Category: Case Studies
Commentary: taking decisions one can live with
This dilemma, presented with reference to a case report is frequently seen in various aspects of medical practice. It is also seen in war situations where triage has to be clearly established so that the more deserving get a better chance to survive. The case outlined by Victor Kong is perhaps re...
Observational study of cervical cancer
Although this case study is based on research that took place in the 1970s, the questions that it raises remain relevant today.
When the patient’s family refuses care: a practical…
We walked into the clinic of our nongovernmental organisation to find a young man sprawled on the floor face down and crying in pain. We were told that Velu (name changed), an Irula tribal from a village about six km from the clinic, had been fetching water from the well when he had felt a sharp ...
Response: caught between two world views
As a trained allopathic practitioner myself, two decades ago I found myself in similar circumstances and appreciate the dilemma of the young doctors. Since this analysis is after the event, it must be read as a tentative explanation of the confusion we often create for ourselves.
Dealing with spousal violence
C is a middle-aged woman who came to the counselling centre after reading about it on posters in the crisis centre. She has been living with her alcoholic husband for the last 15 years. She has a daughter who is 12 years old. She told the counsellor that her husband did not contribute any i...
Dealing with spousal violence: the counsellor’s dilemma
Violence by husbands against their wives, commonly called domestic or spousal violence, is one of the most common forms of gender-based violence experienced by women across the world. It varies from country to country but its presence is hidden but recognised by all. It is a se...
Values conflicts in professional-community collaborations
Improving public health frequently requires collaboration between professional and community-based organisations. Health professionals and community activists typically bring different educational backgrounds, social experiences, and values to their collaboration. If handled well, these dif...
Seeking better inter-departmental cooperation in healthcare settings

Hospital healthcare is essentially teamwork. Frequently, however, one comes across incidents where inter-departmental cooperation is compromised. It can create an awkward situation for residents and other staff members involved in the healthcare system. We can recall many such incidents during...

Inter-departmental cooperation needs education
The authors deserve applause for bringing up a practical and important deficiency in current medical practice. The incidents narrated by Aggarwal et al appear to follow poor inter-personal relationships between the various clinicians, the need for one or more of them to dominate over others, and ...
Conflict resolution in the healthcare environment
How would you like to be a passenger in an aircraft, where the senior pilot and the co-pilot were having a loud altercation, just a few minutes before landing? This would be rather upsetting. You don't really care about "their" issue, you just expect them to get their act together and be "profess...
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