---------- Forwarded message ----------
From: RAGHAVAN SRIDHARAN

SHOCKIN IINDEED !





10 Ways How Doctors in India Cheat Patients
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

A renowned physician Dr B M HegdeFormer Vice Chancellor of the Manipal
University – has shown how a large number of doctors working in five-star
hospitals shortchange  patients in order to keep their management happy and
enrich their own pockets.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

“I recently had a chat with some doctors, surgeons and owners of nursing
homes about the tricks of their trade. Here is what they said”
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

1) 40-60% kickbacks for lab tests.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

When a doctor (whether family doctor / general physician, consultant or
surgeon) prescribes tests – pathology, radiology, X-rays, MRIs etc. – the
laboratory conducting those tests gives commissions. In South and Central
Mumbai — 40%. In the suburbs north of Bandra — a whopping 60 per cent! He
probably earns a lot more in this way than the consulting fees that you pay.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

2) 30-40% for referring to consultants, specialists surgeons.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

When your friendly GP refers you to a specialist or surgeon, he gets 30-40%.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

3) 30-40% of total hospital charges.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

If the GP or consultant recommends hospitalization, he will receive
kickback from the private nursing home as a percentage of all charges
including ICU, bed, nursing care, surgery.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

4) Sink tests.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

Some tests prescribed by doctors are not needed. They are there to inflate
bills and commissions. The pathology lab understands what is unnecessary.
These are called “sink tests”; blood, urine, stool samples collected will
be thrown.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

5) Admitting the patient to “keep him under observation”.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

People go to cardiologists feeling unwell and anxious. Most of them aren’t
really having a heart attack, and cardiologists and family doctors are well
aware of this. They admit such safe patients, put them on a saline drip
with mild sedation, and send them home after 3-4 days after charging them a
fat amount for ICU, bed charges, visiting doctors fees.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

6) ICU minus intensive care.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

Nursing homes all over the suburbs are run by doctor couples or as
one-man-shows. In such places, nurses and ward boys are 10th cl-ass
drop-outs in ill-fitting uniforms and bare feet. These “nurses” sit at the
reception counter, give injections and saline drips, perform ECGs, apply
dressings and change bandages, and assist in the operation theatre. At
night, they even sit outside the Intensive Care Units; there is no resident
doctor. In case of a crisis, the doctor — who usually lives in the same
building — will turn up after 20 minutes, after this nurse calls him. Such
ICUs admit safe patients to fill up beds. Genuine patients who require
emergency care are sent elsewhere to hospitals having a Resident Medical
Officer (RMO) round-the-clock.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

7) Unnecessary caesarean surgeries and hysterectomies.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

Many surgical procedures are done to keep the cash register ringing.
Caesarean deliveries and hysterectomy (removal of uterus) are high on the
list. While the woman with labour -pains is screaming and panicking, the
obstetrician who gently suggests that caesarean is best seems like an angel
sent by God! Menopausal women experience bodily changes that make them
nervous and gullible. They can be frightened by words like ” and “fibroids”
that are in almost every normal woman’s radiology reports. When a
gynaecologist gently suggests womb removal “as a precaution”, most women
and their husbands agree without a second’s thought.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

8) Cosmetic surgery advertized through newspapers.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

Liposuction and plastic surgery are not minor procedures. Some are
life-threateningly major. But advertisements make them appear as easy as
facials and waxing. The Indian medical council has strict rules against
such  misrepresentation. But nobody is interested in taking action.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

9) Indirect kickbacks from doctors to prestigious hospitals.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

To be on the panel of a prestigious hospital, there is give-and-take
involved. The hospital expects the doctor to refer many patients for
hospital admission. If he fails to send a certain number of patients, he is
quietly dumped. And so he likes to admit patients even when there is no
need.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

10)  “Emergency surgery” on dead body.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

If a surgeon hurriedly wheels your patient from the Intensive Care Unit to
the operation theatre, refuses to let you go inside and see him, and wants
your signature on the consent form for “an emergency operation to save his
life”, it is likely that your patient is already dead. The “emergency
operation” is for inflating the bill; if you agree for it, the surgeon will
come out 15 minutes later and report that your patient died on the
operation table. And then, when you take  delivery of the dead body, you
will pay OT charges, anaesthesiologist’s charges, blah-blah-Doctors are
humans too. You can’t trust them blindly. Please understand the difference.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>

Young surgeons and old ones.
The young ones who are setting up nursing home etc. have heavy loans to
settle. To pay back the loan, they have to perform as many operations as
possible. Also, to build a reputation, they have to perform a large number
of operations and develop their skills. So, at first, every case seems fit
for cutting. But with age, experience and prosperity, many surgeons lose
their taste for cutting, and stop recommending operations.
<https://groups.yahoo.com/neo/groups/Fropki/info?soc_src=mail&soc_trk=ma>


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