Sunday, January 11, 2009

public health service in india

in govt we have three tier system phcs for primary care basically aimed at..preventing and referring any complicated health problems to referral centre.they also aid in treating in minor ailmentsas well as family planning operations.
for secondary care we have community health centres..where ..specialist. .care to some problems...like obg, pediatric, ortho pedic,radiology available
for tertiary care...we have teaching institutions. .where they deal with the above specialities as well as..other super specialities. .besides they do teaching !
govt is funding all these programmes.. from budget[that is tax payers money].
the drugs, the beds, the nursing care,the hygiene care,the investigations, diet, electricity, water, toilets, as well as doctors consultation is all worked out ..with the above budget and provided free of cost to the patient.
govt employs doctors, staff nurses,pharmacists, lab technicians, and also fourth class employees.the diet, drugs, and some accessories for hospitals will be provided on tenders system. those who provide them at lowest cost..will be offered a contract.
now this system has failed to provide a decisive care..simply becoz..

1]the wages of the employess is too poor and also a lot of work...more than required..for the patient.poor wages with over burden work,,leads to less motivation.. from health workers.since you are blamed if you totally absent from work..rather than not doing proper work.so they chose later..hence delayed health care

2]the drugs, are coated through tender system rather than the best available drugs. so very quality drugs are given in public health care.so the patient is not provided with best available pharmacological service.

3]the equipment supplied is very poor. i never heard of a company..name. .which is producing, warmers, incubators,. when we got them in our IPCU..THEY STOPPED WORKING, SO THEY REMAIN SPACE OCCUPYING LESIONS IN IPCU..so poor quality of equipment

4] the corruption among fourth class employees is very high...even our gate man at my dept earnds more than HOD of dept.there is no supervision over them.. poor punishment as wll as..patients ignorance to brought the issues to authorities. .leading to rampant..corruption .now with inroduction of arogya sri..it is acting like a mafia.

5] the hospital care...is also very poor. the beds are full of bed bugs. the elctiricity is erratic. the fans never work full of dust.the toilets are not maintained.. at all. always filled with bad smell.the diet is very poor quality. if some eats that rice and other items. he will be diseased.there is no supervision over the quality...of food served.this is largely becoz of tender system.

6]teaching. it used to be very good. under graduates were taken regular classess. ugs and pgs read in library. listen bed side rounds. and learn the art of history taking and physical examination. the whole faculty..including the HOD, assist professors,senior pgs used to take clasess..regularly. this helped in retaining some of the basics..in medical education.becoz we have such a huge case load..we have variety of cases..and experience in managing wide variety of conditions.
but now what is happening..from ugs to pgs.. their main aim is..to pass exam..rather than learning medicine.the motto is some how pass the exam, take a dowry, open a clinic,then if you are lucky and you have strong community., public relations, then you are settled. if you dont get that lucky, then join some hospital or you are finacially more independent go abroad or work out side the state.there is no passion for them.no satisfaction through service. i am seeing impatience among present genaration.. unwilling to be have patience with time.they are also comparing our profession with soft ware profession.. which is totally unjustified. i am sure all of you agree that the name you earn through this profession and the satisfaction you get from this profession is un matched..with any other profession
no body is interested in spending time in library referring wide variety of books written by various authors. no research work..at all. i rarely see a genune paper presentation.
i believe all this is leading to severe erosion of confidence about them selves.this is exhibeted... when they are dealing with patients.the human bonding is missing.they rely on investigations. .thats all.hence the society is facing severe heath care mis management.

i am sure in coming days public health care in india is going to face tough time.

public health service in india

in govt we have three tier system phcs for primary care basically aimed at..preventing and referring any complicated health problems to referral centre.they also aid in treating in minor ailmentsas well as family planning operations.
for secondary care we have community health centres..where ..specialist. .care to some problems...like obg, pediatric, ortho pedic,radiology available
for tertiary care...we have teaching institutions. .where they deal with the above specialities as well as..other super specialities. .besides they do teaching !
govt is funding all these programmes.. from budget[that is tax payers money].
the drugs, the beds, the nursing care,the hygiene care,the investigations, diet, electricity, water, toilets, as well as doctors consultation is all worked out ..with the above budget and provided free of cost to the patient.
govt employs doctors, staff nurses,pharmacists, lab technicians, and also fourth class employees.the diet, drugs, and some accessories for hospitals will be provided on tenders system. those who provide them at lowest cost..will be offered a contract.
now this system has failed to provide a decisive care..simply becoz..

1]the wages of the employess is too poor and also a lot of work...more than required..for the patient.poor wages with over burden work,,leads to less motivation.. from health workers.since you are blamed if you totally absent from work..rather than not doing proper work.so they chose later..hence delayed health care

2]the drugs, are coated through tender system rather than the best available drugs. so very quality drugs are given in public health care.so the patient is not provided with best available pharmacological service.

3]the equipment supplied is very poor. i never heard of a company..name. .which is producing, warmers, incubators,. when we got them in our IPCU..THEY STOPPED WORKING, SO THEY REMAIN SPACE OCCUPYING LESIONS IN IPCU..so poor quality of equipment

4] the corruption among fourth class employees is very high...even our gate man at my dept earnds more than HOD of dept.there is no supervision over them.. poor punishment as wll as..patients ignorance to brought the issues to authorities. .leading to rampant..corruption .now with inroduction of arogya sri..it is acting like a mafia.

5] the hospital care...is also very poor. the beds are full of bed bugs. the elctiricity is erratic. the fans never work full of dust.the toilets are not maintained.. at all. always filled with bad smell.the diet is very poor quality. if some eats that rice and other items. he will be diseased.there is no supervision over the quality...of food served.this is largely becoz of tender system.

6]teaching. it used to be very good. under graduates were taken regular classess. ugs and pgs read in library. listen bed side rounds. and learn the art of history taking and physical examination. the whole faculty..including the HOD, assist professors,senior pgs used to take clasess..regularly. this helped in retaining some of the basics..in medical education.becoz we have such a huge case load..we have variety of cases..and experience in managing wide variety of conditions.
but now what is happening..from ugs to pgs.. their main aim is..to pass exam..rather than learning medicine.the motto is some how pass the exam, take a dowry, open a clinic,then if you are lucky and you have strong community., public relations, then you are settled. if you dont get that lucky, then join some hospital or you are finacially more independent go abroad or work out side the state.there is no passion for them.no satisfaction through service. i am seeing impatience among present genaration.. unwilling to be have patience with time.they are also comparing our profession with soft ware profession.. which is totally unjustified. i am sure all of you agree that the name you earn through this profession and the satisfaction you get from this profession is un matched..with any other profession
no body is interested in spending time in library referring wide variety of books written by various authors. no research work..at all. i rarely see a genune paper presentation.
i believe all this is leading to severe erosion of confidence about them selves.this is exhibeted... when they are dealing with patients.the human bonding is missing.they rely on investigations. .thats all.hence the society is facing severe heath care mis management.

i am sure in coming days public health care in india is going to face tough time.

Friday, January 9, 2009

satyam shock!

well ramalinga raju..is highly respected man in andhra.but that does not..forgive his sins.in a bid to stay at top..he had commited some accounting fraud..pretending that every thing is rosy..in the company.he has shown some lossess as profits...in the balance sheet..and hoped that situation will improve ,then he can cover up his lossess.but bad luck to him situation has worsened.he evn mortagaged some his shares..to save some time.but even then ,the situation has got deteriorated..so every thing is exposed.

its impact on the company's future prospect is huge.i dont think satyam can no longer exist. it has got 53000 employees all over the world..all of them had to find jobs..in other companies..like wipro, infosys..all of a sudden. in these recession times for small time employess and employees with little exposure..may not get easy placements.even if they do get jobs..they will be paid much less than previous time.now that..they have a lifestyle up to now..and several loan committments..on house, plots, flats or car..all in severe stress.

its impact on other software job seekers is also high. new peoplecoming into software profession will have to look at their job profile. nearly experienced and talented53000 of them are already.challenging them for jobs.so no more fresh chances for them. their dream of high 5 digit or six digit salary per month may not be viable.. already..software grooms are difficult to get a bride..now it will be more difficult.

its impact on IT industry is also high. as customers and clients...now will look at them and their balance sheets..after..satyam fiasco more suspiciously than ever..that means less orders and less projects than ever. the customers..all over world..will now look for non indian..software firms.and other BPO industries. with less projects the WIPRO'S , INFOSYS OR TCS shall have to cut jobs.that is adding to existent problems.

its impact on country's image as well as state image is also high. FIIs will now cautiously invest in indian companies..after such a malignant accounting fraud. the trust factor has taken a beating.so frsh investmets i would say..will be slowed down[alreay slowed due to economic recession] if not totally stopped.
our state's image has also taken a beating. CBN has tried his level best to improve..state's image as software hub especially he encouraged firms like satyam very much..of course..all his policies are vigorously some times..aggressively followed by YSR. now that ..image has gone. i dont think we can see another satyam like firm from our andhra pradesh...in the near future..its all over..as far as andhra pradesh concerned. the dreams of vizag and other satellite towns being..other software hytechs now gone.

its imact..on real estate,auto, tourism of our country is also influencial.till now software people send dollars to purchase lands and flats..from abroad. now that will be slowed. some of them..might have to get rid of them..houses flats..due to poor committments.now that will create panic mong bankers..becoz similar problem..arose in US.suddenly they have more properties at less market values..so bankers will dried up..leading to mergers and take overs of bankings..by govt..similar to US.once real estate...collapsed..steel and cement, will be slowed..leading to more job cuts.due to lack of demand for vehicles..auto industry will slow down.. again frsh job cuts. no more flight travels or hotel bookings as well as..travel plans...so tourism ..industry will be down.so more job cuts among them..as well.

its impact...on stock market..IS SIGNIFICANT.satyam stock has collapsed like there is no tomorrow. it even priced 6rs from 256 rs price three weeks back.now many investers lost their money. all other.. index shares are also effected with it..as you can see the above industries are going to be worst affected.so stock market is down as well.

i am not discussing why and what happened to ramalinga raju or satyam..but our society will alow such things to make things for our selves to be more complicated. the satyam shock came at a worst period..when economic..recession..is full blown out side india and in the world. india some how managed to keep its head...out side till now. now there is no escape...we have sunk deep into it.its not a bright start this year.

i hope all my worries and thoughts will only remain like that..and dont..be true. god bless india

Sunday, December 28, 2008

2008, the year of glorious uncerainities

for medical profession
the year always remembered for the contribution it has done to our profession.
arogya sri..has been introduced.i am not here to discuss..the merits and demerits of the programme. but i am happy some insurance has come to the aid of..some poor peple. with that arogya sri alone we are able to do 200 operations and 100 more pediatric cases in our trust hospitals.we already got the money of what we have spent. had we got more clever..we might have finishd with good profits.so in my view people who are organizing well[even with out bogus cases and sincerrity.. can get results.i will tell my experiences with arogya sri later..in separate column.
then ofcourse phc doctrs are also getting good pay on par with central health.doctors are less vulnerable to public attacks[which are mostly black mailing] after that special security bill. like non bailable arrest warrant.

non MEDICAL
sports we achieved un thinkable.. GOLD MEDAL BY INDIVIDUAL.. in shooting.at olympics...by abhinav bindra..PROVING THAT INDIANS ARE VERY GOOD AT HAND EYE CORDINATION.
then sachin's record as highest run getter..in cricket.thee other victories like saina in badminton, anand in chess, geev milka singh in golf, indian football winning nehru cup and qualifying.. for asian foot ball champion ship.so we are rising in sport.
in politics...congress has once again proved that..in terms of administative policies..it is the best..that nuclear deal against odds..is wonderful achievement. .ofcourse. .even after terror attacks india showed a lot of restraint..and put the ball and onus on international. .community to tackle pakistan. had bjp is there we could have gone for..war..by this time.i think we got best people at business end like pranab mukherjee and manmoohan singh.the govt also tackled..economic crisis..more than many govts acroos the globe[including uk and us]
but there are many disaapointments.
entertainment wise...its the small movies that ruled the roost nowlike happy days .many big movies flopped.ghajini is good but it is a remake.noted artistes like shobhan babu,raghuvaran, mallikarjun passed away.of course chiranjeevi, pavan layan moved away to politics.new promising stars and directors have emerged.
business wise..stock markets crashed..i lost 1 and half lakh money in it.many trapped in it.real estate also looking south wise.inflation, rising prises, rupee depreciation, increasing revenue gap, oil prices,depleting forex reserves,hardened bank interests..all are ominous signs against good business.malls, cinema halls, marriages, hositals , companies are closing.people are losing jobs, poverty is increasing. .

Wednesday, December 24, 2008

telangana, the battle ground of elections 2009!

its amazing its that factor again...in the 2009 assembly elections..as does it on..2004 elections.
lets look at complexity of telangana.it has 117 assembly seats and 17 loksabha seats. out of which 8 assembly seats and one loksabha seat is under mazlis party influence.so left over seats to all parties...is 110 assembly seats and 16 loksabha seats.
now let us look at the alliance..in this region. 2004 elections congress has given..52 seats to TRS and 6 loksbha seats.out of which TRS won 26 seats and 4 loksabha seats.
but currently TRS is doing negotiations with..TDP to give 60 assembly seats and...10 loksabha seats. TDP is already agreed to give 40 assembly seats each..to cpi and cpm.as well as four loksabha seats.
well if it materialises then tdp is left with... 150 seats only! out of 294 seats in the assemblyand
TRS is going to ask these seats[60]... in telangana. , then TDP is left with very few seats..it may be detrimental. .to TDP chances.. in telengana .as it have to give 30 seats..in khammam and nalgonda to communists. so guess CBN is having unenviable role of not just allies but with in NTR family as well.so let us see how he faces up in telangana
mean while TRS is bargaining with PRP..at least..70 seats and 12 MP SEATS.prp PEOPLE ARE ALSO IN DILEMMA NOW..about how far they can go with TRS.
but one thing for sure..who ever wins this battle..in telangana..will come to power.

Monday, December 22, 2008

caste in andhra politics

but whole anhdra is now triangular.. fight..between 3 communities..kamma, kapu and redyy.kamma alinace..CBN, CPI's narayana, CPM's raghavulu..all are kammas' added to that now velema dora like kcr and backed two powerful media..radha krishna of andhra jyothi,eenadu's ramojirao..all are kamma's.there is no doubt..about that it has been a kamma vari picnic to ap politics.
well for rddy's it is always congress...bc's and madiga of scs are backing congress[if that sc vargikarana does take place]minorities are now with congress..as they hate bjp as well as... tdp.
well chru's entry..has revolutionised election scenario. he belongs to one of many kapu's. KAPU's are long been wanting a representative in their community..in state politics..they have lot of hopes on chru..since the days of NTR.
in the mean while..dasari narayana rao or jogayya tried to fill the vacuum..butt hey failed as usual. becoz kammas were too powerful for them..and they had to take shelter..with congress.actually kapus hate kamma's. so traditionally they are alliened with..congress.
with chiru's entry..the whole scenario has changed.now they are going to ..vote for chiru..instead of congress.so all kapu's are alligning themselves..recently vanga veeti radha krishna 's entry points to that.

Sunday, December 21, 2008

chranjeevi...[the third alternative]

chiranjeevi...alias sivasankar
i always believe that it is far better to test yourself if what you are capable of..in the sea..rather than sitting at shore wondering.if's and buts.we must appreciate his intention... to serve the people, whether he will be able to do it..or become another..sivagi ganeshan..it is altogether different matter.
sivaji ganeshan also contesed in tamilnadu..and lost the elction very badly. then we had..an example of vijayakanth..also met the same fate..of sivaji.
we all know politics is a game of power.and it is not the only way to..serve the people.now what makes him to join politics..is just to enjoy the power?!or serve the people.[any way he is doing it..with blood bank and eye bank].so it is the power...that dragged him into this circus.

.[ here the ring master is voter..untill all the elections are over. after the elctions the whole field will become..a jungle..and all these animals will dictate].

chiru..joined politics with intentions of coming to power. he did not bother about..what happened in tamil nadu. he is only bothered about andhra..where late NTR also enjoyed similar image..as chiru.during time of...NTR ..the voters..are mainly rural people..who believed NTR..as god.that helped him..to come to the power.
for chiranjeevi..he has also a lot of following among youth.there is large fan base.but as every one knows he comes from..a strong caste base.that helps him..he also tries to woo other weaker sections..like bcs, women, minorities. how far the move succeeds..only time will tell.

i welcome chiru. as i told you i dont have bigger expectations from chiru, in terms of making a change.
all the politicians are pieces of same cloth. they may differ in shapes..but ultimately...they play the game of power.
why i welcome..is just to have a wider choice....even it goes for a hung assembly..still i beleive these politicians must be accountable.the only way to make sure they are accountable. is .by threatening various..options to choose. other wise politicians will rule like kings.
if the opposition is strong they cannot take monopoly decisions.. so i welcome him.

i also dont believe that he comes to power.but he will have his own share of vote bank.interestingly..although he appears...misfit..i feel pavan kalyan..will become better politician than chiru, what do you say!