Category Archives: medical corruption

My Best (And Last) Effort For Indian Healthcare.

My Best (And Last) Effort For Indian Healthcare.
(c) Dr. Rajas Deshpande

Are you fed up of the medical scenario in India?
Neither patients nor doctors are happy.
Society and Government have expectations but no answers to basic questions.

Healthcare must reach everyone, including the poorest, but it cannot be a charity at the cost of the doctor.

Junior doctors, Interns, Medical Students are exploited and harassed by one and all, many have not been paid. They have no voice. Private medicare is on the verge of collapse, gun to its head.

Worst, Doctors are pathetically divided due to various reasons, hence being exploited at all levels.

Are you a doctor, willing to change this? It is possible.

Do you accept the principles of ethical medical practice, with ethical and scientific patient care as the first goal?

Are you willing to give up religious, political, regional and language discrimination and pharma sponsorship, if you can still get the same secure, clean and ethical income?

Are you willing to stand by every other doctor in India, irrespective of their religion, political affiliation, state, city, irrespective of whether they are junior or senior?

Are you willing to fight for your own and our collective dignity, safety, and human rights for all doctors and patients?

Are you willing to care for the poorest of the poor with the same dedication as for the best affording, if there is no exploitation of your skill and time?

This is possible.

We have great expectations from the younger generation whose blood can still boil, who can still roll up their sleeves, and who can dream of a great future where both the doctor and the patient can be smiling.

I am willing to be in the front seat.

Do you want to start a revolution?

Join my facebook page only if you are a doctor and agree to all above.

https://www.facebook.com/UnitedDoctorsAcademyIndia/

Any political/ religious/ discriminatory activity will permanently disqualify.

Only those with medical council registrations should join.

Let Us Work Together For A Great Indian Medical Establishment.

(c) Dr. Rajas Deshpande

A Love Letter For All Haters Of Allopathy

A Love Letter For All Haters Of Allopathy
© Dr. Rajas Deshpande

Allopathy / Modern medicine is like my mother to me. Naturally, when someone tries to spread misinformation about this path of healing, it is my territory to defend, and I will. I am open to the idea that I may not understand other pathies well, I understand mine only because I studied it well. Time and again, I have received many articles criticising Allopathy in many languages. Most of these articles make claims about their own ‘pathy’ being divine or magical, curing everything. They justify this with some twisted quasi-scientific logic, very convincing for those who are a few sandwiches short of the picnic.

We Allopaths save more lives on any given single day than all other pathies combined can save over months. Thousands of doctors from other pathies who have recovered from heart attacks and strokes and other critical medical conditions will testify that Allopathy saved their lives. The facts that there are far more Allopathic hospitals all over the world, that corona patients in ALL countries are being treated primarily by Allopaths leaves no space for any argument whether Allopathy is useful or not. © Dr. Rajas Deshpande.

To understand basics of medicine, it takes five years for the highest rankers of each generation. To criticise it without studying it requires an outstanding idiot.

Think Cricket. We all enjoy seeing the Master Blaster perform, aware that he has gone though extensive practice and patience to be where he is. Yet even those who have never qualified to be in their own family’s cricket team, will advise the Master on TV how to play. They can be ignored as certified nincompoops. The other category- copiers- are most dangerous. They will just pick up the Master’s style / words, copy the technique, use all the same external paraphernalia and then pretend to be superior to the Master Blaster. Truth and scientific logic then takes a hit out of the boundary.

From Mahatma Gandhi to Einstein, from Daniel DeFoe to P.G. Wodehouse, from Bachchan to Tendulkar, greatest of the great have faced undeserved criticism from envious, jealous, noodlebrained nobodies whose only chance to some attention is criticising any success, achievement and affluence. © Dr. Rajas Deshpande

Some of the best brains in each generation get into Allopathic medicine, and are trained in a curriculum made by highly educated achievers in the field of science. The same Nobel prize as was won by the greats like Guru Rabindranath Tagore, Amartya Sen, Abhijit Banerjee, Dr. Hargobind Khurana, has also been won by those who form the basis of Allopathy or Modern medicine.
Our science is based upon the principles and practice of basic biosciences like physiology, biochemistry, pharmacology, genetics, all defined by geniuses across the world. We follow the principles of scientific evidence as defined by science, not by personal whims and hunches. . Our paths are enlightened by brilliant guidelines of people who discovered the causes and treatment of diseases like malaria, tuberculosis, HIV etc. saving millions of lives. Each year, there is a Nobel prize dedicated to medicine.

Thus, thought processes of many generations of geniuses in science have made us Allopaths. We we are in fact relieved to know that everybody cannot understand us. That would have made our minds average.

Millions recover every day from heart attacks and strokes, thanks to Allopaths. Millions who would have otherwise spent their life on bed, walk well again because Allopathic knee and spine surgeons can perform complex surgeries, cheapest in India. Ask any patient of Parkinson’s Disease, Epilepsy or Heart failure, what happens if they miss their Allopathic doses. It is our challenge to anyone who hates Allopathy to take care of one dialysis patient without dialysis, treat one bleeding brain injury or one heart valve defect without surgery or one patient of respiratory paralysis without ventilator. © Dr. Rajas Deshpande

Maharshi Charak and Maharshi Sushrut are respected all over the world because of their own good work. I have met some very respectable Ayurvedic pratitioners. They never use Allopathic terminology to impress thier patients or name their medicines. They know their own limitations.

Using the terminology from Allopathy while criticising it is like calling your wife by the name of your neighbour’s beautiful, out-of-reach wife whom you like. From migraine to arthritis, from brain to corona, why do they use the words of the very science they refute? The height of this idiotic ridiculous is to twist scientific information, using Modern medical terms (protein, genes, virus, corona etc.) to justify the basis of their own treatments! How in the name of science are you going to treat a condition which your branch didn’t even know the name of? These hypocrites will use X rays and MRI, blood tests etc. reported by doctors – radiologists, pathologists in Modern medicine and prescribe their medicines saying that the Allopathic medicines are useless!

Why are bridge courses requested if Allopathy was useless? Why don’t we see those various criticising pathies open up their own original hospitals and practice their own science, why would so many graduates from different pathies be working with allopathic hospitals today? If you are so confident of your pathy being superior, please take an oath that you will never practice other pathies, that you or your family will never take treatment from any another pathy. © Dr. Rajas Deshpande

My Allopathy/ Modern Medicine is not perfect. We have failures. We have limitations. We have multiple, dangerous and sometimes fatal side effects, all recorded and informed to the patients. Nothing is hidden. Our pathy is unfortunately costly, as it has many licences, instruments and processes. But we have the largest number of people all over the world rushing to us every moment, we are here and ready, day and night, serving and saving them, with scientific principles universally accepted and respected.

Every accident goes to an Allopath, bleeding and dying, in a hope to survive. Most diagnosed cancers receive their treatments and some are even cured in Allopathic hospitals. Every coma reaches an Allopathic hospital, with their family’s folded hands begging to bring back a father, a mother, wife, husband, child back from the clutches of death. Most of these go back alive and happy, some we cannot save. Are these failures of Allopathic medicine your strengths? Could you have saved those? Do our minor inabilities, limitations, failures make you feel great? If so, you need a visit to a qualified psychiatrist: if your pathy has one.

It is pathetic to see the excessive quackery allowed in rural India, looting innocents with cheap deceptive tactics, false claims of curing jaundice, rabies, paralysis, epilepsy and what not. It is pathetic to see famous public figures criticising Allopathy and then themselves getting admitted in the best, priciest, Allopathic hospitals in India or abroad. What other proof of shameless hypocrisy do we need? Criticising Allopathy is a serious disease. I think it is a type of anosognosia: inability to understand the reality of one’s own illness/ condition.

After reading such baseless criticisms of Allopathy, my foremost wish is to invent ways to perform a brain transplant on their authors. However, a “rejection” of a good brain by their bodies (you know, a dangerous side effect of Allopathy) is really worrisome. So we will let them be- please treat yourself with your best medicine: Allonil.

© Dr. Rajas Deshpande

Allopathy is now known as “Modern Medicine”. However to reply the critics and to best reach masses I have used the term Allopathy, which they use while criticising it.

Welcome to translate this article in local languages with due credits. This article is only aimed only at those who spread misinformation and hatred for Allopathy. I do not disrespect any other recognised pathies.

Please share unedited.

How Far Should A Doctor Go?Is Our Society Ready To Change?

Change This Medical Scene: Article Two

In the last article I had written all the reasons that make doctor’s unity impossible, and had also pointed out the fallacies of some medical professionals. Accepting that yes, some doctors are wrong sometimes, let me go to the next part: our society.

  1. The Absent Scientific Mindset:
    We have a biased society beyond reconciliation. People have made up their minds about negative image of medical profession just like they make up their minds about the good or bad of any religion, army, country or even their concepts of self-intellect. One cannot expect a predominantly illiterate, superstitious, accusative, emotionally biased and financially deprived population to understand the principles and practice of a complicated science. They will advise others even if they are failures themselves. People think that information on the internet makes their knowledge automatically scientific.
  2. ‘Trust Me, But I Won’t Trust You.’
    You see, I am the patient. The best of the patients who have near complete faith in a doctor also have trust issues hidden deep within, and these are unmasked often under the headings of “second opinion”, “it was insisted by someone that we consult another doctor”, etc. While it is patient’s right to get a second opinion, it is a doctor’s right to ignore false claims of complete trust, so often essential to concrete the relationship. Most affluent, intelligent and literate patients openly question everything out of mistrust, research (both their rights), and when they find that everything was correct, or when the patient actually improves, they still want the doctor to have complete trust in them, and treat them just as good as family. Trust building takes time, and the concept that trust is bilateral is conveniently forgotten! © Dr. Rajas Deshpande.
  3. ‘Some doctors are bad, so everyone should treat me free.’
    This is the conclusion drawn by even the best brains in most fields. These people have a funny logic: Allopathy is a fake branch, all doctors are corrupt, all pharmas are selling useless drugs at a very high price, all hospitals are made for looting people, but when I am sick, I will search for the best and most experienced Allopath, in the most advanced costly hospital, ask them to do all the tests to tell me I am safe, give me the best medicine out there, because if it’s my life I don’t care about money. Then when I get better, I will take a screenshot of the huge bill and write a frigging crying worldwide post about how they looted me. No one asks them why in the first place they did not go to a cheap / free government hospital or other pathies which they can afford?
  4. ‘Complete Health and 100 years life is everyone’s birthright, and it is every doctor’s inherent duty to serve me free or cheap as I have paid taxes for their education.’
    Even in government colleges, every medical student pays huge tuition fees every year, and postgraduate doctors are made to work like slaves for many years under inhuman conditions. Then they serve an unfair bond. There is no direct expenditure for a student, whatever the government invests is for the healthcare set-up to treat millions of poor patients, and the budding doctors are USED for this task, to mask thousands of unfilled doctor’s posts.
  5. ‘I am not scared of death”.
    I will drink, smoke, eat tobacco or roadside / unclean food, won’t exercise, take as many fake medicines as I can from internet, skip masks and hand washing or social distancing. I will take risks and participate in adventures, ride bikes without helmet, drink and drive, sleep with multiple partners…. until I fall sick. Once I am sick, not only am I scared of death, but everything bad that happens to me is the doctor’s fault. Till the time I am well, I am a hero on my own. The day I fall sick, I am the victim of some medical conspiracy to earn money. © Dr. Rajas Deshpande .
  6. Social media is my power:
    Most people with a cellphone and internet think they can defame anyone now, no one will bother to confirm the truth and doctors don’t have time to argue. Be it about pseudo feminism, alleged nepotism, BLM agitation or religious discussion, one has to be extremely careful now, not to step on the innocent toes of hidden snakes. They will blatantly twist facts, lie, cry, allege, accuse and tarnish the image of someone who invites their displeasure, denies them the facility of exploitation. Open threats to doctors and hospitals to defame them on medical websites, apps and social media have become an ugly reality: Deny someone free treatment, false certificates, billing concessions, and they don’t hesitate to screw the hard earned reputation of a doctor. This endless and faceless blackmail is the widest point of the valley between doctors and patients today.
  7. I will talk incessantly furnishing useless, unrelated details, but you must be calm, sweet, nice and listen without interruption- because no one in my family listens to me. Even if other patients are waiting outside, I will repeat and repeat, just because I have PAID YOUR FEES. Some patients treat a consultation as a melodramatic, monologue opportunity in which a doctor is expected to shower compassion and sympathy, time immaterial. I have always envied the patience of my psychiatry and psychology colleagues.
  8. I can be lousy, incorrect, disorganised and human by committing mistakes, but You cannot! I can forget, you cannot. I can skip medicine for days, but if a nurse misses a single dose, be prepared for a ruckus, a financial / legal suit, a long facebook post. I can be late, I can skip appointment, but you cannot. I must get rest, food, sleep, family time as it is human right, but you cannot, because you have chosen this career.
  9. Complete ignorance of achievements of Indian doctors.
    Indian doctors are undisputed champions in their fields, standing equal to the best in the medical world, in the most advanced countries. Many of them have left: not to be caught in the BS created by a large population that serves only a selfish purpose of exploitation. Rich doctors are not made to feel guilty in any other country except India. Indian doctors work longer hours, more years, in worse conditions, earning far less, still our country treats them in an extremely disrespectful manner.
  10. The faulty concept of “Service”:
    If you think that healthcare should be free, advanced, cheap, available as per your wish, we agree. Do tell the government. They should make great hospitals, pay to hire highly qualified doctors, and treat millions free. But if you think that every doctor is your ‘cheap servant at wish’ we disagree. If the society expects that doctors, teachers, police and army should feed themselves only with songs and compliments, they are wrong. Why should a hard working and brilliant doctor not earn well? We want to give the best possible life to ourselves and our families too.
  11. The ultimate hypocrisy:
    If you can all advise doctors about humanity and compassion, why can’t you do it yourself? Or is compassion reserved for doctors only? We recently had a migrant crisis. Millions of poor people left because they had no homes, food or money. Why didn’t our media and politicians appeal the society to accommodate these migrants wherever they were?
  12. Our society conveniently forgets that complicated medicines, high end surgeries, procedures, equipments and technical expertise needs high-end money too, and its pricing is not the choice of the doctor. Just because something is costly, the society (and often the politicos and media) automatically presume that the doctor has a share in it. Some doctors indeed may misuse this as mentioned in the last article, but to avail of a known costly resource and then to suspect the very person who saves your life to be corrupt is ridiculous.
  13. Mannerless misuse of courtesy is a tragic Indian disease affecting all fields. Phone calls, messages, allegations, false alarms of emergency, begging for concessions in spite of an ability to pay, all are considered normal. More you tolerate, more you are exploited.
  14. I will not explain this, but by and large most of the society is jealous of the respect and affluence a doctors gets. Most cannot grasp the concept of an intellectual income. Be it illiterate stars criticising superspecialist doctors on national TV, or be it reporters of evil news, the ability to speak has become a weapon to unleash their hidden envy for everyone who achieves something. Doctors become their natural targets.
  15. Last, but very important: there indeed are very trusting, good patients who think of their doctors as equal to Gods, and every doctor’s heart goes all out for such patients. Anywhere in the world, a doctor will happily empty his/ her pockets and break all barriers for such a patient.

I now have come to a conclusion that this will never change, as change is a BILATERAL phenomenon, and our society is beyond that capacity as of now.

Do we take advice from those who haven’t been able to run their own healthcare set-ups well for decades? Do we listen to the ignorants who do not have the simple courtesy to wear masks during pandemics? Do we learn from a media that converts some celebrity’s tragic suicide into an opportunity to earn? It is a choice.

Will our society change? “How far should the doctor allow exploitation?”.

The Answer My Friend, Is Blowin’ In The Wind!

© Dr. Rajas Deshpande

This is the second article of the series, to be read only with other articles. The last two articles will propose the solutions.

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Change The Medical Scene, India: Article One. Healthcare Failure In India: Problems And Solutions

1: Etiopathogenesis
(c) Dr. Rajas Deshpande

This is my heartfelt attempt towards initiating a change in the Indian healthcare system. We all, even the government, wants it to improve but nobody seems to know where to start.

I appeal the younger generation of doctors to please think deeply about this article in terms of your future, unless you want to face the same humiliation, insecurity, inhuman attitudes, suppression and threats all your life, just because you are divided. I intend to offend no one, my non-Utopian aim is that every patient as well as every doctor should be happy, healthy and satisfied. There indeed are more good than bad doctors in India, but guess who dominates the scene.

In this series of articles I have tried to first identify the basic problems, and will propose probable answers in my later articles. Before we analyse outsiders, let us first take an honest look at ourselves.

Problems Within Medical Community:

  1. We have many class differences between doctors. This is the most prominent cause of non-unity of doctors. These class differences may be summarised as (a): Intellectual: some doctors are far more intelligent and skilful than others. (b): Cultural: some doctors know the best ways to behave and speak with patients, others have an arrogant, ill-mannered, abusive and sometimes filthy, inviting a bad reputation. (c): Academic/ Clinical: some doctors are trained at extremely good institutes, some put in gigantic self-study efforts, and therefore are academically and / or clinically better even if their medical degree is the same. (d): Financial: some need financial support and critical effort to survive through medical courses, fighting till in their thirties to settle down, while for some others, financially it’s a cakewalk.
  2. Shameful tendency amongst doctors, of discrimination based upon State, Caste, Region, Religion, Academic Institute, City, Financial Status or Political party, generating an “Insider-Outsider” culture. This has also resulted in many hospitals employing doctors from a particular religion or socio-cultural/ financial status even if better candidates are available. Few honourable exceptions.
  3. Jealousy, Insecurity and Envy: There are successful and struggling doctors in every branch. The shameful tendency of some established doctors to suppress and disallow juniors in their institutes is well known. Most wise institutes now employ two or more competing masters in every branch and fire up their egos against each other, to have them fight tooth and nails. Guess who profits and who bleeds. The comic tragedy is that even very brilliant doctors fall prey to such tactics. © Dr. Rajas Deshpande.
  4. Financial desperation: Juniors who come from poorer backgrounds, in spite of better abilities, have no money to invest, make their own hospitals, and must work at bigger hospitals under such competing seniors, and the only way they are allowed to survive is by getting better numbers. This results in a very hostile, bitter work culture.
  5. Killing Humanity: The entire medical community is guilty of perpetually ignoring, intimidating, suppressing and blackmailing medical students, especially postgraduate resident doctors. India has probably the worst inhuman treatment for its budding and junior doctors, with no one interested in addressing their problems. They live in most pathetic conditions, often six in a single room. They are inhumanly overworked, with a shameless answer “We did it, now you do it” from their seniors. “No food and No sleep” is nothing to be proud of, it is Torture. Post graduate students and resident doctors are not only FORCED to work far beyond human capacity, they are overtasked with mindless curriculums. The “Slaves” in our history were far better off compared to how the resident doctors are treated today in India.
  6. Extremely low quality medical institutes: Guess who owns and runs these, still churning out valid degree holders.
  7. Nepotism: Where “Premium” students, often children of the powerful, politicians, administrators, doctors, socially prominent are treated differently, groomed specially and airlifted to success while others, however meritorious and efficient, are humiliated and suppressed. © Dr. Rajas Deshpande.
  8. Master-Slave Culture: In every private or Corporate owned hospital, there is an unwritten rule: never cross the Master-Slave boundaries, never ask questions, you are here because we allow you to be. Should you dare to correct someone about policies, ethics, financial irregularities, excess profiteering, you are unceremoniously thrown out, given the title of a rebel, a troublemaker, and your reputation as a doctor is torn beyond redemption. This is the worst for surgeons than physicians, as ‘badmouthing’ / deliberate ill-reputing of a surgeon can ruin their entire career. Unfortunately, it is not only the hospitals, but different classes of doctors mentioned above participate in this mudslinging too. No institute in India has an honest troubleshooting department for doctors. There is no respite, there is no organisation, doctor’s body, government department that protects a doctor thrown out, defamed or harassed by corporates or big hospitals. Very few hospitals are doctor- friendly.
  9. Even in government service, sycophancy is the strictest tradition.
  10. The SP Syndrome: Shoelicking-Postholders are the worst tragedy in healthcare. Even after being qualified doctors, these ‘doctors’ have learnt the quick-ladder culture to sit in a medical administrative chair. They know which side to please, and are seldom seen working in the interest of either the doctors or the profession. They have but one agenda: strengthening their chair-bum glue. They are found almost everywhere in healthcare, and many enjoy the administrative superiority and control over better qualified and even senior doctors. There are rare honourable exceptions who try and balance the hospital and doctor’s sides. However, those involved in policy making are rarely in direct contact with the patients, have rarely had a reputation / experience of good medical practice, and are happy with hypothetical speeches sweetened for their powerful masters. Senior doctors have never stood up for an unfairly fired or colleague, and often our own community disowns a doctor harassed by healthcare giants or government. Thousands of excellent doctors have either left the country or live in dark anonymity just because there was no Godfather for them. This is a major cause of policy failures and pathetic research in Indian healthcare, inspite of having some of the best medical brains upon earth.
  11. The only thing that helps a good doctor is long-term goodwill generated over years, where patients spread a good word about their relief from that doctor. Against this is pitched the permission to hospitals for self-advertising, which often misleads the society.
  12. Once a doctor starts a hospital, there are so many taxes / overheads that he / she must shoulder, so much paperwork, that it is difficult to concentrate upon patients alone. Add innumerable laws, restrictions, rules that make it impossible to sustain over long term. Bribes are a stark reality wherever rules, restrictions are involved. This is why many doctors have closed down smaller hospitals.
  13. While doctors are only allowed to charge their (mostly) limited fees, almost everyone else in the profession earns a lot more profit, often unjust. From rooms, service, nursing, gloves, catheters, to procedures, from canteen to labs to radiology to pharmacy, the hospital and pharmas earn profits everywhere (this is acceptable in proportion of the investment). The one paid least in the final bill is the doctor / surgeon, who usually earns a piddly sum in spite of being the most important factor in the chain. The doctor is also primarily responsible medico-legally for every case. Patients are upset with the doctor even after saving their lives because the bill is fat, not knowing that most doctors have no say in hospital billings. © Dr. Rajas Deshpande.
  14. The Corruption: There is no denying the fact that some doctors participate in various “unethical” means of earning via “commissions”. While all corruption is wrong, this is an extremely hot and debatable issue, where many questions are unanswered. For example, if a doctor owns a hospital and a lab and a pharmacy, he can profit under all three headings, but if a doctor working with him is also paid from this profit, it is presumed unethical. Our society is too financially biased, and it will never accept the necessity of profits in healthcare. However, the same society or its government has no answers to what a good ethical doctor should do if there are financial emergencies like this pandemic where his / her income is near nil. Hence the doctor is left to ensure his / her own income, with or without patients. Our society will preach doctors a lot of pompous lessons of ethics and compassion, but won’t feed the doctors family if he is in financial trouble due to all the good and free work he does. To completely eliminate “backdoor incomes”, the only way is that the doctor’s fees will shoot up.
  15. Over-smart Attention seekers: This community of doctors will do anything to garner attention. They will make news for being cheapest, they will construct new theories of individual, private research and blabber about them on national / state channels, massage the egos of power, speak against their own colleagues just to get praise from society and media and so much more. They hunt celebrities and powerful to be seen with, always speak the language of “Sweet, Beautiful, Positive” and imply from their wisely framed speech that only they can understand compassion and patient’s feelings while other doctors don’t. These are the usual early birds on TV, who criticise their own professional colleagues whenever there is violence against doctors, preaching about communication, making the society feel that ‘bashing up of junior doctors’ is justified, just because they could not communicate well. They will go to any unscientific extent to fool the public to be in good books of the government and administration, and completely vanish when their profession is suffering. This attention-seeking community has done the worst harm to medicos and the reputation of our noble profession.
  16. Doctor’s Organisations: “………………………………………………………………………………………………………………………………………………………” .

To Be Continued
© Dr. Rajas Deshpande

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“It seems this hospital is distributing death to the patients”

“Aisa Lag Raha Hai Ki Ye Hospital Marijon Ko Maut Baant Raha Hai”

A leading and brilliant Indian TV anchor has framed this sentence. There are over a million deaths all over the world, covid hospitals are burdened up with dead bodies in almost all countries, and the whole medical fraternity is on the frontline, all Indian hospitals have cooperated with whatever demands were made by the government. Still, the news anchor obviously implies that the hospital is ‘handing out’ death in such cases.

It is NOT the doctor’s duty to shift patients and dead bodies, still they are doing this wherever there’s no staff. But if you expect that the docs leave critical patients to die and please the TV cameras, it will never happen, our ethics are supreme.

He didn’t say that:

:Virus is distributing death
:Those responsible for inadequate healthcare are distributing death
Or
:Irresponsible people who don’t follow rules are distributing death

He just blamed the hospital like a Judge.
Media Judge.

We have few questions:
Why didn’t the journalist/ reporter who was shooting this case and crying that the patient didn’t have enough clothes give this patient his own clothes?
Why didn’t he shift the patient to other hospital which had beds?
Did the reporter take written consent from the patient to shoot him naked?
Did the reporter call helpline to attend this patient? What was the government’s response?

And lastly, is this happening only in certain states?

Please stop making TRP business out of dying patients. Why aren’t administrators stopping the interference with healthcare in hospital?

हॉस्पिटल मरीजो को मौत नहीं बांट रहा, कोरोना मौत बांट रहा है, और आप जैसे रिपोर्टर उस मौत का तमाशा बनाकर पैसे कमा रहे हो. सवाल उनसे किजिये जो इन हालात के लिये जिम्मेदार हैं. डॉक्टर और हॉस्पिटल्स अपना अपना काम कर रहे हैं. आदरणीय प्रधानमंत्री की सूचना का आप भी पालन किजीये, और कोरोना योद्धाओं के खिलाफ़ जहर फैलाना बंद किजीये.

(No hospital is distributing deaths, but corona virus is, and people like you are making money by exploiting their deaths for earning money by dramatising everything. If you dare, ask questions to the right people. Doctors and hospitals are working to full capacity to serve patients and the nation. You must first learn to respect the words of Hon’ble PM, and not spread lies against medical frontline warriors.)

Stop your poisonous blah.

© Dr. Rajas Deshpande

The Last Bullet For Indian Private Healthcare


© Dr. Rajas Deshpande

Many doctors, nurses and other staff, police officers are dying due to corona exposure. Recently the quarantine period of doctors was cancelled. To add to this, very ridiculously, doctors’ salaries were reduced, and covid funds were deducted from even frontline warriors’ salary. This is like taking money from a soldier’s paycheck to fund the army!!

When I recently heard some people shouting about excess bills in hospitals, doctors not working etc., I felt like shouting back too, but one cannot argue with a sold TV screen.

For decades India has had
Excess urban crowding,
Very poor hygiene.
Very high poverty and illiteracy.
Lack of town-planning for slums.
Severe lack of state/ national healthcare infrastructure.
Tiniest budget for healthcare.
Perpetually under-functioning government hospitals. Every season hundreds die due to epidemics.

Where were you till before the pandemic? Who is responsible for all of the above? Do you want to discuss these factors which are responsible for the pandemic chaos today? Or now you just blame it all upon Doctors and Private hospitals?© Dr. Rajas Deshpande

Only private doctors with small nursing homes and dispensaries, clinics were shouldering all healthcare needs that government hospitals could not provide. They had low profits and catered to middle and lower class. These were destroyed in last few years because of too many stringent regulations and costly licensing. Many closed down. Legal troubles by relatives, politicos supporting them and vandalising hospitals forced many private doctors to stop admitting patients. Protection to doctors was denied by almost all governments till before this pandemic.

Indian poverty is never ending, and charity cannot run anything perpetually unless there’s a strong fund generating mechanism supporting it. If someone expects that doctors charging 2 rupees fees are the ideal healthcare for all our medical needs, they should happily go to such a doctor. We highly respect them too, but it is their choice and there are obvious limitations to that. To develop advanced healthcare in India, higher profits were necessary for higher investment. Corporates, some businessmen and the likes of Mr. Ambani pitched in. Advanced healthcare with heart and liver transplants, complicated brain surgeries, cancer treatments came to India because of these investors. They accepted all the conditions of governments to accommodate over twenty percent poor, nonpaying patients via various schemes. The payments for running these schemes were delayed by various govts for years, and the hospitals were arm-twisted in still continuing to treat everyone. The only source of profits was private and some insurance patients who were paying a higher fees for facilities: from air-conditioning, food to choice of specialists. Higher quality of staff, especially nursing and technicians who can operate high end machinery and robotics requires very high salaries. Maintenance costs are heavy. A specialist cannot do much without such a very good team. Each of these requires good if not great salaries, as they are continuously invited by developed countries who pay far higher.

But then every patient wants the highest facilities, best staff and specialist team, with no payment or basic payment. There’s no concept of billing beyond actual price of medicines and room charges. Service and maintenance is considered a ‘free right’. © Dr. Rajas Deshpande
Even in this modern era of equality, a higher class Indian officer like a minister gets a higher room, better food and other facilities, even higher medical bill sanctions, whereas the labourer from his department gets minimum basic facilities and bill eligibility only for general ward. Law allows higher healthcare’s standards and payments for higher officials. Why do they even have classes in railways and airplanes? If a “Gareeb bechara” migrant wants to fly home, should we offer him road transport or compassionate air travel? Why don’t we do for all the poor something that you all expect doctors and hospitals to do?

We don’t mind if basic and emergency healthcare is uniformly cheap or free for everyone. But when you force a high-end medical commodity (skill-time-investment-staff) to be sold at a loss or extremely marginal profit, you kill the system.

Doctors do not differentiate when making a diagnosis or treating anyone from any financial/ power background. But the private hospitals must be allowed to cater to different classes, earning their profits. That is their only stimulus to grow forward, engage best personnel and bring advanced healthcare to India. Different governments have failed at maintaining high standards of healthcare in their respective set-ups (with some proud exceptions- but because that’s where our powerful go). Some hospitals indeed take more bills for better class of services, including staff, but none of them forces a patient to come to them. Even these hospitals never deny free emergency treatment to anyone.

“But isn’t healthcare a charity? Haven’t you taken oaths to serve?” our loudmouth hypocrites ask.

Yes we have taken an oath to serve everyone rich and poor equally, but no, we have not taken any oath to neglect our own health and well being. Yes we have taken an oath to serve, but we have not taken any oath to live in perpetual poverty and financial stress. Yes we are under an oath to do our best for every patient, but we will not be bending backwards to fulfil their unreasonable demands. Yes we want to save every life, even if it is dangerous , but we will not unnecessarily endanger our own life because someone forces us. We haven’t taken an oath to abandon our families. The Hippocratic oath does not ask any doctor to stay hungry, work without sleep, and do the unscientific because various governments cannot pay for adequate number of doctors. Still we are doing all this already. Let us be clear: we proudly and intellectually serve our country, but we refuse to be considered slaves of either the system or the society. © Dr. Rajas Deshpande

Capping bills in private hospitals will be the last bullet for all advances in healthcare development in India. Be prepared to go back to the chaos of ancient times in that case. Quality will suffer most: right from specialists to nurses to medicines. You can of course force one generation of doctors to work like this, under low cost and excess work. People aren’t fools to send their children to such hells of social slavery. Yes you read that right. There’s a difference between service and slavery. Do not attempt to turn medical service providers into slaves. It will backfire very sourly.

Instead of this, the government can invest in existing private healthcare players to create low cost infrastructure alongside their private hospitals, or privatising its own healthcare institutions with increased capacity. Our governments do have friends in very high places who can invest.

We love India. We are not against any particular government, and this post is not against any leader or party. But we do feel very strongly that healthcare decisions must be made involving everyone concerned, that this people-pleasing for short term will turn out to be a huge disaster in long run, and it will be irreversible. If any government thinks that cancelling hospital permits and doctors’ licences in a country with severe shortage of medical services is the right way forward, God help it.

If private and corporate hospitals start shutting down now, it will be permanent. India will then have to mostly rely upon prayers alone for healthcare. And of course those who think they know medical science more than doctors. India has no dearth of such “fatally self-medicating” ignoramuses.

Jai Hind

© Dr. Rajas Deshpande

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Suspend All Doctors, Cancel Their Registrations…


© Dr. Rajas Deshpande

Have you ever spoken with a doctor, a judge, a police, minister or an an IAS officer in their office? Almost every common man has had almost a similar experience: an arrogant air of authority, hidden hints of superiority and a subtle dose of “I know better than you” whenever one tries to argue. Now we know all of the above can be wrong occasionally, at all levels. Of course, there are exceptions in all professions. In a new world which is now shedding away traditional chains of inequality and racist slavery, we Indians are probably the most reluctant to change. In performing one’s duty, no one is superior to those they serve.

A doctor needs to be patient and compassionate with the ill-behaved and arrogant, unlike police, judge or minister who will punish people for such behaviour. Additionally, far before COVID19, there have been fatal infections like MDR Tuberculosis and other viruses which have endangered and even killed doctors. The stress of this daily fear of death is difficult to explain to the idiots who argue “but you yourself chose this profession, nobody forced you, you knew all the time about these risks”.
My dear infinite stupid, yes, I chose this profession willingly, knowing the risks, but to live on and serve, not to willingly and knowingly expose myself to fatal infections. A soldier joins the military ‘to live on and fight and protect the country, not with a wish to die with enemy’s bullets’.
When a citizen tells them from the comfort of a protected home that “You already knew you could die in the army”, it is ingratitude and insult to their profession. We choose to be in this profession because our compassion and courage is higher than our fear, not because we want to die. To be honest, we do not expect many to even grasp this concept. © Dr. Rajas Deshpande

I have deep respect for some Judges, IAS and police officers who are geniuses, and the first mark of a genius is a humble openness to all logical argument, with parsimony of words and zero presumptions of having a superior knowledge. Even a few minutes with them enhances your life. They are calm and respectful of others. Their language is never “Suspend, Fire, Transfer or Shoot”, because they know what it takes for a genuine person to reach where they are. These geniuses are far above attention seeking, cheap media publicity, arrogant show of authority and blame-mud-slinging to cover their own mistakes, inferiority complexes, and inadequacies.

It takes longest time and a hardest curriculum with hands-on experience of years to make every single doctor. The more specialised a doctor becomes, the rarer it is to replace his experience. Still anyone can commit mistakes.
If a Judge, a police Officer, a Minister, an IAS officer is wrong, does our constitution allow any TDH in media or society to get up and threaten them with suspension? Can you imagine a nagarsewaks / municipal councillor / local politico, goons or even major/ minor officers threatening a judge, IAS officer or a commissioner with cancellation of their rank, licence or degree? Even the courts of law do not suspend anyone or strip them of their hard earned registration without giving them a complete and patient hearing.

Yet almost every TDH in almost every nook and corner in India, from temporarily elected less-schooled representatives to highly educated junior and senior administrative officers often threaten on TV channels that doctors’ registration, licence and degrees will be cancelled. This apparently gives them a sense of pride and accomplishment and also sends a wrong message to a public that these doctors must serve.

In a country where the policy makers have miserably failed for generations to create enough doctors for their population, where we still continue to have that discrepancy, suspending a doctor is like snatching away food from someone already dying of hunger. One doctor gone screws up many patients’ lives. There’s no other profession where generations are taken care of, lifelong, by one person. Yet apparently, some officer’s egos are more important than those patient’s families, health and lives.

Every day there are news of political, social reasons of suspending, threatening doctors. Deny concessions, freebies, shoe-licking, decline to compromise upon scientific principles or accept inhuman conditions for doctors, and almost every officer unleashes their administrative adrenaline pumps against the entire medical profession. Refuse to accept incorrect policies and guidelines that are against patient’s interests, and insubordination leads to losing your jobs. The most shameful and pathetic addition to this “Suspend-Crazy” admin category are some senior doctors who fail to guard the principles and juniors of their own glorious, noble profession. © Dr. Rajas Deshpande

Like every Judge, Police or IAS officer, even politician, every doctor has also worked very hard to earn their degree and licensing. Every Medical college and University in India is approved by the government. The Medical Council of India has been given the authority and statute to license a medical practitioner upon presenting his / her degree and following principles it has laid down. No one other than the MCI should be able to cancel the licence of a registered medical practitioner. Every case of suspension of a doctor: whether a postgraduate or a senior doctor should be referred to a separate impartial MCI committee. Even the Hon’ble courts of law usually request expert opinion before concluding about medical issues / cases. Yet, our admins and politicians from different states suspend and threaten doctor’s registration cancellation as if it was granted by them or their party or government as a favour. No. We don’t accept that. Every IMA branch in every city must stand by such victimised doctors, protest such injustice, represent the harassed doctor and protect him/ her.

There of-course are doctors who commit mistakes, like Police Officers, IAS officers, Ministers or even some Judges. All of them should be accountable and be brought to the right penalty with the same dignity as others. No one has the right to pretend that a doctor is a slave to their whims, greed and tantrums. © Dr. Rajas Deshpande

The Hon’ble Supreme Court has very clearly stressed the fact that it is very important that doctors should be able to work and make their decisions without stress, insecurity, duress or fear. The article above intends to highlight that same purpose, especially in the light of some recent happenings. Every doctor out there is risking life only to save others, serve the nation. They do have problems, issues and insecurities that need sorting out. Please address their issues scientifically and logically, rather than inhumanly threatening them by suspension and cancellation of licences because you have no resources, funds or answers. Treat your doctors with the same compassion that you expect from them. Or, if you know better, if you want doctors to blindly follow unscientific instructions of admins and whims of politicos why make doctors? Suspend all doctors at once and do it all yourself.

India will definitely be healthier if you listen to the doctors, and don’t threaten or suspend them for trivial reasons.
Jai Hind!

© Dr. Rajas Deshpande
Written with a sad heart that on one hand where the Hon’ble PM has asked people to respect and appreciate the efforts of doctors, nurses and other corona warriors, many are looking for reasons to corner, threaten and suspend them at the drop of a hat, sometimes just for headlines.

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Take me for granted

©️Dr. Rajas Deshpande

Neurologist

Pune/ Mumbai

“Is your food more important than the patient?” asked a angry voice on the other end of the phone.

It was a Saturday night, about 11 PM, and I had already had a tough day. I had not had time for even lunch, my head was hurting already. I had known the patient for over five years, her husband wanted to “discuss something” urgently. I had requested him to call next day, honestly mentioning to him that I was on my way for dinner. That’s when he asked if food was more important than patient.

“No. Food is not important than the patient”, I said, “Please tell me.”

“Listen doc, today after dinner me and my wife had our usual walk in the society, when we met a neighbour who told us about a new herbal treatment for neurological patients. He said it worked like magic in paralysis cases and the cure was guaranteed. He had some extra bottles, but it is very costly. So we decided to call you and ask”.

“What is so urgent about it?”I asked.

“Not urgent, but we were both very excited and anxious, so we decided to call you and ask” He replied. I told him that that they were free to try anything they wanted, yet cautioned him to check the contents and then alone take any medicine.

I wasn’t angry.

The next morning, I had to visit a government office. There was a huge queue. By noon, as the queue extended, the officer got up and with a calm face went for his lunch, displaying a a sign “Lunch Hour”. I wasn’t angry.

©️Dr. Rajas Deshpande

I remembered the time when I had to visit a minister, a bigshot political leader for some issues about resident doctors. We had to repeatedly call for appointment, it was cancelled many times, then we were made to wait for hours, securitymen surrounded the elected representative, considered a public servant. Then at six he suddenly got up and left, quoting an urgent meeting. I wasn’t angry.

Because as a doctor I am perpetually alive to the fact that people take me for granted. That they will misuse compassion, avail of my private time for trivial reasons without feeling any guilt or compensating for it. That they will expect me to be sympathetic even with arrogant, abusive and blatant liars who treaten me with assault.

Because big ministers and political leaders who have a checkered past and disrepute of lying can openly make allegations that tarnishes the image of all doctors in the eyes of our “Election Elite Public”. Blanket allegations by many that accuse all doctors of indulging in malpractices and foreign tours or worse, ‘asking for women from pharma’ have become common.

Don’t these people know that thousands of most successful doctors in India are in fact women, and it is such a huge insult to those as well as the glorious careers of many thousand other medical professionals who live a life of an ideal doctor, who have trained millions of medical students successfully in that tradition?

©️Dr. Rajas Deshpande

More than half of those in the parliament must have been successfully delivered by a qualified doctor, and most of them must have had their children brought up/ treated by expert doctors. Most politicos must be under the treatment of some or other specialist, so that they can work well, still they have this habit of “Attention seeking” by trying to disgrace the whole profession of best qualified people of their own country.

What ingratitude!

The other day I also saw a video of some sermon in some village, making fun of doctors and specialists. The religious speaker, who could have easily qualified as a stand up comedian, and had no clue what a doctor does and why, was making cheap fun of doctors. What was more alarming was the way public was laughing and clapping, thousands of them! I wondered how many of them, their family members were treated by some doctor, and how many of them remembered it. I can understand and enjoy jokes and fun. But this was maliciously criticising an entire profession of highly educated people serving India 24/7, inspite of the hate and paranoia that surrounds them, that too by a person without any medical background or qualification! Many comedians have actually gone beyond “graceful” and “quality” comedy to cheapest low levels to criticise doctors. Hope they meet good doctors who avoid head traumas at least when their children are born!

©️Dr. Rajas Deshpande

You cannot and should not make fun of militarymen. That never means there cannot be anyone wrong in themilitary / army. But there’s a system to deal with that, it is not open for politicos, temporary ministers, and self proclaimed godmen / women / artists to criticise the military. The guilty must be punished, whether in any profession or service, and it should be done legally, and others should stop speaking about it. This should apply to the medical profession too. There indeed must be some doctors who are wrong, they must be dealt with, but we do not go out and blame everyone from other profession!

The most common allegation is about doctor’s handwriting. Well, if you have the guts and patience to listen to over 50 crying/ complaining people every day, while writing for them a “Scientific” list of medicines, which can save life or kill, without committing a single mistake, for decade after decade, then you are welcome for a handwriting challenge with doctors. Google the word “Scientific” and see how much of your speech is scientific before you speak abut doctors! For government hospitals, the daily patient number crosses 150 per doctor. Every prescription is a huge liability. If the chemist can read it and others cannot, who is illiterate?

©️Dr. Rajas Deshpande

I have seen the most artistic and best handwriting by doctors at all levels: students to specialists. Indeed, some doctors may have a bad handwriting, but in a country that has many illiterate leaders, some who never completed school or college, a society with one of the highest illiteracy rate in the world, it is such a paradox that they all have such a unity when laughing at doctors who write 40-200 pages every day, each page bringing back someone or other from suffering to relief, from death to life!

No amount of a leaders’ loud and chest thumping speech will ever save a patient from a heart attack or paralysis. No amount of comedy will take off the ventilator of a comatose patient in critical care unit. No poetry in beautiful handwriting will safely deliver a child. No political leader can stay awake in a casualty to treat a dying poor found injured on the road. All Doctors do this.

Still, I am not angry, because I have come to accept the fact that Indian society hates their most meritorious, studious children: the doctors.

Take me for granted, I am all yours.

For now.

An Indian Doctor, happy with his purpose of saving lives, reducing suffering of Patients from across the world, too busy to stand up and waste my anger on cheap attention seekers.

©️Dr. Rajas Deshpande

Neurologist

Pune/ Mumbai

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Lost and Saved Life: The Indian Puzzle

Mumbai Diary-2

Lost and Saved Life: The Indian Puzzle

© DR. RAJAS DESHPANDE

He had a sudden, severe chest pain, so he told his office-colleague so. The colleague first called his wife and alerted her “Bhabhiji please don’t panic, I am taking your husband to this hospital, please reach there as soon as possible and give me a call once you reach”.

The cab driver grasped the situation at once and drove as fast as he could. He prayed in his heart. Just a kilometre before the hospital, there was a huge mob blocking the road. A great leader was shouting aloud about his pride for his religion and patriotism, least aware that they were all blocking many children and mothers trying to reach home, patients and doctors trying to reach hospitals. The bought crowd was eagerly listening to the violence provoking words of this rich politician, also a convict and suspect in many crimes, There was less audience at the real places of God’s worship nowadays than at political speeches giving religious sermons, mixing them with the love for one’s nation!

The cabbie honked. Two monstrous looking goons peeped in his window and started abusing him insanely, least aware about the women and children around. The cabbie was abused first for his profession, then his language, and the state he had come from, threatened to be burnt alive along with family if he honked again when the ‘great’ leader was speaking.©️Dr. Rajas Deshpande

The cabbie begged with folded hands: “Sirji forgive me, I accept my mistakes, but there’s a patient on the back seat. He looks serious, we must reach the hospital as quickly as possible. For god sake, let us go”.

One of the goons opened the back door and asked this patient his name. After he saw the chest-clutching patient almost gasping, they made way and allowed the cab to leave.

Now the patient had started profusely sweating. His face had turned bluish, and he was making efforts to even breathe well. He could not speak. As they entered the hospital, the patient’s friend noticed that the patient had stopped breathing.

He shouted in panic. The wardboy and the cabbie lifted the patient on a stretcher and ran towards the emergency room.

A frantic, fearful sound of thuds of the last heart massage was now heard, along with breaking of many glass syringes and instructions shouted by doctors and nurses. A tube to restart breathing artificially was inserted in the patient’s throat. ©️Dr. Rajas Deshpande

There was no one to cry for this patient there. His friend was sitting outside the emergency room, clutching his head, stunned. The cab driver had left without taking his bills. Religion and Patriotism stayed outside the hospital campus, they couldn’t save lives.

A young and dynamic heart specialist who had just returned to India saw the ECG of this patient. An urgent action was required. He called upon the patient’s friend to sign a consent.

The friend hesitated and refused. There were a lot of news every day everywhere about doctors fleecing patients, earning money by misuse of stents and surgeries. The friend no more believed in what this doctor told him.

“I don’t know. Wait till his wife arrives, she will be here in an hour”.

Every millisecond was crucial. The dynamic heart specialist called his medical director. “Sir, I take full responsibility for this case, he needs immediate action”. The medical director cautioned him: “Doc, if anything goes wrong, if the outcome is not good, they will file a murder case against you. Why do you want to risk your bright career at the very beginning? You must also think that you don’t have any political godfather”.

The doctor rushed the patient to the cathlab and inserted three stents in the patient’s heart, that resumed the normal blood flow to heart. The patient’s heart function returned to near normal in an hour. By the time the patient’s wife arrived, the lost life of the patient was brought back. The next day, the patient could breathe well by himself.

Now the most crucial puzzles: which state did the cabbie come from? What was the caste of this patient? To what country did the helpful friend belong? Why didn’t they go to the government hospitals run by those who criticise private doctors and hospitals? And lastly, what was the religion of the doctor who saved this patient risking his own life and career?

Any sane person with an ounce of humanity in his heart won’t ask these stupid questions. But some Indian leaders and their followers do. And it is very sad and unfortunate that the answers to these questions cannot be openly revealed in my beloved India.

©️Dr. Rajas Deshpande

Neurologist

Mumbai/ Pune

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The Medical Court Martial and the Punishment

The Medical Court Martial and the Punishment

(c) Dr. Rajas Deshpande

“What is the exact diagnosis?” the patient, Mr. Abhishek asked.

In his early thirties and succesful, Abhishek was anxious too. I told him that his looked like a stress headache, migraine was a possibility, the tests I had told him would help us rule out other possibilities. There is no lab test for confirming the diagnosis of migraine.

“What is each one of these medicines for?” Abhishek asked. That the doctor had an experience equalling his total age had nothing to do with his right to ask questions. He was buying the doctor’s services after all! For a moment I wished I was not a doctor, that I could tell people off by snubbing them, that I could rudely decline to reply to questions that were against common sense. But then I reminded myself: that I did not have this liberty. I must face the court martial of a doctor, a chosen punishment, every time I see a patient.

“Sir, you have told me you had a headache. These medicines are for headache” I replied, smiling.

“Is it necessary?”he asked.

“No”. I said., “As a doctor I have only three options: prescribe you medicine which I did, recommend a surgery which is not applicable in your case, or suggesst you a non-medicine path like lifestyle change” I replied. Practice makes one patient too.

“Are these steroids or antibiotics?” his wife asked.

“No” I replied, and thanked God that they believed me here and did not ask for proofs.

“Are these tests necessary?” Abhishek.

I told him the pros and cons of doing the tests, and reassured that it was not an emergency. Even if they did not trust me, I had to do them good. That’s the duty of a doctor.

“What lifestyle changes do you suggest?” he asked.

“Ensure 8 hours of sleep every day, give up cellphone use after evening, reduce screen exposure to less than three hours at a stretch, maximum eight hours. Eat fresh and healthy home cooked food three times, and eliminate fast food. Resolve relationship and work stress issues. Reduce weight by consulting a qualified dietician. Start exercising.” I told him. This simple formula for a healthy life is mostly possible for the poorest of the poor illiterates, but impossible for the educated affluent! What a paradox!

“Impossible, doc! Tell me something practical. My work needs me to use screen and cellphone over 12 hours a day. I mostly work at night, I have to use fast food or tiffins. My wife also works, she has stress of her own, we haven’t had time to even have children yet! There’s no energy left for any exercise when I return” . Abhishek was genuinely frustrated with his schedule without even knowing it.

“Then Sir, please take the medicines as prescribed, and gradually make changes that eliminate stress. Please do these tests especially if you do not have relief in next two-three days” I thought it will be over now.

I was so incorrect!

“Do these medicines have any side effects?” his wife asked.

“Yes, all medicines have side effects, these are the ones with least side effects for your condition” I started getting faster and shorter with my replies now.

“What if he develops any side effects? Can we call you on your personal number?”

How could I tell them that every doctor prescribed over 100 different medicines every day and all of them could have some side effect or other, minor or major, and that if everyone kept calling for each side effect, the doctor won’t be able to practice!

“Usually side effects are not seen with these medicines. If you have any allergic reaction, please stop these and report to the nearest doctor or hospital. I may not be reachable always” I wondered what people did before the cellphone era: how happy the doctors then must have been!

They appeared partially satisfied and left. My court martial in this case was over. “Only twenty more court martials remaining for today!!” I reassured myself.

After about two weeks, I received a call from the casualty. Abhishek was admitted in an unconscious condition. His wife was in a state of shock.

“What happened?” I asked her.

“Doc, sorry, but he did not want to take any medicine with side effects. So we went to someone who gives a herbal medicine without side effects, made at home. We took it for about five days. The headache improved first, then went on worsening. Then Abhishek had a lot of vomiting and did not eat anything for three days. Today he got up and collapsed while taking a bath”.

“Did you ask the person what was the content of his potion?” I asked while examining an unconscious Abhishek.

“No doctor, he says it was his own invention, a secret” she replied.

Abhishek was paralysed on the right side. His MRI showed many blood clots due to dehydration and a small bleeding on the left side of the brain. This is called cerebral venous thrombosis.

Many people who go on prolonged fasting, drink less water, overexert without enough hydration develop clots in the veins of the brain as their blood becomes thick. Some diseases of the blood and some medicines like hormonal preparations, alcohol, contraceptives etc. (even herbal) can exaggerate this tendency. This is a major cause of clotting, bleeding and swelling in the brain, resulting in paralysis or even death. One should never make sudden changes in diet without consulting a qualified expert.

We admitted Abhishek in the ICU. He gradually recovered over few weeks, but his speech remained patially slurred. His company ruthlessly fired him, they did not care how dedicated he was to them. The most fortunate thing was that he retained his intellect, memory and ability to move. The couple has now changed their lifestyle and are far happier although not richer. He is off all medicines now.

Almost every doctor bears the punishment for the few who overprescribe and overinvestigate: a trustless court martial, bitterness and allegations by not only educated but even totally uneducated patients. A doctor must be compassionate and kind, but the limits to how many unnecessary questions he should patiently reply to remains a dilemma.

This daily court martial of doctors must end. The doctor’s consultation time and peace of mind is as much important for the next patient as for himself. Newer generation doctors should also be taught to politely deal with such situations.

A polite reminder to ask only relevant questions, to book another appointment for more time is justified in such cases. The society should understand and accept that a qualified doctor has repeatedly proven his merit, acumen, ability and correctness before being allowed to practice.

Unlike the many we vote for.

(c) Dr. Rajas Deshpande

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