nice topc usuf bhai , ju k bohat ziada dscussion chahtaa hay,,,,,

PAK main ju halaat haain medical field k us ko daikh kar ( agar aap internal stores say waqif hoon) tu really bohat dukh houtaa hay,,, loug Govt hosp ko bura kahtaay haain n private k tareef kartaay haan,, lakin jahan tak maira experience hay,, sab govt hosp buray nahen houtaay,, aur aksar prvate hosp baghair indcation k tests karataay haain,,,,,,

doosree baat hamare publc k hay,, ju chahtaay haain k unhaain dawa k aik hi dose say araam aa jaay,,,, aur thoora sa bhi sabar naheen kartaay,, si liya aksar GP aur compounder kisam k loug (neem hakeem) steroids ko apni drugs ki COCK-TAIL main zaroor shaml kartaay haain,, ta k patent ko jalde araam aanaay ka AHSAAS hou sakay,,, warna aglaay din woh patient ksi aur doctor k pass chala jaay ga,,, b/c haamree society main aik DOC k clinic aur purchoon faroosh say aik hi ksam ki tawaquu ki jaatee hay, agar aik jagha say matlab ki cheeze /satsfaction na mileee tu doosraa tu hay hi 2 qadam door,, us ki adviice lainay poohanch jaataay haain,,,aur ilaaj wohi kartaay haain ju un k dil ko bhataa hay,,,

SELF MEDICATION aur AVALABILTY OF DRUGS OVER THE COUNTER WITHOUT Prescription 2 bohat barree aur bohat ghalat baataain haan,,,jis say medicnes ki afaadiyat bhi khatam houtee hay,,, aur nuqsaandah asraat bhi houtaay haan,,,

.... aur doctors ki dehaRi bhi mari jati hai....

khair yeh to aik jumlah e motarza thaa...... aap ki bayaan kardah batouN say koi inkaar naheeN karsakta....... actually deger fields ki tarah iss field maiN bhi behtari sirf OOPER (hakoomati satah)say asakti hai. neechay (mareezouN k inn correct approach say choTkara) yaa darmayaan (doctors k sodhar janay ) say naheeN.

pakistan maiN pharmacy business arbouN ka ghapla hota hai. wazaratay sehat k policy makers kaRoRouN ki rishwat lay kar ghair zaroori medicine balkay dunya bhar maiN mamnoo'aa medicines ki marketting ko allow kardetay haiN... zara nichlay darjay ka amla rishwat lay kar do number ki medicines supply k kaaroobaar say aankhaiN chora leta hai. pharmacy shops ki aksariyat maiN qualified amala ki bajaye onkay licence ki attested photo copy aawezaaN hoti hai )chapay say bachnay k liyeh)... shop malikaan zeyadah commission k liyeh 2 number ki adwiyaat bechtay haiN.... doctors onn companies ki aisee adwiyaat likhtay haiN jinkay liyeh onhaiN company "incentives" deti hai........ aur mareez aisay clinics jatay haiN jo aik do visit maiN achcha karday, khaah iss tarah woh aik maraz say chuTkaray ki khatir deger tibbi pechidgiyouN say hi kiyouN nah do chaar hojayaiN.... woh fauran "shifa" iss liyeh bhi chaahtay haiN takay aik aadh din k naaghay k baad woh apni duty par pahonch sakaiN warnah onki dehaRi mari jayegi. aur hamaray awaam ki bhari aksariyat BEEMARI ko afford hi nahee karsakti. kiyouNkay onkay employers onhaiN nah to medical coverage detay hain nah hi woh dehaRi lagaye bina khali paiT sarkaari hospital say zeyadah din tak elaaj karwa saktay haiN....

issi liyeh to kaha jata hai k sodhaar kaa amal OOPER say hi mumkin hai.

usuf bhai halaat waqai kafi buray haain,, theek sirf OPER say naheen,, neechaay waloon ko bhi houna paray ga,, PATIENT Education bhi zarooree hay,, jis k lya media aham kirdaar adda kar sakta hay,,PAK main koi accountability naheen hay,, kuch ghalat hu jaay tu aik fiqra kah diya jaata hay (ju k ghalat bhi naheen ) k bas ALLAH ko yahi manzoor tha,, laikin is fiqray k peechaay doctors ki saree wrong diagnosis or treatment bhi chupp jaatee hay,,,

abhi jab main PAK gaya tu hamaray aik paroosee apni wife ko aik injection lagwanay lay gaay,, she was newly diagnosed with TB after her son was diagnosed with same few days before her.

unhoon nay aik doctor ko dikhata tu pata chala k un ko pulmonary effusion (asaan lfaaz main lungs main pani hay ) jis ko needle say bahir nikaal lya kaf ziada miqdaar main,, khar abhi kuch pani bak thaa , unhoon na apnaay rishta daroon k kahnay par aik aur doc ko dikhaya jis na kaha k ab lagta hay k lung infection hay pani hounay say zada,,, n hoaa yah k unhoon na doonoon docs ki treatment lana start kar dee,,

ju injection unhoon nay mujhay diya us ki expry date pen say cross ki hoee thee,, ju k expired thee (atleast 5 months old) baad main unhoon nay unhi doc sahib k compounder ko expred injection lagatay pakar bhi liya,,,,

in short itneeeeeeeeeee ziada mis-management hou rahee thee k mujhay yakeen nahen aayaa,,aur woh khatoon aik haftaay baad inteeqaal kar gayen,, n she was in her late 40's max.

ab zahir hay is baat ki enquiry tu shayad OPER hi hou sakay k kis ki ghalte thee,, yahan walay OPER walay tu kia karain gay,,, inteezaar karain k jab sab OPER WALAY k saamnaay kharay houn gay,, n WOH h hisaab karay ga,,

bhai bilkul sahee kah rahay ho ... hum to sirf kuch kah hi saktay haiN. lekin aap being a doctor kuch kar bhi saktya ho ... koi chiragh jalawo.... takay chiraagh say chiraagh jalay aur behtari ki koi sorrat banay.... koi nah koi planning zaroor karo ... Allah moqa day to amal bhi....

filhaal tu ham yahi soochtaay haain ,, on reflection k jab PAK main house job kar rahay thaay tu hamara behaviour kaisa thaa patients say aur kahan kahan ghaltee ki, aur kia kuch improve kia jaa sakta tha,, ( khair ALHAMDULILLAH maira behaviour atleast theek thaa ) . hamain tu ksi nay job say pahlaay yah tak nahen sikhaya k CPR(Cardio-pulmonary resuctation) kaisay ki jaatee hay,,baghair ksi protocol k sab martay lougoon k sath aik hi tareeqaay say salook ka jaata thaa,, chahay CPR ki indication hu k na hou,,,,, bahir ki jobs say aur kuch hu na hu atleast insaaniyat zaror aa jaatee hay ju k being in a MUSLIM country sab say ziada hounee chahyay PAK main,........


laikin aik baat samajh nahen aatee k ju consultants wapis jaataay haain tu woh usi rang main kiyoon rangaay jaatay haan..,

yeh to aap ko jab hi pata chalega jab aap wapis aayengay....