Trick or Treat – A Survival Guide to Health Care

Page 13

Trick or Treat - a survival guide to health care

1 The End justifies the Means ("Your uterus at any cost") The Wolf and the Lamb: A wolf cornered a stray lamb and felt compelled to give a

reason to justify devouring it. The wolf complained to the lamb, "You insulted me last year." The lamb bleated, "That is not possible, Sir, for I was not born then."

"Well. You feed in my pastures", retorted the wolf. "That cannot be, Sir," replied the lamb, "for I have not started eating grass." The wolf raised his voice and said,

"Then you must have drunk water from my spring." "No, Sir, I have not yet drunk

anything but my mother's milk," said the poor lamb. The wolf ran out of plausible excuses and said, "Well, I am hungry. I have to eat you anyway." He then pounced on the little lamb and devoured it.

Sheela, a 30 year old teacher with pelvic pain, went to her gynaecologist for follow up

advice. He had a cursory glance at her case notes and said, "The next step is obvious. Your uterus has to be removed. I shall do it next week." Sheela started hesitantly, "But doctor, ..."

The doctor said, "Why do you hesitate now? You have severe pain every month." Sheela: "The pain is now controlled on medicines and ..."

Doctor: "Moreover you have two kids already. Why do you need it anymore?" Sheela: "No doctor, I would like to avoid surgery if ..."

Doctor: "No 'ifs and buts', Sheela. You don't understand. With ageing there are risks

of getting tumours. Why not eliminate the risk and be happy?" Sheela: "But, doctor ..."

3


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52 Seeing the whole picture

5min
pages 154-159

51 Holding a mirror

2min
pages 152-153

50 Late reaction

2min
pages 149-151

47 Taking revenge

1min
pages 143-144

49 Irrational action

2min
pages 147-148

Dog in the Manger

1min
pages 145-146

46 Empowerment

1min
page 142

44 Doing too much

2min
pages 139-140

45 Crisis management

1min
page 141

43 Chasing trivia

1min
pages 137-138

39 Non compliance

6min
pages 124-128

40 Plodding, and Procrastinating

2min
pages 129-130

42 Taking a lion's share

4min
pages 134-136

41 Fantasizing

4min
pages 131-133

38 Complaining

2min
pages 122-123

36 Being smart

3min
pages 117-119

SECTION 3 COPING WITH HEALTH CARE Introduction

1min
pages 107-108

31 Bad trait persists

3min
pages 101-106

32 Rationalising

1min
page 109

37 Crying for help

2min
pages 120-121

35 Creative problem solving

2min
pages 115-116

34 Unquestioning Acceptance

1min
pages 113-114

33 Acceptance after analysis

3min
pages 110-112

30 Notoriety and Fame

1min
pages 99-100

29 Over confidence leads to disaster

2min
pages 97-98

28 Revenge is double edged

1min
pages 95-96

27 Competence or Numero uno?

1min
pages 93-94

26 Flattery dulls the intellect

5min
pages 89-92

24 Quality or quantity?

2min
pages 84-86

25 Boasting in health care

2min
pages 87-88

23 Is Honesty the best policy?

2min
pages 82-83

22 Faith is a golden goose

1min
pages 80-81

20 Cooperation is strength

2min
pages 74-77

13 Perform as you promise; promise as you can perform

2min
pages 52-53

21 The situation gives power

2min
pages 78-79

19 Why Accountability

10min
pages 67-73

17 Fighting over a case

3min
pages 61-63

18 Why a 'cut' for what you can't do

4min
pages 64-66

15 Wrong practice at the wrong time

1min
page 57

16 It is your company that counts

3min
pages 59-60

Like a

1min
page 58

14 Quackery

4min
pages 54-56

10 Credibility in health care

2min
pages 44-46

12 Whose perspective?

3min
pages 49-51

11 Seeing through smoothing

2min
pages 47-48

9 Follow me

3min
pages 41-43

6 Glamour versus Value

3min
pages 30-32

8 Chasing "the tar baby

6min
pages 36-40

1 The End justifies the Means ("Your uterus at any cost

5min
pages 13-16

7 One symptom does not make a syndrome

3min
pages 33-35

2 Debt: Mine or Yours?

4min
pages 17-20

5 The importance of family practice

3min
pages 27-29

4 From a frying pan into the fire

3min
pages 24-26

3 Ruinous health care

2min
pages 21-23
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