Sunday, February 16, 2014

Management of coronary heart disease in Bangladesh- last part

Management of coronary heart disease in Bangladesh- last part
operation theatre or a catheterization lab to perform these lifesaving procedures, because they are costly. The only exception is Khwaja Yunus Ali Medical College and Hospital in sirajganj, where expert interventional cardiologist and cardiac surgeons are doing bypass surgery and angioplasty fairly satisfactorily.
In the early nineties in Bangladesh, the middleclass patients had on option but to depend on cardiac medications and whatever life-system modification they could do for themselves. But now the situation has changed for the batter. They can hope for a bypass or angioplasty in the country. Though the doctors here are performing these procedures applying traditional methods, in comparison with the more advanced and lass-invasive technologies available in America and Europe, the overall scene of cardiac management in Bangladesh is not that much frustrating as it was in the nineties.
It was first thought that the people of the advanced and developed countries were the victims of this degenerative heart disease. Buy now this no longer holds true. The disease has gone well beyond the alarming proportion in the lass developed countries of  South Asian region, including Bangladesh. The experts warn by 2020, the disease will take an epidemic form in Bangladesh. Our Health Ministry and other concerned authorities should brace up themselves to face the challenge. The Health Ministry may seriously think over the urgency of setting up modern operation theatres and catheterization laboratories in the medical college of the country immediately, so that the poor patients can get these treatments at the fair cost.

Our overall overall moral sense of life and responsibility is something which is ignominiously talked about. The doctors also cannot shy away from the charges they often face publicly. Some doctor’s excessive love for money (and negligence of duty) often makes the choice of their profession insignificant. The recent tragedy at the the Rajshahi Medical College Hospital tells us that the interns there, who were yet to become registered doctor, did not understand their profession. When all the interns of the hospital decited to go no a strike, in response to one intern’s altercation with a patient’s attendant, their decision only spoke of their sheer irrationality and insensitivity. Five patients died on that day due to absence of doctor’s care, it was alleged. This was hopeless, unpardonable. What misuse of collective power, as our political leaders do. We really do not have moral precedents to follow.

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