Surgeries at rural hospital: From “Chekmate” to solutions
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 2
Abstract
What a Rural Surgeon can do in his small place totally depends on his personal ability and facilities available to him. The Technical problems can be due to non-availability of good and adequate equipment, facilities for investigations, non-availability of qualified paramedical personnel staff, including qualified anaesthetist and many others. But if one wishes, all these can be easily overcome. Building can be modified, at least internally using false roofs and false walls. Minimum required investigations can be done at small setup. Most of the operations can be done on simple operation tables, with ordinary light and minimum standard equipment. Similarly any major surgery can be done using Oxford type of bellows and air ether mixture. As regards scope in Rural surgery , he can do anything and sky is the limit. But there are many limitations, which can be broadly divided into three, namely technical problems, professional skill and legal problems .To work in situations where most of the things are lacking, is like fishing without net. But this was our story of fishing with fishing hook. The working of a surgeon in rural India can be a ’CHECKMATE’. Due to lack of necessary basic requirements the surgeon may surrender to adverse conditions and may become a reffering physician only. Condition may worsen if the surgeon is working in government rural hospitals. So Government system should improve in rural surgical area. The surgeons who are Working in government hospitals in rural areas and giving justice to needy and poor population should be appreciated and praised, as in our case.
Authors and Affiliations
Ajay D Subhedar, Shakuntala L Shelke, Sangita M Gavit
Keywords
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