Articles by Govind Nandakumar

I have enjoyed my transition back to Bengaluru, the city I carry very close to my heart. As I start meeting people and understanding local surgery referral patterns, the irregularities are glaring. I have been blatantly asked by doctors how much I would be willing to pay the referring doctor for a patient. Take for example a patient who is referred for an advanced procedure that costs 10 lakhs. The referring doctor in Bengaluru asks for a percentage, commonly referred to as a "cut". In plain words, a bribe. This is completely unethical and against the standards that doctors agree…

File pic. Pic: Yograj S Mudalgi Let’s take a break from the “informed consent” conversation. Recently, a major hospital in Bengaluru was vandalised by a patient’s family. Equipment was broken, personnel were threatened and the care of other patients was disrupted. The incident generated an anxious response from the medical community. Several well-known healthcare professionals from Bengaluru expressed their concerns. As doctors, we work for the well-being of our patients. For most of us, a life saved, a morbidity avoided or a patient’s satisfaction at the end of the day is more rewarding than any amount of money. In fact,…

We will start this series by exploring the consent process in medical treatment processes—a process that is relatively new to the doctor-patient relationship in India. In the United States, the informed consent is nothing less than an extreme medico-legal document–not an ideal situation either. Well, what is the essence of an informed consent? Informed consent is a patient's acceptance of the procedure and/or the treatment to be performed by a given doctor or a team of healthcare professionals, after being fully informed about the pros and cons of the treatment by the doctors. There is no longer room for the…

The recent tragic story of a three-year-old’s death after receiving dental care under local anesthesia in Bengaluru is heart-breaking. I am a surgeon who treats patients and performs procedures everyday. I am also a father of a three-year-old and an eight-month-old. The aftermath of the incident would have been unpleasant for the doctor and the family. I am sure this incident sent shivers down every patient that walked into a healthcare facility. I have received and delivered health care in India and in the United States. Where is it safer? What does quality mean? What does informed consent mean? How…