The mela began on 22nd September. The event in the Trivandrum branch of HSBC was inaugurated by Mr. Rakesh Kumar Gupta, MD Allianz Cornhill Information Services. Mr. Santanu R, Vice President & Branch Head of HSBC Trivandrum, and the staff of HSBC bank participated in the event. The mela concluded on 27th September.
We thank HSBC for inviting us to be a part of this event.
There were numerous problems, we have no doubt, but the experience will help us by planning more effective training programs in future and, the positive energy that the volunteers left behind, will stay in our team for a long time to come.
See this news, which describes one such advance: New technique enables targeted, controlled delivery of pain meds.
We fear the pain that scientific advances like this cause in India.
Most innovations like this carry with them the cost of the research as well as the enormous profit (usually 50 times the cost of production) that the industry seems to need. The average person, when given an advice by a doctor, sees it as a prescription to cure. Families get destroyed by the cost of treatment. It is seldom the practice in India to explain to the person in detail what exactly the new innovation is going to achieve and the downside of it all. It is essential to have some kind of ethical guidelines before innovations are offered to patients, often destroying families in the process.
The article shows that for nausea in palliative care, clinicians were widely using metoclopramide as the first line agent (69%), followed by haloperidol(26%). The international data show that Ondansetron was used by an almost non-existent minority; then why is it used so widely in India, especially remembering that it is expensive and constipating, and also that constipation is a very common symptom encountered in palliative care? Do we have any evidence favouring it in the majority of palliative care situations? Is it simply not the power of the healthcare industry in promoting it and we, gullible professionals, swallowing everything meted out to us?
Dr. Ira Byock wrote the new foreword for On Death and Dying and Maria Shriver graciously wrote the new foreword for On Grief and Grieving.