Re: Good communication is key to good care
There is no denial that good communication leads to good care. This communication begins with an unhurried history taking which includes going through all previous prescriptions and investigations. Needless to say, in a busy clinic, some part sometimes gets overlooked.
The practice of “shared decision making” is not only helpful for the patient and their relatives but also helpful for the doctor as well. A decade of experience of working in National Health Service in its golden days, this practice of informed decision making was very satisfying. Last twenty years, being actively engaged in obstetric practice in India, practice of shared decision making is a real challenge. “Deductive decision making” is the law of the land. Only few die hard supporter of shared decision making are really struggling. However, a small section of the people really appreciates it.
Sadly we still find majority of women with epilepsy still come during pregnancy and not before. So optimization before pregnancy still remains an elusive dream.
I do agree that communication with a colleague directly is very helpful in managing pregnant women with medical problem like epilepsy. Method of communication has changed and being changed. If possible, talking the consultant colleague verbally still remains and probably will remain a good method of communication.
National Health Service is one of the best models of health care in the world. It is heartening to see the difficulties it is going through. Change is the inevitable, but we have to look back and see the uniqueness of this system. We have to remember, a good and effective system especially health care system is extremely difficult to build, and losing it will be loss to the country and to the world as well.
MD, DNB, FRCOG
Department of Obstetrics and Gynaecology
ICARE Institute of Medical Sciences and Research
Haldia, West Bengal, India
Consultant Obstetrician and Gynaecologist
Narayana Multispeciality Hospital
Howrah, West Bengal, India
Competing interests: No competing interests