Category: Discussions
On the absence of a doctor’s dilemma in…
On June 10, 2019, Mohammed Sayeed, a 75-year-old patient was admitted to the Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal (1). He died that night due to a cardiac arrest and this led to a scuffle between the patient’s family and duty doctors. In retaliation, the doctors r...
The deteriorating patient-physician relationship in India: Is it…
The patient-physician relationship in India is in a state of rapid decline with fresh incidents of violence highlighting the scale of the problem. The medical fraternity needs to reflect on certain issues plaguing its conduct with patients and colleagues and embark on steps to address them. In th...
Let the healers heal
There has been an increase in the incidence of attacks on doctors in recent times. It is important that some measures are taken to ensure the safety of doctors at the workplace, because only when they feel safe will they be able to treat their patients without any hesitation or fear. We call upon...
Have healers indeed turned predators?
The book , edited by Samiran Nandi, Keshav Desiraju and Sanjay Nagral hit the headlines, both for its content and its provocative title. The dissatisfaction regarding healthcare services in India is at its peak and a new mega healthcare project has been launched. The authors should be congratul...
Testing a low-cost approach to giving eRIG for…
Ethical concerns in using a lower dose of equine rabies immune globulin (eRIG) to irrigate wounds from dog bites to prevent rabies are discussed. A lower dose of eRIG was used because of a general shortage of eRIG and the high market cost in the Himachal Pradesh state of India. The cost and ava...
Exemplary operational research on an important public health…
Rabies is a fatal disease once contracted, and a serious public health problem. Immunisation was unaffordable and inaccessible for most affected people in India. Omesh Bharti’s operational research allows us to reduce the unit dose needed for life saving rabies immunoglobulin (RIG) for class 3 ra...
Whither Cochrane?

The ouster of Professor Peter Gotzsche who headed the Nordic Cochrane Centre, from Cochrane, a respected international research organisation, has provoked a crisis of confidence in the organisation's future. Disputant and bystander reactions on this issue are presented, as well as concerns reg...

Authors’ response to commentaries on “Emergency care in…
We are grateful to Kattula and Jain, Patil and Phutke for their comments on our article on rural emergency medical care and our real problems in rural practice, their management and the threat to our survival. We agree with most of their points and the solutions they have advocated.
Response to Jain et al on emergency healthcare…
"Sustaining for-profit emergency healthcare services in low resource areas" by Jain et al is an excellent reply to the Bawaskars. Clearly, the state must prevent both patients from going bankrupt and practitioners from running into negative balances.
The crisis in Cochrane: Evidence Debased Medicine
The mission of the Cochrane Collaboration, established in 1993, was to systematically review medical evidence with a view to producing the best quality and trustworthy evidence. Twenty-five years later, it is in a crisis that centres on the dismissal one of its founders and the question of access...
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