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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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Rampage drivers to fly drones

I first heard about ‘Drones’ when I witnessed their use in warfare and spying, in television news. Then in movies and recently read in news websites about its potential usage for delivering courier or online shopping items to our doorsteps. Although, a lot of arguments are ongoing about the possible misuse of drones in freight of goods by online shopping companies, some are even imagining about its possible future use in daily commuting of humans.

If drones are to be used in future for our daily commute to office, developing nations in particular will be benefitted, in my view. Why? Let’s discuss it in terms of a city like Mumbai in India, where roads are clogged up with suffocating traffic and where bike riders and three wheeler rickshaws are in a competition to prod their front wheel in every small gap they find in the heavy traffic to beat other vehicles in the race of reaching earlier to their destinations (however, unless you have been in such roads you can’t get the actual essence of it).

Easiest way to travel in such traffic congested cities is through the railway, however the rails don’t propel you to every minuscule destinations beyond the capacity of its tract, and in most days during office hours you may prefer to avoid its hefty rowdy crowd. Since such cities are grossly unplanned and have no much space for new mega transport infrastructure to introduce, drones may be a sort of swift relief form the burly stifled crowd and may also serve as the fastest mode of transport in such busy metros. If drone technology keeps accelerating in the current pace in near future we might find such drones instigated for common man’s commuting. We might see structures like buses with four propellers at four corners of its roof being lifted up and moved on towards it destination.

So much so is about use of drones for public transportation purposes. But if it gets allowed, which might eventually be someday, that any individual can own a drone and drive it like a cab or rickshaw for carrying passengers or like bikes or cars for personal usage, to reach their precise destinations, what will be its aftermath keeping in mind how real traffic situation is on the roads. Seeing the current reckless, mercy less, unorderly, chaotic and traffic law undermining driving of drivers in most major cities in metros of developing nations, it is quite horrible to even think about the probable rampage that can happen in the air when these set of drivers are permitted to fly drones.

If you ever witnessed, some of the notorious vehicle-overcrowded traffic signals in cities of developing nations, you can find how almost every driver gets busy trying introducing the front part of their vehicle in every little space available on the roads worsening the jam to its zenith. And at the very split second the traffic signal becomes green the first row of traffic run in almost a windy speed as if they are chasing an Olympic medal to reach the next traffic signal. Simultaneously, in urban metropolitans of third world nations, its not uncommon to see the disrespect of drivers towards pedestrians, who just almost ram on pedestrians mercilessly and some even crawl up their vehicles on the pavement. To worsen the anguish of pedestrians further its not unusual to see pavements preoccupied by illegal constructions like shops or extension of houses, parked scooters, non tax paying street canines etc. On the other hand, some pedestrians are also blamable for their reckless traffic rule defying behaviors particularly while crossing roads with head phones plugged in their ears.

So if such traffic law disobeying attitude drivers take up drone flyer’s control seat some unimaginable spectrum of consequences might pour in. To sketch few, some drone drivers my collide with sky scraping buildings (commonly found in metros of developing nations), while other might end up in drone-drone collision or alike aircraft crashes may plough into traffic beneath on the roads. A solution may be to introduce licensed pilots (truly licensed, unlike those driving licenses easily obtainable in some corruption corroded countries), like aircraft pilots. But a drawback of such commercial pilot recruitment might be the difficulty to monitor such huge pool of pilots, if drone are to used in future like bike, taxi, rickshaw or bus. However, if the drones are unmanned like those automated cars recently introduced by one of the famous internet search engine company an orderly drone traffic system may be possible to achieve.

Now one can definitely rise a question, why am I targeting third world countries with stickers of rampage driving in traffic, aren’t there rash drivers in the developed nations. Yes in the later too we can find traffic law infringers, but there are certain concrete differences from the former to understand. In developed nations, primary reasons why the traffic is not most of the time clogged to such extremes as in third world’s urban roads are the better planned traffic handling, good road construction and mapping  and attitude of  majority of people to stick to traffic rules. Moreover, the CCTV’s are mostly fully functioning and are systematically monitored in the west, where a driver who violates traffic rule if caught on camera faces the legal consequences, which is not the case in developing nations till date, grossly.

P.S. – This writing is based on the author’s individual observations, which is not necessarily true and agreeable to all.

Waiting with the sea

Where does this story coins? Somewhere along the bay of Arabian Sea in about a stone throw distance away from the sea shore. I am relentlessly waiting for my clients who are yet to show up. It’s afternoon, the small hand of my watch just ticked to one. My present niche includes a small room from where through the tinted glass and over a heavy wire barbed fenced concrete wall, I can see the sea’s dark water splashing the boulders.

Today the view in this afternoon is bit different, the couples who generally are preoccupied on those boulders ashore busy making intimacy through engaging their wet lips are not present today, may be due to the scorching heat. But the weather’s warmth isn’t annoying my vision at all, because of the filthy spotted glass window.

Scads of children (boys) are bathing in the sea. Most looks like school students because they were wearing blue trousers and white shirts before dipping themselves in the sea water.  Seeing this high water levels and these lonely unsupervised kids I was trying to recall the  counter scenario at western nations where lifeguards along the coasts are deployed who keep an birds eye on those in the water. But here, along the shore of this developing nation probably ‘luck’ is their only lifeguard and life jacket. No-one cares apparently, except the parents and sometimes the latter too behave reluctant, as any other non human species where roles and responsibilities of parenting retires post breeding. Thankfully, during the entire timespan I scanned my vision in the sea, things were in favour of life and goodness.

While these kids were splashing themselves to beat the heat, about half a kilometre away from them an amazing play of some avian species were on motion. A huge flock of sea birds were spiralling above the sea water.  They were combing over the sea water using their legs almost alike how we swipe credit cards at a shopping centre. Such natural extravaganza generally ignites a hunch in my brain try understand those phenomenon in absolute details, may be due to too much contemplation of nature and animal related TV shows. Probably those birds are fishing by their claws and hence making repeated attempts to scratch on the sea surface. I desperately felt the need of a telescopic camera through which I could have cropped and saved this piece of moment on my laptop. Sadly, we don’t always carry all accessories we require in our life, and is true in my case too. I appreciated the amazing skill of those birds of nailing through the surface of water with out (possibly) getting wet. It seemed like a small aircraft gently gliding over the surface of water and flying away. Unfortunately, we humans despite having the craziest brains can’t do such an act naturally, due the absence of wings. Nevertheless, the panorama was heart-warming indeed.

Oh, a client has come, I must return to my real time human life situation and come out of those floating expensive thoughts and plunge my head back into my work. So, let me pull over this writing here, for now.

Air hostess or pilot – whose belly appalls you the most?

In general most people have the concept of female air hostess although males are also largely dipping their toe in the profession. Slim female air hostess is a vogue which still exists in many sections of the airline industry and is also largely depicted in the advertisements of many airline companies to boast about their in flight hospitality service. However, it’s probably uncommon to see any advert showing slim pilots, who play the prime role of flying the aircraft safely. In my opinion, a slim pilot should equally be looked for and customers should urge for it too in the ads.

If you are wondering why did I coin such bizarre topic, here is the answer. Recently, during a flight travel while waiting boringly at the pre-departure lounge at an airport I noticed few pilots (males) with big protruding belly comparable to 3rd trimester of a female pregnancy. In contrast, the accompanying female air hostesses were looking just too emaciated to mention. That view at the airport made me to write this post to encourage the readers to think about the various facets of such health architecture of pilots and its disparity with the rest of the airline crews.

Some of the female air hostesses in airlines operating in third world countries whom I came across say that to keep their job in motion they must maintain an absolute flat belly. Some even say that they are weighed frequently (almost daily) to monitor if they are keeping a static weight or not. Some even say, they are not supposed to marry (true or false not sure), because the airline company might not be ready to support crew who are going to conceive. Male staff who accompany them are also maintaining an absolute slim figure, and some even with added regular gym goers macho look. So far that’s how is the non-cabin crew’s story.

But how about the pilot, who is possibly one of the main individual involved in flying the airplane  safely to its destination. Since, pilots don’t have direct face to face interaction with the passengers on board, airline companies don’t care much about how many extra kilo’s they put on. Their chubby-hanging-suffocating belly don’t make the CEOs of the airliners shy. But should airline companies be concerned about it? Possibly, yes. It’s because a pilot on-board should be at the pinnacle of his best health records. Obesity is a significant risk factor for health fatalities like stroke or heart attack. Probably none of the passengers or crew on an aircraft would wish to have a nightmare of their pilot getting a heart attack in the sky.

Not sure about legal issues, but those who sniff around for suing someone may investigate this issue. I hope the autopilots are well equipped to gift us a safe landing if the pilot collapses for an inadvertent health event in the sky. One thing is however reassuring in this context, there is a system of having a copilot, hopefully he will be helpful to extract us in such situations. Although, pilots are supposed to go through regular health check, overweight pilots are becoming increasingly visible these days. The flight safety jeopardizes the most, not when a passenger or a non-cabin crew gets a myocardial infarction in the sky rather, when a pilot gets it.

Therefore, next time when you are in the airport, swipe your vision across the airport to see the health status of the pilots passing by. Share your feedback with the airline company or authority if you think they aren’t looking as healthy (in terms of excessive weight gain) as you expect.

Have a safe flight.

Merry Christmas!

 

Should we pay money to read news online?

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.

Money – the primary requirement for higher education today

17309480255_a16a130b05_bWhen we were kids, our teachers and parents shared with us certain core views values about education, one noteworthy was that better educational institute means a heaven where talent is solely honored, and therefore money is not important in that perspective. However, it don’t seem to be totally true when we see the trend of modern higher education system globally and the tuition fees related to it.

To get enrolled in the world’s top most universities today undoubtedly you need to accumulate hundreds and thousands of dollars first, then is if you are meritorious or not. People who pay big chunks to get their education from those top ranking universities are no doubt becoming successful in there career. So this probably means that the talent which you are born with is not all that you need to have a great career but its just a part of the requirement of jobs and career race.

So before we teach our children that money is not important, alike our forefathers who kept on injecting the flavour of such noble thought, we have to answer them how will we be providing the tuition fee required for their dream university education.

Since most top ranked institutes are in the developed nations it absorbs a huge number of students from developing nations along with their colossal tuition fees. These money flowing out of the latter are quite high. But students can not be blamed in this regard, dreaming better education is everyone’s right and when their mother nation can’ t provide it they should get it from wherever they can obtain.

Students of developing nations are badly hit because of the international fees structures of the top universities, which are generally 2-5 times higher than that for their domestic conversion. Because of weaker currency the battle of life to collect the money for developing nation students become more fierce.

Finally the question is, if this practice of expensive education sell a good or bad thing? Possibly good in the sense it allows the host country where these universities are located to gather a huge amount of money and also enrich themselves with the research and projects done by the students. Unfortunately, it has a downside too, it is gradually becoming a game for wealthy parents wards only, which don’t sound ethically right. Nevertheless, that’s how is our present day education business.

Is there any concrete solution of the gun violence problem of USA?

M&R Photography

On June 12, 2016, a mass shootingterrorist attack and hate crime occurred inside Pulse, a gay nightclub in Orlando, Florida, United States. It resulted in 53 wounded and 50 dead, including the gunman, who was killed by Orlando police after a three-hour standoff. It was the deadliest mass shooting by a single gunman and the deadliest incident of violence against LGBT people in U.S. history to date, as well the largest mass killing of LGBT people in the Western world since the Holocaust and the deadliest terrorist attack in the U.S. since the September 11 attacks in 2001.

Source: https://en.wikipedia.org/wiki/2016_Orlando_nightclub_shooting

Recent Shooting in the US nightclub has shocked people all over the world. Such preventable deaths are quite frequently aired in the US news channels. Despite the efforts of the current president, no concrete solution could have been found and enacted in USA.

LGBT issue is widely discussed in the recent mass murder in USA. Interestingly, no one possibly can state definitively if sexual orientation was the problem that made the shooter make gun fires, since he is dead. But it probably doesn’t matter what issue provoked someone to shoot. People of one type of thinking can have fear, discomfort, feeling of non acceptance etc. about various practices and cultures of another set of people, but that does not give the former group the freedom to abuse, insult or murder the latter.

This author believes that there is no easy solution to the gun violence problem like a rule of thumb. The people of USA are blessed with the power of keeping guns by their legal system, which is not so in various other nations.

In developing nations (e.g. India) crime against women and children is too high. People have to suffer many a times defenselessly just because the fragile, corrupt, confusing and slow legal system can’t afford to protect them. If such liberty of guns were there in such third world nations at least the picture of various sort of humanitarian abuse could have been somewhat different. Guns are invaluable when it comes to self defense. I believe self defense is the birthright of every human being. However, guns in the name of self defense, should not breed the practice of usage of guns for assault purposes.

So, the simple solution is probably to declare guns as illegal. When guns are declared illegal the law enforcement authorities should stay vigil that people who are allowed to keep guns to protect public (like police, military etc.) should not turn into perpetrators like what is prevalent in various developing countries. Also it is not acceptable in nations where rebels move around freely with guns and civilians live there life only with the mercy of god. Disarmament of such areas of the globe is equally important, since cost of life should be same, no matter which part of the globe it belongs to.

Not only this, people with unstable mental state, who can be a threat when having an easy access to a gun will not be able to cause a mass shooting incident if guns are not available smoothly like over the counter drugs.

Therefore, unavailability of tools of mass murder by means of effective laws is probably  one of the ways that can abolish these type of heinous crimes. In addition, public education at all levels should also be provided to eradicate this problem from the human race.

Hope, US government will bring in strong laws and take necessary steps that will prevent innocent people losing life, due to gunfire.