Category Archives: Satire

The Changing Blood Group

The Changing Blood Group

(c) Dr. Rajas Deshpande

“He is sinking” shouted Dr. Siya.

The casualty registrar rushed to the bed, checked the vitals. Pulse very fast. Blood Pressure very low. Lips and nails white, hands and feet cold. The young man, unconscious, was on the verge of death.

“He must be bleeding inside. Get an urgent sonography of his abdomen”said the registrar to Dr. Siya, and call the blood bank. He will need at least two units of blood urgently”.

It was Dr. Siya’s first week into internship, she was thrilled with the idea of actually saving lives. At the young age of 22, she was witnessing death almost every other day. Along with that she was amazed to see the darkest sides of human nature: the potential of humans to hurt each other: via rapes, accidents, murders, fights. She had decided to not let this affect her attitude, and to continue to try and save every life she could.

That late night, this young man of about her own age was brought in unconscious by someone, who had just dropped the patient in the casualty and left without leaving any identity of himself. “I found him lying unconscious on the road. I don’t know anything else about him. I am just doing my duty, I have a train to catch”said the stranger and left. The patient was reeking of alcohol. He had a visible head injury. A quick CT scan had revealed minimal bleeding due to a small skull fracture. He also had had bleeding from wounds from his hands and legs, they were sutured. The patient had no identity marks, wallet or cellphone. The policy of the hospital was to provide basic treatment and shift the patient to the government hospital. The police station was already informed. Treatment was started.

Dr. Siya requested two units of blood. The blood bank called. They had only one unit of the blood for his blood group. The registrar had the same blood group, and like many doctors working in the emergency departments, he went down to donate blood.

It was nearly midnight. The fate of the life of a young man depended upon what the junior doctor did just then. There was no one to sign any consents, the protocol was to inform the hospital’s medical director and obtain consent for emergency transfusion or procedure. Dr. Siya finished the formalities, obtained the permission, and started the transfusion. If the patient had reacted or something went wrong now, they all feared, there will be a havoc in the media: that they had let an unknown patient die because they wanted money!

Dr. Siya kept on managing the show. The angry and disturbed relatives of other critical patients kept on taunting her, speaking rude and reluctant to complete simple formalities and paperwork.

The sonography was thankfully normal.

Just as the first unit of blood was over, the patient became conscious, and revealed his name. He was quite shaken with the surrounding, but told in broken sentences about his friend’s number and address. He revealed that while returning from a party, his bike was interrupted by a bunch of goons, he had fallen down, they hit him upon the head and left with all this belongings.

The friend was called, and came in. He revealed that the patient was used to smoking weed and drinking alcohol in huge quantities. They were staying in the hostel of a famous college.

The second blood unit was started, and in a short while the patient threw a convulsion. He was immediately given injectables for controlling the convulsions, he slept off with the effect.

His parents arrived early next morning.. The shocked mother was consoled and explained about the situation by Dr. Siya. The elderly father, like all fathers, equally shocked but being a father unable to cry, kept mum, just holding hands of the boy.

When the patient woke up again, the father came to Dr. Siya, and touched her feet. Too embarrased, she told him that the registrar had donated blood for the patient. The father went and thanked the registrar, again trying to touch his feet.

As Dr. Siya had finished her night duty, she prepared to leave. “Beta, Will you come soon please?”asked the tearful mother to her. “Yes Auntie, I will be back soon. Don’t worry, he is ok now”she reassured and left.

On her way back her genius young mind tried to look at the situation sitting upon her shoulder, the little third person that resides within each one who has a conscience. That booze and weed was easily available to youngsters in almost all Indian hostels, that even educated people rode bikes without helmet, that crimes were happening almost everywhere that injured and killed people, that law and order was a laughable term in many parts ofthe country, that there was no government mechanism in place to provide emergency medical / paramedic support ambulances to raod / traffic accident victims: which one is the most responsible cause, when patients like these died? Who is responsible?

She reached home, told her proud parents what had happened, that she had helped save a life. Her mother folded her hands towards the sky, said “God, let my daughter save many lives everday”.

While having the breakfast, her father turned on the TV. A famous but ill educated political leader, in his mind-and-other- organs blowing speech in Karnataka, was explaining the illiterate public how all Indian doctors charged in excess, how they were only after money, how everyone except himself was the enemy of the millions of patients surviving from critical heart attacks, accidents, strokes and other diseases. All patients getting better all over te country was only thanks to himself and his government!

Dr. Siya’s father laughed bitterly. “Next time you need blood for any poor or unknown patient, call him” he said.

Dr. Siya replied, laughing “That kind of ëver changing blood group doesn’t match anyone, it is useless for any patient, Papa”.

(c) Dr. Rajas Deshpande

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The Zen Of a Doctor: An attempt of honest meditation

The Zen Of a Doctor
An attempt of honest meditation
© Dr. Rajas Deshpande

I am now tired, mentally fatigued, I want to recover to joy. I do not want to lie to myself.

I love treating patients, resolving their health problems. I love the feeling of their recovery. I love the gratitude that comes my way. I am proud of this ability to be compassionate, to harbor empathy and to understand and fight suffering of another human being. I am proud, that money is not on the top of my priority lists. © Dr. Rajas Deshpande

But now I am tired of the whining: not the whining of suffering, for that is mine to destroy happily, but the whining by choice of adopting an extremely stressful, dirty, unclean, unhealthy lifestyle, not preparing to change, not preparing to pay for health, and then blaming it all upon a doctor. Women openly suppressed by husbands and large families, children tortured by parent’s whims, men exploited by their own desires and careers, and an orthodox, superstitious society where the most literate and educated believe in sometimes poisoning themselves with unknown medicines, and then have the audacity to question a qualified doctors’ intentions in writing a prescription. © Dr. Rajas Deshpande

They want everything of the best quality, from panipuri to cars, and are willing to pay extra for every luxury, while expecting that only healthcare must come free, and the very doctor whom they cannot trust, cannot tell the truth to, must treat them with best empathy and honesty, give them enough time to ask unnecessary questions and doubts, and then should waive off the fees out of sympathy. © Dr. Rajas Deshpande

I am also tired of the corrupt practices in medicine, and the hopeless scenario that everyone rather tends to believe that the doctors are all corrupt (some indeed are, but so are few in every profession, shut up pseudo Einsteins of argument!) rather than seeing the open markets established by uninhibited corporates who are seen hand in hand with the administrators, some pharmaceuticals and some in power. Corruption by those in high places, that ranges from producing some of the worst quality, inexperienced doctors, to dispensing lower quality everything just because they have understood this trick: people fall for low cost anything, even health. Such a disaster that people do so many unnecessary tests under the “Health Check” scams themselves, but when the doctor advises even one test, suspect him / her of wanting more money! © Dr. Rajas Deshpande

I refuse to be exploited. I can only change myself, not the world. Hence this meditation.

I want to live a good life: not full of gold and diamonds, but of joy, health and inner peace. Of independence, financial as well. Of my own choice and preference, not what the society decides for me. I want quality time for myself and my family too. © Dr. Rajas Deshpande

I do not want to be a busy doctor irritated and shouting at everyone: I would rather earn less and guard my composure. Those who cannot respect this will be given a chance to understand, but only once.

I will continue to stay highest in my principles. I will refuse to compromise on the quality of healthcare I want to practice, just because someone wants a cheaper, faster but less ethical alternative, less correct choice. I will see less number of patients and rather spend enough quality time with each of them, and charge them higher as per time and expertise, rather than hurrying through.

I will choose to encourage trust in my patients with my own behavior and words, but if I realize they are still trustless and question my integrity, I will refer them to their choice of another specialist, because I want to retain my best peace of mind for my next patient.© Dr. Rajas Deshpande

I will not take the extra effort to explain everyone why I do what I do, my duty is to be honest to myself and my God, my patients. I have limited time, now and in life, and I will expect that faith, trust and a level of basic intelligence (that has nothing to do with education) will enable everyone to see clearly that I mean well. That is my promise to myself: I will always mean well to my patients, and offer them my best. That should never preclude my own happiness. This will enable me achieve my inner peace so essential for a doctor.

I feel better with this already.

© Dr. Rajas Deshpande

White Paper of a Doctor’s Dilemma

White Paper of a Doctor’s Dilemma
© Dr. Rajas Deshpande

“Sir, I come from a family of doctors, who have always practised high values in Medicine. There was always this burning desire in me to do good. I felt that the country needs young doctors who are willing to work hard. but somewhere something inside me has changed. Now, with the on-going assaults against doctors, this clinical establishment act in West Bengal and in general the distrust and anger the public has against doctors, it has suppressed my older self. So much so, that I’m considering going to the USA now, even if that means doing residency all over again. I see my batch-mates and friends who went to USA after MBBS, really happy, earning well, enjoying holidays with friends and family. I do not envy the work part, I will always choose a day in the Operation Theatre rather than at the movies or hiking.. just that slowly my main motive for becoming who I am today is fading away.”

What a heartfelt question, a dilemma not only haunting me, but many doctors, especially from the younger generations, who started out to do something good for the country, have been dynamic, brilliant and hard-working, and now want to leave India!

Dear Dr. S,

Firstly, yes, the times have changed. Doesn’t the first page of most standard textbooks teach us: “Medicine is an Ever Changing Science”, now we must add the external scenario to this. We must change accordingly. Add laws, add medically inept judiciary, add media, add too many impractical conditions of practice where among the two sides involved in a profession, only one is legally answerable. I should write a prescription not of the best medicine I know, but of the cheapest one. In the face of lost faith and partial law, no relationship can be very cordial. Nor can any empathy be forced for a patient who suspects the doctor of wrong intention or inadequate skills. © Dr. Rajas Deshpande

Given the increasing number of Google empowered pseudo-literates and even genuine illiterates who are now questioning every medicine prescribed, every test advised, not because of curiosity but in an obvious visible distrust, it is becoming increasingly difficult to keep patience with practice. The combination of a western/ over-legalised medical service with a free-monger society, where instead of education, science, research and health, the taxpayer is happy paying for corruption in almost every sphere, lifelong deluxe travel, food and living expenses of everyone who has been elected even once to almost any civic body, no one wants to think logically about why there is healthcare failure in such a huge country that generates such high taxes.

Recently a headline about “Doctors prescribing costly medicines” hit the media. Why doesn’t the government make available free / cheap healthcare for everyone? Make all medicines free at all government hospitals. Why expect those who invest decades in making a medical career and then practicing under loans to keep on working with minimum incomes? Why aren’t there any laws against the corporate hospitals? Why don’t the same politicos speak about some of the capitation fees institutes that generate trillions, and also allow the quality of the medical education to be compromised? I wish the prime minister also says some day that we will make all medical education free for all merit holders, because the country needs more doctors. Why make it difficult at both ends for the doctors? © Dr. Rajas Deshpande

I can also be a high handed hypocrite and advise you the humbug: that a doctor is a social servant, that a doctor must only choose to live the life of a saint and never think about earning or a decent / luxurious life, that the society needs you etc. We live in a society where while searching for a groom, every father’s first question (if not the bride’s) is “How much does he earn?”. The stupid thought that a doctor should not earn a profit for his talent and hard work is redundant. If the society needs good doctors, it must also learn how to remunerate and treat them. It should also learn not to generalise that every doctor is corrupt. It should be intelligent enough to know that medical care can neither be free nor can be entirely based on charity or profitless structure. © Dr. Rajas Deshpande

But our society is far away from understanding this. The “High” of hate and criticism drives mobs berserk in the land of logicless thinking, and we Indians lead this game. To be opinionated by media and illiterate politicos and speak without studying is the sign of a degrading time. © Dr. Rajas Deshpande

My dear friend, I will be honest with you. Ten years ago, I strongly felt I should return to India and serve people. I doubt it now. I have urged hundreds of students to return to India after their higher medical education in the west. Now when some doctor is beaten up, killed or tried by media before law, I don’t feel justified to urge anyone to stay here.

You have only one life, and living it fully, enjoying health and peace of mind, joys of living is also your duty to yourself and your family. Are you inclined to do social work without recognition, with allegations and trials, in a society that refuses to respect a good doctor? Are you inclined to let a “Social change in the attitude of public over decades” take effect, by which time your career / life will be almost over? Are you ready to be tried by the media, taunted by the court even before being proven guilty, and punished by those in power, not because you are wrong, but merely to please people? Are you prepared for a scenario that even if you do 50 years of cleanest practice and save thousands of lives, when you are blasted all over the media for your first mistake, not a single patient will stand up and say”This is a good doctor”? If so, stay in India, this country really needs very good and honest doctors, even though it cannot respect or trust any. © Dr. Rajas Deshpande

In this country without a healthcare vision for the future, this is indeed a sinking ship, with opportunistic invasions not only from various unrecognised pathies, but with a society that is increasingly destroying the possibility of good healthcare for all in future, in its quest for free, and cheap, under the threat of violence.

If you want peace for yourself while doing good to the society and earning well at the same time, choose a developed and civilised country: at least payments are better, you get time for yourself, the law looks at both sides, and politicos can be questioned. You can also fund some health charity in India from your earnings there. Last but not the least, no F. B. will raise a hand upon a doctor, and still will be justified by law, media or government.

© Dr. Rajas Deshpande

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“I Swear”

I Swear
© Dr. Rajas Deshpande
 
“Have you forgotten your oath, doctor?” asked the Hon’ble minister to Dr. Prasad.
 
The fat elderly reporter accompanying the Hon’ble minister laughed. “We must teach these doctors a lesson” he said.
Being a doctor, good language and behavior is essential. So Dr. Prasad swallowed the immediate reaction that had sprung to the tip of his tongue, one that involved references to some passionate human interaction.
 
He then smiled.
“Sir, did you attend any school?” he asked the Hon’ble minister innocently.
The Hon’ble minister was offended. He had not had a respectable academic record. © Dr. Rajas Deshpande
“What does that mean? Do you know who you are talking to?” the accompanying reporter raised his voice.
“Yes, I know I am talking to a patient. A human being with the same organs as me, but not the same merit or intentions” said Dr. Prasad.
 
Before the cunning reporter and the Hon’ble minister could formulate a reply, Dr. Prasad continued:
“Sir, all over India, for ten years, everyone who has attended any school has recited every morning, the National Pledge. That is our promise to our beloved nation. Let me remind you of some sentences in that prayer:
I shall give my parents, teachers and all elders respect and treat everyone with courtesy.
To my country and my people, I pledge my devotion.
In their well being and prosperity alone lies my happiness.
Tell me Sir, are all politicians, ministers, media persons, businessmen, lawyers, and other professionals following this oath that they have recited every day for ten years? If yes, where does violence come from? Not only in hospitals, but in every other home, against children, against womenfolk, against even the elderly”.© Dr. Rajas Deshpande
 
“But you are a doctor, you have taken an oath to serve” said the defiant Hon’ble, expert in the art of diverting discussions.
 
“No, Sir”, replied Dr. Prasad firmly, “I have not taken any oath to tolerate violence or abuse, or to risk my own life or limb. I have not taken any oath to feed with my blood and sweat the deficient and perpetually corrupt healthcare systems. I have not taken any oath to be nice and kind to attacking, drunk, abusive or irresponsible people who enter the hospital with an almost dead patient at the last moment and then expect the doctor to perform miracles. I have never taken any oath to treat Judges and Ministers and Rich VIPs above the poor, really deserving patients. I have not promised anyone that I will neglect my family or my own health”.
 
“I have only taken an oath to honestly treat the sick with dignity, not thinking about money. That most doctors do, some who fail are common in every field. My oath is to help a patient recover. If I fail, try me in a court of law. Send me to a court that understands law better, and appeals people not to be violent, tells governments to protect everyone against violence, rather than asking doctors to tolerate violence as a part of their duty. It is exactly as backward as like asking a wife to tolerate her husband’s atrocities as a part of her duties”. © Dr. Rajas Deshpande
 
The restless tail barked again: “But the public pays for your education”
 
“I beg to differ, sir. No one is obliging anyone by paying for doctor’s education. The country needs many more thousand doctors. And we pay taxes too, to be protected. People pay taxes for a good and cheap healthcare system, please give them that, rather than them having to depend upon private hospitals. A doctor is just a small component in healthcare. Don’t blame him for expecting the same protection that every citizen expects. The infrastructure and policies are pathetic, and an intelligent taxpayer will one day understand that the doctors are not taking home any money as their alms. Everyone knows who gets richer with taxpayer’s money, Certainly not the doctors”.
 
“As for your allegation, respected reporter sir” said Dr. Prasad calmly to the tail, “You are educated, you have a responsibility to heal social ills, not widen the bleeding wounds and survive on that flowing blood. There are so many good examples of reporters / media persons who bring immense good to our society. The ability to sit in one’s chamber with all controls, and bark at everyone, manipulate speech cunningly, distort facts pretending to be holier than others, while your seat is dipped in hidden honey is not reporting”.© Dr. Rajas Deshpande
 
“Doctor, you have too much ego” said the angry Hon’ble.
 
“No sir, intolerance to stupidity is not ego. Every religious ceremony, every professional oath makes us repeat the good we must do, including a minister’s oath of office. . Very few actually do it, but everyone thinks it is only the doctor who must follow his oath” said Dr. Prasad.
 
He then checked the Hon’ble Minister and wrote him a prescription that included weight reduction and abstinence from alcohol.
 
Without a Thank You or a payment, the powerful duo left.
 
“I swear” said Dr. Prasad, smiling to himself, “I will never give them the joy of taking it lying down”.
 
That is the basic oath of every self respecting human being.
 
Jai Hind
© Dr. Rajas Deshpande
 
Please share unedited.
 
 
 
 
 
 
 
 
 
 
 
 

Sirs, Madams, Soldiers and Slaves

Sirs, Madams, Soldiers and Slaves
© Dr. Rajas Deshpande
 
“Who will face the bullets on the border if everyone starts arguing?” shouted the officer.
He was a municipal corporation deputy chief in a metropolis. I was representing a students’ union for resident doctors, and we were demanding two major changes: that our salaries be deposited in a bank (hundreds of resident doctors, wardboys and other staff were supposed to queue up within the first three days of every month, in front of the accounts office to collect monthly salary, some could not because their duties did not allow them), and that the libraries be kept open 24 hours, as our work hours were never defined, and rooms being shared, it was not always possible to study in hostels. The demands were many years old, nothing had moved.
But this time we had decided to use a new weapon: Strike. © Dr. Rajas Deshpande
Sensing trouble as we had recently carried out a successful strike, the deputy chief blasted his arguing lethargic assistants who resisted every change: the hallmark of most administrations.
That’s when the deputy chief shouted upon them and ordered to comply immediately.
“Yes, Sir” they said. The next month, both these things changed in all Municipal hospitals. Threat had achieved what the system would never have allowed to happen.
 
Few years later, studying in Canada, almost every boss or senior I met insisted that we call him / her by name, and not Sir / Madam. “It stinks of slavery somehow” said a professor whose thinking affected me profoundly. © Dr. Rajas Deshpande
“Why are so many brilliant Indian students so intimidated to openly argue, come out with suggestions or put forth a contrary opinion in front of their boss?” he once asked me, “I don’t think respect can be placed above logic. So I think fear must be involved”.
 
That set me thinking. It was true. From the parents who directly start slapping children for questioning them or talking about issues like sexuality, to the teachers who misuse their authority to suppress students by threats, failing in exams and scarring their CVs, we had grown up in the dual pressure system: cultural limitations that prevented thinking out of box, and intimidation by fear of humiliation and failure: from both family and teachers. There were rare honorable exceptions: teachers and parents who encouraged to think free.
 
What happens when someone in India argues against the prevalent system? First ridiculed, then refuted, threatened and often destroyed or outcast by the system whose malfunction he / she has questioned. From judiciary to journalism, from schools to parliament, and from doctors to labourers, his/ her own people question his / her sanity or intention. © Dr. Rajas Deshpande
 
No wonder we have mastered the British art of establishing a foolproof slavery system.
 
Look at the scientific and literary outputs. Look at the productivity and innovation. A country that boasts of geniuses is happy to play the role of “cheap intellectual labour”, proudly flaunting the business, outsourced to it primarily for low costs, as an achievement. These super-talented brains in business or in any other field must only walk the narrow path, at the speed of one of the slowest systems, limited by humungous paperwork, red tapism, favouritism and corruption. . Public condemnation and humiliation await those who differ in their opinion.
 
What happens when one follows all the rules of argument in such a system?
 
Suppose a soldier tired of his heavy duty without adequate food complains about it to his superior, what is the typical answer he will get? Is it too difficult to imagine what will happen to his career? How many are the chances that a military superior, a government officer or your own boss will say “You are right, my dear, I am sorry you had to face inconvenience, we will correct this immediately” and do it? Sorry. We grow up with incessant reminders of how we are second to, under, helpless, and lesser than the people we work for, including our administrations. © Dr. Rajas Deshpande
 
We live in a fool’s paradise. We like to stay hidden behind the fears of our little sins and mistakes (who doesn’t commit some?) being exposed, our socio cultural apple cart being upset and our perpetual orgasm with comfort zone being threatened.
 
When the hallmarks of slavery: calling everyone “Sir” or “Madam”, standing up, bowing, compulsory greeting, applauding and agreeing without pausing to think or argue are so perfectly blended with cultural traditions of respecting the elders, we create a foolproof prison for thought. It is indeed a mystery why a country which has so many elders, and so many respectable people, is yet to be at the top in any field! Do all these “Sirs and Madams” truly behave or achieve to match that respect?
 
A country where seniority, relation, political strength and connections, nuisance value, money and age surpass all other intellectual criteria of leading and promotion by merit, do we really dream of becoming number one in the world? © Dr. Rajas Deshpande
 
Every genuine intellectual, artist, scientist (and there will be many who will throttle up their throats to praise the existing system for obvious rewards) will dislike being tied down by limitations. The ones who have spent their youth standing up and saluting “Sirs and Madams” have had their time. It is high time we start thinking of the youth and the future generations.
 
When I returned from Canada, I had changed. I knew I could not change the system, but I could definitely change myself. I have since then never expected or insisted anyone calls me “Sir”, respects me out of context, or stands up / greets me. I prefer people, even students calling me by my name, and it has never taken away the affectionate relationship we share. I have always encouraged my children, my students and the scanty number of friends to be completely free in their thinking, to think of the whole world as their home and humanity as their culture, to politely argue without arrogance or spite, and to accept what is right without thinking who said it. Those who presume that “uncontrolled freedom will always go in wrong direction” confuse between misuse of freedom and non adherence to civil duties.
 
This small contribution to eradicate slavery of thought was one of my many duties towards life.
 
As for the soldiers on the borders of any country, who just “take orders from people sitting in air-conditioned offices, to face bullets,”, let us at least gather some courage to stand up to the sacrifice they make in the name of their country, and try to realize the meaning of this precious word : Freedom.
© Dr. Rajas Deshpande
 
PS:
Only for free thinking intellectuals.
Please share unedited in the interest of future generations.

तुम देशभक्त नहीं हो सकते!

तुम देशभक्त नहीं हो सकते!
© राजस देशपांडे

ईमानदारी से अपना काम करते हो,
नेकी से घर चलाकर, परमात्मा को पूजकर
अपने बच्चों को बापू की कहानी सुनाते हो,
पर तुम्हारे पास जबतक वक़्त नहीं है नारे लगाने का..
नेता की जूती को सर आँखों पर रखकर
मेरे चुने देशभक्ति के गीत गाने का…
तुम देशभक्त नहीं हो सकते!

मेहनत कर, पढ़ लिख कर देश की सेवा में
पीढ़ी दर पीढ़ी तुम्हारी भले ही वैज्ञानिक बनी हो..
देश विदेश में भले ही तुम्हरी बुद्धि, और कला
देश की गरिमा-सी सराही जाती हो
पर तुम्हारे पास जबतक वक़्त नहीं है नारे लगाने का..
नेता की जूती को सर आँखों पर रखकर
मेरे चुने देशभक्ति के गीत गाने का…
तुम देशभक्त नहीं हो सकते!

सीमा पर लड़ता हर स्वाभिमानी जवान भले ही
लड़ रहा हो देश की खातिर, मेरी तुम्हारी खातिर,
तुम्हारे मन में भी उसके प्रति हो भाई-भगवान सी भावना
पर तुम्हारे पास जबतक वक़्त नहीं है नारे लगाने का..
नेता की जूती को सर आँखों पर रखकर
मेरे चुने देशभक्ति के गीत गाने का…
तुम देशभक्त नहीं हो सकते!

लाखों मरीजों को भले ही तुम ज़िन्दगी देते हो
करोड़ों विद्यार्थियों को पाठशाला में अपनेही बच्चों जैसे
बढ़ाते पढ़ाते हो, नेकी की राह और देशप्रेम सिखलाते हो
पर तुम्हारे पास जबतक वक़्त नहीं है नारे लगाने का..
नेता की जूती को सर आँखों पर रखकर
मेरे चुने देशभक्ति के गीत गाने का…
तुम देशभक्त नहीं हो सकते!

इंसान को रंगों में बांटकर, तलवार छुरी चलाकर
इतिहास का बदला जबतक वर्तमान से लेते नहीं हो,
तुम देशभक्त नहीं हो सकते!
उबले खून की जवान नस्लों को गजरे बाँध
सोने में लथपथ लार टपकाना सिखाते नहीं हो..
तुम देशभक्त नहीं हो सकते!
भेड़ बकरियों की तरह ऊँगली उठने पर सलाम नहीं करते हो..
तुम देशभक्त नहीं हो सकते!

शिवाजी, सरदार और नानक के देश का शेर होकर भी
तुम्हारे पास जबतक वक़्त नहीं है नारे लगाने का..
नेता की जूती को सर आँखों पर रखकर
देशभक्ति के गीत गाने का…तुम देशभक्त नहीं हो सकते!
राजस देशपांडे
© Dr. Rajas Deshpande

Naked Cavemen, Einstein and Calvin Klein

Naked Cavemen, Einstein and Calvin Klein
© Dr. Rajas Deshpande
Lower courts give judgements. Higher courts change them. Higher courts give judgements, other benches change them. Government fights with courts. All of them work less than 8 hours (few exceptions) and have sumptuous vacations. Judges without medical training will decide about medico-legal cases. But any of them do not require exams to improve performance or to deliver better in spite of huge backlogs. © Dr. Rajas Deshpande
Almost in every government office, in most departments controlled by them, bribery is a rule rather than exception. Piles of files do not move, pensioners die without pension and farmers commit suicides. But the concerned authorities who work 8 hours per day do not need any corrective courses or exams to assess their performance, to compare where the developed world is today.© Dr. Rajas Deshpande
In most of the healthcare facilities run by governments, there are severe deficiencies: no appointments of doctors, no proper salaries, no facilities or backups, no security, and worst of all, no vision. But the people who are responsible for making these policies do not need any training, assessment or exams. The very people who want youngest generations of doctors to provide world class medical services to rural India do not want to change their decade old failing policies.© Dr. Rajas Deshpande
The thousands of practicing Babas, Gurus, Quacks who are officially seen tied up with the highest of the land and bash the allopathic and scientific medicines spreading poison in the society do not need any exams to preach or practice. The lawmakers who do not ban tobacco, alcohol, helmetless driving, the people who eat unhealthy and mistreat themselves or family do not need any exams. The transport offices that issue driving licences to unfit drivers do not need training or exams.
We see many military men and out of respect treat them free. They are so patriotic that they seldom expect anything in return from the country. But they often relate how bad the conditions are for them and their families. There is a crop of people who quote the military sacrifices as if it was their own credit! Those who are responsible for the upgradations in facilities for the military personnel do not still need any exams.© Dr. Rajas Deshpande
There are deaths due to hunger and malnourishment. But the ones who are in a position to change this by making right laws do not need any exams. Illegal buildings are erected, labourers die when they collapse, but the concerned professionals do not need exams or assessment.
547 extremely responsible and respected representatives who waste the public money in daily crores over a month due to ego issues, not being able to come together in the interest of the nation to resolve issues, blaming it all upon each other do not need any exams to assess their performance.
But the actual allopathic doctor, who has stood highest merits in all exams, stayed on the top of the competition to earn his / her degree late in life, all of whose exams had 50 percent as passing limit as opposed to 35 percent in all other professions, who has sacrificed family life, sleep and food for over 10-15 years just for learning, who works almost 24/365 and solves health problems on a daily basis, updates his / her knowledge with CMEs, stays in touch with the latest and delivers it to the poorest of the poor with equal affection, carries the country’s failed healthcare upon his / her shoulder is not good enough for them! Now they want the allopath to appear for exams lifelong, suspecting that his / her knowledge is still not enough good for them, even after the CMEs.© Dr. Rajas Deshpande
If the millions of doctors are forced to give exams repeatedly all their life, they will happily do so (for they are not afraid of exams). But this will take away billions of doctor-hours out of service (exam leaves) in an already failing healthcare system, will tax the patient more, will open up new channels of corruption and another universe of chaos will add itself to India. Who cares? The ruling mood seems to be ”Patients will die, patients will pay”.
The current CMEs are world standard, do not tax patients, and enough effective. But our system seems to want “better than the developed-world class of doctors”.
This is like the stone-age naked cavemen asking Einstein and Calvin Klein to appear for yearly exams to stay updated for serving them.
© Dr. Rajas Deshpande
PS 1: The nicer you are, the worse your troubles. Doctors must unite upon an apolitical platform to fight stupid laws being proposed.
PS 2 For those who are not able to think beyond medical malpractices and corruption, please make an effort to understand that there are other issues in medical practice, and this post is not about money.
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The Price Of Love

© Dr. Rajas Deshpande

He tied her to the pole, abusing and insulting her.
Wielding a knife in his hand, he slapped her once more. “You are supposed to be the honest one” he shouted, “I am a man. You were talking with our neighbour. What did you say to him? Did you two fix up a place to meet secretly?” he was trembling with anger.
She looked into his eyes, and replied “Don’t you talk to other women? Doesn’t your mother talk to other men? Do you always talk about that? I was asking him about his sick wife”.
Pulling her by her hair, he said menacingly in her ears: “Look, don’t compare yourself to me. I am a man. You are supposed to be the one who gives up everything for me. Do you think I don’t know how ‘those’ women behave? You have chosen to marry me. I can do what I want”. She didn’t reply. What could she say to a paranoid, suspicious person who had one way communication? The option of violence wasn’t open for her.
As it became dark, his mood changed. He started speaking soft and sweet. He untied her from the post so she could cook. She could not eat well, the humiliation and insults, the allegations and violence wreaking havoc in her mind.
Silence fell upon the dark. The next day’s work awaited her at dawn, so she skipped the sobbing and tried to sleep.
“Make love to me” he ordered. She tried to comply.
He raised his voice “It should come from the bottom of your heart. Don’t pretend. Love me madly, deeply, and let it show in your action”.
Silently, she replied “I can’t. The only one thing that could have made me truly love you was true love from you too”. © Dr. Rajas Deshpande
This is the current scenario between the society and the good medical professional today.
Take for granted that the whole medical profession is one’s slave. Make allegations at every possible opportunity. Be suspicious and paranoid. Hold a doctor guilty for any news anywhere without logical enquiry. Make them overwork under the sacrifice tag. Disrespect them, beat them up, ask them questions as if talking to criminals. Presume every other doctor and every big hospital is a fraud.
Then, when one has a health problem, expect them to be truly, deeply compassionate, loving angels who will do the best because they are married to their principles of being good and kind to everyone.
If you expect the doctor to be truly nice and kind and compassionate to you, to make best decisions for you, ask yourself if you deserve that. No amount of money will buy you a doctor’s love and respect, no amount of hateful criticism or threats will compel your doctor to be compassionate.
A doctor’s real fees is the respect and trust you place in him / her. No amount of money is worth the value of your life. Pay with suspicion, threat and disrespect, and you destroy the compassion you truly deserve.
The doctor-patient trust is a coin with two sides, one side cannot be blank.
© Dr. Rajas Deshpande

PS: I know the word “exaggeration”. Learnt it from some movies and TV shows that criticise doctors.

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The Sweetest Pinnacle Of Life

The Sweetest Pinnacle Of Life© Dr. Rajas Deshpande

To many students who are lost in their search for the right aims and goals in life, who trusted me enough to ask that question, I have suggested that they imagine what they actually want in their life at its Pinnacle.

Success, riches, fame, awards and accolades, a legacy, achievements are all good to show and leave behind oneself. The truth is far more than that. Love and care, affection and respect in one’s evening of life is what everyone deserves, but few are fortunate to achieve. For what good is s life that spends its aged years in desolation, isolation, despair of an uncaring, loveless family one has sacrificed much to bring up well?

Hollow words of “show- love” and “pretend care” are commonly employed everywhere, especially among the rich, educated and culture-claiming pundits of humanity.

One experience I have is worth sharing: that the poorest of the poor, like the farmer in the wheelchair here, are cared for with far more genuine love and affection than many. This family collected alms and help to get him to India, and never asked for any concessions, free treatment etc., always saying they were willing to do anything for the happiness and health of this grandpa. His son standing by his side is an illiterate farmer, but is caring for his father . quoting proudly “He brought me up!”. There is no smell of “I am obliging my parent” in his behaviour.

I have met hundreds of Arabic Muslim patients who care for their parents, sons and daughters equally well, willing and with total faith in the treating doctor. It does not change with their financial status. They insist on the parents staying with them, ask questions about their food, exercise, medicines, happiness and comply strictly with the given instructions.

They naturally do not know the words “Culture, Rights, Medicolegal, Elderly care, Nursing Homes, Mercy Killing etc.”. Rarely have I seen them unemotionally “okay” with a bad diagnosis of a parent.

This old man, in my personal opinion, is one of the luckiest human beings upon earth!

© Dr. Rajas Deshpande

Thank you, Mr. Naser Ali, Mr. Abdul Hakim Mohd. Al Malahi, Mr. Majdi Jamil Aiselwi, Mr. Ahmed Anwar Aqlan!

The Addiction of Bitching Allopathy

© Dr. Rajas Deshpande
“Allopathy is like a beautiful, gorgeous, much desired woman out of one’s league, you know. Those who do not get her keep raising questions about her character.” said Dr. Sen.
Dr. Sen is a specialist in heart diseases. Known for his witty and acid remarks with bitter accuracy, he was admired by a few who did not mind such remarks about themselves. Most others were scared of his sarcastic humour, and the weak minded hypocrites with bloated egos maintained a safe distance, lest he expose them.
My Bangla friends have always enriched my life with a class of academic excellence, superb literature, supergenius class films, exotic food and that sweet speech with the cute accent where even quarrels sound like speaking to an infant in a cradle! Of course one does not want to face an angry Babumoshai or his sister, for they can kill only with words. © Dr. Rajas Deshpande
A middle aged patient had come to Dr. Sen with many heart related complaints: breathlessness, fatigue, chest pain, palpitations and swollen feet. He was found to have heart pump failure. If the heart does not pump blood forwards correctly, the impure blood stagnates backwards. If not treated in time, this can turn fatal. This patient already had diabetes blood pressure, but for many months now had chosen to avoid allopathy for the fear of side effects. He had been through almost every other proven and fake pathy.
Dr. Sen gave him standard medicines, and asked him to return after two weeks. The patient came back after a month. He appeared near normal now. © Dr. Rajas Deshpande
“How are you now” asked Dr. Sen.
“I am feeling quite alright, doctor. Just after I visited you, I also went to Dharambaba’s ‘Health magic’ healing center. His medicine helped me immediately, I feel far better now. But I continued your medicine too. I have come to tell you that I want to stop your medicines now. I asked the assistant of Dharambaba, she told me I can continue the allopathic medicines along with their treatment”.
Dr. Sen removed his specs. He took his battle position.
“Do you know the contents or names of those medicines?” he asked the patient.
“No, but it is written that they have no side effects. The only problem is that they are very costly. Baba does not charge anything, he is divine and treats patients for charity. Even the western yoga is free, american yoga experts teach it at his center, I only had to buy their kit for clothes and music”.
The total that the patient spent there was more than five times the fees of the heart specialist, but the well qualified heart specialist was still “inferior” to the unqualified methods because he charged upfront! Not to count the expenses of some grievous side effects that the patient was going to face in the future, never knowing that they were related to some unknown medicines in the past.
And if the patient faces an emergency during such unknown treatment, it is not the Baba that they rush to, but the nearest allopathic casualty. It is not surprising that no medical negligence/ medicolegal cases are heard of about the umpteen existing alternative pathies in India!
The level of superstition and defamation that allopathy faces is only comparable to the torture of prophets and saints all their lifetime. © Dr. Rajas Deshpande
“I cannot tolerate any allopathic medicine” is one of the funniest and stupidest sentences a doctor gets to hear from some superstitious patients. Most doctors choose not to answer that.
Dr Sen flared up each time he heard this sentence: “This is like saying all computers are only used for pornography, and all smartphones for only sexts! Do you know how many medicines are there in allopathy? Do you know how they are studied? Just because you had some side effects to some medicines, don’t blame the entire science”.
Well, the least you can do if you do not believe in allopathy and do not tolerate medicines, is to not go to an allopath at all. Almost all allopaths are too overloaded to have to listen to superstitious analysis and criticism crap from those who aren’t even enough qualified to do so.. But if you do choose to visit and try allopathy, have enough sanity of intellect to not start any other pathy at the same time. Allopathy is so scientific that it has to mention the side effect of each medicine used. We cannot lie, hence we cannot compete with those who lie. Even minimal common sense tells us that many plant products are also poisonous, there are allergies to almost everything. How can someone claim an unknown medicine to have “no side effects?”© Dr. Rajas Deshpande
If your son / daughter is an engineer, try telling him / her about the rockets made a thousand years ago and listen to their response. Will you sit in a five thousand year old airplane flying upon faith and mental power? If yes, do not try allopathy. If you have a scientific mindset, you are the right person to benefit from a scientific medical practitioner.
Once a ruling party MLA came to visit Dr. Sen, with all his flaccid human paraphernalia. Very ill mannered, very obese, but his arrogance was the first worse thing to be noticed. Dr. Sen checked him up and wrote a prescription, explained him the condition, diet and precautions.
“You must visit Dharam baba once” said the MLA to Dr. Sen, “he cures so many patients of heart disease. You know, allopathy medicines have too many side effects. I am going to visit him soon.” © Dr. Rajas Deshpande
“Is it, Sir? Very good. Please stop my medicines when you start any others. These medicines are not to be taken with any other pathy medicines, there may be severe side effects. Please convey my Namaskar to Dharam baba”.
“When should I follow up with you again?” asked the MLA.
“Oh it is not required. Please continue the treatment under Dharam baba. In the rare event that you do not benefit from Dharam baba, try the famous Hakeem of Kanpur or the Vaid-Guruji in remote Maharashtra who cures everything by dropping some yellow liquid in your nose”.
“Doctor, you seem to be making fun of me” said the MLA.
“No, Sir”, replied Dr. Sen “You are making fun of your own health and life. You have no right to bitch what you do not understand”.
© Dr. Rajas Deshpande