Information and Communication technology in Medicine
My talk in Pune…
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Clinical Stories
iPad at the point of care
Smartphones and iPads are the future of medicine. In 2004 we introduced hospital information system in our teaching hospital. We realized that one day, we shall move from the desktops to the laptops, and subsequently to iPads and smartphones. Digital technology, to be effective, needs to be at the point of care. It cannot distance itself. In the hospital point …
Medicine is Skin Deep
Sunday morning. I was rounding with my residents. We moved as a group to the ICU, stopping at each bed. A middle-aged woman with a heart attack. A boy fighting malaria. A young man battling HIV and TB. We checked their vitals, reviewed test results, and adjusted their treatment. At bed 7, a young woman lay still. A feeding tube …
Violence in hospitals
Last week, a previously healthy 50-year-old man died in our hospital following a massive stroke. A CT scan revealed a deep intracerebral hemorrhage. Sudden death evokes a torrent of emotions—shock, denial, frustration, anger, and grief—not necessarily in that order. Shortly after the patient’s death in our ICU, a furious mob of nearly 50 people bypassed hospital security, stormed into the …
Are India’s best hospitals India’s best?
On 15 November 2009, The Week released its annual list of the country’s best hospitals, categorized by specialties such as cardiology, oncology, orthopaedics, gastroenterology, ophthalmology, and paediatrics. The rankings were based on a 14-city survey conducted by The Week in collaboration with IMRB, a market research agency. The survey included responses from 10 specialists across 10 specializations and 1,190 general …
CAT has nine lives
Every few years, our CAT scan machine drops dead- only to purr again. Bought about 10 years back, the machine has scanned about 20,000 heads, chests and bellies. At times, for some inexplicable reasons, the CAT stands still- a CATastrophic event in the hospital. And as engineers-flown from Bangalore- lay their hands on the CAT that refuses to purr, we …