Resident doctors at KEM hospital protest at KEM hospital, Mumbai, March 23, 2017(Bhushan Koyande/HT)
Resident doctors at KEM hospital protest at KEM hospital, Mumbai, March 23, 2017(Bhushan Koyande/HT)

Government doctors work in trying conditions. The least they need is safety

Doctors can be super-heroes in white coats. Last year they wrote about their working conditions -- long shifts, short sleep, bad food – to the state Human Rights Commission. Shifts in a stressful job can stretch to 48 straight hours. But when you’re short of five lakh doctors in the country, what choice do you have?
UPDATED ON MAR 24, 2017 01:46 PM IST

Here’s what they don’t teach you in medical school: Self-defence. Perhaps they should. After all patients, or more accurately their relatives, are known to beat up doctors who bear bad news.

Think I’m exaggerating? Watch the YouTube video of the assault that landed Dr Rohan Mhamunkar of Dhule in the ICU. The doctor’s suggestion that a patient with severe head injuries should be taken to another hospital since his didn’t have a neurologist, provoked an attack by some 25 relatives. As the doctor falls back on an empty bed, you can see one of them repeatedly stomp on him.

The Dhule attack is one of four in the span of a week in Maharashtra. In Nashik, three doctors and a nurse were assaulted after a patient they brought in died of swine flu.

At Sion Hospital, Mumbai, relatives of a patient who died of chronic kidney failure beat up a first-year resident. The most recent attack on a senior woman pediatrician, also at Sion Hospital, took place after 4,000 resident doctors had already gone on strike, ironically, to demand protection.

“We’re only asking for safety measures,” says Dr Parthiv Sanghvi, secretary of the Indian Medical Association’s Maharashtra chapter. Specifically, the striking doctors want security, action against the culprits and restriction on the number of relatives accompanying patients.

“Exemplary punishment,” adds Parikshit Tank, a doctor in private practice who is supporting his colleagues in government hospitals, “Would be a strong deterrent.” Right now, of the 53 cases of assaults on doctors in the past three years in Maharashtra, there have been zero convictions. “The message is, assault a doctor and get bail,” says Tank.

We constantly complain about the state of government hospitals, often with good reason. Doctors don’t show up or turn up late. Appointments can take forever. Medicines are in short supply, diagnostic machines don’t work and unethical practices, including the demand for bribes by hospital staff are why 67% of people said government hospitals are corrupt in a 2007 Mint survey.

Yet, the view from the other side, while seldom seen, is equally compelling. Doctors aren’t to blame for lousy infrastructure. They work despite it. With one doctor for every 2,000 patients (the World Health Organisation recommends one for every 1,000), our doctor-patient ratio is worse than Algeria’s.

Doctors can be super-heroes in white coats. Last year they wrote about their working conditions -- long shifts, short sleep, bad food – to the state Human Rights Commission. Shifts in a stressful job can stretch to 48 straight hours. But when you’re short of five lakh doctors in the country, what choice do you have?

The AIIMS outpatient department sees 10,000 patients a day. Some, particularly if they’re from outside Delhi, could be accompanied by five-six relatives to help with appointments, medicines and food.

Overworked doctors simply don’t have the time to allay patient anxieties. Patients feel doctors are rude and brusque. The old idea of ‘respect’ for the doctor is gone, says former AIIMS professor of medicine Anoop Misra, now in private practice. Thirty years ago when he was a resident, physical assault was simply unheard of. Now, a fraught situation, with nerves on edge on both sides can lead to, heated exchanges, or worse, even in private hospitals.

Increased security including CCTVs could help. So could the new health policy, announced last week, that raises the health budget from a miserly 1.2% of the GDP to 2.5% -- still far below the global average of 5.4%. If some of those funds go to infrastructure and to additional primary hospitals and health centres, it might ease the burden. But none of this will happen overnight.

Until then, the least we can do is assure our doctors that we will not tolerate any sort of assault against them.

In Dhule, there are reports that Dr Mhamunkar might lose sight in one eye. Surely, no doctor signs up for this.

Namita Bhandare writes on social issues and gender.

She tweets as @namitabhandare

SHARE THIS ARTICLE ON
Close
It takes courage to push a conversation that evokes almost zero public sympathy in an audience that is inclined to believe that consent has no place on the marital bed(Shutterstock)
It takes courage to push a conversation that evokes almost zero public sympathy in an audience that is inclined to believe that consent has no place on the marital bed(Shutterstock)

The conversation India refuses to have

By Namita Bhandare
UPDATED ON JAN 08, 2021 08:01 PM IST
In the past few years, India has broken traditional silences on sexual abuse, on consent, and on the rights of sexual minorities. It’s time to break another traditional silence
Close
What other, newer democracies find relatively easy — conducting an election, the counting of votes, the peaceful transition of power — seems to have befuddled the US. There can be and must not be any normalisation of gross prejudice or violence(AP)
What other, newer democracies find relatively easy — conducting an election, the counting of votes, the peaceful transition of power — seems to have befuddled the US. There can be and must not be any normalisation of gross prejudice or violence(AP)

After anarchy in the US, reimagining the middle ground

UPDATED ON JAN 08, 2021 07:53 PM IST
Governments have to learn how to engage with those who did not vote for them. Citizens have to learn how to converse amidst ideological divisions
Close
Mohammed Siraj led India’s breakthrough in the ongoing tour of Australia. But he grew up playing tennis ball cricket and first held a real cricket ball only five years ago.(Getty Images)
Mohammed Siraj led India’s breakthrough in the ongoing tour of Australia. But he grew up playing tennis ball cricket and first held a real cricket ball only five years ago.(Getty Images)

The secret weapons of a fast-bowling nation

By Rudraneil Sengupta | Hindustan Times
UPDATED ON JAN 08, 2021 03:31 PM IST
Surprise finds are making their mark in the India bowling line-up, but they aren’t coming up through the system.
Close
A New York street in the 1920s. Just two decades earlier, in the age of horse-drawn vehicles, people had feared their cities would be buried in manure. Then the internal combustion engine took horses off the streets altogether, a shift often used to illustrate the unpredict-able fallouts of new tech.(Shutterstock)
A New York street in the 1920s. Just two decades earlier, in the age of horse-drawn vehicles, people had feared their cities would be buried in manure. Then the internal combustion engine took horses off the streets altogether, a shift often used to illustrate the unpredict-able fallouts of new tech.(Shutterstock)

The horseshit paradox: Why fears about tech are wildly exaggerated

By Charles Assisi | Hindustan Times
UPDATED ON JAN 08, 2021 03:11 PM IST
Our world runs on complexity. And no machine we have created — or look likely to create — can truly navigate that complexity by itself, says Charles Assisi.
Close
It is no surprise that all kinds of protests are being seen in many parts of the world at the moment(SHUTTERSTOCK)
It is no surprise that all kinds of protests are being seen in many parts of the world at the moment(SHUTTERSTOCK)

This decade will be decisive for democracy, capitalism

By Shashi Shekhar
UPDATED ON JAN 03, 2021 10:07 PM IST
There is another fact which needs attention. Human civilisation has always discovered new light in the darkest days of crisis. With this hope, let us welcome this new decade.
Close
A vibrant corporate capitalist base also leads to additional revenues for the State — which, in turn, can be used for greater welfare for the marginalised and creating a more level-playing field in terms of opportunities(Sonu Mehta/HT PHOTO)
A vibrant corporate capitalist base also leads to additional revenues for the State — which, in turn, can be used for greater welfare for the marginalised and creating a more level-playing field in terms of opportunities(Sonu Mehta/HT PHOTO)

In defence of reformed capitalism

PUBLISHED ON JAN 02, 2021 07:05 PM IST
Targeting corporate capitalism won’t help. It is essential for growth and democracy. Focus on reforming it.
Close
A health worker prepares a syringe to inoculate a volunteer with a Covid-19 vaccine, Lima, December 9, 2020(AFP)
A health worker prepares a syringe to inoculate a volunteer with a Covid-19 vaccine, Lima, December 9, 2020(AFP)

A robust public broadcaster can guard against anti-vaccine rumours

By Mark Tully
PUBLISHED ON JAN 02, 2021 07:02 PM IST
There seems no reason to doubt that a large number of Indians are, to say the least, undiscriminating in the source of news they chose to watch. This will make them liable to fall prey to false information which can undermine the vaccination campaign.
Close
The silence and loneliness of being on my own is no longer intimidating. In fact - and I know that sounds a little perverse – I’ve enjoyed it. So this morning I feel I don’t want to lose it. At least, not completely.(HTPHOTO)
The silence and loneliness of being on my own is no longer intimidating. In fact - and I know that sounds a little perverse – I’ve enjoyed it. So this morning I feel I don’t want to lose it. At least, not completely.(HTPHOTO)

Goodbye to all that? I’m not so sure

UPDATED ON JAN 02, 2021 06:55 PM IST
The honest truth – and you’ve probably guessed it by now – is that I’m going into 2021 with a little trepidation or, if that’s too strong a word, more than a touch of hesitation.
Close
n many ways, Modi’s economic vision resembles that of the United Kingdom prime minister Margaret Thatcher and the United States President Ronald Reagan. Both faced an avalanche of opposition to their push for economic reforms(PTI)
n many ways, Modi’s economic vision resembles that of the United Kingdom prime minister Margaret Thatcher and the United States President Ronald Reagan. Both faced an avalanche of opposition to their push for economic reforms(PTI)

Farm stir: Latest attempt to stop Modi’s reforms

By Baijayant ‘Jay’ Panda
PUBLISHED ON JAN 01, 2021 08:06 PM IST
The Opposition may continue to denigrate him, but millions see in the PM a rare determination and willingness to take risks and cleanse the rot
Close
US President-elect Joe Biden in Delaware, December 29, 2020(REUTERS)
US President-elect Joe Biden in Delaware, December 29, 2020(REUTERS)

Biden has no record of missteps on India

PUBLISHED ON JAN 01, 2021 08:06 PM IST
With the Chinese amassing troops along the border, Indians want to see more, even as they acknowledge that the US will not conduct its foreign policy to please India, echoing a Democratic congressional aide who is normally sympathetic to India but is frustrated by “constant pushing on China”.
Close
Ancient calendars could be intricate, beautiful, but confusing. Above is a section of the ancient Mayan calendar.(Shutterstock)
Ancient calendars could be intricate, beautiful, but confusing. Above is a section of the ancient Mayan calendar.(Shutterstock)

Lend me your years: How the Indian National Calendar came into being

By Rachel Lopez | Hindustan Times
UPDATED ON JAN 02, 2021 08:29 PM IST
See how, back in 1955, an elite team headed by astrophysicist Meghnad Saha untangled India’s confusing variety of almanacs.
Close
An aangan in an old home in Mehrauli, New Delhi. A fixture since the time of the Indus Valley Civilisation, the courtyard faded away with the coming of Western-style architecture during colonial rule.(Mayank Austen Soofi)
An aangan in an old home in Mehrauli, New Delhi. A fixture since the time of the Indus Valley Civilisation, the courtyard faded away with the coming of Western-style architecture during colonial rule.(Mayank Austen Soofi)

Poonam Saxena writes on the true heart of the Indian home, the aangan

By Poonam Saxena | Hindustan Times
UPDATED ON JAN 01, 2021 07:04 PM IST
It now lives on largely in books and film, but the courtyard was where we cooked, celebrated, slept under the stars on summer nights.
Close
After a traumatic and turbulent 2020, it’s time to ring in a New Year with hope. And since Rabindranath Tagore is being rediscovered by our netas ahead of the Bengal elections, this is a prayer for India in 2021 that draws inspiration from the great poet-laureate.(Raj K Raj/HT PHOTO)
After a traumatic and turbulent 2020, it’s time to ring in a New Year with hope. And since Rabindranath Tagore is being rediscovered by our netas ahead of the Bengal elections, this is a prayer for India in 2021 that draws inspiration from the great poet-laureate.(Raj K Raj/HT PHOTO)

A ‘new’ India can’t be built by abandoning the core values of our founding fathers

UPDATED ON JAN 01, 2021 06:01 AM IST
Where the mind is without fear and the head is held high. Where an Indian identity is determined by citizenship, and not divided by the narrow domestic walls of caste, region or religion. Where true secularism demands that no state authority promote or discriminate against any religion, where equal respect for all faiths must be the basis of our constitutional secularism.
Close
The farmers’ protest may be geographically limited, but the ripples it has caused are international.(ANI)
The farmers’ protest may be geographically limited, but the ripples it has caused are international.(ANI)

The year is almost over, but scars will remain

By Shashi Shekhar
PUBLISHED ON DEC 27, 2020 06:13 PM IST
The year 2020 will be known as a year of bias, discontent, isolation and apprehensions. These can be brushed away by blaming the pandemic, but the virus merely amplified existing tendencies.
Close
The argument Covid-19 did not permit the session is specious. For a start, Parliament’s earlier functioning disproves it. The monsoon session was held in September when daily cases crossed 95,000. So how can a situation when the increase has reduced to under 25,000 be a credible reason for not holding the winter session?(Sonu Mehta/HT PHOTO)
The argument Covid-19 did not permit the session is specious. For a start, Parliament’s earlier functioning disproves it. The monsoon session was held in September when daily cases crossed 95,000. So how can a situation when the increase has reduced to under 25,000 be a credible reason for not holding the winter session?(Sonu Mehta/HT PHOTO)

Parliament should sit more often

UPDATED ON DEC 26, 2020 07:36 PM IST
The bigger moral argument rests on the belief Parliament is special. It represents our nation. It speaks for us and symbolises our resolve. So if the temple of our democracy ducks the challenge of functioning in a time of the virus what’s the example it sets for the rest of us and what’s the message it sends to the world beyond our borders?
Close
SHARE
Story Saved
OPEN APP