Appropriate anger has already been expressed about this comment in all media and suitable explanation and retraction done already. But I want to look at this as citizen.

#Thread

indianexpress.com/article/india/…
North America and Europe have democracy for long time. They had chance of rebuilding their countries through two devastating world wars.

Their building was done before world became aware of rights of endogenous people, environment protection and corporate giants.
Only large country that managed scorching pace of growth and pulling population out of poverty in modern times is China. They are not democracy and there is no word for human rights in their language.
We, in India, are at a strange point of developement and democracy.
We desperately need developement for good of our population and to face external challenges but we NEED democracy.
Without democracy and credible opposition, we will be back to late 19th century chaos.
But our democracy has ceased being constructive democracy. All parties in power speak same language and same with opposition.

Opposing anything and everything that government proposes seems to be only proof of existence of opposite for now.
Party in power trying to implement its version of developement and party in opposition trying to stall each step and trying to get back in power is what our democracy is reduced to since over 30 years now.
Civil society stepping in to provide necessary counterbalance for government is one option.

This option is forever is highjacked by either politicos, big corporates, minor political parties or suspected foreign funding.
So, just a ton of questions without practical answers.

That's where I feel lost as a common man on street who needs to earn living on daily basis and pay taxes.
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More from @docbhooshan

7 Dec
Perspective changes decision making.

#Thread
#Child-development

18 month old child is brought in by parents as they suspect autism.
Pediatrician saw the child 3 months ago and advised them to wait till second birthday.

Parents were worried so they self referred to me.
Should the parents consult me without knowledge of their regular pediatrician?
(Hearing test is already done. Normal.)
When I meet the family, child has definite delay in speech related milestones. All other milestones are fine. signs of autism are absent.

Parents ask a pointed question - "are you sure my child does NOT have autism?"

What are my choices -
Read 14 tweets
27 Oct
#psychiatry
#lifelessons
#thread

First year of psychiatry residency teaches some valuable life lessons.

Here is a real life story about fighting delusions and living with them as it applies to today.
I worked in a municipal hospital during my urban internship stint. There was once a week Psychiatry OPD started by resident medical officer Dr Shirole and visiting consultant Dr Thombare (unfortunately, both have now passed away). I had already expressed my interest in Psychiatry
So I was allowed attend this OPD.
Dr Thombare wanted me to learn about symptoms of mind so he asked to talk a patient in detail. He allocated a middle aged man as my patient.
He was on treatment for years and was considered a "stable" patient.
Read 15 tweets
10 Oct
Thank you for your generous response to this tweet.

I am currently writing a blog post on this so I will share link as soon as ready.

Sharing some salient points via a thread here.
1. A doctor who is available nearby, in person and on phone, 24*7, has good acumen to solve most regular issues and contact with consultants to solve more complicated ones - golden age of family doctors
Important condition - this doctor should come really cheap.
2. This was good in metros till 20-30yr ago. Still works in areas that are semi urban or rural.
Read 21 tweets
5 Oct
When you approach a doctor with some problem, you are vulnerable. You will readily accept "intervention/treatments".

Sometimes your doctor wil send you away without offering intervention/treatments. Because -
1. It is normal occurrence. No disease.
2. Your misconceptions need correction not your body.
3. It is a self limiting condition.
4. Intervention will make it worse. Better to wait and let it disappear.
5. Too early to identify precise problem. Not enough data. Better to wait for more data to emerge.
6. You get hassled by small issues, need to learn to live with some as long term health strategy.
And some more.

Such doctors are pure gold. Cherish them.

They are turning away a willing to investigate/get treatment patient because they are ethical.
Read 6 tweets
4 Oct
#Decisionmaking
#Medicine

#Thread

As a trainee doctor working in government hospital, working with poorest in the country, I believed that education can solve most problems.

How wrong I was!

A thread on decision making.
As a trainee doctor I saw suffering of people that I attributed to lack of education. They were superstitious, had bizzare (IMO) ideas about illness and recovery, hardly ever followed medical advice esp about follow up of treatment.
I firmly believed that as more and more people get school education, this will go away. People will have access to good information and they will make better decisions resulting in better life.
Read 18 tweets
3 Oct
#School
#India

Many parents ask me if they should enroll their kids in one of the "new" schools.

Here is my answer about schools that encourage curriculum free learning.

A thread.
Many parents recognise harm of prevalent industrial model of school. They have enough money to explore "alternative" education models.

Are these models good?

I have seen rise and transformation of some of these schools in Pune over last 20 years.
Curiosity directed, teacher guided, self learning is every educationist's gold standard and every parent's dream when they are not anxious.

Madam Montessori pioneered this thinking. Educationists like Gijubhai, Anil Panse worked on similar models grounded in indian reality.
Read 10 tweets

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