© Dr. Rajas Deshpande
Woke up with a bad headache one morning, probably a sudden change in weather. Felt lethargic, did not want to get out of the bed. It was raining heavy, a perfect day to stay in bed and snack with a book and a huge black coffee. But the usual inhibition of a doctor: that many patients will have travelled only to see me worried me. Another important fact that I still depend directly upon my daily work, that ‘No work’ translates into ‘Zero income’ for me like for every doctor, made it more difficult. Just then the cellphone rang.
“Can you see the patient in ICU urgently?” my colleague called, “The relatives are quite powerful people. Very troublesome”.
If it was only to help the patient, I would get up from my grave, but even for a million rupees, today I was not in a mood to balance wits and swordfight my knowledge with an over-expectant crowd whose only qualification to ask me questions was that their patient was serious and I was expected to be compassionate and courteous. But then, I could feel from his voice that my colleague was exasperated. “Okay, I will see him in an hour” I said. Two hot black coffees masked the headache (please don’t try this at home) and pumped some fuel into my blood.©️ Dr. Rajas Deshpande.
I noticed a huge crowd outside ICU. I went in and examined the patient. Indeed critical, a case of stroke. Educated young man, stressful job, smoker, high blood pressure, was given medicines to control it, but did his own “gossip research”, stopped medicines, some atrocious diet, some herbals and one morning suddenly had bleeding in the brain. A story that is a routine now.
I called in the relatives, expecting two, but about 15 people walked in. Few of them had the most deadly dress upon earth: stiff white linen with gold necklaces. As I explained them with two other senior Consultants, questions poured in. If it is plain curiosity and worry about the patient, one can be compassionate, but this was more like police grilling criminals. At the end of every sentence highlighting critical situation of the patient, came the same question: “But he will become normal again no? Do anything you want, we want him to recover”.
It was like throwing a stone at the sky, it never lands there!©️ Dr. Rajas Deshpande.
Where do these people come from? How can so many people wait with the sick patient? At one end we have labourers whose families must work to pay for their treatment in even government hospitals, at the other we have doctors who must work every day without any benefit for future. The whole spectrum is otherwise dominated by these crowds. What is the source of earning for these people in crowds? If these men in hundreds are here all day looking well fed and complacent, who is working for them and their families? Is India rich enough that people can do away with work?
Crowds with patients, with leaders, shouting and vandalising, mobbing.. who is sponsoring their livelihoods? Or is it that we have authentically become a country of slave mobs that entirely depend upon their leadership to feed them? Are we encouraging poverty and dependence to the extent that this makes it easier to control a majority?
Everyone who is working hard and earning, paying taxes is being implied to be not only a fool but a villain. It has become fashionable to be poor and become a mob. Then a majority vote bank, forgiven by those in power, you can choose to break and mend laws as per your wish, still get sympathy. Poverty plus majority together can control anything in India. Beggars everywhere is Indian specialty. Not surprising then that any political party or government promising ‘free’ stuff, subsidised stuff and schemes to look after generations and generations of poor youth at the cost of taxes paid by working class will not only encourage such ‘poor mobs’ to become lethargic, expectant, unproductive slaves, but also provide them with enough time to divert their youthful energy towards the temptations of violence thrown by the powerful. All this at the cost of taxes paid by every hardworking profession who cannot even afford a holiday!©️ Dr. Rajas Deshpande.
While other professions escape the brunt of such free-monger mobs, medical professionals suffer the worst, not only because of over expectations of impractical charity, violence and vandalism, but because of the interference with treatment, duress, and most importantly the time they have to spend answering and explaining repeatedly to those who refuse to understand. Some are incapable intellectually to grasp complicated medical situations. How much time will a judge, IAS officer, minister or police officer spend with arrogant crowd explaining the same thing? Will they go on forever till the other person understands? If a doctor does not wait till the crowd understands, he / she is supposed to have not communicated effectively. Is an uneducated, illiterate, stubborn relative’s understanding and grasp a doctor’s responsibility? It is unfair waste of time. To expect every doctor to satisfy a mob of illiterates or even non-grasping literates is itself an indication of our social immaturity.
Time has come now for doctors to take a firm stand: that we will speak to only two relatives, who have signed and accepted the responsibility of patient’s medical care and expenses, that we will reply every question only once, and explain once if necessary, that whatever we say will be first written then video recorded so there is no later ambiguity or common tomfoolery of lying. Informing and explaining once is indeed a doctor’s duty, but satisfying the relatives cannot be a doctor’s responsibility. No doctor can afford that kind of time and patience. Any further cross-questioning by relatives should be a paid service consultation based upon time. ©️ Dr. Rajas Deshpande.
Our patience, compassion and understanding is not for being taken undue advantage of.
Happy Doctor’s Day!
©️ Dr. Rajas Deshpande