Tamil doctors let their 15 year old perform a C Section

Where my home state of Tamil Nadu gets into the news for this bizarre story of parental pride gone too far.

Two Indian doctors investigated over claims they let son aged 15 deliver a baby by caesarean | Special reports | Guardian Unlimited

Two Indian doctors are facing an investigation into claims they let their 15-year-old son perform a caesarean section to get into the Guinness Book of Records.

The government of Tamil Nadu state in southern India today said it was launching an inquiry, according to Indian newspaper reports.

It is alleged the doctors screened a video of their son performing the caesarean at a meeting of the regional branch of the Indian Medical Association (IMA) last month in the hope their son, Dhileepan Raj, would get into the record book as the world’s youngest surgeon.

I feel like laughing at the parents, but the patient and her fetus were put at grave risk, what idiots!

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    What can the U.S learn from homeopathy?

    Homeopathy was all around me growing up in India, so I read this article with interest as it jogged many memories of visiting the family homeopath with my parents.

    Faith Healing with Homeopathy — In These Times

    Homeopathy rests on three unproven tenets: First, “Like treats like.” Because arsenic causes shortness of breath, for example, homeopaths prescribe its “spirit” to treat diseases such as asthma. Second, the arsenic or other active ingredient is diluted in water and then that dilution is diluted again and so on, dozens of times, guaranteeing—for better and worse—that even if the dose has no therapeutic value, it does no harm. And third, the potion is shaken vigorously so that it retains a “memory” of the allegedly curative ingredient, a spirit-like essence that revives the body’s “vital force.”

    Fooey, the description of the science is hilariously pseudoscientific, but homeopathy is no laughing matter in India. It is estimated to be a Rs. 250 Crore (that is 2.5 billion rupees or about $58 million) industry as of 2002-2003.  I do not think this includes doctors and clinics. This website lists 158 colleges in India offering the  valid (it is like an MD!) degree of Bachelor of Homeopathic Medicine and Surgery, or BHMS. My parents swear by it, most of my family living in India has either visited, or regularly visit one. It is hugely popular for hepatitis and liver disease, more so than conventional medicine in India.

    What’s the deal? Why is it so popular? I think Terry Allen is on the right track, this sentence here, buried in the middle, hits the nail on the head…

    Part of the effect comes from the ritual of consultation with a practitioner who treats the patient like a person rather than a body part on an assembly line.

    Allen does not quite grasp the significance of this sentence and tracks away into placebo effects and evil pharma. But here’s the deal: A lot of Indians (who can afford $4-$5 consultation fee) visit their homeopath every month. When I tagged along with my parents, we would go on a Sunday afternoon at 2 PM to this homeopath’s office, which was a wing of his house (a big house, I might add!). It was a relaxed and leisurely time, he spent 10-15 minutes with each of us (yes, my parents made me!) talking about the previous month, what we were up to, how stressed we’d been, how our ailments from the previous month were doing, had we noticed any changes to our health over the month, etc. We would be interrupted occasionally by his little kid, or his assistant relaying a message from his wife, it was as far removed from a doctor’s visit as possible. And yes, he would take your blood pressure, run simple blood tests, etc. At the end of it, he would give you little sugar pills/sugar coated powder formulations to take home. The formulations were individually dosed, it was all categorized and labeled for you.

    This is like having a mini physical every month. Surely, just the act of talking to someone made you feel better, the act of ritually opening up little packets of “medicine” and following detailed instructions for 5 days helped, surely the homely and relaxing atmosphere of visiting a family friend helped, I don’t know.

    Metrics? both my parents occasionally had their hypertension treated with homeopathy. This worked as long as they were borderline, and simple stress management would get the numbers down. This doctor was/is very good at stress management because he talked calmly, yet firmly, he would listen and tease their little everyday stressors out of them and that was probably good for a 10 point reduction. But I remember the homeopath sending mom off to a doctor for a more conventional treatment regimen as soon as she hit 160.

    It never ever worked for me because I was way too sceptical to buy into the process, so I would not listen, or relax enough to talk. I would take my pills, but it would make absolutely no difference whatsoever. Of course, he was trying to treat me for severe sinus related issues probably brought on by pollution, and by sleepless nights spent on a beach looking for turtles!

    I am sure that for every good homeopath, there were two bad ones who just handed out pills of sugar. But my parents’ homeopath was, and continues to be part Dr. Phil, part candyman, part cheerleader!

    Homeopathy probably “works” because it makes people take the time to think about their life and what’s ailing them. It’s a lesson that American primary care providers could do well to learn.

  • Riding Trains in Mumbai

    From Salon, I thought it was a nice article about riding the train in Mumbai, something I’ve done a few times, though very rarely during rush hour.

    India is a ridiculously easy target because of the population, the wide open borders, the diversity of the population, the lack of any security in public places (I can’t imagine how one could add security to the Mumbai trains), and the utter chaos of living in an Indian city. Americans who worry about terrorism in their country should count themselves lucky, the continent is a large island, and all the talk of open borders is hot air. It is still incredibly difficult to enter this country as someone who means harm. This country is magnificently safe (in comparison) because of its isolation and affluence.

    I hope this is not the beginning of a new uptick in terrorist attacks for India, worst thing that could happen.

    Riding the train in Mumbai | Salon News

    July 12, 2006 | MUMBAI, India — As a New Yorker in Bombay, or Mumbai, as it’s officially known, one of my greatest thrills has been taking the fast train downtown.

    I clamber into a wide, sturdy train carriage without doors, sealed windows or comfort of any kind. The carriage, done up in stamped steel, has the Spartan appeal of a military jeep. I lean out of the open doorway watching the city slip past, skimming my shoes over the tops of the low fences that separate the downtown and uptown tracks, marveling at the perfectly manicured trackside landscaping. For maximum stylishness, I hop off while the train is still easing into the station, turning sideways to avoid the herd of office workers thundering aboard to grab a seat.

    Riding Mumbai’s local trains is much more interactive than taking the L line to the Bedford stop in Brooklyn, N.Y. The lack of doors and window glass, which often leaves riders soaked during monsoon season, is partly because of the tropical heat, partly to let Mumbai’s 6 million daily commuters jam onboard at maximum speed. The city’s above-ground system handles a third more riders each day than the New York subway, where a rush hour crowd means brushing against other riders; in Mumbai, rush hour means your chest is crushed, your arms are pinned and you become intimate with your neighbor’s deodorant or lack thereof. You must plan your sweaty escape two stations before your stop arrives and advertise it loudly as you’re fighting your way off so as not to be swept back into the carriage by new passengers. It’s easier to get on and off, however, if you’re riding on the outside of the train, clinging by your fingers to the empty windowsills, as many rush hour riders do.

    Despite the volume, trains run as fast as in Manhattan. Taking an express train will get you where you’re going three times faster than a taxi during rush hour for only 40 cents. Trains pause only a few seconds at each station. In order to handle this ridership and speed, Mumbai’s stations are left completely open. You can stroll onto a train from any of a number of uncontrolled entrances or even hop onboard from the tracks while the train gathers speed. There are no turnstiles. Instead, railway police conduct random, and very rare, ticket checks on the platforms. This honor system works, sort of — the lines to buy the little cardboard tickets are long, if suspiciously middle class.

    By contrast, the New York subway has controlled entrances and exits, fare turnstiles and security cameras. Police aggressively pursue fare beaters. After last year’s London Underground bombings, New York added random bag searches. London has tested body scanners, and New York may one day follow suit.

    I always clutch my bag a little tighter when I hurry past the bag-check tables at Manhattan’s Union Square subway station, convinced that no matter what the cops may say about the randomness of searches, suspicion falls heaviest on those who look Arab, Muslim or South Asian, as I do. But while I have been asked for a train ticket in Mumbai, I’ve never been searched by the police in New York. My turbaned Sikh friends, however, draw plenty of attention from police and street hecklers alike, perhaps because they’re thought to be Muslim, though their religion has little to do with Islam.

    In Mumbai, ethnic profiling of potential terrorists is a nonstarter. The potential suspects look exactly like everyone else. I’ve seen people on Brooklyn subway platforms pay close attention to a devout Muslim wearing a beard, round cap and kurta. In Mumbai, a man with such a mundane appearance might be your doctor, fruitwallah (fruit vendor) or cabbie.

    I’ve heard subway workers in Brooklyn tell passengers that large packages are more likely to be searched, though I’ve never actually seen anyone check an upright double bass case. In Mumbai, street merchants cart their entire stock between home and work every day.

    There is, however, one area in which Mumbai’s open train system is somewhat safer than the New York subway. Bombers seek out enclosed spaces because of the laws of physics — an explosion loses strength rapidly with distance from its source. Bombers want closed compartments to amplify the blast. A bomb of a train carriage with open-air doors and windows is potentially less lethal to those inside because blast energy has ways to dissipate.

    The trading port of Mumbai has always valued openness. Like that other long, narrow, high-rise island, Manhattan, Mumbai is a polyglot riot of immigrants. Portuguese Christian names jostle for space on the walls of the city’s apartment buildings with the names of those of Hindu, Sikh, Muslim, Parsee and Buddhist descent. Bombay is also a high-speed city. The vada pav (potato chutney) sellers on the street are as brusque and efficient as New York hot dog vendors.

    Space, as in New York, is a luxury. It’s worth money. On Tuesday, the bombers targeted the first-class cars. The people they killed were not paying for padded seats, for the first-class carriages have the same hard benches and missing doors as the second-class cars. For a ticket that costs nearly 10 times more, first-class passengers are buying a tiny bit of extra space. They’re renting elbow room and a sliver of air so that their commute passes a little more comfortably.

    Today, the trains are running again in Mumbai. I have not ridden them yet. I will, but riding them will never again be such a simple, innocent, sweaty pleasure. I’ve heard, however, that anyone who dares to ride in the first-class coaches can now have as much air and space and comfort as he or she wants. Nobody is taking first class.

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    Tuesdays With Turtles – Hometown Edition

    I grew up in Chennai and worked with the Students’ Sea Turtle Conservation Network in the mid ’90s. It’s nice to see an article on them in the city’s biggest newspaper.

    The Hindu : Tamil Nadu / Chennai News : Olive Ridley hatchlings go home

    CHENNAI: Scores of newborn Olive Ridley turtles entered their natural habitat — the sea — under the watchful eyes of conservationists at Elliots Beach, Besant Nagar, here early on Sunday. Conservationists said nearly 75 eggs hatched on Sunday alone and most of the young ones were safely released into the waters. But about 25 eggs reportedly did not hatch and some were stillborn. Volunteers of the Students Sea Turtle Conservation Network (SSTCN) annually collect Olive Ridley turtle eggs from the Besant Nagar coastline upto Neelankarai, a fishing village beyond Tiruvanmiyur. The eggs are then taken to a hatchery at Oorurkuppam, a fishing village located behind the Theosophical Society premises. It takes 45 days for the young ones to hatch.

    In Chennai, and most of South India, the adult sea turtles are not poached, only the eggs. Also, it is not possible to just secure the nest with “do not poach” notice! So the eggs need to be relocated to a hatchery where they’re re-buried. For more on sea turtle “management” in India, I would suggest visiting Kartik Shanker’s excellent website.

  • Pakistan troops 'repel US raid'

    Pakistani troops have fired at two US helicopters forcing them back into Afghanistan, local Pakistani intelligence officials say.The helicopters flew into the tribal North Waziristan region from Afghanistan’s Khost province at around midnight, the reports say.

    BBC NEWS | South Asia | Pakistan troops ‘repel US raid’

    What the hell is the US doing starting another war? Don’t they have other things to worry about?

  • Musharraf and the Pakistani Army's Many Problems

    Why has Musharraf failed so dramatically to stop the insurgency? One reason is that most of the public is hostile to government action against the extremists (and the rest offer tepid support at best). Most Pakistanis see the militants as America’s enemy, not their own. The Taliban is perceived as the only group standing up against the unwelcome American presence in the region. Some forgive the Taliban’s excesses because it is cloaked in the garb of religion. Pakistan, they reason, was created for Islam, and the Taliban is merely asking for Pakistan to be more Islamic. Even normally vocal, urban, educated Pakistanis — those whose values and lifestyles would make them eligible for decapitation if the Taliban were to succeed in taking the cities — are strangely silent. Why? Because they see Musharraf and the Pakistan army as unworthy of support, both for blocking the path to democracy and for secretly supporting the Taliban as a means of countering Indian influence in Afghanistan.

    Pakistan’s problems start at the top – Los Angeles Times

    This is an excellent article on how the Pakistanis military’s long hold on power has created a situation where the Talibanization of Pakistan is tolerated even by the people who have a lot to lose from it. He has to step away and let Nawaz Sharif and Benazir Bhutto fight it out, but I don’t see it happening unless he loses control of the army.

    While on the subject of Pakistan, this blog post by Samia Altaf summarizes the hollowness of Pakistan’s “democracy”. Bhutto and Sharif have, in their past incarnations, been about as corrupt and reliant on the army as Musharraf is. So, are they good alternatives to Musharraf? Not really.

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    CNN Finds Indian Widows Ostracized – 200 years late on the story

    cnnscreenshot.jpg

    Umm, CNN, not exactly headline or breaking news, is it? Raja Ram Mohan Roy crusaded against it in the 1800s, Deepa Mehta made a movie about it recently. So, why was this on my cnn front page? God knows…

    Shunned from society, widows flock to city to die – CNN.com

    Ostracized by society, thousands of India’s widows flock to the holy city of Vrindavan waiting to die. They are found on side streets, hunched over with walking canes, their heads shaved and their pain etched by hundreds of deep wrinkles in their faces.