Malpractice fears are the chief reason that doctors overtreat

Malpractice fears are the chief reason that doctors overtreat

  • NEET-PG 2018 is being conducted on 7th January 2018 (Forenoon Session)

Number of Cities 147

Number of Centers 364

Number of Candidates 1,33,435

Security Features: Finger prints and digital photograph capture, CCTV surveillance, frisking with handheld metal detector, provision of jammers at all centers and seating of candidates and room allocation of invigilators

  • India reported more over 1.5 lakh cases of dengue in 2017 and 250 deaths; 60,000 cases of Chikungunya were reported across the country. The data from the National Vector Borne Disease Control Programme (NVBDCP) under the Union Health Ministry showed that maximum dengue deaths were reported from Tamil Nadu (63 deaths out of the total 23,035 cases). Tamil Nadu was followed by Maharashtra, where 41 people died from dengue out of the total 7,442 cases reported. As many as 37 deaths were reported from Kerala while the disease claimed the lives of 28 people in Uttar Pradesh.
  • Haryana Health Minister Anil Vij has indicated the private hospitals to make self-regulatory rules after the state government cancelled the licence of the blood bank and pharmacy of the Fortis hospital at Gurugram. “With the action against Fortis Hospital, corporate-type hospitals should get a message that they make self-regulatory rules. Only minting money should not be the aim of hospitals,” Vij told ANI on Sunday.
  • Chikungunya virus (CHIKV) infection leaves about one quarter of those infected with persistent arthritis, according to data from the Chikungunya Arthritis Mechanisms in the Americas (CAMA) study. The joint symptoms, however, do not appear to be associated with persistent infection, suggesting it is safe to treat patients with regimens used for other types of inflammatory arthritis. Chronic joint pain after CHIKV is present in 30% to 70%. The most commonly affected joints are wrists, ankles, and fingers, and initial joint pain lasts a median of 4 days. With a median follow-up of 20 months, 25.4% of participants report that they had persistent joint pain. Factors associated with persistent pain included initial symptoms of headache or joint pain, 4 or more days of initial symptom, 4 or more weeks of initial pain, missed work, missed normal activities, and college graduate status. At follow-up, most patients had only one swollen joint, but also had tenderness in three more joints, with a mean global pain score of 47. The authors write in an article published online December 20 in Arthritis & Rheumatology.

“If persistent CHIKV infection is responsible for ongoing arthritis, immunocompromising disease modifying agents may be improper and potentially dangerous treatments. Alternatively, if CHIKV does not persist in the joint, then evaluation of immunomodulating arthritis agents could be useful,” they write. CHIKV causes arthritis through induction of potential host autoimmunity suggesting a role for immunomodulating medications in the treatment of CHIKV arthritis or that low-level viral persistence exists in synovial tissue only that is undetectable in synovial fluid.”

  • Malpractice fears are the chief reason that doctors overtreat. As per a research published in journal PLos One, physicians across a wide range of specialties and practice settings reported that, in their estimation, 20.6% of all medical care was unnecessary, including 22% of prescription medications, 24.9% of tests, and 11.1% of procedures. An overwhelming 84.7% of the 2106 survey respondents identified malpractice fears as the chief reason that doctors overtreat. Fear of litigation was followed in descending order by: Patient pressure/requests (59%); difficulty accessing prior medical records (38.2%); borderline indications of disease (37.7%); inadequate time to spend with patients (37.4%); lack of adequate information/patient history (36.7%) and pressure from the institution or management (20.8%). Significantly, only 9.2% of respondents identified “financial security of physicians” as the reason for overtreatment. 70.8% said that physicians are more prone to provide unnecessary procedures “when they profit from them.”

Only 2-3% of patients harmed by negligence pursue litigation, of whom about half receive compensation. But about 55% of physicians are being sued. But no matter what the outcome of the suit, the preparation, time spent, anxiety, and harm to one’s reputation weigh heavily on physicians’ minds.

  • Nurses fill shoes of striking doctors at Beawar hospital (TNN). Jaipur: With the doctors on strike, nurses have stepped in their shoes at a hospital in Beawar district. The 300-bed Amrit Kaur District Hospital saw at least 1,500 outpatients every day, which has drastically come down 500 after the strike began on December 16. Principal medical officer Dr MK Jain said, “We have issued orders empowering nurses to see the patients. At least 30 doctors are on strike and only three of us are on duty currently.” He added that once the nurses prescribe the medicine, one of the three doctors verify it and sign the prescription card.
  • CDC urges shingles vaccination for patients 60+. If you’ve ever had chickenpox, there’s a good chance you’ll develop shingles — −a viral infection that causes a painful rash and blisters. The CDC estimates 1 in 3 people will get shingles in their lifetime, and risk increases significantly after age 50. The CDC currently recommends the vaccine Zostavax. It cuts the risk of developing shingles by half and is given in one dose as an injection. This recommendation is likely to change as a result of a recently approved vaccine that reduces the risk of shingles by as much as 90 percent. The new vaccine, called Shingrix, isn’t available to the public yet, but is expected to be this year.
  • Dr D Nageshwar Reddy was honored with the prestigious Dr MG Garg All Time Achievement Award by the Indian Medical Association (IMA). Dr Reddy who is currently the chairman of Asian Institute of Gastroenterology, Hyderabad and President of World Endoscopy Organization was shortlisted for this award in recognition of his distinguished contribution to medical services in India and globally. Speaking about the achievement Dr Reddy said, “It is heartwarming to be recognized for all that you’ve done. This is just the beginning, there’s still a long way to go when it comes to medical advances”. Dr Reddy’s main area of research interest has been in G.I. Endoscopy particularly in Therapeutic Pancreatio Biliary Endoscopy and Innovations in Transgastric Endoscopic Surgery.
  • You cannot buy happiness. Current research is confirming what many of us have heard from our elders and spiritual leaders: satisfaction comes with being engaged, doing good and focusing on the present.
  • Continuously moving while sitting at a desk may boost metabolic rate more than sitting or standing at a desk. Using a desk fitted with a movable footrest raises metabolic rate more than sitting or standing at a desk as per a report published in the journal Work. Using a desk fitted with the moving device raised metabolic rate 7% more than standing and 17% more than just sitting. Movement while sitting had no impact on the cognitive function of participants. 

Dr KK Aggarwal 

Padma Shri Awardee
Vice President CMAAO
Group Editor-in-chief IJCP Publications

President Heart Care Foundation of India

Immediate Past National President IMA

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