The Unholy Medicine
© Dr. Rajas Deshpande
“Close your eyes and take it. Absolutely no reason to worry. It is excellent in improving mental and physical health. It improves memory, skin texture, hair thickness and even vitality” said the medical shop salesman, winking one eye, handing over a big plastic bottle to the posh middle aged couple.
“It is all natural. These products have zero side effects” he said.
“But it costs nearly two thousand rupees” said the wife.
“What’s costlier than your health, mam,? This product is selling so fast, you will come back again to ask for it once you realize how good you feel without all the side effects”.
I had stopped on my way back from the hospital to buy some vitamins from a large medical store on the way. The shop, like all other medical shops now, had far lesser allopathic medicine . Most prominently displayed were sex boosters, chocolates and beauty products, from various pathies and with pics of different Babas. The next most prominent were various “organic” products, from juices to tablets in blingy packaging. © Dr. Rajas Deshpande
One common factor was prominently printed matter on most such products: “Guaranteed to cure”, “100% natural, free from side effects” “No adverse effects” “100 % Scientific secret formula” etc. Some packets claimed to even cure incurable diseases. Most of these did not have the content printed. Most of these also had valid licenses.
The shop owner and staff didn’t know that I was a doctor. Out of curiosity, I looked for the same bottle on the shelves, and read what it was that the assistant so confidently vouched for. It was a juice of some routine vegetables, with an additional “unspecified” herbal formula. It was made locally, and wasn’t refrigerated. The cleanest ‘Natural” food we cook at home with love, even “Maa ke haath ka Gajar ka Halwa” rots in three days if kept without refrigeration. I wondered what magic formulas kept these “Natural products” free of the millions of microorganisms. But then, I had no right or authority to question the massacre of scientific medicine. I was merely a doctor, not a highly uneducated politician or a religious preacher. © Dr. Rajas Deshpande
Just last week we had in critical care unit, a lady from an affluent family, who was given some precious powder by a “self-proclaimed” natural products expert, (wife of a politico in a taluka place). The 100 grammes powder had cost 45 thousand rupees, and came with a guarantee of “reducing wrinkles and hairfall”. The patient had consumed it for a week, and came to the casualty with a convulsion on the eighth day, found to have poisonous levels of heavy metals in her blood. Few months ago we had a young man who almost died because of clotting in the brain, after taking some injection of a “secret formula” given by his Gym trainer!
Bacteria, viruses and other microorganisms in some of these “natural” products grow for a few weeks, and cause infections, many a times life-threatening. This usually happens after 2-8 weeks or even later, when the patient has long back finished the doses. Some have heavy metals/ ingredients that may cause kidney / liver problems or other diseases months or years after consumption. © Dr. Rajas Deshpande
Wake Up, India! Long gone is the era of “secret formulas”. It is the right of every consumer to know what is the content of every medicine he / she bought. Unfortunately, the “Planned propaganda against allopathy to sell the products of the influential” blinds even the well educated. © Dr. Rajas Deshpande. There is a huge number of people who ask “some medicine” for all their complaints from a medical shop salesperson to avoid paying the fees of a qualified doctor. This qualified / unqualified pharmacy assistant, without even touching the patient, makes his own diagnosis/ conclusion and decides the treatment, the patient happily pays for it, thinking that he / she has saved a lot by not visiting a doctor!
The very governments which cap the prices of allopathic medicines allow other pathies and “homemade remedies and secret formulas” to be sold for the cost of gold and diamonds. Apparently many people have enough money to buy extremely costly herbals, beauty / personal care products, chocolates and sex boosters, but suddenly become poor when a scientific medical product by a standard international pharma company is to be paid for.
In India, movies make 100-500 crores, cricket matches fetch billions in betting and tickets, most of the lawmakers are crorepatis, but everyone seems concerned only about the fees of doctors and cost of allopathic medicine!
The same people in administration who ask qualified doctors to reappear for tests to reprove their merit frankly allow rampant “cross pathy”, babas and gurus, hakims and other self-proclaimed experts to keep on selling health products at unimaginably high prices. Imagine the bribes and commission is involved at all levels in the sale of such “natural” products. What more can describe the paradox in Indian Healthcare where aloe, karela (bitter gourd)and doodhi / lauki (bottle gourd) juices sell at a price far higher than many essential medicines? © Dr. Rajas Deshpande
No surprise we get many patients now a days, who come with early- age blood clots, digestive problems, severe headaches and vertigo, serious allergic reactions, convulsions, kidney, liver and other metabolic problems, thanks to the “secret and purely natural 100 % scientific formulas absolutely free of side effects” that they had consumed weeks / months / years ago.
Is it impossible for the Courts to act here?
What’s the proof?
There cannot be any proof unless each of these products is scrutinized with the same vehemence that once a famous international noodles brand was scrutinized. There cannot be any proof till the scrutiny and people involved in it are completely corruption and influence free. There cannot be any proof till those in power are involved in the sale of such products. Those who have basic deduction powers intact will know it for themselves. From public transport busses and autorickshaws to malls, there are blatant lies in advertisements selling such health products. The word “Scientific” is now used by almost every such product.
The fact that most of those in power use imported phones and cars, and visit foreign countries for medical treatments is enough clue.
As I paid for my vitamins, I asked the salesman what sold most at his shop.
We all know the answer.
It is not any medicine.And sadly, there appears to be no treatment!
© Dr. Rajas Deshpande
Issued in the interest of everyone who likes to be mentally and physically healthy. Please share unedited for the benefit of your patients.
Respect: The Depreciating Indian Salary
© Dr. Rajas Deshpande
“Over 1.5 Crore Every Year! That becomes more than ten lacs per month! Wow!!” my student showed me the news that some brilliant engineering students passing out from India were hired by some software biggies in Campus Interviews, “They will start their careers at that salary. That’s life!”
I felt proud, as always, these news and similar have always made me feel that the Indian academic talent has always been looked up to and rewarded by the developed world. The tiny speck of jealousy that we earlier felt for our classmates who went for engineering and had their own homes and cars while we were still finishing internships has faded away long ago. The only regret that sometimes peeps out from the past is that of never having fully enjoyed our teens and youth. The fact that most doctors from India also earn huge salaries in the west as well as the middle east speaks a lot about the flaws in our “Indian” thinking.
“Doctors get respect and that is the best that you can get in life. People think of doctors as Gods. You should never think about money” told every sore-throated, pot bellied and self proclaimed socialist who did not become a doctor, and mostly had no doctor in family. This ranged from our own classmates to the highest administrators in the country.
Over the years, I now feel that even the engineering or other stream’s graduates are almost in the same boat. I cannot wish upon the newer generations what we went through.
What is really making us proud here? That India cannot afford to use its own best talent in any field? That the best in all fields are taken away, because what the best Indian companies can offer them is nowhere near what the world outside offers them? That the best salaries in all government jobs are reserved for bootlickers above the age of 55? That in no field can the government find the young talents superior to white haired yes men? © Dr. Rajas Deshpande
Or boast with a shameless pride that the most revered Satya Nadellas and Sundar Pichais made in India cannot find career scope in their own country?
Or, while proclaiming “Vasudhaiv Kutumbakam” (The World Is My Family) on one hand, are we going to perpetually cry the same song of socialism and patriotism, expecting all of them to only follow the examples of the rare (and respectable) ones who chose to shed material life for the country? India needs a million good volunteers in every field who will live and die poor while serving the society. But to force this upon all those who graduate from India is to invite them to leave the country. From politics and administration to Judiciary and lawyers, we need people who will work free or low cost, because the main disease: poverty and illiteracy, is a never ending curse in India. These are the people who choose the governments who throw “low cost everything” crumbs at the society, rather than uplifting the society to respectable self sustaining, paying capacity. © Dr. Rajas Deshpande The lifelong perks of representatives elected for even five years, from any political party are regularly updated, but the salaries and pensions of doctors and other employees who work lifelong are never upgraded without agitations and then only with allegations of greed!
No doctor wants to be a bad doctor, but no doctor wants to spend life in poverty and insecurity.
If at all a doctor decides to do charity and see all patients free/ concessional all his / her life, not only will they be lost to poverty and anonymity, but our government or media will never notice them. All they get is more paperwork to comply with every day, fear of suspension humiliation by the administrators and a salary that’s a shame given their talent and hard work.
There is this curious tendency in India: to force or to beg in the name of charity, social service or patriotism rather than rewarding the talent. There are very few examples of honesty, hard work and talent rewarded without political connections. © Dr. Rajas Deshpande
Are the medical students any less talented than their counterparts in engineering or other streams? Don’t they study equally hard and work 24/7 many more years before they qualify? Even after that, the highest salary that the government offers the starting doctor (even engineer) is laughable, and if they wish to work at a private/ corporate hospital, they cannot decide the rules of payment strategies. If they must start their own set up, they need huge investments, over fifty permissions, many recurring, every one requiring bribe in some form or other. And whichever one they choose from the three career options above, from day one the society and media will have already presumed them guilty of extracting money from patients, the government and even some judges urging them to understand the feelings of relatives beating up doctors. I wonder how many ministers , judges or media bosses would like to understand the feelings of those who beat them up for something their client/ petitioner didn’t like. The most pathetic part is that while all of the above officers are inaccessible to common man, they still have armed security, and the junior most doctor who faces armed relatives is denied security even by law! © Dr. Rajas Deshpande
Most top medical graduates and postgraduates, like almost all other streams from India are leaving voluntarily because of this situation. To deal with this, the best options that some governments came up with were long term bonds to force govt. service (without telling anyone where the govt. spends so much on medical education), and canceling permissions to leave India even after the bond is completed. Bravo! © Dr. Rajas Deshpande
The Hon’ble PM has time and again declared many institutes like AIIMS to be opened across India. This is welcome, but we must also look at the state of conditions and staff in the existing health institutes run by the government. That needs billions for repairs, facilities and hiring better staff. Unless the salary structure for young and talented medical specialists increases , there are no chances of any AIIMS-like institutes running efficiently, they will soon become dirty buildings with low budget staff, where desperate patients are chronically dissatisfied and mobs find chances to vent anger.
Earlier I had immense respect and pride for every doctor who decided to return to India with a positive attitude and a wish to serve the society, their only expectation being living a modestly good life. Now I doubt if they are doing justice to themselves or their family, by choosing a life of financial and personal compromises, where they not only sacrifice, but are still looked upon as “looters”, face a violent society and a prejudiced government.
Ten years ago, I would have told this student of mine “let go of a good life, stay in India, we have a lot to do for our country”. Today, I don’t interfere with their decisions to make a career outside India. Because I love my India as much as any soldier would,and I also love the talented people in it.
© Dr. Rajas Deshpande
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The Richest Doctors
(c) Dr. Rajas Deshpande
“He needs an urgent bypass surgery. Very risky, high chances of death on table.” the cardiologist told us.
My friend’s father, a businessman, was admitted just after midnight for chest pain and breathlessness. The cardiologist rushed to the hospital within an hour and arranged for an agiography. As my friend’s father did not have any cash upon him, and neither my friend nor myself had sufficient amount in the bank, we requested the cardiologist to please proceed without deposits (most hospitals charge the complete bill to the doctor if the patient does not pay). I told the cardiologist that I was working as a resident doctor. He told me not to worry, signed on the paper that he will be responsible for the bills, and the patient was wheeled into the cathlab. When he came out, the doc told us that patient will need an urgent bypass surgery. (c) Dr. Rajas Deshpande
My friend and his mother were devastated. They were passing throough a bad financial phase, and had no funds ready. The patient himself had taken big loans from few business partners / friends, and started a new venture recently.
“You find out the best heart surgeon, we will try and arrange something” my friend told me while his mother kept on repeating prayers, crying in a corner of the waiting hall.
I spoke to my teachers and found out two names who had excellent results in cardiac surgery. Of course they were fully busy, appointments were difficult to obtain, and the surgical costs were an embarrassing thing to bargain: knowing that the best will come at a cost.
“Don’t bargain, I want my father to be operated by the best, I don’t want the doctor to feel that we will skimp. I will arrange somehow”my friend told me.
The best advantage of becoming a doctor came my way to help me: many medical doors open easily for the co-professionals as with any other profession. The same evening I was sitting in front of one of the best Cardiac surgeons in Mumbai with my friend. The VVIPs in the crowded waiting room angrily looked on at two youngsters allowed in ahead of them. (c) Dr. Rajas Deshpande
“He needs surgery urgently for sure. I will plan it tomorrow, although I will have to readjust my schedule, but you will have to shift him to this hospital where I am operating the other case too. We will arrange for the cardiac ambulance, don’t worry.”said the surgeon. (c) Dr. Rajas Deshpande
“Sir, how much will be the charge?” I asked, hesitant and already scared of the answer.
He replied without a blink. Our hearts skipped a beat together, and my friend looked at the ground with wet eyes.
“Sir”, I said pleadingly “Can we get some discount?”
My friend squeezed my hand, and said firmly, but with tears: “No Sir, please proceed, please do the best for my father. We just want him to recover. We will arrange for whatever charges you say”.
“Don’t worry. Please sign the papers so my juniors will arrange to shift your father here early tomorrow morning. I will do my best”said the heart surgeon.
That night, my friend called up many relatives and his father’s friends to get some help. As expected he got none. But after an hour, he started receiving many calls from those who had lent money to his father. They wanted it back immediately. (c) Dr. Rajas Deshpande
By early morning, most of those ‘friends’ from whom the patient had borrowed money gathered in the hospital. They had a meeting with my friend’s mother, who pleaded them and assured that all the money will be returned once the patient recovers.
“What’s the guarantee? We heard that he may die during the operation. We cannot afford that” said the calm leader of the group.
“Please don’t talk such words, I beg of you” cried the lady, visibly torn by what she was facing, “I will sell our house and return your money, we just need some help till his surgery. Please wait for a week”. (c) Dr. Rajas Deshpande
As my angry friend got up to reply, his mother asked him to just shut up. She pleaded the group with folded hands “I promise you, we will sell our house and return your money”.
The group whispered for some time.
“We will wait only if your husband signs that on a bond paper before going in for the surgery. Otherwise we will block his ambulance”. The leader said.
While shifting the patient, a ‘break’ in the ambulance journey was arranged during which the patient on the stretcher was taken into a ‘friend’s’ home on the way to the hospital, made to sign various papers while still wearing his oxygen mask, and only then did the lenders allow him to be shifted to the next hospital. Business is business, and our society condones everything in the name of money, except when paying for health. Along with my friend, I earned quite a big scar that day.
He was taken in the Operation Theater. Inside, the cardiac surgeon’s junior told the boss about the horrific “break” they had to take. The cardiac surgeon didn’t react.
The surgery was successful, the patient was discharged in seven days. (c) Dr. Rajas Deshpande
The cardiac surgeon didn’t charge the patient. He did not mention it to us too, we came to know during discharge. We went again to thank him. He was smiling now.
“It’s Ok. Carry it forward” he told me, then turned to my friend “You too”.
We touched his feet and left.
As we finished our coffee that night at the famous cafe on Marine Drive, my friend told me “Earlier I thought there is no money in medical profession, you people work too hard for what you get. Doctors are kind of “Use and Throw“ community. Now I feel, you people are still the richest whether you earn or not! That cardiac surgeon, by just not charging my father even after saving his life, owns everything I will ever earn in my life! Thank you!”
(c) Dr. Rajas Deshpande
Based upon a true story.
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A Dangerous Disease Called ‘Relatives’
© Dr. Rajas Deshpande
“What all can happen, doctor?” asked the young lady accompanying her father.
He had had a vertigo for two years, now had developed headaches and had seen best of the specialists. Some of them had advised him an MRI scan, but the daughter who was “in-charge” of her father had decided to wait. They had undergone many treatments simultaneously: allopathic, Ayurvedic, Homeopathic, Herbal, Diet, plus various random suggestions by relatives (almost all patient’s relatives are experts on all medical topics except actually paying bills and donating blood).
The father, a victim of experimentation by a health enthusiast daughter whose profession was law, was visibly anxious and almost shaking.
After examining him, I told them that there were some soft signs, but also that a physical examination may often be inconclusive, hence it was wise to investigate. What must be done must be done. A true Saint, scientist, soldier or doctor will always live by those words. I must stress the need for the right investigations. I told the daughter that he must undergo a scan. © Dr. Rajas Deshpande
That’s when she asked “What are the possibilities?”
Imagine an anxious person sitting in front of you, dead scared of death or illness. He / she is praying God or providence that the doctor does not use and scary words like cancer, heart attack, paralysis, dementia, parkinson’s or early death. No one likes these words, the doctor likes them least. Almost every doctor thinks of the patient’s mental status before choosing the words in such cases. Some patients can even commit suicides if they are too stressed with the fear of long / grave disease.
However, the hyper daughter refused to be subtle.
I told her “You can ask me all the questions you want. But please remember that some answers may scare the patient, Also, I may not have all the answers at this point.’
“Can this be something dangerous? Like cancer? Can this be an emergency? Can it cause death? If so we will do the MRI today itself. Otherwise we will wait.” She said.
To protect the patient from death, suffering and disease is a doctor’s duty, but the law does not allow the doctor to protect the patient from such insensitive relatives. © Dr. Rajas Deshpande
“Madam, there are limitations of physical examination,and we cannot see inside his body. Sometimes we find things wrong inside that can be cured with the correct early treatment. That is the reason we have tests and scans”. I told her patiently.
“But what are the chances of this being a cancer or something life threatening? If at all the scan shows something dangerous, can you guarantee it will be cured?” she asked.
I gave another shot of adrenaline to my patience. © Dr. Rajas Deshpande
“How does that help you?” I asked her, “Even if the chance of a dangerous possibility is low, say 5 %, will you take a chance on your father’s life just to avoid investigations? How can I guarantee the treatment or cure of something we both don’t know yet? By the way, what is your objection to get his scans done?”
“We will do the scan if you say this is urgent” she said.
My patience kissed me a goodbye.
“It is indeed necessary, I cannot say it is urgent. Now I must see another patient.” I replied. Then looking at her anxious father, I reassured him “It is a very low chance that there will be anything dangerous. Please relax. And we have cures for many diseases now, I am with you. Don’t worry”.
“Then can we wait for the MRI?” the daughter was incurable.
“No” I replied, calling in another patient.
I received many messages for next few days from her and her invisible brother asking if the scan was really necessary, where was it done cheapest, etc. I didn’t reply.
They returned after a week. The MRI showed a tumor causing pressure effects on the vital areas of lower brain. This indeed was an urgency, if not emergency. I told the daughter so.
“How come he developed a tumor? He never had it earlier. No one in our family had it ever” she asked angrily, “Is it the side effect of all the medicines he has taken in last two years?”.
I had almost forgotten in which society I was practicing. Education does not always convert into common sense. Money, skimpiness and hatred replace logic here. © Dr. Rajas Deshpande
“In most cases, a brain tumor is not the effect of commonly used medicines. I don’t know the contents of all the medicines you tried upon him. But the delay in doing tests is one definite major factor that your father has suffered so long”. I told her. What must be said must be said!
She changed the topic, a knack every doctor must learn from some lawyers!
The patient has now undergone a surgery by one of the best neurosurgeons, and fortunately the tumor has turned out non cancerous. His headaches and vertigo have gone. However his anxiety and fear will take a long time to go, he is on the medication for that.
The daughter has changed a lot too. The last time she visited for her own headaches, I told her to get a check scan done, and she showed me the reports the same evening. They were normal, she is happy now!
Many patients suffer for years, develop disability and some die due to such dangerous relatives who experiment upon them, delaying investigations and treatment. The most common purpose is saving money, but there are also whims and illogical, dangerous treatments without the knowledge of the contents and interactions between medicines of different medical and quackery streams. The doctors who try hard to save the damage in the last moments often become victims of criticism. This dangerous disease called “Relatives” who suggest everything but disappear when the patient truly needs them has become rampant in our society!
As for my patience, I had to take it for a long night drive and feed it a lot of icecream that day to agree to return to stay with me again.
© Dr. Rajas Deshpande
(Yes, some doctors take advantage and earn money through tests. This is definitely wrong, but the price of delayed and denied tests is far more. In fact, many relatives make that an excuse to avoid spending for the tests. It is conveniently forgotten that almost all essential tests are available at govt. / charity hospitals at a negligible cost).
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The Bleeding Curse of an Extraordinary Doctor
© Dr. Rajas Deshpande
“I cannot sleep well, I cannot forget what happened” said the doctor who had come to consult. I was shattered myself. My usual poise was blown to pieces listening to what this mountain of sacrifice was telling me.
As Dr. Anil Dadarao Waghmare told me about his past, I was in frightful tears.
Son of a humble education officer, he had joined MBBS on merit basis, and completed it in time. He wanted to honour the government bond for two reasons: he had an inner desire to serve rural areas in India where medical care was not available, but he also had no other source of income and had no money for investment. This is the common story of most doctors graduating in India.
He joined as a medical officer and was soon posted in a very remote tribal area, where he went beyond his duty to help the illiterate poor tribals. He worked 24/7, attended all their problems like deliveries, poisonings, snake bites etc., but also went to visit homes of those who could not reach him. He offered his designated vehicle as an ambulance whenever someone was to be taken to a higher rural hospital. His wife and children accompanying him sacrificed normal life. Two of their kids went to the local primary school, the quality of education was extremely poor but they had no option. The third child was only 9 months old. This youngest daughter was often looked after by a 12 year old girl who lived next door, and helped Dr. Anil’s wife with her chores.
One day, Dr. Anil’s wife received a phone call. The lady caller who spoke in local dialect told her that this youngest 9 month old daughter was in her possession, and threatened to kill her if a certain amount was not paid immediately. By the time they could arrange anything, the infant was found dead by suffocation. The 12 years old girl who looked after the child was found dead in a local well after three days, a huge stone tied to her body.
The murderers were soon arrested: the lady confessed to the crime, assisted by her parents, for want of money.
All the three: the murderer lady and her family were being treated by Dr. Anil for over a year, as free patients.
Dr. Anil was transferred elsewhere, and decided to still continue serving the rural population. He has now joined a postgraduate course, but he wants to keep working in rural areas.
“No one cares about a doctor’s life, family or especially security. The situation is worst in the rural areas, where illiteracy, superstition, witchcraft, murders and rapes are commonplace. Local politics is at its worst” says Dr. Anil, “I was ready to sacrifice every pleasure in life to serve rural population, I even compelled my family to sacrifice, but I did not deserve this punishment. This pain is beyond description, sometimes I feel whether my decision to go to such unsafe place with family was correct. This bleeding curse kills me every moment”.
Thank you, those who keep saying that our society considers doctors ‘like Gods’!
While air conditioned hypocrites advise doctors to go and serve in the rural areas, no one will look at the big picture: there are no facilities, but worse, there is no security. You are left at the mercy of local criminals, often politicians.
Film stars, directors, politicians and many judges will never notice this kind of a story, just as they won’t ever comment about the sickest lowly traditions in their own individual profession. Communities ripe with rapists and murderers, and onlookers who film rapes or murders rather than trying to stop them, expect the best brains to work for their healthcare at meagre salaries.
There is nothing wrong with a short term bond for service in rural areas, but while signing such a bond or joining such areas, the doctors should also ask the government a written guarantee of security. This should be the part of the bond. If security can be provided to every TDH in politics, filmdom or to even the lowest ranks in the judiciary, even some criminals, it can definitely be extended to the doctors serving in rural areas. A doctor who feels threatened cannot work and in fact should not continue to work unless adequate security is provided to him / her and family.
Dr. Anil Dadarao Waghmare, you deserve the highest medal any doctor can ever get: because you showed this selfish society how big a doctor’s heart can be, by continuing to serve in rural India. From now on when the loudmouth foghorns in politics and administration try to malign our profession, or try to cover the gaping deficits in basic facilities at rural level by pointing fingers at the doctors, we can tell them your story.
As for the loss of your 9 month old daughter murdered by your own patient, I stand up in tearful, shameful regret of the state of affairs of Indian Rural Doctors.
© Dr. Rajas Deshpande
It is high time the doctors unite to take a strong stand against aggressive attitudes of society, against stupid policies and being taken for granted and spoken against by uneducated loudmouths.
This story should reach every blabbering idiot who has no doctor in the family and keeps on expecting all doctors to be servants of this society. To those among doctors who try to impress faceless media or administrators by continually talking negative about our own colleagues, this story should serve as an eye opener.
Thank you, Dr. Anil Waghmare for the courage and permission to share this story.
The Cult of Good Blood:
Superhero Medical Students
© Dr. Rajas Deshpande
He grew up selling vegetables and fruits grown by his mother. He went door to door and in the village market to sell those. He also walked for two miles every day to catch a bus to a school over 20 miles away. He then enrolled in a private class that waived off his fees, because he had a passion: He desperately wanted to become a doctor.
Atul Dhakne, son of a school teacher Mr. Nivruttirao Dhakne and farmer Mrs. Mandabai Dhakne, with his hard work and merit, got admission in the prestigious B.J. Medical College in Pune.
But he wasn’t satisfied. “What about those like me who are from the poor rural background, those who have no access to good classes and education, but want to become doctors?” he worried.
Good Blood speaks, whichever soul it flows in. Young medical students of different origins, studying with him, decided to resolve this. Ketan, son of a lawyer Mr. Avinash Deshmukh (who mostly handles cases for the non-affording,) wanted to do charity like his father. Farooque Faras, whose father raised a family in one small room, was burning with the desire to give. Many others joined in (names below), and the Cult of Good Blood multiplied. They all wanted to uplift the deserving.
“Lift For Upliftment” was born, formed by the superheroes among medical students.
They printed posters and went to almost all junior colleges in Pune, appealing students from poor backgrounds to join their free tuitions / classes, to prepare for the CET /NEET. In the first round, over 40 students joined. After the medical college hours, Atul and his friends took turns to teach these poor students, give them notes, set question papers, conduct exams, assess and counsel for improvement. All expenses were borne from their own puny pocket-money.
There was no fixed place for the class. One local bakery owner, Mr. Dinesh Konde, decided to help these students. He planned the logistics and took them to the corporator Mr. Avinash Shinde, who asked for only one thing in return of his help: commitment to continue this good work. The Cult agreed whole-heartedly. With him, they approached Mrs. Meenakshi Raut, Asst. Director in the education department in Pune, who helped them get two classrooms in a Municipal school after the school hours. The classes thus became regular, every day, from 6-9 PM.
The cult lacked stationery, the huge backup of notes and question paper sets for 40 students, so they approached Mr. Sanjeevkumar Sonavne from Latur, who runs many educational institutes, helps poor students, and even pays the fees of some who cannot afford college. Mr. Shelke and Dr. Harish from Sassoon Hospitals also joined hands to help.
The results were impressive: from the first such batch, 6 students qualified for MBBS, 3 for BDS, 11 for BAMS and 2 for BHMS.
No one had earned anything, but Good Blood flowed forward. Many medical students from subsequent batches came forward to teach free, imparting their fresh acquired knowledge and skills to those who could otherwise have no access to it.
There is no discrimination while accepting junior college students for their class. They have two batches now with 60 students in each. They have also started weekend classes for poor students preparing for NEET in the extremely backward area of Maharashtra, named Melghat. These medical students go to Melghat with their own expenses, teach the rural junior college students over the weekend, and return to attend the tough schedules of medical college again!
“I learned helping others from my mother. We don’t earn anything, but we learn something precious every day” tells Atul, who has now passed MBBS. Ketan Deshmukh, Abhiraj Matre and Farooque Faras help him supervise the group. Their endless enthusiasm only reminded me of how much more I can do. I came to know of this group “LFU” during the recent “Quest Medical Academy” event arranged by Dr. Sushant Shinde.
They are naturally, perpetually short of funds.
I am not rich, but I won’t feel right about myself if I didn’t contribute. They graciously accepted.
When these students came to meet me today, I offered them dinner at a good restaurant (knowing that they stay in hostels). Farooque said “Sir, we will rather use that money to print some more question paper sets”. Farooque’s father has stopped all celebrations in the family, and sends all the money he can, from his one small room home, for the torch of humanity that his son carries forward!
When they asked for an advice, I had but one small request for them: that a Doctor should be completely free of all political and religious influence at work, in teaching, and especially while treating a patient. They assured me that “Lift For Upliftment” has decided to never be affiliated to a political or religious organization, keeping humanity as their highest ideal.
There is no better lamp than the one which carries the light from soul to soul. There is no better definition of humanity than holding hands of those who need it most. I feel very happy today, that I could contribute to this beautiful, divine cause.
Long Live the Cult Of Good Blood, and may we all find it in abundance within ourselves!
© Dr. Rajas Deshpande
The group “LFU” also includes: Esha Agarwal, Shivkumar Thorat, Satyender, Tanvi Modi, Mayank Tripathi, Nikhil Nagpal, Sitanshu, Arvind Kumar, Nagesh Pimpre, all from the B. J. Medical College Pune.
PS: My heartfelt appeal to all medical students and doctors to contribute by starting similar activity in your region, by teaching poor students who want to become doctors, by joining this group and / or by donating for this cause.
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The Babaji Doctors
© Dr. Rajas Deshpande
“Today’s young doctors of today don’t know anything” the famous Senior Surgeon told her, smiling bitterly, “You have nothing wrong. Go home and take a pain killer, you will be fine tomorrow.”
The next day, at 2 AM in the morning, she was comatose, as my Neurosurgery professor in Mumbai prepared to operate her brain. She was found to have a huge tumor in her middle part of brain, that was about to kill her in few minutes.
This student, a girl aged about 21, came to me with a severe headache and mild imbalance. A senior physician was accompanying her as a local guardian, as her parents were in Mumbai. I had found that she had some warning signs, and told her to go for an urgent MRI. This is a standard protocol for any headache with neurological dysfunction. The accompanying physician told her in front of me “We will go and have a second opinion from the famous senior doctor. He is my friend”. I was not offended at all, this is the right of every patient. A senior doctor would definitely have better experience if not knowledge or specialty training. But I did feel sad about the ease with which this senior physician had underplayed my opinion. That he didn’t understand something did not give him a right to challenge it. © Dr. Rajas Deshpande
Next morning the girl messaged me that the F.S. doctor had told them “Nothing was wrong, that new doctors advised unnecessary tests, told her to take a painkiller and go to college next day.’
She went home and rested that night. The headache was a little less by morning, she texted me so. By afternoon, in the college, she started feeling drowsy and had a vomiting. Her local guardian physician asked her to travel to Mumbai to her parents and take rest. On the way to Mumbai by car she became unconscious. Her friend accompanying her called me (the F.S. did not pick up their call). I advised them to immediately contact my Neurosurgery professor in Mumbai for further help. I called him and informed so too. They reached Mumbai late evening. Her MRI showed a large brain tumor that was blocking the flow of fluids around the brain, and causing compression on the lower part of the brain. She was minutes away from death. My professor decided to operate her immediately.
Starting new practice, in the beginning weeks in India after three years of fellowships in Canada, I had far less patients, and more time to spend with each one. Very proud, I was also somewhere pleased by the brilliant competition I faced, and the fact that malicious bitterness was usually a certificate of good work. According to a saying, critics help one thrive. So long as I set my practice standards high and respected them myself, I wasn’t interested in any competition, nor feared any. Silence was the best weapon and I used it freely in many situations especially when refusing to be dragged in low level gossips and backbiting, not uncommon even in the medical world. © Dr. Rajas Deshpande
“Say what you must. Make your point twice and move on. Don’t argue, because then you presume everyone is equally intellectual. The greatest rule of all is that truth will prevail.” Dr. Sorab Bhabha, my professor had taught me. I follow that to date, but I fail in the test of tolerance sometimes.
Many times, to impress the patient more than one’s competitor, some doctors resort to quite unfair and unethical means. To cunningly use patient’s dissatisfaction, reluctance and doubt about medical expenses and to say ‘immediately pleasing and gratifying’ things to make the patient happy is an art which some (senior and junior) doctors wisely incorporate into their practice.
“Don’t do surgery that the other doctor advised you, Those tests were all unnecessary, We will take a second opinion because I am not sure about this doctor, etc.” are the common tricks used. This gets them the instant faith of the unsuspecting frightened patient. This can then be gradually used to drive home the same advise as of the first doctor, but in different words that please the patient. © Dr. Rajas Deshpande
I am not against unnecessary sweet talking, although I don’t want to ever do that. Most doctors of my generation don’t believe in it. The patient must be told the truth compassionately, in the least hurting, non-frightening way, and any queries / doubts that may arise should be realistically addressed. Patients should be told the good and bad of every treatment option, and they should be encouraged to make informed decisions.
A doctor is a scientific, intellectual and compassionate service provider, and should refrain from being a pleasing-gratifying, patronizing or clownish entertainer at the cost of patient’s health by making compromised healthcare decisions, just to keep his/ her “Famous and beloved” status.
Some doctors also think of patients as their “personal property” and when they refer such patients to the specialist, they send a list of instructions and interfere with the specialist’s planned strategy. Some admit under their care patients who do not belong to their own specialty, then pay a good specialist for the correct diagnosis, and then google-treat the patients from standard treatment protocol sites (harmful, because the same treatment protocols do not apply to each patient). This unhealthy practice, mainly based on referral / cuts, will hopefully reduce with laws against cut practice.
Any intellectual will understand this: that with the vast expanse of medical field and research, no doctor can claim to “know it all”. One can only be proficient in one’s own specialty. Where a specialist is not available, or in emergency (this is the term most misused in such cases) one can use the best of one’s knowledge to treat the patient. Unfortunately, India is full of illiterate and poor (and also educated paranoid) patients who will only believe what is most financially suitable to them, will easily fall prey to the magical sweet talking abilities of a doctor, and blindly follow what is told, without ever knowing right or wrong. That is the reason of a rise in the “Babaji Doctors” in this country with so many Godmen in almost all religions! © Dr. Rajas Deshpande
These medical equivalents of “Baba”s will have a benevolent smile, talk very reassuringly, speak only what the patients like to hear, and wisely try to convey that they know better than any other doctor, even the best specialists who have had excellent training in very specialized areas. Quite fortunately, younger generation patients are far wiser than to be affected by these pseudos: sweet talking without a reason is an immediate turn off for most intellectual young.
The hierarchy of education, qualification and specialised training is always superior to the hierarchy of experience. An MBBS passed out 50 years ago cannot be better than a MD passing out today. The ones with higher qualifications and training, even if far younger / junior, must be treated as above one’s expertise in their respective field. Yes, if the degrees and training are equal, then experience matters. © Dr. Rajas Deshpande
“ I don’t agree with your diagnosis, I don’t think that this patient has Parkinson’s disease” a senior surgeon once told me in front of a patient he had referred.
I know no one can be perfect, and I can be wrong. But I also know who is qualified to say that I am wrong.
“With all due respect, Sir, you are not qualified to comment in this specialty, just as I cannot challenge your diagnosis in yours” I replied. Age that does not match its behavior need not intimidate me, especially where a patient’s diagnosis is concerned. A doctor’s first duty is to tell the truth to his patient, and a part of that truth is what the doctor does not understand.
Pretending expertise in medicine may be fatal for a patient, no true blooded doctor can accept that.
As for the girl who was operated that midnight, she is now married and has two kids. She called a few months later to tell me she was doing well.
I continue to meet patients every other day, who have visited the F.S. doc, and tell me how he told everyone else was wrong.
Unfortunately, the only treatment in such cases is awareness.
© Dr. Rajas Deshpande
PS: Most doctors follow the ethics of not criticizing other doctors, which is required by the Medical Council. However only very few senior doctors have a heart big enough to welcome competition. This causes immense difficulty to the newer generations of specialists. Hence this article.
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