Friday, April 30, 2010

The norm is like – your patient has Risk.

Mind Well - Your Patient Has Risk…
Previously Doctors were giving assurance to patient. Don’t worry!
You will get well soon…
But  now a trend is that Doctors  tells patient or their relatives regarding true nature of the illness along with likely complications and prognosis of the disease.
Previously Doctors were using the language like – Nothing to Worry!
But Now Doctor explain the Risk of morbidity or mortality to patients relatives & then only proceeds for treatment…  Law demands this from them …It is like Must.
Previously patients were least bothered as far as knowing the name of the disease & it’s causes…
Now Doctors are made to answer all their queries like nature of disease & Risk involved.
They even may ask a question to a Doctor:
                        Are You capable?
So Doctors are coming with New Trend of Explaining Risk rather than Assurance.

Is it not good

Improved technology

Recent advances

Doctors upgrading their knowledge.

Improved communication and transport

People in general are health conscious.

Super specialist are made available by doctors in small town to serve to patient.

No more Family Physicians

Family Physician norm almost vanished.

Family doctor norm vanishing – rather patient consulting one doctor in the morning ,second in the afternoon and third in the night and doctor from place other than his residential place next morning.- patient rather their relatives are more anxious.

 

Future Likely Trend….

Future Likely Trend….
Concept Family Doctors is almost vanished…
And Now on the background of increased  cases of Violence against Doctors the current trend of One day stay clinics, Day care centers, Small Nursing Homes & Small Hospitals will vanish slowly & slowly...
And new Trend will be the Practice under one roof.
That is Practice of Multi-specialty Hospitals in real sense.
Doctors are trying to tune their mental setup towards it.
It will reduce the Stress on Doctors & Also will be benefited to patients, particularly in Rural Area…

unethical things

Patient and relatives are making or forcing doctors to practice an unethical things

Patient’s demand to give false certificate / bill / claim / statement is increased and it  is mentally harassing the Medical Practitioners.

 

undue concern

Increased health consciousness or undue concern about health.

Patient consulting Consultant directly even for minor complaints.

Patient now a day are believing in fast symptomatic relief rather than curative treatment.

not serious.

Patients are not serious.

Patients are not following instructions given by patient.

 Patient does not bother about said scheduled follow up to concerned Doctor.

Patients are still consulting doctor without looking to his or her qualification – rather they believe in – Gun alyashi matalab

 

line of treatment.

Patient or relatives decides the line of treatment.

Patient’s tendency now is to demand for treatment according to their choice. Like they insist to get admitted for headache and contrary they will not get admitted for dysentery with signs of dehydration.

 

Changing relationship

Changing relationship between Doctors and Relatives

Relative are not even thinking on status of doctors now a day.

Un necessary phone calls is another issue.

They want you to prescribe or suggest medicine by question answer session on phone.

 

ethics.

Patients and relatives are not following ethics.

Patient’s or his relative’s tendency to make comment on other Doctors is increasing.

Patient or his relatives and not bothering about feedback of his response to treatment.

 

loosing patience.

Patients and relatives are loosing patience.

Half education…new emerging critical illness are making patient and or his relative more and more panicky.

They will ask you like…Is everything okay?…Is everything all right?...not less than tree times in a day.

no emotional touch

Now it is like give take like thing…no emotional touch by both sides.

It’s just like give and take like business – they gave the money and they took the treatment…just like buying treatment.

Self medication

Self medication is increased

Patients are still depending all medical stores for minor complaints,

The tendency is to keep last prescription and on that only purchase in adequate medicine from medical stores.

Saturday, April 17, 2010

Family physicians are practicing multispeciality.

Some General Practitioners Behavior – beyond the limit ?
1.Doctors referring patients to Consultant only when they are in trouble or all measures are over or  patient is not responding to line of treatment. Late referral
2. Doctors doing general practice / OPD practice are now believe in IV fluids – one day stay practice. That is the new concept of Day care Center.

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