MANTRA FOR SCORPION STING? - 7
MANTRA FOR SCORPION STING? - 7
DR R.D. LELE
Unnecessary
Medication-Who is to Blame?
There is universal concern about the rising costs of medical
care. Unnecessary drugs are being prescribed on a vast scale and unnecessary
surgical procedures are performed on a
large scale. Who is to be blamed for this wasteful practice? The patient
expects to receive medicine for every symptom and without it he simply will not
get well. True, but who taught the patient to expect a medicine for every
symptom? He was not born with that expectation. He learnt it from ignorant
doctors who also believed in it. It will be true to say that unnecessary use of
medication is in inverse ratio to the combined intelligence of patient and
doctor. The word 'doctor' is derived from the Latin docere-to teach. It is the
duty of the doctor not only to take care of the patient's sickness but also to
educate him about the promotion of positive health and prevention of disease.
We have to
give advice to our patients on simple rules of healthy
living - regular physical exercise, sensible dietary and eating habits, weight
control, avoidance of smoking, temperance in drinking, learning relaxation and
stress- coping techniques. If a patient demands a 'tonic', firm advice has to
be given that a well-balanced diet is the best tonic. It must be admitted that
we as a profession have failed in fulfilling our function as educators of the
patient and the community. The practice of medicine has been trapped in a
vicious circle- "If I do not give this injection, the patient will go to
someone else who is willing to give it—so what can I do? I have to survive in a
competitive environment.”