#confluence
#Engineering #medicine #management

More and more IIT alumni are donating money to their mother institutions (IITs) to build and run medical colleges.

This is excellent start of a revolution. Let's try to predict the direction.

#Thread
IITs have been truly star institutes of India. Almost all produce occupies highest possible positions home and abroad. And in civil services as well.

Every Indian parent nurtures IIT dream for their children and IIT alumni run coaching institutes also to fulfil that dream.
Intelligent engineers quickly quit their base speciality and enter very lucrative management work in for-profit organisations. Our best brains are well known to make tons of money for investors and share holders. Enriching the whole world in this process.
Medicine on the other hand has a lackluster performance. Doctors run individual for-profit small shops and try to survive on meager supply of fast dwindling public sympathy about the so called "noble profession". Most of them suspect it is game over for individual doctors.
This is where confluence of Medicine and Engineering will be a game changer.

Cheap mass production, delivering services via cheapest and just-enough trained component, putting physical and legal distance between user and provider is crux of modern business.
This is exactly what medicine needs.

Confluence of medicine, engineering and management schools will ensure that our best brains will work not for themselves but for big multinational corporations.
This is a win-win-win situation.

Individual brains will benefit from high income and physical safety.

Corporations will make big money for shareholders.

Public will benefit due to now well known benefits of corporatisation.
And people who speak about heart and soul in medicine are already small in number and vanishing fast.
Such needs are met better by alternative-to-medicine and spiritual gurus. They lend well to corporatisation as well.
This is such a fantastic cusp of bright future for healthcare! What could go wrong!
#JaiHind
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More from @docbhooshan

Apr 5
Chakravyuh called Indian Healthcare.

Why nobody will be happy and everyone will die miserably in the end.
#thread
1/n
When you develop a complex system for large number of users, it is best to keep it uncomplicated and have NO conflicts in the basic principles that govern the system.
2/n
When conflict is present in basic principles, all components of the system try to get best for themselves AT THE COST OF OTHERS. So everyone ends up unhappy.
Speaking of healthcare, unless building blocks are well fitted and aligned, system will collapse.
3/n
Read 25 tweets
Mar 15
#Parenting
#Trauma

Kashmir Files has given us one more opportunity to look at how we react to others' trauma.

This is important skill beacuse as parents we are constantly puzzled by need to give "appropriate" reaction to children's experiences.

Let's see how we can help.
First principle - hear it out.
If you let children talk about their experience without interruption, they will be able to verbalize their feelings and that act itself is helpful as brain finds words to express and contain distress.
Do not ask for justification of feeling - there is never a justification for an emotion. It is a natural reflex.

All explanations are post-hoc justifications. They have no real meaning.
Read 8 tweets
Mar 11
#Childcare #Mother #India

Among other oppressive forces working against women, one that is most difficult to face is "children need mother in early years".

This leads to exclusion of women from workforce for long periods.

Let's look at this assumption about mother's role.
A baby needs mother figure for attachment and nourishment. This is undeniable.

Key question is - How long?
In most traditional households this responsibility is continued literally till kids become adults and marry. !!
Read 14 tweets
Feb 28
#Thread
#India

If you have a child starting physical school or physical exams after a break of 2 years AND they are getting scared, please read this thread.
Many children are really happy to be back in school and have started school with all the enthusiasm that is contagious to entire household.

But some kids (especially exam facing kids) have developed fear / anxiety.
They report poor sleep, tiredness, restlessness and agitation, poor appetite and fluctuating mood. They seem to oversleep in the day or distract themselves with media binges.

Some also report forgetfulness and "blankness" esp about exams and studies.
Read 11 tweets
Feb 25
As a psychiatrist, I can't claim knowledge of world politics. What I understand a bit is about personalities and systems of people called society.

So when I hear people talking about "personalities" of leaders of nations, here is what comes to my mind.
#Thread
Some leaders are lucky to have right pedigree, being there at inflection point of history and some sense of opportunity.

They are not "fight and conquer" leaders. They pretty much get coronated as leaders.

If they are in a democracy or lead a country that is irrelevant
to larger forces of the world, they are generous, benevolent, liberal and talk of "integration" etc.

If such leaders are from a military dominated country, they need to be ruthless and cruel to section opposing them but generous and friendly to neutrals and supporters.
Read 9 tweets
Feb 24
This is an important moment.
Equality is not part of MBBS curriculum. Issues faced by LGBTQ+ community due to ignorance of doctors will hopefully be thing of the past.
I have been part of this effort with my colleague Bindumadhav Khire.
Pl read on -
This steps removed all the references pointing towards disease, disorder etc.
Established variations in sexuality and preferences as normal human sexuality.

MBBS students will get a chance to learn -
1. How to conduct an interview when sexuality is being discussed
2. How to do educative work with family
3. How to identify distress and how to help
4. Protecting vulnerable people from illegal conversion therapies etc.
Read 5 tweets

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