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Mutualtransfer-Indian Railway Employees

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  • Comments (7)

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    12:44 AM on May. 26, 2015
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    Robin, Thank you very much for a thoughtful<a href="http://ryprizmd.com"> rensospe</a>. It is right that while writing the article, the HIV patients were shown more empathy than the doctors. Yet, let me cover some of the issues that you told, and what I think.1. I understand that a patient cannot be tested HIV without his consent or his status revealed without his consent. The issue here is not whether we are checking patients for HIV. The issue here is what is happening to the patients who are tested positive for HIV. Particularly women in labour. The problem that arises here is that, once these patients are tested positive, they are shown the door and asked to go to private organisations like Freedom Foundation(FF) for aid and help. Now, understand that there are not many organisations like FF that is established exclusively to take care of HIV patients. As a negative result, such organisations are seeing more incoming patients than what they can take or care for. These organisations run on their own money, donations and a little of what the government provides them with . I had been to FF and I saw how it is to have 30 in patients, 700 outpatients and 25 orphans when you have the funding for just a 10 bed facility. Do you think it is ethical on the hospitals' part to show such a discrimination to HIV patients when the whole purpose of the hospital is to take care of them? Or, is the hospital's part of duty over once it tests a patient for HIV?2.About making departments without revealing status to the public. Like I said, the issue here is not if we are checking patients for HIV and sending them to HIV department. The issue is how are HIV positive patients are dealt with. A person who goes to private organisations will also be in the same boat as a person being treated in the HIV department of the hospital. 3. I understand that there is a risk factor for the doctors. Just to clear things up, even in organisations like FF, we have real doctors and nurses caring for the HIV patients. We do have doctors who are willing to work for such people and that too risking their lives. So, setting up a department for such patients in the hospital is not a far reaching idea. 4. Understood that once a hospital has an HIV department, the general public will be scared to use the hospital. Well, I don't think any intelligent hospital will mix up the HIV department with the general department. When I say a department for HIV patients, I mean, that it should have specialised care, specialised doctors, specialised treatment or even a special building. A doctor dealing with HIV patients will not perform a general surgery or even deal with general patients. It is as good as having an FF in the hospital. 5. About hospitals being negligent. It is not an answer to say that a hospital cannot open an HIV department because it is negligent in its procedures. I think it is better to say that they should be more careful and apt in their procedures and open an HIV department. If the government hospitals are bad in following procedures, I think it is their fault and they are the ones to be corrected first. Don't you check a woman's blood for HIV before she is taken into delivery room? If not, then start checking. If rules need to be changed, then take steps to change it. What needs to be done is to make way for better functioning than to sulk back saying that it does not function well. 6. If the major private hospitals can open a small HIV department with specialised care and doctor, I think the concentration of patients in small private organisations will be reduced. This way, the patients can also get a better treatment and I think over time, the hospital will only increase its value in society. I agree though that in the initial period, there might be some bad<a href="http://ryprizmd.com"> rensospe</a>s, but I feel, being a doctor or hospital is not just about business, but also about the welfare of all people in the society and probably that should be the first ethical rule.
    12:34 AM on May. 25, 2015
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    4:28 PM on May. 23, 2015
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