What should be in a book to make it a best seller?

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(No Transcript)
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What should be in a book to make it a best seller?

• A girl on the cover no cover on the girl

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Story of Doctor

• Me 12th me tha, wo 12th me thi
• Me MBBS me aagaya, wo BSc me thi
• Me MBBS me tha, wo MSc me thi
• Me MBBS me tha, wo PhD me thi
• Me MBBS me tha, wo Dr ban gayi
• Uski Shaadi ho gayi, me PG entrance de raha tha
• Wo 2 bacho ki MAA ban gayi, me MD Gync kar raha
  tha
• Bachhe 5 sal ka hokar school jane lage, me SR kar
  raha tha
• Bache 10th pass ho gaye, main hospi suru kiya
• Afsos yeh hai ki Aaj uski
• Tubectomy hai aur meri Engagement

Story doesnt end here journey continues ..
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Medical Profession An Introspection

• Dr. P. C. Mahapatra
• Professor, O G
• S.C.B. Medical College, Cuttack
• PRESIDENT, FOGSI 2011

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Oldest Profession in Human Race

• Medical.
• Legal.
• Prostitution.

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Medicine ManPriest Herbalist Magician
To bring relief to the sick in complete absence
of medical knowledge
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Primitive Medicine
Magic
Religion
Magician
Priest
Anesthetist
Surgeon / Physician / Gynecologist
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• Medicine was conceived in sympathy born out of
  necessity
• The first doctor was the first man
• The first woman, the first nurse

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Evolution of Medicine Medical Profession

• Prehistoric Indian, Mesopotamian, Greek
• Emergence of organised medicine
• AMA, 1847
• Emergence of Public Health
• Generalist / Specialist / Subspecialist /
  Superspecialist
• Technological innovations Pharmaceuticals
  Impact
• Health Care Vs Medical Care
• Doctor Patient Relationship Change
• Doctor Society Change
• Medicolegal Scenario A Curse
• Health Care System Vs Health Scare System
• Policy makers Bureucritic Political
  Hippocritic will
• Changing Society, Changing Problems

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Believe It or Not

• Noblest of the Noble Profession
• Changing System Changing Society Changing
  Philosophy
• Usually by choice not by chance
• Strong believer of destiny
• Mainly by labour not by luck
• Live for others, dont live for yourself
• Balancing personal professional life
• Easy to tell, difficult to practice
• Individually very strong powerful, collectively
  very weak timid
• Tunnel vision personality

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Believe It or Not

• 3/4th of life spent for profession dont
  understand the meaning of life
• Bound to be exploited from everybody
  Professional Hazard
• Highest ranking in society but unsocial
• Dont think of future, only lives in present
• Head, Heart Hand A Real Amalgamation
• Art, Science Commerce Unique Combination
• No religion Humanism

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Sickness / Diseases

• Emergency medicine - 10
• Minor illness syndromes - 30
• Doctor thinks you have a disease - 10
• Patient thinks he has a disease - 10
• Chronic illness syndrome - 25-30
• Drug or doctor induced (iatrogenic) - 10-15

Pathy Pathy Pathy
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Annubhutti Vs AnubhavIntrospection Experience
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My Introspections

• Only brother sandwitched between 6 sisters
  Feminine personal development to some extent
• From a lower middle-class family Realising the
  ground reality
• Born brought up in remote sub-urban area of
  Western Orissa
• Schooling in conventional Oriya Medium School
• Ambition to become a doctor from childhood Role
  Model

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• God fulfilled my ambition Shifted from
  Engineering to Medical From REC, Rkl to MKCG,
  Bam.
• Mediocre medical student involved in more
  extracurricular than curricular activities
  enjoyed every bit of studentship excepting
  studies
• Wanted to be gynaecologist
• Unpredictable, chance, competency
• Enter into PG Course in OBGYN, SCB by luck, not
  by labour
• Started study during PG Course

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• Inspired stimulated by my the then teachers for
  excellence
• I love my profession most
• Desire to have a family of Gynaecologist could
  be successful
• Wanted to settle in my own State make the State
  at par with place of professional excellence
  Struggling continuing
• Wanted to be Teacher-Doctor and by Gods desire,
  could ultimately be Fathers inspiration

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• My teachers guidance effort and goodwill of
  Seniors friends Key
• Enjoyed in Cuttack a lot exploited in Cuttack a
  lot more
• Blessed by having dedicated desciples
• Done more mistakes in life than an average
  gynaecologist could do
• Stress has given stimulus to me to growth
• Believes in lifes utilisation in different
  phases for different purpose
• I am proud of my Profession derive pleasure out
  of my work
• I dont know where God desires to take me till my
  last breath

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Pre-Medicos

• Majority do have an ambition
• Change over a period of time
• Emergence of other alluring disciplines
• Personal Choice to Parental Choice to others
  influence Family Legacy
• Gender Role Change
• Labour Luck

Sense of Wellbeing Satisfaction High hopes
Aspirations in life
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• The pinch is felt by many in the field, and one
  university, the Brisbane University in Australia,
  tries to pick medical students from among the
  graduates in humanities arts, literature,
  music, etc.
• Their experience has shown that this class of
  students would make better doctors while the
  physics, chemistry biology students make better
  technicians.

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Ask Yourself relevant queries

• Can you smile at someone Naturally ?
• Can you touch someone Naturally ?
• Do you have an insight into another human beings
  problems ?

If Yes Ideal Candidate for Medical Courses If
Not Other Profession
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Medicos

• Forgets the toiling Phase of amusement
• Changed behaviour by peer influence
• Residential effects Newer environment
• Pressure of studies torture of teachers
• Love Romance Failures Success
• Happiness Frustration
• Acquiring newer habits
• Segregating into different groups

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• Extracurricular activities
• Examination Pre, intra post
• Internship
• Phase of insecurity
• Indecisiveness
• Uncertainty
• Higher studies

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• Thomas Babington Macaulay in the House of Commons
  on the 2nd February 1835 says it all.
• I have traveled across the length breadth of
  India and I have not seen one person who is a
  beggar, who is a thief. Such wealth I have seen
  in this country, such high moral values, people
  of such calibre, that I do not think we would
  ever conquer this country, unless we break the
  very backbone of this nations, which is her
  spiritual cultural heritage, and, therefore, I
  propose that we replace her old ancient
  education system, her culture, for if the Indians
  think that all that is foreign and English is
  good and greater than their own, they will lose
  their self-esteem, their native self-culture and
  they will become what we want them, a truly
  dominated nation.

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Medical Practice

• G.P Specialist Superspecialist
• From India to Abroad
• From Rural to Urban
• From Private to Government
• From Practice to Teaching
• From Medical Profession to Other Profession

Majority Settles Continue Very few
dissatisfied till last Pleasures
Pains Benefits Risks
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• It is preposterous that medical science does not
  worry about health promotion, while it goes
  overboard about disease intervention, many of
  which make the patient worse !
• Sir Willam Osler had warned us not to intervene
  when the patient is doing well, but that is
  exactly what we do today !
• Medicine does not believe in the wellness
  concept.
• Everyone is ill unless proved otherwise is the
  present paradigm, thanks to the total body
  scanners.
• Routine check up is the biggest medical industry,
  while we know that predicting the future is
  impossible in a dynamic human system using a few
  data of the initial state.

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• Even changing those parameters might not hold
  good as time evolves.
• Changing those parameters might even harm
  patients in the long run, while it is mandatory
  to do so if the patient is symptomatic and is
  suffering, because doctors are here to cure
  rarely, comfort mostly, but to console always.

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• To quote the most authentic scientific body of
  the USA The National Academys data attributes
  100,000 deaths per year to physicians errors,
  added to well over 100,000 deaths due to severe
  drug interactions and another 100,000 fatalities
  from hospital-based-infections.

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Key Issues to be Addressed

• Changing Society
• Legal issues
• Role of Media
• Practice Malpractice
• Ethical Moral Issues
• Professional Personal Issues
• Management
• Administration
• Leadership
• Social Activist
• Other aptitudes

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Last Phase of Life

• No End Stage unless incapacitated
• Change of Profession, but continuing activities
• Time for enjoyment of life
• Sharing experiences
• Social activity
• Religious issues
• Physical Psychological disabilities

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What is preferableParkinsonism or Alzheimer?
Its Parkinsonism It is better of spill half
glass of bear than forgetting where you had kept
the bottle.
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Unfortunate deaths of nearly 3000 people in most
inhuman 09/11 bombing in New York brought the
whole world together to fight Terrorism, but the
knowledge that there are well over 540 millions
in this world suffering from malnutrition and 680
million living below poverty line does not seem
to bother any of us.
Health System
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Just about 40 millions of the World people
suffering from the enigma called AIDS seems to
affect 8 billion annually in research grants.
In some poorer country, more children die of NIDS
(Nutrition Immune Deficiency Syndrome) than
AIDS.Who Cares ???
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Highest percentage of specialised doctors more
is the diseaseMore Laws in the Court Less
Justice
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• Health Tourism
• Health Economics
• Health Insurance

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Proper education of future generation giving them
right attitude and aptitude of life could keep
all of us happy.In addition to external
objectives, intellectual based knowledge that
present educational system imparts the need of
internal intuitive based, subjective knowledge of
self that he/she is born to live for others, not
for self.
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Blessed is one who expects nothing for he will
never be disappointed. Jonathan
Swift
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Twenty-first Century is the best of times, if one
considers the so called scientific development
and the worst of times when one critically looks
of human development. Charles
DickensModern Civilisation bringing man close
to his animal instincts and perhaps even worse
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God give me deliverance from Not letting the
well alone Treating suffering humans from cases
and Making my treatment worse than his
suffering
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A fool thinks himself to be wise but a wise man
knows himself to be a fool.
Shakespere
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Health is a state of holistic wellbeing of man
emerging him to be enthusiastic, to be creative
in society for his own good as well as good for
others
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Health A State of Work and Love Richard
Smith S. Freud
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? Epidemic Disease? Degenerative
DiseaseAccidents, drug addiction, violence, new
infections
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Power of PrayerFear of God or Love of God
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Intellectual Intolerance is the worst kind of
terrorism Poverty Illiteracy will breed
terrorist
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I keep six honest menServing MeThey have taught
me all I knowTheir names areWho, Why, Where,
What, When, How
R. Kipling
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World of Living World of DeadUnbreakable
bridge of human loveDoctor as a Healer
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Quality of Head Heart

• Imperturbability
• Under no circumstances you should get perturbed
  while dealing with patients
• Aequanimities
• Keep your mind cool
• Cool mind rationally think in emergency situations

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Medicine as a BusinessIs academic medicine for
sale
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Trouble is an integral part of living but Care
is what makes it worth living
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Art of Giving is the Art of Living
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Disease based Medical EducationVsPatient
based Medical Education
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If you listen to your patient long enoughHe /
She would tell you what is wrong with him /
her Lord Platto
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The ear says morethan any tongue
Tongue has no bonesBut it has a capacity to
break bonesDont allow your tongue to say
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Be wise like a Serpent But harmless like a Dove
Jesus Christ
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If there is no problem There is no joyHappiness
is living dangerously
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Students are scheduled to mistake medical
treatment for healthcare, social work for
improvement in community life, police protection
for safety, military poise for National sanctity
and the rat race for productive work
Ivan Illtech
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Wise people learn from their own mistakesWiser
people from the mistakes of others
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Continued Professional DevelopmentVsContinued
Personal Developments
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Medicine is a wonderful profession, if practised
ethicallyIt could be a curse if is transformed
into Business
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The whole world of Medicine revolves around two
human beingsA human being who is ill or
imagines being ill comes to seek advice of
another human being in whom the first has
confidenceExpectation Effect
Sir James Spence
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Learning Medicine from books alone is like
swimming on uncharted seaWhile learning
medicine without books is not going to sea at all
W. Osler
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Lets not take the world for a ride with our
scientific halo.While the world is suffering
from Giga problems like hunger, poverty,
ignorance illness killing millions.We, in the
scientific community are bothered about our nano
problems of trying to kill germs producing self
replicating nanobots
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Young Doctors

• There is a pill for every ill
• Surgical correction for any anatomical deviation
• Scopes Scanners Be all end all

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Well man would be one who have not been properly
investigated
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Euboxic Medicine Dysboxic Deaths
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Try to be A man of Value Rather than A man of
Success
Albert Einstein
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Love All Trust a FewDo Wrong to None
W. Shakespere
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Learn to be WiseIf Not, you will be Otherwise
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I would rather be strongly wrongthan weakly
right
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God give me deliverance from treating suffering
human beings as cases not letting the well alone
and making my intervensions worse than his disease
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Patient doing well Dont Interfere
W. Osler
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Read Little Think MoreSee Much Do Much
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As doctors write PrescriptionsDrug Company will
write a Cheque
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Treatment Abuse
It takes 5 years to learn and do surgery It
takes 25 years to decide not to do surgery.
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Malignant Medical Myths

• Screening industry
• Artificial epidemics
• Hitech interventions
• Health Care Vs Health Scare
• Technology driven research
• Pharma driven treatment

Modern Medical Delusions
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3 Blunders in Life

• To become a Doctor.
• To Select Doctor as life partner.
• To create doctors as progeny.

Anonymous Doctor
By Choice or By Chance
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Advances in Medicine

• 2000 BC - Here eat the root
• 1000 AD - That root is heathen say this prayer
• 1850 AD - That prayer is superstitious, here
  drink this potion
• 1940 AD - That potion is snake oil, here swallow
  this pill
• 1985 AD - That pill is ineffective, here take
  this antibiotic
• 2000 AD - That antibiotic is dangerous,
• Here eat this root

Anonymous
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Change in Medical Profession A Close Look

• From healthcare to medical care
• From disease to diagnosis
• From social identity to disease identity
• From generalist to specialist superspecialist
• From healing to treating
• From clinical sense to technologic dependence
• From rational use to irrational abuse
• From faith to court
• From pleasure to pain
• From charity to business

Needs Serious Introspection From We Concept to I
Concept
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10 reasons why I choose to be a doctor

1. I hate sleeping
2. I have enjoyed my life in childhood
3. I cant live without tension
4. I want to have disturbed family life
5. I believe in Geeta Kam Karo, Phal Ki Kamana Na
   Karo
6. I dont want to spend time with my family
7. I want to take revenge on myself
8. I wanted to break up from my friends
9. I want social boycott
10. I love to work on Sundays holidays

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Last Words .

• Continue to be one of the best profession in all
  centuries. Past, Present and Future
• Amidst Pains, Pleasure
• Ethical, moral and human
• Amalgamation of Head, Heart Hand
• Amalgamation of Art, Science Commerce

We are the Winners
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• Coming Together is the Beginning
• Staying Together is the Progress
• Working Together is the Success

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THANK YOU