Wednesday, July 29, 2009

MALE ANDROPAUSE

We had a Brain storming session on a New Concept now being recognised more often - Called MALE ANDROPAUSE .
Eminent Urologists from all over India participated in this day long symposia hels in Faridabad in Feb-09

Tuesday, July 28, 2009

Group Practice in medical profession – The need of the hour !

Group Practice in medical profession – The need of the hour !


Master of One rather than Jack of all is need of the hour especially in today’s world of
super-sub-specialization. In the west the medical professionals are really providing quality medical care in the private sector because of this concept of group practice. There specialized centers are run by a group of specialists of the same speciality like a group of cardiologists starting a Cardiac Centre, a group of Urologists running a Urology Institute etc. Due to rapid technology advancements each branch of medicine has further sub specialized & no specialist can master all the subspecialties of his own branch also. If one has to offer quality medical care he has to get associated in a group practice where each consultant masters his area of subspecialty apart from treating patients of his broad specialty. This automatically translates into better patient care & the best medical treatment possible.

The advantages of GROUP PRACTICE in terms of quality patient care are obvious.

1. Each case is inadvertently discussed with the other consultants of the same speciality thus undergoing scrutiny & critical analyses by all the experts. The patient comes to consult one urologist but automatically gets a 2nd & 3rd opinion and the best management plan formulated.
2. Before a case is posted for surgery, the patient is again discussed & analyzed by all three experts, thus ensuring that nothing is overlooked. Medical science is the most imperfect science, thus multiple opinions are a must before subjecting to any surgery, which becomes irreversible.
3. Further each patient gets three pairs of expert operating urology hands when required, in difficult cases.

The other important issue came up when medical profession came under the ambit of consumer act. Here I would like to share the mismatch between Law & Medicine. The complex interaction between law & medicine fit as a perfect example of square plugs in round holes. One is a finite document with various interpretations while the other is an abstract science without borders. Every diagnosis is a leap into darkness & every therapy is a venture into unknown horizon. In group practice where there are mutiple opinions, options & various scrutiny levels, the chances of omission & any negligence are almost nill.

Among doctors it is common grapewine that they cannot unite, exceptions not-withstanding. We have heard of Chartered accountant associates, Artitect associates, Lawers associates etc, but never ortho associates or gynae associates. This concept of group practice among doctors is the need of the hour both in terms of better patient care & also takes care of frivolous consumer cases. Master in one is always better than jack of all.

Kidney Centre-34, a name to reckon with in the field of advanced Urology have after a long wait successfully launched their quaterly newsletter - "KC Times". The inaugural issue focussed on the most common lifestyle disorder that is 'Benign Prostate Hyperplasia'. The topics highlighted were 1. Know your prostate - Myths & Realities & 2.Sexual Function Status Before & after TURP in Indian Patients with BPH.


The editorial comment by Dr Rajesh Gulia, a leading Urologist of the region,was on - 'Group Practice In Medical Profession- The need of the Hour'. Future editorials shall be invited from other leading medical professionals of the region.


The aim is to spread awareness about healthy aging with a focus on various qulity of life Urological disorders. With not too many medical jagrons, this periodical will be circulated among the general public & who's who of the tricity region.