Ethics Of Indian Healthcare | Dr. Sanjay Nagral | Gastrointestinal Surgeon | The Faye D'souza Show

Dr. Sanjay Nagral is an expert gastrointestinal surgeon with a career spanning three decades, considered among the top 10 gastroenterologists in India.
He performed a vital role in the first successful liver transplant in India.
Dr. Nagral is on the editorial board of the Indian Journal of Medical Ethics and is a regular newspaper columnist on the subject of medical ethics in India
Do watch the full interview to know the inspiring gastrointestinal surgeon Dr. Sanjay Nagral
00:00- Introduction
03:28- The Dolo controversy: Has someone bribed my doctor to prescribe me a certain medicine?
08:22- Gifts from Pharma brands to doctors: Where do we draw the line?
12:50- Hospitals ask us to buy medicines from them which are cheaper at the pharmacy. Is this ethical?
18:04- Doctors owning hospitals: They are incentivized to drum up revenue
21:42- In India, you get the best care if you can afford it but what happens to people who can’t afford it? What are the issues within that system too?
26:50- People turning to private hospitals for “better treatment”
30:09- Why do medical students want to study in government hospitals but work in the private sector?
35:10- Better service is always associated with the private sector and the services in the public sector are associated with weak systems.
38:26- Why do doctors keep the patients waiting?
41: 15- Do you recommend patients google their diseases and symptoms?
44:11- Should patients look up the medicines being prescribed to them?
45:29- Companies that launched during covid claim cures for different diseases.
49:04- Should we make all pharmaceutical companies including Ayurveda and Ayush follow certain rules about what they claim?
51:05- Certain medicines are not regulated in the process of manufacture: The Gambia cough syrup controversy.
56:35: The Uttar Pradesh Mosambi Juice mishap.
58:04- Why is the Indian medical education system so stressed out?
01:04: 34- Representation through the reservation
01:09:15- What made you become a doctor?
01:16:09- Can fundamental triaging be moved to AI?
01:17: 24- Is there any research on whether the frequent heart attacks are being caused due to covid or vaccines?
01:22: 08- Has covid improved our scientific temper as a society?
01:23:21: Ending
#ethicsofindianhealthcare #drsanjaynagral #thefayedsouzashow #livertransplant #fayedsouza #coronavirus #covidvaccine #uttarpradeshmosambijuicemishap #ayurveda #thegambiacoughsyrupcontroversy

[@lobsangtsering5989]

Kudos to the doctor and Faye. Great public education on health.

[@RM-wy1pi]

Tamilnadu did well in health care. while maintaining its 69% reservation in Medical studies. Before Neet we used to have a system where doctors have to work in the primary health centres in rural areas thereby they get bonus marks for their pg admission. This drastically improved the state's health sector in rural areas. Everything went to vain by NEET.

[@sanskar2132]

I have watched this 4 times every time I get new Info or deeper knowledge for Medical idiocracy. Thank you Dr. Sanjay Nagral & The FDS Team

[@supersuparan]

Excellent discussion on a very important yet neglected topic because it is not about politics or Bollywood. Which explains why the video has such less views. Thank you Faye. For those of us who have been victims of a poor medical system in India at the hands of apathetic doctors, it’s heartening to see that there is at least one sane discussion on this topic.

[@ambarishprasanna3903]

Amazing beyond measure. Can't believe this has only 3.2K views right now. people should be jumping on content like this

[@EmpoweringPerson]

Great interview done by Faye & Dr. Sanjay in this video. Strong appreciation.

[@radhaharish6443]

So privileged to have met him.

[@adityamalik441]

Excellent discussion. I have trained in a central very busy institute in India in orthopaedic surgery, and left quite early in my career to pursue further training in UK and currently practicing in the NHS. However, I do feel that a lot of the discussion is sincerely ignoring the work pressures that a junior doctor faces in a government hospital - catering to significant volumes of patients. A routine half day OPD from 9 am till 4 pm in most government hospitals sees anywhere between 200 to 400 patients divided between 6 to 8 doctors ( not accounting for absences). If we compare it to a western system like even an overburdened NHS - it is not a fair comparison because whilst it is a free / tax based service, each patient is given at least 15 to 30 minutes - that means at a maximum of 16 patients per doctor in a 4 hour clinic. This is nowhere comparable. I also worked for a new delhi based major central government hospital for a year - rather than learning what to do in complicated cases - what i learnt best from my colleagues and seniors was what NOT to do. There is a significant communication barrier due to high emotions, work overload, the pressure to deliver volume based care rather than quality based care simply due to sheer numbers of patients requiring medical attention and patient attention. I do believe comments and suggestions made that doctors try to cause intentional delay while seeing patients is highly insulting to all the residents working extremely hard day in and day out. This by reference by doctor Sanjay might be to some bored old senior doctor pretending to be better than he is in reality, however in reality all hard working doctors want to do home on time and find their work life balance, spend time with their families and make up for personal time lost in training. It is sad to see that their hard work is being reduced to this. The future of doctor patient relationship is all about patient education and the concept of shared decision making - patients decide what is best for them. However it is based on honestly from doctors end - to provide all the correct information and treatment pathways and options - with full discussion of pros and cons of each modality, and a final shared decision in the best interest of the patient. this of course encourages patients to google their options, research the treatments and ask as many questions as possible. this is unfortunately not possible in any centre that caters to volumes - as this discussion can take at least 30 minutes beyond the simple consultation involving and actual examination and diagnosis. This also leads to unsafe practices - which compromises quality of care - but unfortunately completes the task. another barrier to this consultation - is lack of education - which is a massive problem in rural india - and this is a different problem altogether. issues of public healthcare can not be looked at isolation as a doctor responsibility. would it be acceptable to reduce a common OPD in AIMS/ safdarjung / KEM / Sion etc to reduce a maximum OPD to maybe 80 patients so that all patients get extremely high quality consultation or do we want 400 patients to be seen in the same time frame ( which is what happens now) and compromise on this to serve the people as best as possible within the time budget and staffing we provide to the healthcare providers? And if we want the former, will we meet the healthcare demands of the country? And if we want to provide the same high quality consultation to all patients equally in the same time frame, do we have those number of specialist trained doctors to meet that demand - probably not. I dont know the answer to the challenges i have mentioned, but certainly the issues are a lot more complex than this discussion in the video. Not to say that all this is untrue - it is all relevant, but is only the tip of the iceberg. We all want the highest quality care, without providing the healthcare providers the appropriate tools to deliver that care, and then blaming them for not doing their job well. A lot of what is being discussed is the truth - but perhaps not reality. not to say that there no unscrupulous doctors or surgeons - and i empathize with the public, and having been on the other side as a patient in the past - it is near impossible to figure out who is honest and who is just looking to make money. it all comes to do what has been mentioned - lack of political will, admin corruption and lack of regulation.

[@Dr_Analise]

As a doctor in india who trained for my UK exams, i realise the exact place u come from. And what you say is true but the patients also when asked to share in discussion still don't agree with logic and evidence based management. As an obgyn I get asked questions like "normal nahi hoga ?" After 15 mins of explaining the same , the concept of PILs are not existent in India and the information is sought from Google and relatives esp in Obstetrics. It's extremely hard to change an opinion in masses. It has to be an education on both sides ... Patients also need to be educated alot more ...

[@ddeb]

Range of topics discussed is really broad and nice. Great learning 👍. Way to go Faye... ♥️

[@vidhatrireddy7405]

Great discussion.. often majority of us postpone our health problems due to lack of trust with the doctor.. I have met revenue minded doctors and I thank God for leading me to alternate doctor during desperate times.. I hope medical care and aid is more accessible in India..

[@PK-fl1lm]

In India, a hospital run by a doc adds to its credibility. There is conflict of interest but there is also the above fact.

[@priyapillay5577]

Excellent interview Thank you Faye and Dr Sanjay

[@ArsalanKhan-tv2bw]

Really the content that we need! Thank you for bringing out the things that MATTER! love your work. Well wishes ❤️

[@FayeDSouza]

Thank you so much

[@rubanag926]

Im so happy to see more of your content. Welcome back!

[@StepUpLives]

Solid content.

[@ddeb]

Thanks

[@tanmoymitra22]

Very informative discussion

[@AdyStark]

A very informative and interesting talk on the healthcare system in India.

[@akashbais93]

Thanks!

[@FayeDSouza]

Thank you!

[@sanketgote5455]

Thanks a lot for this Interview. What great Insights I got today!

[@NItadutta]

Excellent interview….very informative 🙏

[@ag7900]

True!!

[@EmpoweringPerson]

In saraspur area of ahmedabad, government hospital are good. But government school are not good.

[@kk-ot9kn]

These are the things I have been thinking about since the pandemic hit us in 2020. These things should be talked about more and I had thought people would atleast start caring about their own health benefits after the pandemic but people are still falling in politicians elaborate traps. Hope we find solutions to problems that ACTUALLY bother us in the near future rather than made up problems that pump politician's bellies.

[@shreeya4963]

Medicine is a highly challenging field academically..in this field how does he suggest we maintain general level of competence and aptitude?

[@FinExTraining]

👍👍

[@drhannibal.lecter]

everyone associated with healthcare shud see this.

[@jaspalanand2165]

👍👍👍👍👍

[@sankarankarakad7946]

Doctor should diagnose,the pharmacy should prescribe medicine?

[@bhanulathavedagiri6727]

Sir and madam from medical fields. GOOD evening. After 10odd years of DEMONITATION where is money with corporate doctor or business man.

[@___1Ss-_-.sS.____]

Seriously people, take care of your mental, physical,emotional, spiritual health. Eat homecooked food at least 5 days a week. Exercise and stay moderately active. Do not give corporations, power over your self. Because then you are done for..

[@abhilashmudadi9065]

I thought he was Sriram Raghavan

[@shreeya4963]

Absolutely donot agree on his take about merit and reservation students. He is creating a bias when he hand quotes merit students stating that they are moving abroad.. well they are moving because their talents are valued there. Why will a person with reservation leave india if he is getting better opportunities here in india. I understand the representation per se but reservation in postgraduate courses /jobs . I mean where does it end?

[@manjuswamy123]

I'm a doctor.. u know my seniors n colleagues.. they chose abroad just to lead a good quality of life, improve standard of living, enjoy the facilities... Nobody will go because of reservation... They give excuses like that .. inside they know they enjoying life abroad ... Plse don't misguide the normal audience... What even this doctor said is absolutely true... Many Reserved candidate compared to general , work more in govt sectors , peripheral n rural areas...

[@manjuswamy123]

Reservations are provided to under represented communities in high societal professions... Not to empower economically... That's why reservations are there for pg level...

[@shreeya4963]

@@manjuswamy123 apart from representation reservation has done nothing but killed the ambitions of merit students who are slogging day in and out to score top marks! reservation still doesnt change the attitudes of people towards lower castes ..it can only be changed through education and creating awareness about casteism! not by giving freebies!!

[@shreeya4963]

@@manjuswamy123 the speaker is literally insinuating that merit students go abroad where as reserved students stay back in the country and serve the country making them the saviour that everyone needs..let me tell you this is so not true at all

[@arshdeepsingh9995]

@@shreeya4963 then why they need reservations if they are heavily talented

[@michellemoraes1699]

Thanks

[@garimapunyani7966]

Thanks!

[@FayeDSouza]

Thank you, Garima!

[@bharatisekar]

Thanks

[@FayeDSouza]

Thank you for your contribution!