Thread by @docbhooshan

#Covid #Learning
#change

There is lot of learning from Covid pandemic. I am hoping for following three changes to become part of Indian medical system.

I am eternal optimist.

a thread -

Change 1 -

I would like to see doctors following guidelines in treating ALL illnesses. Not getting straight jacketed but respecting research driven guidance.
Too many doctors claim to be geniuses and create cocktails that are useless at best and deadly at worst.

This would not only safeguard good doctors in litigation but put responsibility on bodies that form guidelines. If they want to bask in glory, they need to be accountable as well.
A sensible doctor finds good guidelines supportive, protective, uses them to rationalize treatment.

Change 2 -
Change the way medicines are produced and sold (retail)
2a. A single molecule is produced by literally hundreds of companies and marketed in the same space. This is fundamental to majority of corruption in drug prescribing. This needs rethink and change of law.

2b. Individual pharmacist to be responsible for every tablet/lotion/injection going out of their shop. Dispensing without electronically traceable prescription from a qualified practitioner should be blocked for all medicines except designated OTCs.
Our disaster with steroid and

antibiotic use should teach us at least this much.

Change 3 -

Recognition of nurses as equal partners in healthcare.

Giving genuine independence to nursing council, more autonomy to nurses (instead of throwing autonomy at pseudo-doctors) and most importantly - a seat at decision making table.

Salaries of nurses should be at least 200% more than present levels.

Majority of healthcare can be dispensed by well trained nurses without constant supervision from doctors. This needs to be recognised and facilitated.

These three fundamental and systemic changes can happen at NO COST to government.

They can make treatment reliable, rational, cheaper and more accessible.

Doctors who are not afraid of being appropriately accountable will welcome such changes in healthcare.

All opinions welcome.

#JaiHind

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