To kill a mosquito using an atomic bomb. Sounds exaggerated but in some ways the metaphor used by Dr Haridas has its own meaning. Well actually, he said it after discussing a case of a patient having relapsing of bipolar affective disorder throughout two years despite has been prescribed with some meds (don't remember whether it lithium, risperidone or sodium valproate). He questioning the reason of tapering the dose of the drugs after the patient become stable for some time and then a few months later, she showed the symptoms again. Basically what he trying to say is, doctors nowadays need to play safe. Giving the strongest and best medicine possible so that the symptoms will never appear and patients satisfied with their health . Even if the meds bring about actions which are not needed. Yeah, maybe for some doctors, there is no such doctor-patient relationship but more towards businessman-client relationship. The client is the patient. The businessman is the doctor. The patient come to the doctor for treatment of illnesses. The doctor treat the patient. The patient pay the doctor for his/her consultation. The view is like that. We are not realizing it but it happens that way. The metaphor of mosquito referring to a disease. Killing the mosquito using an atomic bomb where the bomb actually refers to the best meds/procedures/methods to cure a disease. Don't give the chance for a disease to complicate or else it will trouble the patients in future. The safest step; prescribed the most powerful drug. The disease will definitely disappear. It sounds simple but it not always work like that. There are so many factors that need to be consider. Meds not always the answer of all diseases. I'm just entering the clinics phase and I don't know much about medicine yet. It's difficult for me to analyse what he had said. Maybe he tried to joke. Or maybe he just gave us the reality of world of medicine. My journey is way too long. I kept thinking what he really meant by saying that phrase. Only time can make me understand. Some day.
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