HANDS THAT HEAL SHOULDN’T BLEED

COVID-19: AN EXPLOSIVE FUEL TO A RAGING FIRE

COVID-19 has brought fear, uncertainty and anxiety among people in an unprecedented fashion. Healthcare professionals (HCPs) around the world work tirelessly to serve humanity, all the while battling with these emotions. It is, therefore, truly disheartening when one learns about incidents of abuse and ostracism against HCPs, as the problem of violence against doctors in India is increasing steadily. Despite many reactionary measures like enhanced security to doctors at the workplace and stricter medical negligence laws, Indian doctors are teetering on the brink of a major silent crisis, amidst the COVID-19 pandemic, which is detrimental for the growth of the society in the coming times.

 

FIERY RECIPE FOR DISASTER

Dissatisfied patients and their agitated friends and relatives, impaired doctor–patient relationship, an ever hungry media and the medical community’s negative image created by misleading journalism are the usual perpetrators for violence against doctors. However, the fear and uncertainty of COVID-19 pandemic and the misinformed suspicion of doctors being vectors of transmission were the root cause for these recent catastrophes. These events put the medical community in a state of fear and regret for choosing a career when the society does not support them. A majority of doctors are now unwilling to motivate their children to pursue this profession, once revered by the society not too long ago.

PERSONAL ENCOUNTERS OF THE ‘ABUSIVE’ KIND

In March 2020, a nationwide lockdown was enforced in India, creating panic and uncertainty among patients, their kin and the general public. Many housing-property owners asked their tenanting doctors working in All India Institute of Medical Sciences, New Delhi, the premier institute of national importance in India, to vacate their houses. In a personal incident, one of the authors experienced shock, when he went shopping for groceries. The shop owner had an apathetic look on seeing his vehicle’s hospital logo and asked him not to enter his shop. When he accidentally touched a stack of egg crates kept outside the shop, the owner got infuriated and ordered him to buy all the eggs, and asked him to never visit the shop again. Two female doctors in our hospital were beaten by a fruit seller after knowing they were doctors. A doctor in Chennai who had died due to COVID-19 was denied burial at two different cemeteries while his colleagues and family members were attacked by a mob. This inhumane act made the Indian government to effectuate an emergency ordinance for frontline corona workers under which any person attacking a health worker involved in treating COVID-19 can be jailed for up to 7 years. Since then, no such events were reported in the next 1 month, perhaps signifying a change in perception and behaviour. But alas, the relief was short lived. In June 2020, a doctor at Hyderabad’s coronavirus facility was assaulted by relatives of a patient who had died at the hospital. More than 300 postgraduate doctors treating patients with COVID-19 went on strike for 2 days, demanding protection and justice for this spate of violence but are yet to receive justice.In July 2020, a senior doctor was assaulted and stabbed by the deceased patient’s relative in Mumbai.

UNEASY ROAD TO CHANGE

Reactionary measures to an event of violence are unlikely to boost the flagging morale of the medical workforce or represent sustainable solutions. The change must come from ‘within’—within the people, in their perception towards doctors. To tide over this crisis, government agencies must work in tandem with the public; to abate their fears, to make them realise the criminal nature of vandalism and violence in a hospital, and the disgraceful and ungratifying marrow of ostracism. Also, for doctors to work fearlessly with devotion and dedication during COVID, there is a desperate need to rekindle the trust that patients and the society place in their doctors. Last, but not least, people should realise that hospitals are centres of healing and recuperation, and that doctors are integral to the health and well-being of the society.

AYURVEDA VS ALLOPATHY

This conflict between Allopathy and Ayurveda is very old. It is believed that the use of modern medicine in India i.e. Allopathy started in the 16th century. At that time there were no doctors. Rather Acharya, Vaidya, Rishi and Hakim used to treat people and the methods of treatment were also quite different.

It is said that during that time millions of people died due to numerous diseases spread. It was only due to these diseases that Allopathy found its way into our country and gained people’s trust. Since then the conflict between Ayurveda and Allopathy started, which continues till today.

Ayurveda, one of the ancient methods of treatment, is considered to be 3 to four thousand years old. It is made up of two words from the Sanskrit language Ayur and Veda. Ayur means life and Veda means science. That is, Ayurveda means the science of life.

There are 114 verses in the Atharvaveda which refer to treatment by Ayurvedic method.

Many major diseases have been described in the Atharvaveda such as fever, cough, abdominal pain, diarrhea and skin diseases.

Apart from this, 67 medicines are also mentioned in the Rigveda, 82 medicines are mentioned in the Yajurveda and in the Samaveda, some mantras related to Ayurveda are described.

While Allopathy is the modern method of treatment, Ayurveda is the ancient method of treatment. One of the major reasons for the conflict between the two is that Ayurveda is seen to be associated with religion.

The British were well aware that the expansion of Allopathy in India would not be easy. Earlier, when smallpox spread in India, it was treated by Ayurvedic method. But then in the year 1796 the smallpox vaccine was developed and the British started using this vaccine in India. This smallpox vaccine saved the lives of people and thus won the trust of people.

It is said that the Acharyas and Vaidyas opposed it, but the British suppressed this opposition.

Today there are a total of 69 thousand government and private hospitals across the country, while the number of Ayush hospitals is just 3600. These include 2 thousand 827 Ayurvedic hospitals, 252 Unani hospitals, 264 hospitals of Siddha system of medicine and 216 hospitals of Homoeopathy.

It is said that Allopathy saves 20 lakh people every year in the world and it is estimated that between 2000 and 2030, 7 crore deaths due to 10 diseases will be averted due to allopathic medicines. Apart from this, the market of Allopathy is also very big.

This is why today people want to become doctors but do not want to become doctors of Ayurveda.

While allopathic treatment has so far saved the lives of crores of people all over the world, yoga and Ayurvedic treatment have also taught people about having a healthy lifestyle.

Both are efficient methods for medical treatment. Every method has its own importance. The bitter truth is that there is a conflict between the interests of human beings regarding these systems.