Present Scenario of Health Sector in Gulbarga

Health Sector poised to take a leap in Gulbarga.

Health care delivery is poised to take bigger strides in Gulbarga from its position of stagnation in recent times. The gears are slated to shift from containment and self-satisfaction to progressive acceleration.

A decade or two ago, Gulbarga was a recognized referral center not only for Gulbarga district but also for this whole region. The commencement of Medical College by visionary Late Shri Mahadevappa Rampure saw the pooling of skilled medical professionals. It was a period of establishing identity and survival.

However, the arrival of second generation of health care professionals coincided with period of quality care of patient and life quality of health care professional himself. It was an easy period of maintenance and sustenance. This shift in focus and attitude didn’t match with the requirements of patient satisfaction and market forces. The lack of support for merit in teaching institutions, economic and cultural milieu of this region compounded the disenchantment.

This resulted in exodus of large number of patients to neighboring health care centers. The situation was so grime and glaring that it drew the attention of the government administration. An interactive session with the doctor community was initiated by Dr. Shalini Rajneesh, Secretary, Hyderabad Karnataka Development Board.

Today, the cycle of proactive initiative in the health sector is taking shape. Some out of need, the rest out of inevitability.

Reputation tarnished, the arrival of third generation of professionals with super specialty qualification in significant numbers, the high concentration of doctors in relation to the population of urban Gulbarga challenged the sustenance. Spearheaded by Shri Shashil Namoshi, HKE Society’s Basaweshwar Hospital is taking the institutional lead in amending the anomalies constructively and innovatively.

Amidst this, almost like God sent, Arogyasri health scheme is slated for implementation in Karnataka. This is a cashless, tertiary care programme to all BPL cardholders of the state. It is a win-win situation for the citizens, doctor and government.

One of the requirements for empanelment of hospitals is 50 beds setup. Doctors who don’t up scale their establishment are set to loose out on major chunk of patient population. Consequently, market forces will invoke professionalism amongst the doctors.

This shuffle in health care scenario will have its strain on Doctor-Patient relationship. Unless this Doctor-Patient relationship is understanding and harmonious, the productivity will be hampered. There will be need to work on this association – recapitulation and reassertion of few basic tenets.

Basically, doctor assists nature in alleviating pain and disease to increase the longevity. The end of destiny is inevitable. Emotional outbursts and the subsequent violence as an alibi are deplorable. Secondly, medicine is an inexact science of probability with ambiguous clinical situations. Expecting the doctor to assure or convey a certain outcome is undesirable. Thirdly, health care delivery is a teamwork executed by supervision in a coordinated fashion. Assigning 24-hour responsibility to the treating doctor is asking for too much from the already beleaguered doctor. He is leading a busy and challenging life situation. Finally, don’t expect your doctor to share your discomfort. Involvement with the patients suffering might cause him to lose valuable scientific objectivity.

Finally, the law of the land has included the health care delivery under the purview of Consumer Protection Act. Thereby, implying that the profession is not a seva. An individual cannot have both the cake and the cream.

Subtle reorientation, adjustment and collective change will see a vibrant health sector hub in Gulbarga again. People of Gulbarga have excelled in most spheres, even in adverse circumstances. There is every reason to believe that better times will be back, too soon for the people to perceive.

Sharad M. Tanga

Why bad happens to Good People

This is a note and not a transcript of a lecture ‘Why bad happens to good people…?’delivered by Deepak Shinde of Alma Mater, an evolving consciousness.

Some anecdotes will not be elaborated for either want of time or they being cliché, however the message will be noted.

Commenced with the clarification of who you are? A conversation between the master and the disciple was used as an anecdote. During the process, your true identity was conveyed to be a life/an bundle of energy and not your name, classification of animal kingdom etc. Thereafter, it was suggested that you drop the identity of who you are in this world and then listen to this transformational talk.

Drop your identity label of this worldly world.

Often repeated story of a horseman, horse, son and kingdom was narrated to illustrate that the events that occur in life have their own relevance. To sit in judgment of whether it is good or bad is incorrect. One never knows whether it is for good or it is for bad. Example of ghastly death of Rajiv Gandhi was quoted. However, that incident enabled Sonia Gandhi to exhibit her tenacity and become one of the most powerful women in the world. Or else she would have remained a housewife. It appears harsh however it’s a reality.

In the background of bad something good emerges

While you are being repeatedly put to trials, reassure and pray

Oh Lord! What are you preparing me for?

One needs villain in life to bring the hero in you.

In another conversation with his master, the disciple asks, ‘Have you seen God?’ Does he really exist? It was narrated to clarify, ‘to understand you need knowledge, however to feel it you need to experience it.’ One will experience it while you are with nature – fresh breeze/rain etc. The private divine experience is to be experienced. There are two experiences – one with the world of incidents/relationships and the other between you & HIM. Subtle experiences.

Nothing is right or wrong, one has to experience it, don’t resist it.

Don’t resist it: A good example of driving on the correct side of the road was quoted, while traffic signal, corruption were other ones. In such instances there is nothing one can do for certain results, even in instances where one is sure you are right and the other one is wrong, don’t make it your agenda of proving him wrong, it might be suicidal. The rule of life in relationships is, if it’s your life that is at stake, it doesn’t matter whose mistake it is, adjustment, compromise, sacrifice is the rule of life. If you are making/confronting similar situation repeatedly, just think whether something can be wrong with you as well. You can also be wrong. I can also be wrong.

Get the man right, the world will automatically look right.

What can you do for ubiquitous potholes? Focus in between the potholes and thus negotiate.

Focus on things that are positive, negotiate and be happy.

Good people don’t know to take care of goodness. They want to earn a good name and live a bad life. It’s better to earn a bad name in order to have a good life.

If you believe, people are taking you for granted; it is you who is to be blamed. Teach them of how you would like to be treated. You are treated the way you teach them. Assertion and not aggression is the key. He quoted the reason behind maintaining the discipline during the lecture sessions. Doors being shut, prohibition to carry mobiles and wristwatches are intended to benefit all those people who have come to listen and secondly, the organization would like to be taken seriously. Conspicuously, so-called busy elite of Gulbarga sat through the 150 minutes programme without attending to the mobile. Earlier he also highlighted the over indulgence with sms/mobile use.

People treat me the way I teach them to treat me.

You need to be confident/courageous.

Existential perspective: Life is the consequence of series of choices one makes. One consequence is immediate - action and reaction is immediate. Another one is delayed.

The rule of life is, if the consequence is immediate, it is equal – it is equated, if the consequence is delayed it multiplies (Karma).

Example of money lost: If you loose money, old account is being settled.

If money, favour and goodness are not reciprocated be happy that life will return it in a multiplied form. Life is a multiplier.

Don’t use your power to convert wrong to right.

Today’s success and today’s defeats are just another step in the long journey of your life. World judges you by the action, however God/life judges you by intention. Don’t worry about being bad to leave a good life.

Be character oriented and not reputation oriented.

If you have intentionally wronged, seek forgiveness.

Therefore for pure selfish reasons be good, Life is a multiplier.

God/Silversmith puts the you/silver in the furnace till the time he can see his image in the medal. Till the time you have enough qualities of him in you. How centred/composed and how better you have become than before is the consequence.

If the silver/you glitter, you become better. Don’t make the result bitter. The ending will be good. Have Faith.

Life is not a hole it’s a vent. Never see life in isolation – everything has its own limitation. The story is not yet over. See life in totality/holistic perspective. The ending is always good.

Don’t go according to expectations, bends are bound to be there, but there is no end.

Night is the darkest just before sunrise. There is light at the end of the tunnel.

Consider sharing this with your friends who have attended the programme. It might help them to recapitulate and enliven the experience. People often need reminding for remembering.

Cancer conundrum solved - Deccan Herald

Arsenic caused large-scale skin cancer cases at a hamlet in Gulbarga

Srinivas Sirnoorkar, Jan 14, GULBARGA:

The mystery surrounding the localised cancer epidemic at Kiradalli Tanda in Surapura Taluk in the district has been solved by a team of doctors.

Scores of skin cancer cases in the tanda have baffled doctors for some now. The cancer assumes forms of skin ulcers on their limbs. Many sucumbed as the ulcers turned malignant and a woman afflicted by the ulcers had one of her legs amputated.

Large-scale occurrence of cancer of a particular type in a specified geographical location is considered rarest of the rare phenomena. The Kiradalli phenomenon interested Dr. Sharad Tanga, a cancer surgeon working as an Assistant Professor of Surgery at the Mahadevappa Rampure Medical College here about six months ago, when he came across three afflicted with skin cancer. He was intrigued to know that they all belonged to Kiradalli tanda.

He visited the tanda and found a number of persons with skin deformities affecting both arms and legs.
His investigations led him to a particular bore well, the main source of drinking water for the residents of the hamlet. The water of the well had high concentration of arsenic.
Immediately, Dr Tanga began research into the phenomenon in the Tanda. Helping him in the task were his colleagues, surgeons Dr Sanganna Kollur and Dr Suresh Patil and the privilege of presenting the experiment went to the second year PG surgery student Dr Vipin Goel.

Arsenic keratitis
The systematic study and research left the team of doctors dumbstruck as quite a few victims had developed malignancy. The hamlet had a population of 628 out of whom 420 people turned up for examination and out of them 46 had skin changes suspected to be arsenic keratitis. Of the 46, 15 had suspicious lesions which were biopsied and 10 cases turned to be malignant.

All the malignant persons were operated for non-healing skin ulcers to dig out the carcinogenic path. The water sample was sent to Cochin University of Science and Technology for analysis. The result was baffling. Water contained an abnormal arsenic level of 0.16 ppm which is 16 times higher than the permissible level! The blood level of arsenic was also high directly establishing the correlation.
According to WHO, the maximum permissible limit of arsenic in drinking water is 0.01 ppm and higher levels can cause skin malignancy.

Rare occurrence
Dr Tanga said that it was a rare clinical occurrence of ingested arsenic causing skin cancers to a large group of people in a community as arsenic-related cancer was mainly reported in West Bengal, Bangla Desh and few other isolated places.
The people who have been consuming arsenic water from the last 10 years have naturally fallen prey to it. However, after the media hue and cry over the pathetic state of affairs the administration plunged in to action by abandoning the source. It sanctioned Rs 1 crore for rehabilitation under which potable drinking water has been provided from a new ground water source about four km away from the hamlet.
Dr Tanga said that the new source was free from arsenic and Kiradalli Tanda will have no problem whatsoever in future. The short research paper on Kiradalli Tanda presented by Dr Vipin Goel, a second year PG surgery student, has won the first prize and gold medal at the annual conference of the Association of Surgeons of India held at Coimbatore recently.

http://www.deccanherald.com/content/46906/

DH News Service