cost
Cost of Time and Money

This money and time wasted for #EgoMassage can be well utilised to treat another patient

If we are honest enough to do a proper evaluation

Identify
which regulations actually improve patient care as a whole
Which regulations are just for #EgoBoost

And
Have the courage

Have the courage to declare that

Availability
Accesibility
Affordability

are the most important factors in health Care

And
#EgoMassage comes after this
We can save more lives
We can Reduce more disabilities

But
No one is even ready to look this problem

But
No one (except me, of course) is even ready to look this problem from scientific angle

But
Want to approach this from Emotional Angle
or
From their ego

-

For those who are ready to look from scientific Angle
Let me ask a simple question
Are you ready

A Patient is admitted for Stab Injury Abdomen

Is Consent for Blood Transfusion needed or not
(as per current law, it is needed.
My question is, does it serve any purpose at all)

If Your answer is YES
The second Question is

Does it serve Scientific Purpose
or
Is that a #EgoMassage Measure

If it serves Scientific Purpose, please specify

If it is just #EgoMassage or for #ConsumerCourts

Ask your conscience
Whether the time and money involved in this informed consent is worth for the egos

@threadreaderapp unroll pls