Medical outcome is at the end of a long chain starting from a patient realizing when to seek medical help. Competent doctor, correct diagnosis, right prescription, corresponding medicine that is not counterfeit, side effects of medicine, attendant problems sometimes mistaken as side effects, availability of a competent doctor at crucial times (an in-patient in a hospital suffering a heart attack on a Sunday morning is more likely to die), etc. are critical variables. With so many impondèrable links in the chain, prognosis is bound to be uncertain. An admission in any hospital will convince even the most rational among us that luck is a critical factor in life (and death). Late Dr.K.P.Misra , a well known cardiologist, would humorously express his pleasant surprise whenever a patient came out of this ordeal hale and healthy.
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