Take home points from 2018.
Lesson for a doctor in the corporate world;
1. Every patient is a potential litigant (however sweet and charming you find the attenders in counselling session)
2. When a case goes to trial, if you haven’t written date and time of your visit then your notes are questionable.
3. Never hesitate to over investigate. Err on the side of caution.
4. Never hesitate to admit in ICU. Financial status of the patient is not your headache. If not affordable the Govt is providing world class infrastructure and care in all government hospitals.
5. Save atleast ₹50 lakh for potential consumer forum litigation. If not possible then get a medical indemnity insurance (whether you are a resident, registrar, consultant)
6. Be firm in your counselling. Retaliate with the same tone. Don’t appear meek.
7. There is no bargaining in health care. If you have made a clinical decision. Stick by it.
8. Make sure you document the patient deteriorating and likelihood of patients death in ICU. (Don’t hesitate to use the word ‘Death’)
9. Dont show sympathy. Be empathetic.
10. Use caution while speaking in ICU. some of the patients are awake. And listening to what u say.
11. Take consent for blood transfusion also.
12. Never advise treatment on phone, whatsapp, skype, instagram,sms. Cite the supreme court ruling for the same.
13. If patient attenders call you asking what to do on a holiday and describe the patients condition, dont rely on them. Ask them to bring the patient to the hospital. (The only reason patient son/daughter calls you on a holiday is to get a false assurance that he can wait till tomorrow).
14. Don’t answer phone while driving. His fever of 98.9 is not more important than your life.
15. Take care of your health. You and only you are responsible for your health. The patient you so laboriously resuscitated, revived, treated wont thank you after 19 days of hospital admission.
16. Every stroke of your pen in the OP/IP sheet is medico legally answerable. Chose your words carefully.
17. If you really love your kids, inculcate the love of Maths and Physics in them.
18. The ethics taught to you for your MRCP exam are not applicable for Indian scenario.
19. Dont be happy that you have the attenders signature on all the consent forms etc. It may not be his signature after all.
20. When you see a aggressive mob (read anything more than 3 persons) dont try to engage them. Escape the scenario. You maybe a pink belt in Muay-Thai, kick boxing or Krav Maga you cant fight a mob. (It only happens in Tollywood, and you are not a Tollywood hero)
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