Trick or Treat – A Survival Guide to Health Care

Page 67

Trick or Treat - a survival guide to health care

19 Why Accountability The Bee-keeper:

A thief once stole all the honey from beehives when the

bee-keeper was away. The bee-keeper was upset when he returned to find empty

hives. Soon the bees also returned and gave vent to their feelings by stinging the bee-keeper. He cried, "You ungrateful bees! You let the thief go scot-free and then

show your anger on me for taking such good care of the beehives till now."

Kumar, a 10-year old boy, developed fever, headache and vomiting. A local quack

prescribed him 'fever set', a concoction of many medicines. Initially he responded well but the symptoms returned on the fourth day. The quack then told his parents to take him to

a hospital. At the hospital, no definite clinical signs were found except mild fever. He was sent home as a case of 'viral fever?' and asked to stop all the drugs and watch.

Kumar worsened dramatically over the next 24 hours and was again taken to the

hospital for review. By then, signs of advanced acute meningitis (acute infection of the membranes covering the brain) had developed. Despite intensive treatment, he died three

days later. The angry parents accused the hospital of negligence and sued them for damages.

Comments In acute illnesses, proper initial management is the most important step. If wrongly

done, it can miss, mask or modify the disease. Quacks (and incompetent physicians) practice polypharmacy, ie, using many medicines so that at least one of them might 'cure' 57


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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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