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Medical Journals Are an Extension of the Marketing Arm of Pharmaceutical Companies

(Monday, May 07, 2014) “Journals have devolved into information laundering operations for the pharmaceutical industry”, wrote Richard Horton, editor of the Lancet, in March 2004. In the same year, Marcia Angell, former editor of the New England Journal of Medici...

Empathy for infertile couples

(Tuesday, July 08, 2014) I am an IVF specialist, but I am not infertile. This is why I try to learn what infertile patients go through from my expert patients. This helps me to see things from their perspective and understand their feelings. Here's an ema...

Diagnosing Indian Doctors

(Wednesday, July 09, 2014) A friend forwarded this email to me. I think it's worth sharing and hope it will nudge you into treating your doctor with a little more kindness. I am grateful to my patients. Helping them get better adds meaning to my life....

Answering IVF patient's questions

I enjoy answering questions from IVF patients. It keeps me on my toes; I am happy to share my knowledge; and I learn a lot from them ! Here's a question I got recently Dear Dr. Malpani, Let me start off by saying that I have lived by the information you provide on yo...

For patients considering surgery, knowledge is power

(Thursday, July 10, 2014) Clear, specific patient education helps patients - and surgeons ! Decision and communication aids used in orthopaedic practice had benefits for both patients and surgeons. These findings could be important in facilitating...

SCOPED helps patients make better decisions

(Friday, July 11, 2014) Making decisions when you are ill is hard. Patients are often confused - and the overload of poor quality information on the internet just makes a bad situation worse. Doctors are often not very helpful, because they can be quite d...

The 2014 budget and the Indian healthcare industry

(Saterday, July 12, 2014) The healthcare industry was very hopeful that the 2014 budget would provide lots of incentives for health care service providers. There was a lot of buzz that the government would place a lot of stress on education and...

IVF process versus outcome

(Monday, July 14, 2014) The outcome of an IVF cycle is always uncertain . When a cycle fails, the patient is never sure whether the failure was because the right process was not followed, or because of plain bad luck or an intrinsic biological problem (...

Fee for service results in overdoctoring

(Monday, July 14, 2014) " The financial incentives for doctors are wrong. Sometimes a doctor should be rewarded for not intervening !" http://www.ehfg.org/839.html If we pay surgeons for doing surgery, then why are we surprised that they respond rationally to these ec...

IVF over testing in the futile quest for certainty

(Monday, July 14, 2014) When I review the medical records of patients who have done IVF in other clinics, I'm quite amazed by the amount of testing which they've undergone. A lot of these tests are extremely expensive and many are exotic; of un...