World Of Relativity

Today’s world is ruled by negativity and we have witnessed that it has produced startling results. If negativity is convincing enough, it has moved mountains. That’s another change we are witnessing in our times.

In India, currently demonetization is playing havoc. It has derailed the promising economy and the worst hit are the middle and lower classes. Parallel black economy was always a historical problem in India but the way the strike was executed was unprecedented .

Amusingly those who are hit are witnessing the silver lining and that keeps them going. Patients feel doctors would take a harder hit, home helps feel their employees have been served right, bureaucrats feel politicians would face the heat and opposition feels ruling party is done for. The rhetoric of cleansing this opaque world goes on.

It was proposed in the past that success was measured by from where you start to where you have reached in your life’s journey. But these days success is also a relative world. How badly your neighbor has failed!

As we brace ourselves for the coming years of Brexism and Populism, one thing is for sure that common good is definitely not a goal any more.

 

Qualifications

For any job its  a prerequisite that you have the required qualifications .Your employer wants a best fit for the job opportunity .So for every job ,there’s a desired theoretical and a practical experience and in most cases this standard approach works .One is then supposed to climb the ladder of success as per your talent , hard work and luck 

There are always exceptions . In India , in tinsel town and in  the political world , it works differently .Your birth history and family connections matters a lot .Its presumed that you will genetically  inherit all the talent ,charisma and luck to succeed .Surprisingly , public acceptance is also automatic .

One of the best success stories in the digital world had been school and college drop outs .But those are rare instances . Majority of us , mere mortals , are supposed to tread the trodden path .

Recently we saw , for  one of the highest offices in the world’s greatest country , there was no need of any  prior experience .It can be explained that being one of the oldest democracy , rules for  selection of presidential candidate had been written a long time ago .

The deep distrust of people in the current career politicians led to selection of a very atypical candidate .All the checklist for the selection was thrown out of the window .Agreed  that for the president of the US , it would not always be a cookbook situation but  a lot of leeway was given to the process and the current milieu of fear is genuine .   

India Revamped

Just the last week , Indians were cleansed of one of  their sins .For 69 years since Independence , ducking your income tax had been a wide spread malady .There had been various ways of saving taxes like stashing money overseas , keeping it under fictitious names or converting it into gold .

But this is seen more in the super wealthy class or super powerful class as you have to have that much of extra  wealth to do so .

But the last week it was decided to end it once and for all . Ideologically, it was a very good thought but the middle class and the lower middle class were really very hard hit by the whole concept . 

The first step taken was to demonetize currency note of 500 and 1000 . Everybody was taken  by surprise as the time started at 8 pm on a particular day .This currency note is one of the common currency note in majority of households .Only very limited amount of currency exchange were allowed in the Banks and ATMs . This resulted in a super chaos as these institutions are not capable of handling the immense load .Businesses  at small trading level came to a complete halt . Since morning till evening you had to be at the queues of one of these places . Small tradings came to a complete halt . Marriages were called off . Transport ,traders and small businesses are planning to call indefinite strike .

Hard working middle class is the back bone of India .They deserve a better treatment . Deep resentments has been seen to be translated into surprising results .

Informed Consent

As  a physician , when we counsel a patient  about any disease process  or initiation of medications or any operative procedure we are supposed to inform him about recent recommendations , the  best practices and help him to make the best decision about his health .

We are not supposed to  confound him by giving them the whole list of side effects as in most TV ads about any medication .The surgeon is supposed to give a  clear picture about the procedure and an exact percentage of the adverse outcome .

It is by mutual consent and fiduciary guidance the process of treatment is completed .

Even  in spite of all these  counselling if God forbid, patient faces an unfortunate outcome the doctor has to pay a heavy price . He may loose his license , may be incarcerated or loose his life time income .

In comparison , in the present election scenario , one of the highest authority in the country could go back and forth on  his statements , could be as ambiguous  as possible just a few days before a very important decision would be taken . A decision which would not only change the fate of millions of people but may change the face of earth .

Is there not a fiduciary responsibility associated with one of the most responsible positions of    the most important country in the world .

Is a plain apology or a resignation enough ?

I presume justice is just meted to us ordinary mortals . 

 

The Remote World

As we all agree,  we are  a part of the big remote world .We as humans gave it its identity and there was a big explosion of advancement of technology and now it is giving  the real world a  tough competition .

Our comfort level is great in our remote world .Anonymity and the choice of interaction is ours .There is no compulsion  of any kind .

But where is all this leading to ?

Drones are becoming your preferred mode of combat .Robotics are your preferred mode of surgery . Siri  could be your best friend . Telemedicine   would soon be the future of medicine and future cars would be all  sans driver .We are working real hard to make Virtual world  a big success .

We are yet to make a connection with the alien world as I was told that they have a higher IQ and they are not very interested in this alliance as it would not benefit them a lot .

We are moving towards  a time where there would be minimal human interaction and our children would inherit a world where Homo Sapiens would be most redundant .We are racing towards our own Nemesis .

 

Transitions

Insights From My Topsy World

Transitions are always bitter sweet  and never  seamless .Currently the country is preparing for a national transition at the Presidential level .We all are closely following the journey and rooting for one or the other candidates .

With transition , we are hoping a change for better . First lady , who is an excellent orator ,urged the people to change their views about the other “America “, which  is  very much a part of the” Big America” , on the other hand , GOP’s  too envision an America , which should be very different  from the present America .

There is a constant parallel play and never the twain seem to meet .

America was conceived with  very distinct values and ideologies and as long as they are upheld , the country would continue to progress in its path of excellence and beyond .

As we currently witness transitions…

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Transitions

Transitions are always bitter sweet  and never  seamless .Currently the country is preparing for a national transition at the Presidential level .We all are closely following the journey and rooting for one or the other candidates .

With transition , we are hoping a change for better . First lady , who is an excellent orator ,urged the people to change their views about the other “America “, which  is  very much a part of the” Big America” , on the other hand , GOP’s  too envision an America , which should be very different  from the present America .

There is a constant parallel play and never the twain seem to meet .

America was conceived with  very distinct values and ideologies and as long as they are upheld , the country would continue to progress in its path of excellence and beyond .

As we currently witness transitions all over the world  , at some places  with greatest upheaval and with most unfortunate results ,we pray that the present Presidential transition should be democratic and peaceful .

We could be hacked or rigged , swayed by populism or troubled by our emails but at the end of the day , we vision an America where people together are ready to walk the peaceful middle path to transition . 

Meaningful use in Behavioral health

Insights From My Topsy World

behavioural-models-in-health-promotion-27-638There was a very disturbing revelation in the media that State of Washington tops the list of teen suicides and it has been the statistics for the last three decades . Among the top causes sited were , substance abuse , poverty and of course mental health issues

Behavioral health facilities have always been  found lacking in tackling mental health issues . There has been a drastic cut in  Federal funding since 1981 . In the face of ever increasing demand , specialized help is never ever received in time and specialists are far and few in between as the compensations are not very great as compared to other specialities .

EMR and meaningful use has been enforced  so that there  is a better justification of federal funding and medicare and medicaid payments . Physicians are  incentivized  and now there is a direct association of physician’s efforts to indicators of…

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Demise of straight things

Insights From My Topsy World

As the Presidential race gains  momentum , so does confusion galore .Every kind of media is spewing out their own statistics and in the process veering us away from making informed decisions . Its come to a point where the future electorate is like playing a Roulette . If you choose the right number , you are a winner otherwise , sorry . you loose .

The same questions stare at us , what we started the race with .

Are these promises for real? Are we  deciding for collective good ?Should be practice segregation or integration ?Does diplomacy give optimum results ?Would war bring peace ?

And so many more questions 

All we have is huge amount of unconfirmed data with no straight answers 

As my  gym instructor says – Dear , There are very few straight things left in life . But one of them has to be…

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Sabbaticals

Insights From My Topsy World

Most of the physicians in their later part of careers have been known to take sabbaticals . It prevents an early burn out and also helps them to extend their working years .One is supposed to come back rejuvenated to face the future challenges . One can spend their sabbatical in various ways ;Most commonly one does a mission trip or a teaching assignment in another country ;You can do exotic holidays or learn new skills or some times just introspect about your life choices .

Its presumed sabbaticals are intentional and not forced .

But what happens when its a  forced sabbatical ?

Like a job termination ,medical issue or a family necessity . Does picking up the thread is as easy even if financially you are not burnt .Are you emotionally stable and strong ?Do you have the same amount of enthusiasm ?Are you ready to fail one more time?

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