Tag Archives: India

Why cesarean sections are rising in private practice in India?

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.
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How does it feel to wait for someone at arrival hall of an airport?

It’s 11:30 pm, I am waiting at a domestic terminal of an Indian airport to receive my spouse whose flight is scheduled to arrive at 12:00 am. This is not the first time I am at an airport waiting to receive someone, but this time is different because I am typing this post sitting at the airport’s arrival area. I arrived at the airport almost 15 minutes back and have to wait another half an hour, so thought of writing this post to paralyse my boredom. I prefer writing a blog post rather than playing video games at public places, maintains my mood.

The process of receiving someone at airport starts with planning my travel. I prefer to plan to reach the airport at least an hour before, taking into account the possible traffic clogs. Before commencing my travel I always make sure of carrying few important things like a mobile phone with internet facility, drinking water, biscuits and my wallet loaded with enough cash to deal with my transit cost to the airport and return. Gradually you will know how this mini packing of mine before my journey proves effective.

On reaching the airport, first I check the arrival terminal to which my guest will be arriving and move towards it. Then I look for a flight arrival information display screen, near which I try to make my perimeter fixed and generally don’t go more than 100 meters (roughly) away from that.

After locating the display screen I try to scan other people who also have come to receive their guests at the airport. Some of them are continuously standing in front of the display screen and continuously staring at it. Others might be changing their vision alternatively between their wrist watch and the display screen and continuously fidgeting in the nearby area. Another set of individuals, may prefer to seat in the shops in the airport premises and have coffee, sandwich, pizza etc.

However, I don’t prefer to do any of these while waiting at the arrival area except that I look at the display screen frequently expecting an early arrival of the flight, which doesn’t happen always. I prefer to take a gentle walk in the nearby area and return to the display screen every about 5 to 10 minutes to check the recent update of my target flight. When I am tired of walking or if that is not possible because of excessive crowd or my mood is not congruent for a brisk walk I would simply seat somewhere with my smartphone and start poking google with variety of searches that itches my brain at that time. But today is different; I have shown some mercy to the search engine and thought of writing this post for my blog.

In the meantime good smell of coffee was pouring on the nerves of my nose from the nearby food shop. The shop sells variety of things besides coffee like cakes, noodles, sandwiches etc. I never, till date, bought any food item from shops at airport premises in India. Reason has always been the cost. I am never convinced with the high price of food in the Indian airports. In USA, I found the prices of edible stuff quite reasonable but never in India. In India, outside the airport an average cup of tea or coffee price may vary from 6 to 20 bucks maximum but inside airports it will become probably in the range from about 200 to 600 bucks. Similarly, the price of another popular Indian snacks ‘samosa’ might be sold at about 5 to 6 times higher price in the airport, compared to the outside market. So are in case of south Indian dishes like idli, dhosa etc. Therefore, I carry biscuits with me that fits in my pocket and suits my wallet.

It has been almost 10 minutes, since I am busy typing this post at the airport’s waiting hall. The display screen is acknowledging that the flight for which I am waiting is expected to be arriving at correct time; this brought a smile in my face, just twenty more minutes of waiting.

But how does it feel if you learn that the flight’s arrival will be an hour or more late. This can be quite depressing at times. Probably this is the time you are ready to forgive your wallet and go for the restaurants or food shops at the arrival area. In such situations some people will start visiting the display screen more frequently and continuously check their watch until their eyes are tired. A partner at the airport can be helpful to conquer the depressed feeling largely by engaging in a talk. Me, in such situation would make phone calls to near and dear ones to let them know about my latest status in the airport and buy some support for maintaining my mood to wait longer. Sometimes, I would prefer typing a post or taking a brisk walk in the nearby premises.

Now I am yawning, feeling bored to type anymore. Also the chair is not comfortable at all, as there is no back support. Oh, my phone is ringing, well it’s my spouse calling.  I understood that the flight has landed. Feeling lucky today as the flight touched the airport 10 minutes before its scheduled arrival time. Let me go for the prepaid taxi counter before the passengers of the flight come out, once the passengers start coming out the que will be long.

I can see my spouse approaching the arrival gate, so I must stop typing now and receive her. Dear reader, thanks for being with me and sharing part of my boredom.

GOOD NIGHT!

Why some Indians behave in English-way at Indian airports?

wpid-wp-1439552372101.jpegIndia is a country of linguistic diversity. Various provinces have different primary languages like bengali in West Bengal, marathi in Maharashtra, odia in Orissa etc. Hindi is the national language of the country. However, there are many people in India who suddenly start behaving and talking in a different manner, as soon as they enter any airport premises in India .

Inside airports these people wouldn’t prefer speaking their non-english mother tongue nor their national language. The choice of language becomes english and behavior and bodily gestures used to communicate becomes more a sort of British or American type.

Is it bad to behave in this pattern or is it a good change? Not sure if it is good or bad, but it is probably a type of subconscious conflict with their own identity which they got by birth. Probably they would have been happier to be a citizen of the English speaking developed world.

If this observation by this author is true than the question is why these people behave in such different manner in airport premises.

One explanation might be that people are losing love and faith on their own language and feel English as a good way of reflecting themselves. Since most English speaking nations like America or England or Australia are economically more stable with better organised living conditions, people might not be loving their motherland (India) any more in their subconscious mind. In countries like India or Bangladesh or Nepal most of the time airports are one of the cleanest places of these nations where things work in organised way with some amount of discipline.

Anyway lets wrap up this discussion here. Before concluding I would like to say that this writing is based on my own individual observation which is not necessarily true. The author don’t intend to hurt anyone’s feeling in any manner, however if such has happened unknowingly please understand it as a pure coincidence rather than a cold minded intention.

Dhanyabad (thank you in Hindi).

Risk of future Nepal-India earthquake

There is an increased risk of a future major earthquake in an area that straddles the west of Nepal and India, scientists warn.

New data has revealed that the devastating quake that hit Nepal in April did not release all of the stress that had built up underground, and has pushed some of it westwards.

The research is published in the journals Nature Geoscience and Science.

Its authors say more monitoring is now needed in this area.

via Risk of future Nepal-India earthquake increases – BBC News.

Former president of India, Mr. APJ Abdul Kalam passed away

A sad day for every Indian, former president of India Mr. APJ Abdul Kalam passed away. In this corruption rotten nation, he was a ray of hope for a better India. The authors of this blog salutes the great leader, for his contribution to the nation.

One of India’s most popular presidents, Abdul Kalam, died Monday after he collapsed during a lecture to business management graduate students in the northeastern city of Shillong.The 83-year-old Kalam, who was president from 2002 to 2007, was affectionately called the “missile man,” “scientist-patriot” and “people’s president” of India. Many Indians credited him with lending relevance to what is largely a ceremonial post.Kalam suffered a cardiac arrest during the lecture and was declared dead as soon as he was brought to the hospital. He was in Shillong to deliver a lecture titled “Liveable Planet Earth,” according to his last tweet.

via https://www.washingtonpost.com/blogs/worldviews/wp/2015/07/27/india-mourns-death-of-former-president-abdul-kalam/

APJ Abdul Kalam was born in 1931 into a middle-class family in Rameshwaram, a town well-known for its Hindu shrines in the southern state of Tamil Nadu.His father owned boats which he rented out to local fishermen, but he himself began his career as a newspaper vendor.He then earned a degree in aeronautical engineering from a technology institute in Chennai (Madras).Mr Kalam joined the Vikram Sarabhai Space Centre in the neighbouring state of Kerala in the 1960s as one of its first three engineers.He played a major role in the centre’s evolution to a key hub of space research in India, helping to develop the country’s first indigenous satellite-launch vehicle.He worked for the Defence Research and Development Organization and the Indian Space Research Organization.Indian scientists have hailed him as the father of the Indian nuclear bomb and its missile delivery systems.He also played a key role when India tested its nuclear weapons in 1998.The former president was proud of his Indian education and liked to describe himself as “Made in India”, having never been trained abroad.

via http://www.bbc.com/news/world-asia-33682651

A hidden cause of traffic jam in Mumbai

If you are an inhabitant of the famous Indian city, Mumbai, you might have experienced the problem of getting stuck in traffic while traveling on the roads. Have you ever tried to explore the possible causes of it.

Few of the causes might be like unplanned road construction, narrow roads etc. Here we are not discussing statistics of various causes of the traffic clog rather the observation this author made while traveling on the roads of Mumbai.

This author feels that excessive number of vehicles that are parked along the road sides are an important cause of slowing of traffic in various parts of Mumbai .

Cars and scooters are found stranded all along the road sides of various roads. Sometimes I doubt are these vehicles legally allowed to be kept alongside the roads or are the people who are responsible to take action against it are reluctant.

Hope the people with legal authority to deal with these issue will someday scan these roads for these huge number of parked vehicles and take some action to decompress the suffocating traffic 🚥 jam, atleast to some extent .

How is on board flight meals in the Indian sky?

In the last few years Indian sky has been occupied by an increasing number of flights, since a lot of companies took interest in business in airline industry of this highly populated nation.

On board meals have been an interesting and attractive thing for many passengers who flew in flights ran by the airline services that the country’s government run. Sadly most commercial flights to the best of these author’s knowledge don’t provide free meals on board at the current time except Jet airways.

The airline companies are probably not in a mood to give free complementary meal services at the current time but they might change their views if few more airlines come up with free complementary on board meals, to thrive the competition.

In India, once the scenario was like only rich man traveled by air, but today air travel is no more a luxury, it’s a necessity to save time. Since the price of flights has dropped significantly in the recent time many people who still burgeon to buy a kilo of potato or who spent each peny from pocket cautiously are choosing to fly.

The price in which the food is offered on board or in the airports are probably not matching the pockets of middle class Indians. I remember two samosas being sold in 90 rupees at an Indian airport.

On board where complementary meals are not provided many passengers don’t buy any food except drinking the water, provided free by most airlines till today.

The author believes a complementary meal makes an air travel enjoying and fun and airline companies should try to think about it positively. While getting a flight ticket this author prefers a flight company that provides complementary meals than  an airline company which is not providing it in the same price. That’s why this author likes Jet Airlines. Passengers love complementary on board meals, survey it if you doubt!