Well... in India, doctors still are not much considerate about that "Avoid Transfusion Protocol". There are many factors acting behind this along with the ignorance.
Lets review a typical case.
"Dr.XYZ is sitting in the PHC (primary health center) in some distant village in India. A patient named Baankelal comes to the clinic and says in hindi,"dactar saab, bahut kamjhori lag rahi hai aaj kal. Kaam nahi kar paata theek se." Dr.XYZ examines the patient and diagnoses mild to moderate anemia. Clearly NO INDICATION for a blood transusion.
But before the doctor can say anything, Baankelal starts like that, "Badi door se aaya hoon saab, kitni mushkil se paise ikattheh kiye hai. Iss baar to 'baatla' (bottle of blood) chada hi diyo. Do baatla le lunga to sab theek ho jaayenga. Badi kripa hongi aapki." (Now the patient decides what the doctor should do..!!)
Dr.XYZ hesitates a bit in denying him blatantly as he is a Mukhiya (leader) of the nearby village and he has good command over other villagers. He could potentially hamper his private practice which he starts every evening after the PHC hours. (Note: Doctors employed in PHC are not allowed to do private practice in India legally)
He is just thinking about these and suddenly Baankelal slips a 100 rupee note in the doctor's pocket, "saab ji.. ab kuch mat boliyega. Abhi baatla chada hi diyo" winking the eyes.
Dr. XYZ is left with nothing.. an influencial villager, 100 rupee note in the pocket and he doesnt have to pay for the transfusion, government pays for that. Who cares then??!!
In the end what we get is: Mr. Baankelal is paying for something which is not required by his body to improve his health. Plus he is paying for something which could potentially put his body into some major transfusion associated risks. Poor Baankelal thinks that a 'baatla' has a magic formula in it. And he will become a superman overnight by taking that..!!"
To Ashok: Yes.. I have practiced in India too and now doing masters here. I have seen the medical system of both the countries very closely. No doubt our country is doing great considering the limited resources we have, but still we have to learn a lot of things like this.
Cheers... and Happy Diwali to all.
