CESAREAN

 Babu a grocery and vegetable merchant along with his wife Vasanthi and children Rahul and Reshma were living  8 kilometers away from  Thampanoor.Babu's shop is hardly 30 meters away from his house in the same compound and sometimes family members used to assist him.Rahul has been an average student whereas Reshma was very studious throughout her academics. While Reshma got admission to MBBS on general merit in  government medical college, Rahul got admission in a degree college for  literature.In the medical college Reshma has shown very much passion for studies not only in theory but in practicals as well .Professors were very much impressed by her sincerity and commitment especially during internship period. Senior faculty advised her to opt for Gynecology for post graduation and with their blessings and by grace of almighty without much delay she got admission for Gynecology and Obstetrics. After post graduation she opted to work in a private medical college hospital .Meantime a marriage proposal came from an Assistant Professor Dr.K.Rajendran MtechPhD working in School of Technology, University of Science and Technology who originally hails from Kazhakutom. Both the families were very much attracted and attached by each other ultimately Reshma got married  to Rajendran.

 Dr.K.Rajendran has been academically very active. Apart from teaching he was the project director of 3 major research projects with a full-fledged research team and a good number of peer reviewed publications.Rajendran used to travel to different universities and research institutions within the country and abroad as a part of his academic activity.If he is in the state every weekend Rajendran used to spend with his wife DrReshma. Dr.Reshma for a healthier family life got shifted to a  nearby new private hospital 4 kilometers away from  her  house and assumed the charge as Head,Department of Gynecology. Within a very short period her sincerity and commitment as a Gynecologist got wide publicity not only in local area but also to far of places, women started crowding her consultation room. She has been a staunch advocate of natural delivery and as far as possible discouraged cesarean. But there were certain cases where  women themselves opted for cesarean either to get the child born on an auspicious time/day or to avoid labour pain .

 Reshma and Rajendran couple's life was moving smoothly with everyweekend they were meeting and romancing each other.  In August first week of 2002 after a one month visit to Japan Rajendran  returned back on Friday night 9 o clock with valuable gifts to  Reshma. Obviously both of them were very much excited and they went on chatting joyfully with making love and finally slept around 12.00am .Around 150 am a call came from the hospital to  Reshma informing about complications of a pregnant woman.Unfortunately there was no vehicle available in the hospital. However Rajendran volunteered himself to drive her to the hospital in his car.On reaching in the hospital immediately cesarean was done both baby girl and mother were saved.  It took more than one and half hours to finish the work. Meantime exhausted and tired Rajendran slept in the driver's seat itself. Mistaking him as doctor's driver one of the relatives of the woman had deposited a rupee 50 note into his pocket as a part of celebrating the birth of the child. 

 Next day there was a discussion between Reshma and Rajendran regarding how to avoid such emergencies as happened yesterday .Rajendran presented the case in a technical and personal point of view suggesting Dr.Reshma to perform cesarean in advance if there is a possibility of disturbing their weekend life and sleep. Next week onwards Dr.Reshma made it a point to examine thoroughly each would be night delivery case and if found probability of disturbing their weekend life ,trace out the relatives of such pregnant women and warn them about possible complications and advice them  the need for doing immediate cesarean in the day time itself. 

 Even though Dr.Reshma was generally happy about the present arrangement at times some thoughts came to her mind-whether her actions are justifiable?Medical ethics doesn't allow such a practice which is morally hazardous. But she console herself in the fact that when husband and wife are approaching her to advance delivery through cesarean to get auspicious birthday or to avoid labour pain and when hospital management is very happy with the present arrangement there is no room for such thoughts. However within few months Dr.Reshma herself delivered a baby boy and it was a normal delivery. 

Comments

Post a Comment

Popular posts from this blog

CASE FOR MONETARY AND FISCAL POLICIES TO WORK IN TANDEM.

 THEORY  Major economic policies are broadly divided into two 1. Monetary policy and 2.Fiscal policy.while monetary policy is primarily concerned with the  management of interest rates and the total money supply in circulation, fiscal policy deals with taxing and spending policies  of the Government. In effect, monetary policy really focus on the demand ( desire to have)and supply (availability) of money which is administered largely by the Central banks (  RBI in India, Federal Reserve in USA, Peoples Bank of China in China) along with the network of  banking and other financial institutions. On the other hand fiscal policy refers to the revenue, expenditure and borrowing policies  of different layers of Governments namely Central, State and local Governments including village Panchayats, urban local self Governments like municipality, corporations township etc. Theoretically  the working of these policy instruments are explained in terms of shif...
Read more

APPRECIATION OF ASIAN CURRENCIES : IS IT ASIAN CRISIS IN REVERSE ?

 Global currency market  witnessed voltatility in recent days due to first time sharp surge in the value of Asian currencies putting severe pressure on US dollar. The  Taiwan dollar performed particularly  well against US dollar fuelling speculation that the appreciation may ultimately  even lead to evolving a regional strategy in order  to gain trade concessions from the USA. Apart from Taiwan dollar the Chinese yuan,Malaysian Ringitt,Japanese Yen,Australian dollar  all have strengthened, leading to a major breakthrough through shifts  in  both  capital flows and investor preference. The rise in currencies recorded for the last one month has indicated that Chinese  currency appreciated 1.25%,Japan 3.24,Korea 4.94, Taiwan 8.24,India 1.63,Thailand 5.6,Indonesia 1.68,Philippines 3.66,Singapore 4.55,and Vietnam -0.65.Taiwan has been experiencing piling up of US dollar through its trade surplus primarily through export of  semicond...
Read more

TARIFF WARS ,PROTECTIONISM AND GLOBAL SUPPLY CHAINS.

 GLOBAL SUPPLY CHAIN  Global supply chain refers to a network of interconnected processes,people, and technology that moves products and services across various countries,firms and organizations.It involves sourcing raw materials, manufacturing, distribution and delivering goods to the ultimate customers.In other words key aspects of global supply chains include cross border operations, sourcing raw materials, manufacturing, distribution, interconnectedness, reliance on technology, data,inventory and logistics management.Global supply chains performed  relatively  efficiently during the peak peak of globalisation from 1980s to 2010s.Since then supply chains has been facing periodial disruptions during the Covid19 period which started from China in late 2019 that developed into a global health emergency which in turn resulted in unimaginable levels of confusion an chaos in supply chains. Commencement of Russia Ukraine war in 2022 further added to supply chain disrupti...
Read more