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 … Read the essay

A tale of two consultations

A couple of days ago, I happened to see my friend’s grandchild. The three-month old baby, the child’s mother noted, had slow wandering eye movements and did not seem to focus well. The child had albinism- a disorder that affects colour of hair, skin and eyes. The mother was getting jittery. Will my son be … Read the essay

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 … Read the essay

Mammograms – much ado about nothing?

A day before, I wrote that we should not sell mammography as a screening modality in resource limited setting. Today’s Annals of Internal Medicine carries recommendation of the U.S. Preventive Services Task Force (USPSTF) on screening for breast cancer in general population. Interestingly, USPSTF in 2002 had advocated for routine screening mammography at age 40; … Read the essay

Mammography in a rural teaching hospital

A year before, our hospital acquired a mammography unit, aimed at early detection of breast cancer in women. We did so at the behest of Medical Council of India (MCI) – provision of mammography is one of the several prerequisites for granting approval for MD (Radiodiagnosis) post-graduation programme. Eager to win MCI approval, we spent … Read the essay