In the recent time, particularly in private practice the toll of cesarean sections are quite high in various parts of India. This author tried to speculate why cesarean sections are rising in India and here are the understandings of this author (which are also enriched by some real life experiences).
First question is whom to blame for this rising trend of C- sections in the private practice, the doctors or the patients. The answer might seem like to both, but I feel doctors. Why? Some people might cite that the ladies today are too softie and want everything smoothly with out undergoing the labor pain. But I feel that it’s not wrong for a woman to avoid pain of all sort in life and even labor pain. Besides alleviating pain, since family sizes are shrinking these days and becoming restricted to 1 to 2 children a vaginal delivery might be perceived as risky health practice by some pregnant mothers and their families, who feel cesarean can be a safe alternative to achieve a complication free birth.
The point to understand in this regard is that patients can actually demand anything based on their understandings, but that shouldn’t be an alibi for doctors to incise a woman’s tummy. Ethically doctors are supposed to explain the pregnant lady and her family about the pros and cons of the cesarean section and also stating when such an operation is really indicated. Unfortunately, these ethical issues are only limited to legal papers and texts with not much real life utilisation. Therefore, in my opinion the doctor should explain clearly the issues of delivery with out any word game during conversation to bend the patient and her family members mind set towards an unnecessary cesarean section.
Next question is why doctors in private practice incline more towards a c-section. I feel ‘money making’ will be a partly correct answer, a better phrase would be ‘easy money making’. When a doctor opts to do a cesarean section he doesn’t need to monitor the patient for long hours (unlike normal vaginal delivery). For long hours of observation, more staff are needed and more time needs to be dedicated, which counts as a negative feature for private practitioners. Not only that for conducting normal vaginal delivery doctors need to be available 24×7 because a pregnant patient may go into labor anytime, and private practitioners wouldn’t probably prefer to compromise their nights sleep regulalrly for their entire life, unlike their days when they worked as a resident trainee doctors. Elective cesarean is just like regular outpatient practice, where the cesarean operation can be done at any time convenient to both the doctor and patient.
A third query can be why then women who want a normal delivery with no indication for cesarean section voluntarily go to the government run hospitals where normal delivery is generally offered for eligible cases. This is a complex issue to answer. Many people don’t find the state run hospitals clean and hygienic enough. These hospitals are often accused for baby missing complaints after delivery. Sometimes, cats and other non-human species can find their way inside the hospital wards, and this author witnessed such multiple times. Unlike private practice setup where a woman can get treated under a particular obstetrician of her choice, in state funded hospitals less likely all women will be delivered by senior experienced obstetricians and things might worsen particularly in night time when the lonely unsupervised trainee doctors makes a mess of situations like when shoulder of a baby which gets stuck in birth canal or the mother starts bleeding uncontrollably. Statistics is always good on paper and presentation, but in real life the loss of life or permanent complication of a mother and/or her baby is cent percent for that individual and her family. Its not wrong for a pregnant female to get delivered under skilled confident doctors rather than unsupervised learners. And at this particular point a cesarean section in private is possibly justified unless the government can make any drastic change in the trend.
Lastly, what can be the solution to avoid the unwanted indication-less c-section problem. Bringing in strong laws is obviously an option to compel private practitioners to follow the conduct of medical ethics. Besides that the country should adopt better recruiting, training and licensing system for doctors from nations that are best in obstetrics care in the world. Also the patients and their family members should be made aware about the wrong doing of unnecessary cesarean sections, so that they can demand a normal delivery when there isn’t any indication for Caesarean section. Furthermore, patients should be given legal right to record their doctors counselling about what mode of delivery should they choose so that at a latter time they can take it to the court as a piece of evidence.
Let’s hope, some day the social media loving policy framers will start tweeting on this topic too to get fame (which seems too delicious to them, ‘the Narcissistic farts’), and bring in some fragments of happiness to their citizens.
P.S.: Views and opinions expressed in this post are author's individual, not meant to hurt anyone in any form. If such has happened unknowingly, please understand it as a mere accident and not intentional.
During your entire life time have you ever come across people who make you feel depressed by their talks or gesture or any other form of social cues? If yes, probably you aren’t alone. Despite the excessive trumpeting of the lively quotes sharing of great people about positive echoes of life on social media, still many of us fall pray of the depressive ideologies thrown at us by certain individuals. Lets envision this issue through this authors perspective.
To begin with, let’s try to know who are these people involved in sharing views in a manner that can impact their audience in a deteriorative manner. If I scan the pages of my life, I find such people distributed across various age groups and professions. You may find such people in police or even politics.
In this regard, I recall the picture that is quite common in medical schools. Almost all over the world, a common practice of senior doctors is to make their juniors (particularly those in apprentice phase) to feel worthless in front of the patients and other paramedics. I initially felt that such emotional beheading is only prevalent in developing nation, however, few clicks in the internet search engines can uncover similar heartbreaking stories from various wealthy nations too. Probably, there are handful of medical students who never faced one such situation during their career.
Next, lets try to scroll through the list of people who are the sufferers of such mental oppression. Who’s not in the list from kindergarten students to probably people in senates? Possibly any one can be subjugated by this psychological oppressors. Young children are probably the worst sufferers as they are simply at the dawn of their mental growth and don’t yet really know how to face such situations.
To continue this discussion to its succeeding phase, lets figure out why some people behave in this manner to dispirit another individual. Some probably do it unknowingly as a matter of being habituated to such type of behaviours, learnt from the antecedents to whom they came across in their career path (may be a boss under whom they did their research degree). While the remaining do it simply to gratify the itch of their sole (believably its more gratifying then the itch comfort associated to a fungal skin infection for example that happens in groins or armpits, DEFINITELY A BIZARRE COMPARISON!). In almost all phases of life, from kindergartens to universities to old age homes, such tyrant specieses of human race are largely prevalent, unfortunately.
In educational institutions reporting of such humiliations are generally low because of two reasons, in my view. One, some students have some prefixed idea glued in their brain that this type of psychological anguish is part of their career and its an experience too. The other viewpoint which the remaining student community share is that their period of angst will last only for the years of their training and they just keep tolerating it (while waiting for the course to finish).
Finally, lets evaluate the possible consequences on people who actually have to face such despondent situations. It might shake the psychological foundation of a person and make them depressed or even suicidal. Substance abuse can also also be an unwanted guest to the sufferers life as a result with their emotional turmoils.
Despite the attempts and claims of strong actions against such psychopaths (in my opinion) by the authorities, underreporting is a likely problem and the compromised people keep suffering silently. Underreporting can also be a phenomenon in socially or economically dependent population, in children, women and elderly particularly. As time passes, the scars of emotional shaming tend to fade in some, while the rest carry it all the way to their graves, and sometimes unwillingly.
In today’s online era, newspaper companies and tv news channels have simultaneously started to broadcast news through their websites too. This is probably because most readers have switched their reading habits from the paper version to the online mode.
During our childhood days, newspapers use to get delivered daily morning at our home. Newspapers had its own distinct smell, primarily because for its unique recycled paper quality. And on Sunday’s most newspaper sellers would provide some supplementary pages, generally in exchange of few extra bucks.
Newspapers at certain localities were important beyond its news content, as a symbol of social status. Newspapers meant style to many, a cup of coffee combined with newspaper in hand and rolling on a reclining chair use to be a preferred style of many individuals, and some still hold the practice alive today. While others use to buy newspaper for other miscellaneous purposes like finding their matrimonial alliance to searching a job or property.
Newspapers weren’t something very cheap always, cost wise, to splash its news droplets on every poor man’s house. Although one single subscription might not hurt one much economically but the monthly and annual expenses for regular subscription made many to resent silently.
But things are no more exactly the same, neither in developed world nor in the developing. Infiltration of internet even at remote parts of the globe is gradually making it much easier for people to get access to news, online.
You can now save significant amount of money that you would have otherwise paid every month to purchase paper version of newspapers and get the same news from the internet, absolutely free and from multiple news providers.
Since smart phones boomed in the market news reading on the web appears to have reached its pinnacle. Opening a laptop or pc to read news would have hindered many to go to online to read news always, but these smartphones have made that quite simple, simply a tap away! I think this is a good chance, to get to know the news is part of every human’s basic right and people should have options to get that free of cost.
However, recently we can find that some of the well renowned news media companies are gradually trying to convert their free online news to a pay and use service. They are starting with very low cost probably 10 dollars for 2-3 months subscription. Why such a monetizing attempt of the online news? May be they are not making enough profit by sell of news as they use to do with their paper version. Or may be human avarice for money has no end. Whatever may be the cause it might be uncomfortable for many readers who love to read news free of charge online.
Fortunately, some of the very popular old news broadcasting companies have not yet taken such initiative and are still providing news free over the internet.
If all such big news providers start to monetize by making online news a paid service, then the problem will start for people like me who don’t want to pay to read news on the internet. However, if such monetization of online happens in real world one day, small less popular news companies may find it as an advantage to blossom and make a hike in their popularity by allowing free access to news.
Social networking sites in this regard, possibly makes the best earning from news display, despite not being the primary news collector. Since a large number of people these days rely on social networking sites to scroll through news event from different news media, their ad based revenue remains quite solid.
“…the journalists, who write the news articles. How do they earn money if news is to be circulated free on the web?”
Although we see the headlines and a briefing of a news in the social networking site, we don’t always visit to the parent news broadcaster’s website to read the news. This means that the host news company don’t get that benefit what the social networking site gets, while it is so true that collecting news and then getting it typed in readable and presentable format is a daunting task.
This brings me to the journalists, who write the news articles. How do they earn money if news is to be circulated free on the web? Probably this easy access to news is not good for them. Not only that quality standard writing are now gradually becoming available in low profile news medias too due to a global rise of literacy and quality education.
Another sad point for journalists is that not every reader cares for good scholarly written articles. Many of the readers just want to read news in a pick a boo manner, similar to texting abbreviated text messages on their mobile phones, with no time or interest to delve into the news writers hard work. Well in that way sometimes it feels online news companies should also charged some money to access their news. However, one thing pertaining to this issue one should not forget is that once a newspaper company which use to serve a small cluster of people at a region of the globe is now getting a global circulation by virtue of the internet, and therefore there loss and profit issue is really complicated.
“Whereas news is like a flower in the common man’s garden where both a truck driver and the president of a country can visit.”
But there is a flaw here too. Not every person who can’t cut a share of their monthly budget to read online news, is a poor reader. There are plenty of shrewd readers who truly appreciate the content of the writer but might not be willing to or able to pay for it.
In this regard, I feel one must not confuse an article written by a journalist for a common man with a research paper written for a mathematician, for instance. Popular research content publishing journals publish on a particular subject areas like maths or astrophysics which are frequently subscribed by universities for their libraries as reference materials to read for their staff and students. This can be a potential way of earning for those journal companies. Since mathematicians doing research have no other alternative way to gain access to a pure research article, they have no alternative other than getting access to the paid version to read and cite articles.
Whereas news are like flowers in the common man’s garden where both a truck driver and the president of a country can visit. Therefore, making online news paid may not be a wise thing to do. Even many very rich person spend cautiously these days.
Finally how does this author accesses news? I read news through news feed section of a popular social networking site. Recently, I met through some branded international news providers, urging to go to their paid version to read their articles, which obviously prompted me to write this article. I removed those news companies from my liked list of newspapers.
In my opinion, news media companies should try to earn their revenue by other means like ads. Most readers don’t mind ads as long as the news is free. A paid version of news may be kept optional for readers who don’t want to view scattered ads around a news item.
Well finally time will answer if really one day all online news providing companies will shift to a paid subscription edition like printed paper version of newspapers.
At least people like this author will be the last person to support this mode of commercialization. News means the voice of truth, freedom and democracy, hence my appeal will be to keep online news free of charges.
The much loved VLC media player is already available on every significant desktop operating system, and even a few obscure ones, with one major exception: Chrome OS. But that’s about to change.
The nonprofit VideoLAN organization on Friday announced that the free, open source, cross-platform VLC multimedia player is finally available on Google’s Chrome OS. Like the desktop version of VLC, the new Chrome OS iteration can play most video files, as well as network streams and DVD ISOs. It’s also a full audio player capable of playing even “weird audio formats” like FLAC.
“VLC is intended for everyone, is totally free, has no ads, no in-app-purchases, no spying and is developed by passionate volunteers,” VideoLAN President Jean-Baptiste Kempf wrote in a blog post. “All the source code is available for free.”