Musings Own Thoughts

Let me explain with clarity that in any business or venture especially healthcare the most crucial battle is won or lost depending on the ability of the hospital or service provider to provide a product/service which can compare and be equal if not better than the best experience of the service user at any place in their long or short life. At the heart of this puzzle lies many things but all of these can be encompassed in one word, CULTURE. This needs to be proclaimed so often that it is becomes a reason for existence creating an endless cycle of Plan, Do,Check and Act. This is what will eventually lead to double thank you moments. Defining stakeholders in healthcare seems easy and we say service user and service provider are the obvious choices. So on first principles patients and doctors are included. To my mind there is an expanded list required and in a metro city like Mumbai where all kinds of healthcare facilities are accessible, for a private social purpose organisation (SPO) t...

  The recent events relating to the stampedes during the Mahakumbh mela and the similar accident at New Delhi Railway station has set me thinking about the problem of Bhakti and the distinct possibility of faith turning to a frenzy and leading to fanaticism. While the message of religion and Self realisation is not easy to understand especially when there are so many distractions surrounding us there is a constant urge to over to find easy way out and anybody offering a quick fix solution is more welcome than the serious strict demanding teacher of Vedanta.  Kumbh Mela in India is an annual event which celebrates the full orbital revolution of Jupiter around the sun. The event which is in the month of January and February becomes what in the most populous country of the world the largest peaceful gathering of humanity. Every 12 years this alignment of Sun, moon and jupiter happens. I really don't quite know the importance of Jupiter but science says that the larger planets hav...

  I have often wondered about the concept of money and what is represents to each and everyone. The concept of money is based on value which is not related to the material value of what represents money. For example a coin, a piece of paper, or even a number notionally in your bank account, stock account or bitcoin account is worth nothing if the power of authority is withdrawn. Was there a reason to create money and why was it introduced? Has money in the present form existed from time immemorial? As the hunter forager man settled into agriculture, animal domestication, agriculture and subsequently ownership of good, instruments, properties etc. there came the need to measure value, barter and exchange. While I was always curious about the name and surnames especially mine, I was told that Jokhi is the comes from the verb jokhvanu which means to weigh and jokhi who can be an observer.  When man settled into communities and started having possessions it was necessary for men a...

As a doctor and a man of scientific temper, I have realized that we believe that the science of medicine is evidence based and provides consistent clinical outcomes, but this often eludes us. For routine ailments we get predictable outcomes and as this happens more we tend to become complacent, till we get surprises and shocks. The universe has laws and modern allopathic medicine too has rules evidence and algorithms. But, medical treatment is an art too and human beings are not mere physical creatures, they also have mind and the intellect to deal with. Besides this there is the individual and universal consciousness which are beyond the realms of the body mind and intellect. This means a pure mathematical logical model cannot and will not work. Intuition, faith belief can play a role in clinical outcomes. These can make a mockery of "evidence based medicine". However, this blog is not about medicine but is about statistics and probability.  While doing the course on hospita...

 I would like to today write about the simplistic mantra from Avesta language which is kind of thrown by Parsis to all and sundry as the simple pillars of the faith. It is almost used as an excuse to compensate for the fact that Parsis meant by the narrow term practicing Zoroastrianism have little knowledge of the faith in which they are born. Yet, the rituals and the prayers and the manthravani have a magical effect on many.  The words Humata Hukhta and Hvarshta come from Avesta language and mean good thoughts, good words and good deeds. These are countered by the opposite Dushmakta, Duzhukhta and Duzhvarahta meant to be bad thoughts, bad words and bad deeds. The Parsi faith came from prophet Zarathustra who in the face of a society which was polyesthic and multiple Gods wanting their own sacrifices and competing for attention leading to a divided cruel society. This was replaced by a monotheist Ahura Mazda, a single God emphasized purity and righteousness. This was a huge ad...