Thursday, 29 June 2017

Let go of the ‘Chalta Hai’ attitude

Let go of the ‘Chalta Hai’ attitude The literal meaning of Chalta Hai’, the very commonly used colloquial term is “it goes”, which has become a part of life for us. What it denotes is a happy-go-lucky attitude that everything is okay. There is a common perception that you can do anything and nothing will happen, so even if something happens, one tries to pass them off as “things do happen” and accept them even if they are not correct. But this attitude affects our work quality, makes us laid-back and non-assertive for what is right. A major surgery may be uneventful, but sometimes unanticipated accidents can happen, however careful you are, even in a minor surgery. Sometimes, mistakes are made, but it is believed that nothing will happen either to the patient or the doctor. Sometimes, hemostats, lap pads, gauze pieces may be mistakenly left in the patient’s body without the surgeon taking any routine double count, about which he may not even be aware of. These things may be detected late or when the patient develops pain or discharge from the wound. And, the patient may seek a legal re-dressal in the Consumer Courts, MCI etc. Protocols are important in the practice of medicine. Protocols help to complete an important procedure in an orderly manner for the benefit of patients. They are predefined guidelines for standard of care. And, they are meant to be followed. “Chalta hai attitude” tries to justify our inaction or lack of attention to detailing and acceptance of mediocrity in place of excellence. As doctors, patients are our first and foremost concern and their health is our responsibility. This attitude cannot be our routine. Now an era has come where the patient wants to be a 100% partner in decision making and wants to know everything about a mishap. In earlier time, as doctors we used to take decisions on the part of the patients but that time is now gone. For rare complications, we never used to discuss with the patients but if that rare complication does occur, today, that patient will not spare us. If nothing goes wrong then "chalta hai" but if something goes wrong then the same chalta hai is “chalta nahi hai”. So change your attitude form "Kya pharak padta hai" to "bahut pharak padta hai". Dr KK Aggarwal National President IMA & HCFI Recipient of Padma Shri, Dr BC Roy National Award,Vishwa Hindi Samman, National Science Communication Award & FICCI Health Care Personality of the Year Award Vice President Confederation of Medical Associations of Asia and Oceania (CMAAO) Past Honorary Secretary General IMA Past Senior National Vice President IMA President Heart Care Foundation of India Gold Medallist Nagpur University Limca Book of Record Holder in CPR 10 Honorary Professor of Bioethics SRM Medical College Hospital & Research Centre Sr. Consultant Medicine & Cardiology, Dean Board of Medical Education, Moolchand Editor in Chief IJCP Group of Publications & eMedinewS Member Ethics Committee Medical Council of India (2013-14) Chairman Ethics Committee Delhi Medical Council (2009-15) Elected Member Delhi Medical Council (2004-2009) Chairman IMSA Delhi Chapter (March 10- March 13) Director IMA AKN Sinha Institute (08-09) Finance Secretary IMA (07-08) Chairman IMAAMS (06-07) President Delhi Medical Association (05-06)

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