Then there is health care for profit. Today’s medical scenario is commercialised. As health care providers, it is essential for us to spend some time with such women. Sadly, our MBBS courses today are not designed for holistic medicine, but specialisation too. Fortunately, these happen rarely and most women deliver healthy babies. There are reports that say doctors get cuts — 40 per cent for MRIs and 30 to 40 per cent for blood tests, even. Some women demand a planned Caesarean section.

"Many larger hospitals run as a corporate structure. Which one will you choose? Obviously the 99 success rate.” With many instances of epidurals gone wrong, she advises that benefits and drawbacks of epidurals should be discussed with the anaesthetist in the antenatal period. If you add patients without patience, the medical scenario in India is one of trepidation, and worrying. Women should resume day to day activities gradually, and have a well-balanced diet.” Dr Gayatri cautions on adverse effects too, "Caesarean sections are performed only when there are medical conditions justifying it. It can also cause ovarian cysts and pelvic discomfort from over-stimulation of the ovaries. Unwanted surgeries are rampant. Dr Gayathri D Kamath, consultant, obstetrics and gynaecology, Fortis Hospitals explains traditional medical wisdom, "It is essential that we as obstetricians encourage women to have natural birth. Only in complications, do they refer a specialist.

The benefits outweigh the risks of Caesarean section. They feel the need to see only specialists. The other aspect of pregnancy is the rage for after-pregnancy weight loss. Take for instance a doctor who touts a 99 percent success rate, and another doctor who says, 75 percent, and also details side effects. Infact, those that do not like to prescribe to surgeries and prefer non-interventionist solutions are outcast, patients are not sent to them. We have patients who want quick solutions, and think the more money they pay, the better they will be cared for. So where does that leave our country?Payal Shah and her husband planned a natural delivery when their gynaecologist preponed a C-section due to other commitments. So, who do you blame?” says the specialist.” Holistic courses, not specialised ones"Some doctors give unrealistic expectations and when the outcome is not desirable, there are many instances of patients beating up doctors,” he says, adding, "Getting expert opinions, and treading the path of caution is best.”Yet, what if a client insists? Dr Gayatri advises, "Women who demand it for no reason should be counselled on the pros and cons and their fears and concerns should be addressed.The traditional GPCorporate medicine today is guided by drastic targets. Any women can get back to regular workouts in six weeks, irrespective of the mode of delivery.”

Unless we go back to our teaching methods, and formulate guidelines, our collective health is in danger. In India, patients skip this process, and go to a specialist for a chest pain which could be indigestion. Money mattersToday, getting admission in a medical college, in popular specialities like surgery, radiology, etc has a capitation fee of around `1 crore which many ordinary individuals cannot think of repaying even in one lifetime. Needless surgeriesThe specialist surgeon delves deeper, "Hospitals are pushing doctors. But what is most frightening is that doing unwanted tests might cost one more money, but doing unwanted surgeries can put your life at risk.The rate of C-section deliveries in private hospitals tops 70 percent in West Bengal and is almost 75 percent in Telangana.” So who is to blame? The medical board who "is busy deepening pockets starting medical colleges,” adds the specialist, and "targets” of course.

There is a dire need to change the way we do and perceive medical intervention. Women who deliver normally recover faster, and are faster in their subsequent pregnancies, are likely to resume activities earlier. Dr Gayatri recommends, "Myths and deep rooted beliefs make women overeat ghee and high calorie foodstuffs which make them obese. Pregnant women with blood that clots easily, surgeries, immobility, obesity and smoking enhance the tendency of blood clots. And each doctor gets a cut from the tests ordered, be it an MRI or Pet Scan or even blood tests, which will obviously lead to more testing, even if not required. "Gone are the neighbourhood GPs, and instead large corporates run hospitals and patients demand specialists,” explains the specialist. Even Australia with its well-oiled health system, reports of high c-sections at private hospitals. Predictably, a cardiac specialist orders a bevy of needless tests, to rule out any issues. Some patients are not satisfied unless there is a major intervention too. And doctors guided by targets and cuts in huge corporate hospitals.”While serious risks of a c-section are rare, in adverse cases, wound infections and scars can take long to heal and bleeding can occur. If you don’t operate on two color injection molding machine Factory enough patients, they will not send you patients, who will be sent to doctors who do surgeries. But many are unaware of these effects. If they opt for a c-section fearing pains, we offer pain relieving options — epidural or inhalation of nitrous oxide that are considered safe. Reactions and course of action also differ from patient to patient, as there is no one rule for all. But to understand this dilemma, we need to go back to olden day medicine. When it comes to infertility treatment too, there is an increased incidence of miscarriage, hot flashes, nausea and breast tenderness. We should have a system where the first point of contact for someone ill, is the neighbourhood GP, who checks and prescribes care for minor issues. However be apprised of certain unpredictable elements

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Slowly and carefully, we pull the paper up from the tip of the re- filler to get a pen like look. He said that some of the workers in the ashram who were poor, were also being paid to make the pens and this was a major motivating factor for them.

The Mahant said that the pens were being distributed free of cost to students but some of them insisted on paying for them so that the initiative can be taken forward.Women in the village were also joining in the production of pens in their free time.Lucknow: Dalmau, an assembly segment in Rae Bareli, the parliamentary constituency of Mrs Sonia Gandhi, is making news for an unusual reason these days.

The Mahant Krishna Bihari, who heads the ashram, told reporters that this was being done to create consciousness about environment and stop use of plastic high speed injection molding machine as far as possible. Finally, we secure the paper with glue and allow it to dry”.Explaining the making of pens out of paper, he said, "We cut out a long strip from the newspaper and apply glue on the strip of paper. The Khandeshwari Ashram in Dalmau has got its devotees to learn how to make pens using discarded newspapers instead of plastic

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