Ethical Dilemmas Doctors Have to Confront

The ethics and professionalism in medicine are of core importance when it comes to the role of the physician in his code of conduct.

With the great prestige and nobility in this profession comes the great responsibility in doctor’s hand, as they have to go through quandary in situations when it comes to cases like euthanasia, abortion, making a decision of who even makes it onto a waiting list for organ transplant, quick and life-changing decisions, psychological pressure from the loved ones of the patient, the patients family blame the doctors if the patient is unable to make during surgery, they should understand that death is imminent and the doctors do, whatever they can to save a life.

The doctor must explain the procedure to the patient and give him full information about the benefits, risks, positive and negative effects, leaving up to the patient to make the choice about undergoing the surgical procedure. The doctor should not perform the surgical intervention, only taking into consideration his personal gains and benefits. His first priority always has to be the patients’ health and to act in the best interest to protect the patient from any kind of harm. The doctor should be impartial when it comes to the selection of deserving cases and their needs, and on the basis of their degree of sickness.

The one of the most important and foremost ethical concern is taking an informed consent. Informed Consent is taken in advance from the patient, it is an agreement or a gesture to permit the doctor to have his medical history, undergo examination procedure, diagnosis, treatment, and intervention. The patient should be competent, well aware; mentally and emotionally stable. In some cases, the patient in spite, of his serious condition, refuse to agree with the intervention or surgical procedure, where then doctors have to make a decision for the welfare of the patient.

The information of the patient can only be breached if:

  1. himself asks the physician.
  2. In the case of children, the information is conveyed to the parents; as they are very
    young to handle their condition.
  3. There is a need of the help of the healthcare team in solving the case. Whether, the disclosure is for the criminal investigation of crime or harm to others, assault case, protecting the vulnerable; such as in child abuse case.
  4. For research purposes but only as anonymous and after taking consent from the patient.
  5. When it comes to public interests it may be breached when a patient has a highly contagious disease such as tuberculosis; the doctor has to inform the patients family so that precautionary measures can be taken. If the patient has a sexually transmitted disease, let’s say HIV which is a communicable disease, the doctor may disclose his disease to his partner in order to protect from the risk of getting the disease.
  6. State registries where officials keep track of cases like diabetes, cancer, HIV/AIDS, Alzheimer disease, Amyotrophic lateral sclerosis, and many other diseases.

It is the duty of the doctor to act in his best interest while dealing with a case, abide by the principles in common clinical situations, and work in the beneficence of the patient and do no harm in the treatment procedure.
The common ethical conundrums that doctors’ have to face in their course of profession:-

1- Euthanasia:

Euthanasia or physician-assisted suicide is considered as one of the supreme problems when it comes to ethics of patients treatment. The decision of euthanasia by the patient or his family is made in order to reduce the suffering of the patient in his terminal sickness. It can be voluntary or involuntary. When the patient makes a decision, it is voluntary. When the physician makes a decision it is involuntary. However, may it be voluntary or involuntary, it is unethical.

The World Medical Association issued the following declaration on euthanasia:-

“Euthanasia, that is the act of deliberately ending the life of a patient, even at his own request or at the request of his close relatives, is unethical. This does not prevent the physician from respecting the will of a patient to allow the natural process of death to follow its course in the terminal phase of sickness.”

2- Staying within their boundaries:

Doctors have to work long hours, off work, and even operate in odd hours in hospital settings and have to treat patients irrespective of their age, gender, and other attributes. They have to work in coordination with other staff members, the nurses, anesthesiologist, interns, assistants and many related members. Personal relationship or intimate relationship between the doctor and any other member like, his fellow, intern, other staff member is unethical and is prohibited. Patients often offer gifts to the doctors when their treatment intervention has been successful, or when the surgery goes well. It is quite fine, to accept those gifts as long as they are in the form of sweets or bouquet. The patient who brings gifts during the intervention may cause trouble, it may be the sign the patient needs more of the doctors’ attention. The physician should simply show reluctance to such presents and should not accept them by justifying that its’ against the ethics of their respective field.

3- Organ transplant:

Unfortunately, the availability of the transplant organs is far less, than their demand. Doctors have to make a tough decision here, that who will receive the next available organ and who will not, keeping in view the whole scenario, and what criteria is used for determining the donor. The surgeon should opt to give the transplant organ to the deserving patient on the list, on the basis of his health condition.

The physician should be approachable, equitable, able to communicate effectively and compassionately respecting the dignity of the patient regardless of his race, ethnicity, cast, choice of lifestyle. He should be dedicated to his profession, attenuate the pain of the patient by all means, preserving the health and enhancing the quality of life.

Food Specialities Of Different States Of India That Everyone Must Have

The variety of food India has to offer is simply unbelievable. Every state of it has an array of food and different cooking style. From the spiciest to the most ordinary preparations, they have something different to offer. To know more, we bring to you some authentic, must have, local dishes native to the various Indian states.

DAAB CHINGRI- West Bengal
Filled with green coconut, it is a traditional Bengali dish of soupy mustard prawn curry. The aroma of the coconut water and kernel gets mixed up with the prawn, giving it a most fabulous taste. This special delicacy is best served with a plate of boiled rice.

BAL MITHAI- Uttarakhand
This exquisite dish comes from the state of Uttarakhand which is made by roasting the evaporated milk cream with cane sugar and later coated with white sugar balls. It is one of a true delight for all the dessert lover.

KAMBU KOOZH- Tamil Nadu
It is cool refreshing and healthy dish from the state of Tamil Nadu. The dish is prepared from millet and is stored in the earthen pots to create a perfect taste.

MALAAI GHEWAR- Rajasthan
This round shaped food delicacy is a traditional dish of Rajasthan. It is made from flour, milk and pure ghee. There is a possibility that you might find it in the other parts of India also, but the one you get in Rajasthan is simply incomparable.

CHHENA PODA- Odisha
This is an Oriya desert prepared from the baked ricotta cheese. This sweet delight could also be taken as an Indian version of Cheesecake. Do explore when you plan your visit to the state.

THALIPEETH- Maharashtra
It could be taken as the multigrain pancake, prepared from roasted chana daal, wheat, sorghum, millet, rice and mildly spiced with coriander seeds, onion fresh coriander and cumin seeds. The delicacy is very nutritious and is best served with buffalo milk cream.

BHUTTE KA KEES- Madhya Pradesh
It is a dish made with spicy grated sweet corn. The tangy taste of this authentic delicacy is must to try when you plan to visit the state.

IRACHI ISHTU- Kerala
This is a traditional food item from Kerala which is made with Chicken, beef or lamb. This tasty stew is best served with appam or plain bread.

RUGDA- Jharkhand
When you planning to visit Jharkhand, do not forget to try Rugda. It is a variety of mushroom indigenous to the forests of Jharkhand. The dish is very healthy and is best eaten with rice or poori.

KALAADI CHEESE- Jammu and Kashmir
Prepared from cow’s milk, Kalaadi is a traditional local hill cheese which comes from the state of Jammu and Kashmir. You simply cannot forget to miss out on its divine taste when you are there.

MADRA- Himachal Pradesh
Coming from the state of Himachal Pradesh, Madra is a traditional pahadi gravy. The dish is prepared with yoghurt, coconut, almonds, peas and raisins. This special food item offers a very aromatic flavour and delicious taste.

BAJRA KHICHDI- Haryana
This amazing khichdi is made with coarsely crushed pearl millet and is served with pure ghee or sesame oil. The dish becomes all the more tasty with lassi, pickles, papad, gur or curd.

KHANDVI- Gujarat
This delectable snack is made from gram flour and yoghurt, tempered with sesame, mustard seeds and decorated with green chillies, coconut and coriander leaves for its amazing look.

BEBINCA- Goa
Famous for its seafood cuisine, Goa is also known for its authentic and exquisite pudding dessert. The traditional Bebinca in Goa is made up of 16 layers and is rightly served warm with cold ice cream.

DEHRORI- Chhattisgarh
It is a delicious dessert from the state of Chhattisgarh which consists of fried rice dumplings dipped in sugar syrup and garnished with nuts. The dish is usually prepared on Diwali eve to make the celebrations more joyful.

LITTI CHOKHA- Bihar
This crunchy dish from Bihar is prepared with wheat balls stuffed with Pitthi – roasted and spiced gram flour) and Chokha (mashed potatoes). The dish becomes all the more delicious with pure desi ghee on its side.

How Digital Technologies Improve Filmmaking

Breaking into the current film industry holds a greater challenge compared to classic filmmaking. The digital era has certainly catered to the universal passion of moviemakers for making motion pictures. Today, digital technology changed the way how movies are made. Digital filmmaking opened new opportunities and possibilities to filmmakers of both small indie films and big budget blockbuster films. This also includes the same way that copyright infringement software protects these films. Therefore, if you’re a filmmaker, whatever outcome or type of film you want to accomplish, you can play around using the latest technological advances.

Digital Vs. Traditional

In general, films are extremely flammable yet they are quite expensive. Directors have to look for major studios that could invest a big amount needed to produce a movie. As for digital filmmaking, the digital motion picture cameras may be expensive, but it is a significant investment.

Digital filmmaking is a type of filmmaking where you use digital cameras or a computer to create characters, environments and other extensive features. Digital storage has reduced and simplified the costs of making movies. Compared to films, storage in digital cameras cost less, lasts longer and is safer. Over a long period of time, films degrade and will actually decompose. Improper storage and protection may destroy the print of the film which ultimately results to losing classic movies forever.

The move from celluloid to digital has opened up huge opportunities for special effects resulting to the growth of fantasy movies and science fiction. Film characters are not limited to explore only our world. Now, filmmakers have the tools to visually depict imaginary worlds with digital technology. Movies feature computer generated imagery (CGI) while some combine both CGI and live action using revolutionary new motion-capture techniques. As a result, movie creations are more out of this world than ever.

As we’ve gone digital, the public’s movie experience has become a lot different. In the past, everyone was used to watching films without color. Each motion picture was black and white. But at present, anyone can enjoy a movie in full color with surround sound. They can even have a 3D experience if they choose to. The number of options given to every movie goer is just one of the things that prove that filmmaking has really improved.

Aside from the internet, the widespread use and application of digital technologies are shaping the future of film. At present, the way movies are consumed and distributed has also changed. People can stream or download the videos, and with video-on-demand services like Netflix, everyone can watch their favorite shows and movies whenever they like. Unfortunately, some people choose to share copyrighted materials without the owners’ permission, which is illegal. When you download a movie, you are stealing from the content owner’s compensation. So, content owners and their partners use copyright infringement software to detect any digital piracy.

Finding a Great Job

Many businesses have high turnover rates due to unhappy, unsatisfied, and/or unappreciated employees. There are several ways a company can create loyalty, happiness, and more positive attitudes towards employee’s jobs. One such approach is through increased company functions and gatherings that help develop office friendships throughout the company. Also, the creation of management teams and developing a teamwork mentality will help employees gain the feeling of ownership in their company. Instead of an us versus them attitude between departments, friendships throughout the company will also help build a complete team attitude. Many prominent companies create outlets for their employees to volunteer, fundraising, and help their community. The following suggestions will also increase employee pride, happiness, and ownership of their responsibilities at work.

• Family Atmosphere – This type of environment creates a climate of fairness, equality, respect, and makes it safe to express dissent. This atmosphere is welcoming and creates a friendly environment to introduce new ideas. Employees teams may encourage a challenging but supportive environment and strengthen loyalty and teamwork throughout the organization.

• Recognition Programs – Company programs that recognize hard work, commitment, effort, and contributions breed organizational success and loyalty. The recognition program should include monthly awards and gift cards or a free lunch. Recognition from a supervisor at least two ranks above an employee makes a meaningful, engaging difference in employee morale.

• Organizational Pride and Belonging – Promote activities that development and establish pride and loyalty which is the backbone of any businesses long-term success. Employee turnover is extremely expensive and productivity and product or service development suffers. An engaged employee is a person who is enthusiastic about their work. Improving employee engagement directly impacts measurable business outcomes. Employees who are committed to success, emotionally attached, and socially involved with a company demonstrate qualities that business managers thirst to have. Engaged employees are more productive at work, take less sick days and exhibit other favorable behavior, promote the business to others and show their happiness to customers.

• Mentor Programs – Thinking long-term for future company success. A mentor is an experienced and trusted adviser that assists in developing competent employees and future leaders. Mentoring program train and encourage seasoned employees to be mentors. A mentoring program can facilitate dynamic skill growth throughout an organization. Informal learning can be as important as formal learning programs.

• Volunteering Options – Look for opportunities for your company employees to get involved in the community. Allow your employees to volunteer their time or fundraising for a good cause. It is good public relations for companies to show their communities they care about their customers. These activities will create good-will among the local community and your employees. Create a team to decide what cause your company will offer financial support for a charity or cause.

Employee engagement can be improved by aligning the goals of individual with the goals of the business. Employee motivation should be associated with traditional rewards, such as pay and compensation, but also with emotional rewards such as personal growth, working for a common cause, being part of a high-performance team, and being recognized for achievements.