Category: Letters
Social media and physicians: the Indian scenario
Consent and ethics are integral to a physician’s work. Patient images have been used for multiple purposes in medical practice; as an adjunct to clinical care, displayed to colleagues, students and other audiences in educational settings, and published in medical journals. But nowadays there is a...
Three-parent baby: Is it ethical?
The UK was the first country to legalise mitochondrial donation in October 2015. In 2016, the first three-parent baby was born in Mexico and the US Food and Drug Administration declared that further research on mitochondrial donation is ethically permissible. It has now become an important issue,...
Tax-free sanitary napkins
As India finally has the new Goods and Services Tax (GST) rates, the GST Council declared that the tax rate on the sanitary products including sanitary napkins, sanitary towels, and tampons would be 12%, ie, the second lowest tax slab. Statistically this is an improvement since until now sanitary...
Deaths following pentavalent vaccine and the revised AEFI…
We are concerned about the changes effected by the WHO to the assessment methodology of adverse events following immunisation (AEFI), which make it almost impossible to classify adverse events (deaths in this case) noticed for the first time in phase IV post-marketing surveillance, as "consistent...
Response to David’s article on the use of…
I am distressed by the political inclination of the journal reflected in publishing the article by Siddarth David in a recent issue of Indian Journal of Medical Ethics. The journal has tried to redeem its image by publishing a counterview by Ravindra Ghooi. I feel more voices need to be heard on ...
Is MCI over emphasising publication for promotion of…
Over the past year, there has been constant debate in various journals on the circular issued by the Medical Council of India (MCI) in September 2015, regarding the requirements for promotion of teaching faculty. The lack of a time-bound promotion system of medical faculty results in higher stres...
4D ultrasound imaging – ethically justifiable in India?
Four-dimensional (4D) ultrasound (real-time volume sonography), which has been used in the West since the last decade for the determination of gender as well as for bonding and entertainment of the parents, has become widely available in India in this decade. Here, I would like to discuss the eth...
WhatsApp, Doc?
Confidentiality underpins the trust between doctors and patients. As far back as the 2nd century BC, the great Indian physician, Charak, had stated: "Nothing that happens in the house of the sick man must be told outside, nor must the patient's condition be told to anyone who might do harm by tha...
“Trust the researchers”: flying in the face of…
There are always rival hypotheses to explain away the one that is posited as the most likely to be true. Context and Occam's razor – the principle that among competing hypotheses, the one with the fewest assumptions should be selected – ultimately point to which hypothesis is the most likely to b...
Should we share the management of acute life-threatening…
Daily, I receive 3–4 social media messages regarding the diagnosis, management or clinical dilemmas of acute timelimiting medical emergencies due to snake bite and scorpion sting poisoning. I respond to the caller who has shared clinical signs and symptoms. I also follow up on the progress of the...
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