#IMS
Indian Medical Service is doctors' demand for a long time.
As a doctor, I understand need to be NOT managed by non-medicos.

If I step back and think critically, few points emerge and we need answers for that before new system is demanded.

#thread
1. Fact - Someone needs to manage.
Due to complex nature of society, politics and modern medicine, that person has to be full time manager. Essentially unable to treat individual patients.
2. This person needs training in Public health and managing complex systems.
So all glorious clinical specialities are out of question.

3. Understanding finance is really the key. So is supply chain management !

Looking at all of this it is unlikely that basic/specialist medical training is enough for the job.
In fact clinicians who rise up to power positions are not nice to their juniors and have poor track record of upholding doctors' interests.

So "who" is not really important issue.
"What" they do and "how" is important.
We have good ministers/officers without background training of that dept.

Because - healthcare is for patients. Doctors and all others are instruments.

We need person with social, logical, management and communication intelligence. Without education prejudice.
So whatever our genuine grievances are , they are not going to be solved by doctors managing doctors.

After your initial anger at this suggestion, you may agree with me.
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More from @docbhooshan

25 Apr
#Culture
#India
#Healthcare

One of the reasons of Covid fatigue for doctors in India is "multiple consultations".

So far in entire year I have not come across EVEN ONE patient who consulted ONLY ONE doctor.
Even asymptomatic people or people with mildest of symptoms contact multiple doctors.

This is how we are.

Therefore I am totally against working for telephonic helplines. If they really audit their calls..
they will realise that most callers are calling up helpline "just to confirm" what 10 other doctors + actual treating doctor has already told them.
Read 8 tweets
23 Apr
Getting psychological help for children locally.
Indians settled in developed countries.
#Thread
Focus - mal treatement of child by a family member
Since I started practice in 2000, every year I receive 5-10 calls from Indians settled in EU, UK and north america about help for a child who is at risk from a family member (mostly father but occasionally mother too).
This involves the parent being emotionally and physically abusive towards child (almost always under 10 years of age).
These families are highly educated and well settled.

One of the parent usually has an anger issue/alcohol problem or long standing mental health issue.
Read 13 tweets
21 Apr
#Covid #healthcare
Thread

First 🌊 of Covid was pure shock for all health systems and societies.

We had little knowledge of what hit us.

People died by large number in developed nations.
By the end of first few weeks we sized up the enemy very well. We also knew that there would be more waves.

As they say in 🎾 you are only as good as your second serve.
And this turns out to be truth about health care.

After doing okayish (?luck) in first 🌊, how is India facing second wave?
What has directed our response, if we can call that?

How do we compare with the world in terms of managing second 🌊,

You are the judge and the victim.
Read 4 tweets
19 Apr
If you are worried about catching Covid while at home, you can try these simple steps to reduce your worry -

1. Use small chunks of time (15-30 min) by allocating to specific activity

2. Do not re-work plans - e.g. if you are buying grosseries once a week stay with it.
3. Stop looking for more info - avoiding crowd + closed spaces and wearing mask all the time is enough.

4. Washing hands ONCE after returning home is good enough.
5. Watch your emotions - distract yourself from worry, anger, sadness by involving in physical activity, art, music, etc.
Read 9 tweets
17 Apr
#Thread
Yesterday @EricTopol tweeted about @TheLancet publication reporting "trasmission of SARS CoV 2 mainly via airborne route"

Little did he know that his sphere of influence reaches a city called Nashik in India and pensioners living in my housing complex in Pune, India.
By midnight, i started receiving questions and worried messages from my relatives in Nashik quoting this.
"Now Covid is airborne! we are doomed" was universal concern.
Then a neighbor called in the morning with same concern. Messages on her whatsapp group predicted doom.
Everyone wanted to know - What to do next?

Some had already closed their windows and ventilator gills to protect themselves from "virus air".
This is peak summer in India, temperatures are nearing forties (Celsius).My relatives don't live in air-conditioned homes.
Read 8 tweets
16 Apr
Dear Shri @maheshmkale ,

Congratulations to your father for making complete recovery from Covid.
Your video on plasma donation is doing rounds on social media.

Pl read thru this thread -
Plasma therapy in covid is of almost no additional benefit, prohibitively expensive, human resource intensive.

Here is excellent quality, published research on this issue - health.economictimes.indiatimes.com/news/diagnosti…
Countless relatives are now DEMANDING this therapy for their loved ones.

You can understand their plight to arrange for this therapy. You have been thru same recently.
Read 5 tweets

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