Sunday, March 29, 2009

Quality of thr Rubella Vaccine

In all investigations conducted on the death of a girl follwing rubella vaccine, nothing much has been published about the quality of the product.This must have been discussed at some stage.

The vials shown on the TV had no production date.It had only expiry date.This is quite unusual.Packages of all drugs have the date of manufacture.This producuct not bearing date of manufacture is strange and exceptional.

Dr. (Mrs) Palihawadana, Epidemiolgist, defending the vaccine reminded me of Dr(Mrs) Bindusara, former Director National Blood Transfusion Sevice, defending the expired plasma filtration kits. The two phenomena are very similar.

The GMOA soft pedals issue when their members are involved.The key issue in this problem is the quality of the productThe GMOA is side tracking the issue by bringing in the qualfication of the medical officer who conducted the campaign

Sunday, March 22, 2009

Rubella Vaccine Death

Loss of young life.Health Minister promises investigation.
There is a de ja vu feeling.
One of the foreign"vaccine experts is Indian.The source of the offending vaccine is Serum Institute of India. The Indian guy would have pocketed at least 200.000 Indian Rupees from the Institute before he enplaned.Nothing will come out of the investigation.
Death of seven mothers due to contaminated needles,detection and use of date expired plasma filtration kits in blood bank,amputation of the upper limb of the baby from Kandy,alleged rape and murder of patient by a doctor in Negambo, alleged
The reports will never come.No action will be taken.This due to reasons best known to Health Ministry hierarchy

Sunday, March 15, 2009

Lining Up to See Buddhas Tooth

To wait in a queue for several hours to catch a glimpse of of Buddhas tooth is criminal waste of time for any human being and specially for a Buddhist.A priest named Wakkali was fascinated by Buddhas good looks and used to stare at him throughout.Buddha asked him not to appreciate a body full of "muck" but if you want to seee me se my teacching you will see me only through my teachings.( Yo dhamamam passathi,yo mam passathi") This teaching was not only for Wakkali but for all of us.In short what he said was do not appreciate any thing physical in me.So we do not have to appreciate his tooth.Let it be in a museum as any collectors item!
Some maintain that there were miracles associated with the tooth relic.There were some disciples of Buddha who had supernatural powers.Buddha totally condemned showing off these powers.He said showing your supernatural powers in public is like a prostitute taking off her clothes to attract a client.
Buddha was humble being who maintained a low profile.But he was a great teacher.His teachings are not only for "Buddhists".There is no entity called "Buddhists " like nudists.His teaching is open to all .That is why he said "ehi pssiko" come and see! but added a word of caution "pacghchattang vehi thabbo vinnoo hithi" which means the
people with wisdom will have unerdstand dhamma working by themselves.
According to Lankawatara sutta a Mahayana discourse Buddha never existed and no dhamma was ever preacched!That statment can nly be understood only by a person with wisdom who undestands dhamma.If Buddha did not exist how can a tooth exist ?

Saturday, March 07, 2009

End of Life Care

The Sri Lankans are very unreasonable by the patient in the end of life care.Some cultural factors may be behind this.Even the doctors do not seem to correct the adverse attitudes in the community.The subject itself seems to be taboo.
One must realise that death is a part of life.Good health care involves care at death too.A good doctor should be with the patient and the family during terminal illness ,at death and at mourning.An easy thing for ta layman is to think how you would like to be dealt with if you are dying.
The patent must informed about the diagnosis.There is no place for lies and conspiracy in health care.The bad news has to be broken gently and in stages.The best person for this will be your family doctor or the priest.
Once the information is conveyed most of the patients make arrangements to write a will and give instructions about organ donation and funeral arrangement's.Some of them even invite fiends and relations with whom they have strained the feelings recently for a "chat'.Some involve themselves in spritual practices.All these make their hearts lighter.It is very seldom that a patient reacts badly.In fact I have never seen that happening.People are not worried about extinction of life during terminal illness.They are more worried about pain.
On the other hand when the patient is pending death without prior warning the become very frustrated.They find fault with doctors and relations.They become abusive and restless .So let your loved ones have good life and a good death!