House calls used to begin with a doctor. The family physician who has known the household for fifteen years hears that the grandmother has stopped eating, and decides to go.

The platforms FAIMA wrote about on 29 September run that sequence backwards. Somebody opens an app at eleven at night, pays whatever the screen says, and a panel doctor is dispatched. The two have never met. No one holding a stethoscope decided this visit was necessary, and the company in between has already fixed the price.

Medicine, the circular says, cannot be run like food delivery, cab booking or another doorstep service. Home visits themselves are fine by it. The objection is the step after, where a clinical decision turns into a product with a price and a delivery time.

The letter then lists eleven safeguards these platforms run without. The first is triage: somebody deciding, before the booking is accepted, whether this patient can be seen at home at all. Skip it and you learn what kind of case this is after climbing the stairs. The other ten stop being abstract fast, because the prescription written in that living room carries your registration number.

Four surgeons then gave every robotic patient up to four conventional twins, matched on age, sex, diagnosis, ASA grade, fixation, operative year and surgeon workload. Across 697,145 knees, the advantage disappeared. The robotic patients had been younger, lighter and fitter, and they went to the busier surgeons. Selection was doing the work the hardware got credit for.

A second trial masked 339 patients with sham incisions and asked whether they could feel the difference. The most uncomfortable number it produced has nothing to do with the knee, and everything to do with what the patient believed had happened to it.

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Balloon ripening roughly doubles the odds of rupture in a scarred uterus. Odds ratio 2.45, from a 2016 review, and in plenty of units that number is why the Foley stays at the back of the trolley.

It rests on one American series from 2004: 138 balloon inductions, nine ruptures, 6.5%, from a hospital that favoured closing the hysterotomy in a single layer. Not one of those ruptures happened while the balloon was in place. Take that cohort out of the 2016 pool and the signal stopped being significant.

A new AJOG review of 20 studies and 28,035 recorded labours asks the question the way you meet it on the ward: balloon compared with what? Separating the comparators changes what you can honestly say to a woman with one low transverse scar, an unfavourable cervix and a reason to deliver tonight.

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Staff at the government women’s hospital in Amravati told The Indian Express the fire alarms had never worked. The state’s own post-fire inquiry agreed. Alarms dead, sprinklers dead, fire pump house reportedly locked.

Then the hospital’s own footage from that night surfaced. Before the fire took hold, the alarm sounds close to three times and warning lights flash inside the ward. Two nurses asleep in the lobby outside the sick newborn unit appear to wake only when the explosion comes, at ten minutes to three.

Three accounts of one alarm, and they do not line up. Three premature babies died in that room.

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COVID pushed Kerala’s 2021 PG intake into 2022, the 2022 batch followed months later, and both sat their finals together. By the State’s own count, close to 1,000 new specialists came out against roughly 600 Senior Resident chairs.

Twenty-three went to court. Fifteen had no posting, no stipend, and no way to collect their own degree certificates, which the Principal may hold until the bond is served. Most had waited almost eight months. One put her place on a Nellore walk-in merit list into the record, for a job she was not free to take.

Justice Viju Abraham refused to strike the bond down. Then he read one clause of the prospectus exactly as it was written, and about eight months came back.

Kerala has one month to act, with two ways out. If you signed a government PG bond anywhere in India, the clause he read is worth finding in your own prospectus tonight.

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