In last 30 years, medical service world has changed. The Family Doctors are vanishing. Only Specialists doctors are now considered Doctors. The place of MBBS doctors are being filled up with BAMS doctors.
Now even going to Govt hospitals have become costly. The poor are prescribed medicine which cost them salary of a month. There is no check on doctors prescribing too much costly brand medicines to poor. Many die without medicines. No data available.
The Rule of Four
Years ago a Family Doctor told me about an written Rule of Four.
He said, we check whether patient survives Four Minutes. If he does, then we see if he survives Four hours. If Four hours are cleared, then we wait and see if he survives Four months. If he remains well for Four Months, we check if he survives Four Years.
This is general thumb Rule of Four.
Haresh Raichura
15/11/13