The Silent Surrender

In our quiet ward, a son softly asked, “Can I take my mother home?” Usually, such requests mean relief. Patients leave with hope, their struggles behind them. Grateful families thank the doctors, smiling. It feels like a victory. But this time, there was no joy. No happiness. His question wasn’t about hope—it was about saying … Read the essay

Ethical Challenges in Cancer Management

This morning I was asked by Dr NR Datta, head of the Radiation Oncology department of our hospital to talk on Ethical Challenges in Cancer management. I addressed the following issues in my Powerpoint Presentation. The audience- faculty, resident, technicians, nurses, and social workers- also shared the challenges that they see in their daily practice. … Read the essay

Covid: Evidence, Ethics and Economics

This afternoon I spoke on several issues that influence our thought processes when we see patients with Covid19- in the community, in the hospital OPD, wards or ICUs. How should we design our therapy? Should we allow ourselves to prescribe untested and unproven therapies because the atmosphere is filled with fear, desperation and panic? What … Read the essay

Clinical Trials in Covid: Ethics and Practice

Fear. Panic. Desperation.  Came Covid and most doctors began to prescribe anti-Covid drugs based not on scientific research, but based on anecdotes, media stories, newspapers, TV channels and promotion of drugs by the drug industry. The virus pushed the Evidence-based medicine to the back seat. Physicians were either reluctant to— or didn’t know how to— … Read the essay