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MEDICAL ANTHROPOLOGY DOCTOR-PATIENT RELATIONSHIP

                     MEDICAL ANTHROPOLOGY           

                   DOCTOR-PATIENT RELATIONSHIP

                                                                          Presented By

                                                        Dr.Mahendra B.Gaikwad  M.D.(Homoeo)

Day by day no. of  medical litigations are increasing, doctors are walking down  the steps of court of the law. Patients and doctors are not at the ease. Once upon a time doctors were not only dealing with patients physical problems but also with the family’s important decision and people used to walk on the path shown by their doctors, people had tremendous faith on doctors statements, doctors words were as if “Gospels words” for them. Now days are changed, methodology of treating patient is changed, doctors are no more doctors they are businessmen. Medical science has changed Nobility to professionalism. Medical ethics are in books only there is no practical implementation of it, as a consequence of it attacks on doctors, defaming innocent doctors, become victim of system, innocent doctors are becoming scapegoat this dirty education system. For all these reputed so called health science universities are responsible, now a days health science universities are not unable to produce ethical doctors, this is a matter of serious concern. I think health science universities should introspect and prepare a quality study module which will be beneficial for medical students after coming out of their education curriculum and people in the society with whom they come contact later phase their carrier, maximum practical training should be given to medical students to boost up their moral values. More and more time should spend on teaching and practicing  practical medical ethics for that health science universities are being blamed however good relationships between patient and doctor will be developed by respecting patients emotions, understanding them thoroughly then and then only medical science will regain their respect and medical profession will again called Noble profession. This is my honest attempt to throw light upon this very important issue. Following are some ramifications of the doctor and patient relationship.

A good relationship between patient and doctors will be developed if doctors will keep their senses opened for understanding his patients for that he need lot of experience and communication skill, understanding patients body language and its correct interpretations. Many a time Doctors will have to play a role of parent, teacher, its all circumstantial.

Doctor as parent: A type of student teacher relationship. In this type of relationship doctor is in commanding position with his skill & knowledge. This kind of relationship will develop in those cases where patients are dependant and in a mood of acceptance, in this doctor is professional he keep on giving orders to his patients and patients will follow his orders.

One way relationship: In this type of relationship a doctor plays  active role where as patient remain passive ex.unconcious comatose state where patient remain vulnerable and in paediatric cases a doctor need to understand patients body language and interpretate it properly.

Doctor as a friend: This kind of relationships is unethical to a doctor. A doctor can not be a friend of  his patients, if so it will reflect that there is psychological problem in physicians mindset. This kind of relationship develops in the cases of physician is overwhelmed by emotions, he execute his emotions on his patients and turn caring into a personal relationship this is reason why it is called  

as unethical relationship, a doctor should not use his patients as substitute in the vacuum of his own relationship.

Doctor as employee: In this type of relationship a physician is hired by his patient by paying his decided amount and doctor keep on doing his duty. In this type of relationship both physician and patient are autonomous. This type of relations does not develop trust between doctor and patient.

Two way relationship (Mutual) :  In this type of relationship doctor and patient are both are dependant on each other for inputs active participation both doctor and patient is needed to consolidate their relationship ex. where the diseases are like diabetes, chronic renal failure, in these circumstances a doctor alone can not cure the disease because it is a limitation on his part where patients intelligence and cooperation is necessary, sometimes physician will have to rely upon  other experts for proper diagnosis and treatment, while making a decision equal cooperation from patient side is necessary, because of loop whole in this type of relationship doctors are being attacked.

ANTICIPATION OF PATIENTS FROM DOCTORS

·         First and foremost anticipation of patient from his doctor is patients think that his doctor is very well trained and only competent person for his treatment.

·         Doctor is a person with sense of responsibility, ethics, and obligations.

·         Whenever this particular doctor will feel limitation of medical knowledge he will take help of other doctors and try his level best.

·         Patient always anticipate that his physician will maintain the secrecy of physical problems of patients and for he is the only person with good moral characters.

·         Patients expect respect and curtacy while treating their problems.

·         Many a times patients expects more from the doctor thinking that the doctor is divine person will understand him without revealing facts in detail.

·         Patients expect that his doctor should maintain secrecy of his family members sickness.

·         Patients expect that his doctor should consider his life situations and finances while while giving them treatment.

PATIENTS ANTICIPATIONS WHERE DOCTORS HAVE LIMITATIONS

·         Patents expect that his doctor should go to patients doorstep considering that he has plenty of time to spend for him,but it is not possible to doctor to do so it is his limitation

·         Patients think that they are paying doctor means doctor is his employee will provide medical services on demand.

ANTICIPATION OF DOCTORS FROM HIS PATIENTS

·         Physician expects from his patient that should behave him with honesty, gentleness and he should reveal his illness without concealing his secret so that he will find remedy for it.

·          Physician expects from his patient that patient should keep appointment without failure.

·         Physician expect from his patient that patient should not get embarrassed while interrogation.

·         Physician expects from his patient that they should not enforce him to do unethical and illegal work.

ANTICIPATION OF DOCTORS FROM HIS PATIENTS WHERE PATIENT HAS LIMITATION

 Physician expect from his patient that they should not ask counter questions on his opinion, as patients are in trouble as if fish out of water chain of question run inpatients mind which will not stop him asking questions. Physician also expects from his patient that they should gratitude for care he has taken which is not possible almost all cases.

ESSENCE OF PRACTICE OF ETHICS

These days practice of ETHICS has least important; well, practice of ethics in any profession improves not only standard of profession but behavior pattern of every personnel coming in contact in that profession. It improves all and sundry spiritually, economically ultimately it helps in boosting up living standard and quality of life, that way it sets an example in front of others.

Dr.Mahendra B.Gaikwad M.D.

Cell: 9096 291080, 9226 893784

Homoeopathic Health Clinic

E.mail:purehomoeopathy@rediffmail.com

                    

“ MYTHS AND REALITIES ABOUT HOMOEOPATHY ”

“ MYTHS AND REALITIES ABOUT HOMOEOPATHY ” — Dr.Mahendra Gaikwad

HOMOEOPATHY a science has gone through lot of difficulties, the difficulties are not regarding its growth and development but these are regarding perceiving science and its practical capabilities. As Dr. William Gutman has made a very good statement that Homoeopathy can be practiced by intelligent physician on intelligent patients. I feel there is scarcity of both intelligent physician and patients .

As Homoeopathy is practical and pragmatic science, everything from the domain of medicine should be practically proved and clinically verified thoroughly, but the application of the principles of Homoeopathy is lacking somewhere probable reasons for this are lack of trustworthyness, dedicated homoeopathic practioner and, dedicated teachers all these failed to pass on true massage of homoeopathic science in the community .Common people in society have perceived homoeopathic science in a wrong way and real benefits will not come out, this is how  lot of myths been dispersed about this divine science. I feel these confusions will be cleared by noticing them. Following are some myths about homoeopathy and their realities.

HOMOEOPATHIC MEDICINES ARE SLOW ACTING.-REALITY IS- This is very common misconception  has been spread by a group of homoeopathic doctors either their knowledge of homoeopathy is very little or their mal intension of earning thousands of rupees by calling their patients to clinic again and again.Realiety is the action medicine mainly depend upon acute and chronicity of diseases, diseases of recent origin are called as acute diseases example.cold,fever,headache develops quickly and if correctly selected medicine given to patient develops quick result provided that medicine selected should be correct. Whereas chronic diseases are those diseases have long history and which occurs as a result of continuous suppression  by other system of medicine or in past acute disease has not treated properly these type of chronic diseases will take some time to be cured.

ALLOPATHIC TREATMENT SHOULD NOT BE TAKEN ALONG WITH HOMOEOPATHIC TREATMENT. REALITY IS- This is very common misconception has been spread in the society about Homoeopathy, if patient is on life saving drugs or steroids all of sudden withdrawal of allopathic medicine may increase intensity of the symptoms so the best way is to tapper the doses of allopathic medicine similarly in drug addicted cases sudden withdrawal of substances to which person is addicted may throw patient in trouble it should reduced gradually as improvement stats stop them.

DURING THE COURSE OF HOMOEOPATHIC TREATMENT ARTICLES LIKE ONION,GARLIC,TEA,COFFEE SHOULD BE RESTRICTED. REALITY IS - Most of homoeopath they restrict all above articles along with homoeopathic medicine, but in Europe researchers have proved that there is no effect of such things on efficacy of homoeopathic medicine if they are taken in moderate doses and significant gap is maintained between them and medicine.In southern states where people primarily drink coffee, homoeopathic medicines acts well on them. With certain medicine such restrictions are must otherwise their action gets antidoted.

INTENSITY OF DISEASE INCREASES AFTER TAKING TREATMENT. REALITY IS- This is very well known fact about Homoeopathy that medicine in this system are given based on the LAW OF SIMILARS, medicines are given to cure a set of symptoms is capable of producing similar symptoms in healthy human being.The action medicine on a sick individual is a primary action which is a symptom complex similar to the patient’s of original disease but stronger in intensity. The vital force by its secondary curative action overcomes this primary action of medicine cures the patient. Primary action of medicine may be observed by the patient as an aggravation of his disease but in true sense it is only Homoeopathic aggravation,in homoeopathic aggravation in spite of increased intensity of natural disease patient feels better mentally which is part of curative process. If the doses of indicated medicine repeated again and again intensity of disease increases which subside own their own after the withdrawal of the same.

PATHOLOGICAL AND OTHER INVESTIGATIONS ARE NOT REQIRED IN HOMOEOPATHY. REALITY IS-Homoeopathic medicines are given to patients to arrest disease process, in a true sense to repair physiological processes and functions in this process disease progress is arrested, but the structural changes taken place in in the body in disease process should be investigated properly for proper management of patient. For knowing prognosis of disease investigations play very important role.

HOMOEOPTHIC MEDICINES ACT WELL ON CHILDREN NOT ON OTHERS. REALITY IS-It is because sweet taste of Homoeopathic medicine children love to take homoeopathic medicines. Homoeopathy is for children from the beginning if children start taking medicine it will give rise to healthy generations, diseases will root out, résistance against diseases in children will boost up. Homoeopathic medicines act on sentinait faculty of nerves, where ever nerves are supplied there homoeopathic medicines act. Homoeopathic medicines act on animals, birds, plants as well, gradually branch is developing called veterinary Homoeopathy, Agricultural Homoeopathy. Homoeopathic medicines act on beings human, animal of different ages and on both sex.

HOMOEOPATHY IS SELF READ SCIENCE. REALITY IS- Homoeopathy is a scientific system and a very modern science to be taught after graduation in medical science, this science is very difficult to ordinary person to implement in practice this is reason why very few Homoeopathic graduates could practice it in its pristine purity. To become master of this science one should learn all medical subjects like anatomy, physiology, pathology, community medicine, practice of medicine by heart and earn boundless experience however practicing Homoeopathy without recognisation is punishable offence under the law.

                                     A TRUTH ABOUT HOMOEOPATHY-

A DEVINE SCIENCE BASED ON THE LAW OF NATURE-Dr.Samuel Frederick Hahnemann, founder of Homoeopathy, discovered 200 years ago in Germany.This system strictly follows law of nature,LAW OF SIMILARS-“ Likes are cured by likes ” Homoeopathy has accepted world wide as safest and gentle and fastest recovery giving therapeutic system. This is really a gem for the benefit of many for the welfare of many.

It is duty of young Homoeopathic graduates and post graduates to maintain its pristine purity, not running behind ordinary system for easy money making.

                   Dr.Mahendra Gaikwad.

             Homoeopathic Health Clinic & Chaitanya Homoeopathic clinic