The Richest Doctors

The Richest Doctors

(c) Dr. Rajas Deshpande

“He needs an urgent bypass surgery. Very risky, high chances of death on table.” the cardiologist told us.

My friend’s father, a businessman, was admitted just after midnight for chest pain and breathlessness. The cardiologist rushed to the hospital within an hour and arranged for an agiography. As my friend’s father did not have any cash upon him, and neither my friend nor myself had sufficient amount in the bank, we requested the cardiologist to please proceed without deposits (most hospitals charge the complete bill to the doctor if the patient does not pay). I told the cardiologist that I was working as a resident doctor. He told me not to worry, signed on the paper that he will be responsible for the bills, and the patient was wheeled into the cathlab. When he came out, the doc told us that patient will need an urgent bypass surgery. (c) Dr. Rajas Deshpande

My friend and his mother were devastated. They were passing throough a bad financial phase, and had no funds ready. The patient himself had taken big loans from few business partners / friends, and started a new venture recently.

“You find out the best heart surgeon, we will try and arrange something” my friend told me while his mother kept on repeating prayers, crying in a corner of the waiting hall.

I spoke to my teachers and found out two names who had excellent results in cardiac surgery. Of course they were fully busy, appointments were difficult to obtain, and the surgical costs were an embarrassing thing to bargain: knowing that the best will come at a cost.

“Don’t bargain, I want my father to be operated by the best, I don’t want the doctor to feel that we will skimp. I will arrange somehow”my friend told me.

The best advantage of becoming a doctor came my way to help me: many medical doors open easily for the co-professionals as with any other profession. The same evening I was sitting in front of one of the best Cardiac surgeons in Mumbai with my friend. The VVIPs in the crowded waiting room angrily looked on at two youngsters allowed in ahead of them. (c) Dr. Rajas Deshpande

“He needs surgery urgently for sure. I will plan it tomorrow, although I will have to readjust my schedule, but you will have to shift him to this hospital where I am operating the other case too. We will arrange for the cardiac ambulance, don’t worry.”said the surgeon. (c) Dr. Rajas Deshpande

“Sir, how much will be the charge?” I asked, hesitant and already scared of the answer.

He replied without a blink. Our hearts skipped a beat together, and my friend looked at the ground with wet eyes.

“Sir”, I said pleadingly “Can we get some discount?”

My friend squeezed my hand, and said firmly, but with tears: “No Sir, please proceed, please do the best for my father. We just want him to recover. We will arrange for whatever charges you say”.

“Don’t worry. Please sign the papers so my juniors will arrange to shift your father here early tomorrow morning. I will do my best”said the heart surgeon.

That night, my friend called up many relatives and his father’s friends to get some help. As expected he got none. But after an hour, he started receiving many calls from those who had lent money to his father. They wanted it back immediately. (c) Dr. Rajas Deshpande

By early morning, most of those ‘friends’ from whom the patient had borrowed money gathered in the hospital. They had a meeting with my friend’s mother, who pleaded them and assured that all the money will be returned once the patient recovers.

“What’s the guarantee? We heard that he may die during the operation. We cannot afford that” said the calm leader of the group.

“Please don’t talk such words, I beg of you” cried the lady, visibly torn by what she was facing, “I will sell our house and return your money, we just need some help till his surgery. Please wait for a week”. (c) Dr. Rajas Deshpande

As my angry friend got up to reply, his mother asked him to just shut up. She pleaded the group with folded hands “I promise you, we will sell our house and return your money”.

The group whispered for some time.

“We will wait only if your husband signs that on a bond paper before going in for the surgery. Otherwise we will block his ambulance”. The leader said.

While shifting the patient, a ‘break’ in the ambulance journey was arranged during which the patient on the stretcher was taken into a ‘friend’s’ home on the way to the hospital, made to sign various papers while still wearing his oxygen mask, and only then did the lenders allow him to be shifted to the next hospital. Business is business, and our society condones everything in the name of money, except when paying for health. Along with my friend, I earned quite a big scar that day.

He was taken in the Operation Theater. Inside, the cardiac surgeon’s junior told the boss about the horrific “break” they had to take. The cardiac surgeon didn’t react.

The surgery was successful, the patient was discharged in seven days. (c) Dr. Rajas Deshpande

The cardiac surgeon didn’t charge the patient. He did not mention it to us too, we came to know during discharge. We went again to thank him. He was smiling now.

“It’s Ok. Carry it forward” he told me, then turned to my friend “You too”.

We touched his feet and left.

As we finished our coffee that night at the famous cafe on Marine Drive, my friend told me “Earlier I thought there is no money in medical profession, you people work too hard for what you get. Doctors are kind of “Use and Throw“ community. Now I feel, you people are still the richest whether you earn or not! That cardiac surgeon, by just not charging my father even after saving his life, owns everything I will ever earn in my life! Thank you!”

(c) Dr. Rajas Deshpande

Based upon a true story.

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A Dangerous Disease Called ‘Relatives’

A Dangerous Disease Called ‘Relatives’
© Dr. Rajas Deshpande

“What all can happen, doctor?” asked the young lady accompanying her father.

He had had a vertigo for two years, now had developed headaches and had seen best of the specialists. Some of them had advised him an MRI scan, but the daughter who was “in-charge” of her father had decided to wait. They had undergone many treatments simultaneously: allopathic, Ayurvedic, Homeopathic, Herbal, Diet, plus various random suggestions by relatives (almost all patient’s relatives are experts on all medical topics except actually paying bills and donating blood).

The father, a victim of experimentation by a health enthusiast daughter whose profession was law, was visibly anxious and almost shaking.

After examining him, I told them that there were some soft signs, but also that a physical examination may often be inconclusive, hence it was wise to investigate. What must be done must be done. A true Saint, scientist, soldier or doctor will always live by those words. I must stress the need for the right investigations. I told the daughter that he must undergo a scan. © Dr. Rajas Deshpande

That’s when she asked “What are the possibilities?”
Imagine an anxious person sitting in front of you, dead scared of death or illness. He / she is praying God or providence that the doctor does not use and scary words like cancer, heart attack, paralysis, dementia, parkinson’s or early death. No one likes these words, the doctor likes them least. Almost every doctor thinks of the patient’s mental status before choosing the words in such cases. Some patients can even commit suicides if they are too stressed with the fear of long / grave disease.

However, the hyper daughter refused to be subtle.
I told her “You can ask me all the questions you want. But please remember that some answers may scare the patient, Also, I may not have all the answers at this point.’

“Can this be something dangerous? Like cancer? Can this be an emergency? Can it cause death? If so we will do the MRI today itself. Otherwise we will wait.” She said.

To protect the patient from death, suffering and disease is a doctor’s duty, but the law does not allow the doctor to protect the patient from such insensitive relatives. © Dr. Rajas Deshpande

“Madam, there are limitations of physical examination,and we cannot see inside his body. Sometimes we find things wrong inside that can be cured with the correct early treatment. That is the reason we have tests and scans”. I told her patiently.

“But what are the chances of this being a cancer or something life threatening? If at all the scan shows something dangerous, can you guarantee it will be cured?” she asked.

I gave another shot of adrenaline to my patience. © Dr. Rajas Deshpande

“How does that help you?” I asked her, “Even if the chance of a dangerous possibility is low, say 5 %, will you take a chance on your father’s life just to avoid investigations? How can I guarantee the treatment or cure of something we both don’t know yet? By the way, what is your objection to get his scans done?”

“We will do the scan if you say this is urgent” she said.

My patience kissed me a goodbye.

“It is indeed necessary, I cannot say it is urgent. Now I must see another patient.” I replied. Then looking at her anxious father, I reassured him “It is a very low chance that there will be anything dangerous. Please relax. And we have cures for many diseases now, I am with you. Don’t worry”.
“Then can we wait for the MRI?” the daughter was incurable.
“No” I replied, calling in another patient.

I received many messages for next few days from her and her invisible brother asking if the scan was really necessary, where was it done cheapest, etc. I didn’t reply.

They returned after a week. The MRI showed a tumor causing pressure effects on the vital areas of lower brain. This indeed was an urgency, if not emergency. I told the daughter so.

“How come he developed a tumor? He never had it earlier. No one in our family had it ever” she asked angrily, “Is it the side effect of all the medicines he has taken in last two years?”.

I had almost forgotten in which society I was practicing. Education does not always convert into common sense. Money, skimpiness and hatred replace logic here. © Dr. Rajas Deshpande

“In most cases, a brain tumor is not the effect of commonly used medicines. I don’t know the contents of all the medicines you tried upon him. But the delay in doing tests is one definite major factor that your father has suffered so long”. I told her. What must be said must be said!

She changed the topic, a knack every doctor must learn from some lawyers!

The patient has now undergone a surgery by one of the best neurosurgeons, and fortunately the tumor has turned out non cancerous. His headaches and vertigo have gone. However his anxiety and fear will take a long time to go, he is on the medication for that.

The daughter has changed a lot too. The last time she visited for her own headaches, I told her to get a check scan done, and she showed me the reports the same evening. They were normal, she is happy now!

Many patients suffer for years, develop disability and some die due to such dangerous relatives who experiment upon them, delaying investigations and treatment. The most common purpose is saving money, but there are also whims and illogical, dangerous treatments without the knowledge of the contents and interactions between medicines of different medical and quackery streams. The doctors who try hard to save the damage in the last moments often become victims of criticism. This dangerous disease called “Relatives” who suggest everything but disappear when the patient truly needs them has become rampant in our society!

As for my patience, I had to take it for a long night drive and feed it a lot of icecream that day to agree to return to stay with me again.
© Dr. Rajas Deshpande

(Yes, some doctors take advantage and earn money through tests. This is definitely wrong, but the price of delayed and denied tests is far more. In fact, many relatives make that an excuse to avoid spending for the tests. It is conveniently forgotten that almost all essential tests are available at govt. / charity hospitals at a negligible cost).

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Death and Disability by Overwork:  An Indian Diagnosis 

Death and Disability by Overwork:
An Indian Diagnosis
© Dr. Rajas Deshpande

“We are helpless, our life has no worth in the eyes of authority “ said the school teacher.

He had recovered from unconsciousness just a few hours ago, his brain had developed huge clots due to thickening of blood, because he was dehydrated overworking. Due to back pressure generated in the blocked veins, there was bleeding in his brain.

“I was out on the election duty, and did not get time to eat or have water. I returned late night and felt nauseated because of the bus travel, so just had a little rice and slept off. The next morning I had terrible headache. Just after the breakfast the headache worsened and I started vomiting. As our leaves were canceled, it was compulsory to go to work. So in spite of the headache I went for a bath, then I don’t remember, till I woke up in the hospital”.

His wife continued: “I heard a big noise in the bathroom and rushed there, found him lying in a pool of blood, convulsing”. She paused to wipe tears, still unable to overcome the horror of that memory, then resumed: “I called our neighbors, one of them took us to the rural hospital in his tractor. They did a CT scan and started treatment “.© Dr. Rajas Deshpande

“But you are a school teacher, why were you doing an election duty?” I asked him.

“It is compulsory for all govt staff. We must comply or we won’t get our salaries or promotions.” He replied.

This wasn’t new. Doctors often attend many a police, labourers, and other “government service“ personnel serving either the state of central government (under different political parties), who drop either sick, unconscious or dead while overworking. The common factor is they are almost all low level desperate employees who cannot say ‘No’ to the forced additional work thrust unto them. I have never seen a senior officer or a politician coming to the hospital due to physical overwork. © Dr. Rajas Deshpande

To add to the inequality, it is the senior officials / politicos, ministers who can avail of deluxe / higher budget private medical facilities including overseas medicare, whereas the actual ones who get sick shedding blood and sweat in the field are left at the mercy of scanty healthcare facility in government hospitals or low budget schemes at private hospitals. Much like the red light cars ferrying ministers getting preferences over even the ambulances for the poor.

Recently a police officer was brought by his colleagues, he had developed high blood pressure due to an extended duty. A blood vessel in his brain had ruptured, causing huge bleeding. With a great effort he recovered from the coma in few days, but his speech is now forever gone, and he is bedridden due to paralysis on one side. © Dr. Rajas Deshpande

Doctors working in different state / central hospitals too are not an exception. Many tasks / schemes / targets are mindlessly shoved into their routine, presuming that if someone is a government servant, he/ she is a slave to the whims of authorities who can order anything. Besides being taken for granted about 24/7 availability, besides completely ignoring the human right recommendations about working hours, the threatening, demeaning and pressurising humiliation continues almost in every field, where the lower you rank, the worst your slavery.

In a country with excess population, why should there arise a need for one person being burdened with the work of two or three? Why should a school teacher perform an election duty, population stats/ census duty, etc? Why should a police employee work beyond his / her physical capacity? Why cannot the governments hire more people in a country teeming with unemployed youths agitating about almost everything everywhere?© Dr. Rajas Deshpande

If someone wants to work extra for patriotic or financial reasons, they should be able to. But when one is forced to work beyond capacity and legitimate duty, we are encouraging not only health risks, but creating chances of nothing being done correctly. Stress is a major killer via diseases like diabetes, high blood pressure, heart attacks, strokes and depression/ suicides, and while we encourage Yoga for stress relief, we must also reduce overloading one with the duties of three.

“I sympathise with your condition, you should recover well, but you must avoid such overworking now. Also never fast. Drink plenty of water. I feel bad about your extra duties.” I told him.

He smiled in embarrassment, and said “I feel ashamed that while I teach my students to stand against injustice and inequality, to courageously fight to set right what is wrong, I am myself a coward who cannot do so, for without this job I will not be able to survive. I want to be a good teacher, I love teaching and my students love me very much, but inside, I feel I am lying to them when I accept this humiliation by those who I work for. Believe me, doctor, that even when I got unconscious, no one among those who ordered me extra work cared whether I woke up or not”.© Dr. Rajas Deshpande

He was telling the desperate story of many, and I found myself unable to answer once more: that if we have so many educated people who have time to quote history and protest against various political parties or events, if we have so many rich leaders who openly award crores for killing someone (hello, Milords of Indian Justice!), why cannot we distribute duties well and let a school teacher happily just teach instead of dying forcibly doing something else?

© Dr. Rajas Deshpande

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Dedicated to all teachers.

The Business Of Medical Bargain

The Business Of Medical Bargain
© Dr. Rajas Deshpande

“I will die now” the forty-plus gentleman said in a semi-threatening way, “I haven’t slept all night yesterday as I was with my brother, I even skipped my lunch today. I must sleep now. I will leave my cell number, if something happens to my brother, they can call me. You are around, right?”

“Yes, the ICU team is looking after your brother round the clock, I am around till late night.” I told him. There was no point in telling him that I hadn’t slept for last three nights either.

On the prior night at about 10.15 PM, after my work hours, as I went to receive my sister on the airport, I had received his panic call, as this gentleman’s brother had developed sudden convulsions. This brother had seen me few months ago, in emergency, when he had developed a stroke. I remembered that they were quite unhappy about the bills then in spite of a good recovery. They had left with sarcastic remarks about the bills. A good memory is essential for every doctor.

I asked them to rush to the casualty, gave him the number for ambulance, and went to park my car at the airport.

“One Hundred Rupees, Sir” said the person on the parking desk.
“But I am parking only for few minutes, I have come to pick someone up” I asked him, surprised that the parking charges. © Dr. Rajas Deshpande.
“Even for entry the charge is 100 rupees” he told me with a cold smile. I had started getting calls from my sister, she had landed. I paid his hundred, parked the car and went on to receive her. On the way, I called up the casualty and issued instructions about this patient who was to arrive there.

Sis was tired, but happy to see me. I told her that we had to make a stop at the hospital on the way back, there was an emergency.
“When will you become a senior doctor who does not have to attend patients at night?” she asked with a sarcastic smile.
“Never”, I replied, “All Indian doctors die young and working.”
“Shut up, don’t talk rubbish things like that” she said with her feminine instinct. “I desperately need tea, can I get some and drink it on the way?” she asked.
We went to get tea and my coffee.
“Two hundred and fifty Rupees, Sir” said the attendant at the airport tea stall.
“Why?” I asked a stupid question almost knowing his answer, “Even an MBBS doctor charges less than your tea/ coffee”.
“GST” he replied, calmly. As if airport shops were dishing out cheap before GST!
After counting the money and safeguarding it, he gave me two sips each of tea and coffee. We also bought 500 ml drinking water for another 100 rupees, and drove to the hospital. © Dr. Rajas Deshpande

Leaving Sis in the car, I went to the casualty. The patient arrived in a few minutes, it was nearly 11 PM. He was still unconscious, convulsing and bleeding from his mouth. The casualty team got into efficient action, and in a few minutes the convulsions stopped. Writing his orders and answering many relevant and irrelevant questions asked by his irate brother, explaining him the situation and criticality, I drove Sis home well past midnight.

Three days later, he was discharged, fully recovered. Till then I received innumerable calls day and night because of their complaints ranging from blankets, food and ‘the nurse did not come immediately when I pressed the bell’, to medical management and doses etc. The patient and his brother had spent most of their life in Switzerland (restauranteers). They net-researched a lot and tested my knowledge and patience together, till the time I finally and subtly gave them an option to handover the case to a “Senior” colleague, very good but famous for not answering any questions at all. Then they stopped.

Upon discharge, the patient and the brother brought me the hospital bill. A doctor has the same control on the hospital billing that a common man has on the government, I told them so.
“The hospital bill is okay” he said, “but you have charged a thousand rupees per day. That is too much”.

“What would you charge, Sir, if you were a superspecialist with high qualifications and over 20 years of experience, rushing late night to attend an emergency?” I asked him, “What will you charge if you were to attend a person 24/7 under your care, answerable by law and having a right to sue you for lakhs if you commit simplest of a mistake?” © Dr. Rajas Deshpande

“Three Hundred rupees is the maximum I think a doctor should charge. Our family physician charges us that much since last 5 years” he said without a blink.

“Sorry Mister, we are not bargaining about this. Your family physician is gracious, but even he is charging you far less compared to the western standards of care you expect. What essentials of life have gone cheaper in last 5 years? Even the T shirt you wear is an international brand costing above two thousand rupees. Just because you are in India, you did not buy a three hundred rupees T shirt, or a local brand of car or cellphone. Indian doctors already charge far lower, being aware of the poverty status of multitudes. You must not take advantage of this and claim minimal rates for all medical services. In the western world, a specialist won’t have come for you to the casualty after his work hours, nor would you be able to reach him / her, and every consult would cost you over five times what I have charged you”.

“But Doctors should not think about money” said the patient.

I had decided long ago never to discuss money with patients. This had cost me immeasurable losses, some dupe the doctor / hospital outright, while some think a polite sweet talk is enough fees. Some bring VIPs, some threaten blatantly. © Dr. Rajas Deshpande. Even the insurance companies want every medical service to be available at a concessional rate for everyone!

God has given me enough and I am thankful. I go to work every day with an aim to return God’s favours in whatever small ways I can. However, I don’t understand the rich / affording people who take advantage of what is meant for the poor.

“Indian doctors spend only two minutes with the patient” said a recent headline, adding copious amount of fuels to the anti-doctor sentiments of the society. This is a clear equivalent of the naked pictures such newspapers publish to get attention. They conveniently forget the doctor-patient ratio in the western world, the payments for medical services, availability of specialists, waiting period for appointments, the education and behaviour of patients, non-interference by politicians, working hours and facilities for the doctors, and most importantly the fact that India provides doctors to almost every country upon earth, and gets patients from many developed countries too.
Because they know, people will buy the newspaper only if they print those naked pictures! © Dr. Rajas Deshpande

“Ok, just give us some concession” said the brothers.
“Do you ask concessions in parking lots, in coffee shops, in hotels?” I asked.
Disgruntled, he replied “No, but you are a doctor, you must be compassionate to the patient”.

“Compassionate to the patient or his greed for money and skimpiness?” I wanted to ask, but time was running short, so I wrote a note or the billing to cut off some amount from my consultation fees, and resumed work.

India needs a two-tier medical charging system, with those below poverty line getting all basic medical services free and special services at a basic cost, while all others must pay relevantly.

My businessman friend, who is also an excellent and compassionate human being was laughing at me. “You doctors let people do this to you. There is a difference between being compassionate and letting someone take advantage of you. The later is stupidity. There should be a special window for bargainers of doctor’s charges and medical bills, and the bargaining should begin at the time of admission. That is when the value of saving health and life, and the importance of timing are best felt. Once the patient improves, the value of medical service received becomes zero. If they cannot afford, give them the basic treatment for emergency and let them go to a hospital where they can afford the treatment. There are many choices. To insist on a set of specialists, luxuries and then to refuse to pay is the general tendency, you will always lose in this case”.

Almost every doctor enjoys saving lives, treating thousands to relive their suffering. However, the continuous onslaught of allegations about high fees, legal threats, mudslinging by some politicians and socially prominent influential nitwits, combined with a callous attitude by most media takes away so many proud pleasures from a doctor’s life!

© Dr. Rajas Deshpande

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PS: there are some who continuously fail to grasp the main issue and continue their age-old song about some doctors and hospitals doing too many tests, taking advantage. The simple solution is : don’t visit such doctors or hospitals. Don’t do the tests. Be happy.

Busting Medical Myths

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Busting Medical Myths
© Dr. Rajas Deshpande

Just one month after his marriage, this young man suddenly developed weakness on the right side of his body, slurring of speech and started becoming drowsy. His mother, a labourer who collects empty liquor bottles with him for survival, brought him to one of the biggest hospitals in Pune. The whole family had been dependent upon him after the death of his labourer father.

His MRI showed swelling in the brain, likely due to infection. One test on the cerebrospinal fluid suggested possible tuberculosis of the Brain. This being the most common, rampant infection in India, we started with the anti-tuberculosis medicines, and other drugs to reduce swelling over his brain. He improved, and was discharged in seven days.

In the case of any nervous system tuberculosis, the treatment has to be taken for 18 months. If ignored / delayed, this disease can cause serious problems like paralysis, convulsions, permanent disability or even death. This poor family with inadequate education not only reached the hospital in time, but completely trusted their doctors, and followed all instructions. They refuted the innumerable powerful traps of unscientific treatments, taboos and ignorance, broke through the poverty barriers to reach one of the private superspecialty hospitals in a city like Pune, and were cared for without any discrimination.

Today, Nitin Londhe completed 18 months of treatment and is being declared free of his dreadful illness “Tuberculous MeningoEncephalitis”. He has continued his labour work since after the discharge. He told me today that many truckloads of empty liquor bottles are collected in every city every day, (No wonder people cannot afford medical treatments!) many agents sell these bottles back to the liquor companies for a commission, and labourers like Nitin get 200-300 INR per day for collecting such bottles.

Happy that he had recovered and was stopping the treatment, he told me “My mother is uneducated, but she believes that there is nothing costlier than health and life, one must never ignore illness, money has no meaning if health or life is at risk. We wanted the correct treatment”.

I told him I wanted people to know his story for two reasons: that even the most difficult cases of Tuberculosis like that of the brain can also completely improve, and that most of the biggest corporate and rich hospitals admit and treat the poorest of the poor, saving thousands of patients every day. The myths generated by some politicians, media and some filmstars, that all doctors and private hospitals just “mint money” and kill people while all political leaders, filmstars and media reporters are holy saints, who are true saviours of the poor had to be busted with such examples.

Millions of poor, non-paying as well as concessional, are treated and saved by private practitioners and biggest of the big private hospitals every day, everywhere in India. Unfortunately, the hole of Indian poverty is too big to patch, national / federal healthcare systems are failing, and so the demands and expectations from private practitioners are never ending.

“Do you have any questions?” I asked after thanking him.

Shyly, he asked “Can I do dancing stunts? I love dancing and I like to dance on headstand”.

If anyone deserved madly dancing today, it was him. I told him so.

© Dr. Rajas Deshpande

PS: Thank You, Mr. Nitin Anton Londhe for the courage and permission to share this story.

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The Bleeding Curse of an Extraordinary Doctor

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The Bleeding Curse of an Extraordinary Doctor
© Dr. Rajas Deshpande

“I cannot sleep well, I cannot forget what happened” said the doctor who had come to consult. I was shattered myself. My usual poise was blown to pieces listening to what this mountain of sacrifice was telling me.

As Dr. Anil Dadarao Waghmare told me about his past, I was in frightful tears.

Son of a humble education officer, he had joined MBBS on merit basis, and completed it in time. He wanted to honour the government bond for two reasons: he had an inner desire to serve rural areas in India where medical care was not available, but he also had no other source of income and had no money for investment. This is the common story of most doctors graduating in India.

He joined as a medical officer and was soon posted in a very remote tribal area, where he went beyond his duty to help the illiterate poor tribals. He worked ‪24/7‬, attended all their problems like deliveries, poisonings, snake bites etc., but also went to visit homes of those who could not reach him. He offered his designated vehicle as an ambulance whenever someone was to be taken to a higher rural hospital. His wife and children accompanying him sacrificed normal life. Two of their kids went to the local primary school, the quality of education was extremely poor but they had no option. The third child was only 9 months old. This youngest daughter was often looked after by a 12 year old girl who lived next door, and helped Dr. Anil’s wife with her chores.

One day, Dr. Anil’s wife received a phone call. The lady caller who spoke in local dialect told her that this youngest 9 month old daughter was in her possession, and threatened to kill her if a certain amount was not paid immediately. By the time they could arrange anything, the infant was found dead by suffocation. The 12 years old girl who looked after the child was found dead in a local well after three days, a huge stone tied to her body.
The murderers were soon arrested: the lady confessed to the crime, assisted by her parents, for want of money.

All the three: the murderer lady and her family were being treated by Dr. Anil for over a year, as free patients.

Dr. Anil was transferred elsewhere, and decided to still continue serving the rural population. He has now joined a postgraduate course, but he wants to keep working in rural areas.

“No one cares about a doctor’s life, family or especially security. The situation is worst in the rural areas, where illiteracy, superstition, witchcraft, murders and rapes are commonplace. Local politics is at its worst” says Dr. Anil, “I was ready to sacrifice every pleasure in life to serve rural population, I even compelled my family to sacrifice, but I did not deserve this punishment. This pain is beyond description, sometimes I feel whether my decision to go to such unsafe place with family was correct. This bleeding curse kills me every moment”.

Thank you, those who keep saying that our society considers doctors ‘like Gods’!

While air conditioned hypocrites advise doctors to go and serve in the rural areas, no one will look at the big picture: there are no facilities, but worse, there is no security. You are left at the mercy of local criminals, often politicians.

Film stars, directors, politicians and many judges will never notice this kind of a story, just as they won’t ever comment about the sickest lowly traditions in their own individual profession. Communities ripe with rapists and murderers, and onlookers who film rapes or murders rather than trying to stop them, expect the best brains to work for their healthcare at meagre salaries.

There is nothing wrong with a short term bond for service in rural areas, but while signing such a bond or joining such areas, the doctors should also ask the government a written guarantee of security. This should be the part of the bond. If security can be provided to every TDH in politics, filmdom or to even the lowest ranks in the judiciary, even some criminals, it can definitely be extended to the doctors serving in rural areas. A doctor who feels threatened cannot work and in fact should not continue to work unless adequate security is provided to him / her and family.

Dr. Anil Dadarao Waghmare, you deserve the highest medal any doctor can ever get: because you showed this selfish society how big a doctor’s heart can be, by continuing to serve in rural India. From now on when the loudmouth foghorns in politics and administration try to malign our profession, or try to cover the gaping deficits in basic facilities at rural level by pointing fingers at the doctors, we can tell them your story.

As for the loss of your 9 month old daughter murdered by your own patient, I stand up in tearful, shameful regret of the state of affairs of Indian Rural Doctors.
© Dr. Rajas Deshpande

PS
It is high time the doctors unite to take a strong stand against aggressive attitudes of society, against stupid policies and being taken for granted and spoken against by uneducated loudmouths.

This story should reach every blabbering idiot who has no doctor in the family and keeps on expecting all doctors to be servants of this society. To those among doctors who try to impress faceless media or administrators by continually talking negative about our own colleagues, this story should serve as an eye opener.

Thank you, Dr. Anil Waghmare for the courage and permission to share this story.

What Your Doctor Never Tells You

What Your Doctor Never Tells You

© Dr. Rajas Deshpande

This small girl who had had her third convulsion in last three days was now looking frail. Her mother, extremely anxious, asked me what can be done to “immediately stop” her convulsions. This hyper-mother had stopped all the epilepsy medicines of this kid few days ago. Patiently, I asked why.

“Because I read on an article describing ‘what your doctor hides from you’, in which the author had recommended a particular diet of natural ingredients “, she replied, adding “the article said that all allopathic doctors give you medicines that will keep you sick for longer, so that they can earn more. It also said operations like joint replacements or procedures like angioplasty should never be done.”

Needless to say, this lady was buying the “Purest Natural Guilt Free” products from that website, at a price that was way costlier than all of her allopathic medicine combined.

I told her that it was a mistake to stop the kid’s medicines, and issued her a new prescription. © Dr. Rajas Deshpande

“What do you do, mam?” I asked her.

“We run a bakery, I sell exotic cakes, muffins etc.” she replied.

“Do you lie to your customers? Do you sell them products that will harm or kill them?” I asked.

“No, never! How will my business run then? We have to obtain licenses for food quality.” she retorted.

“It is the same about us doctors, mam. All the medicines, stents and joints that your article has slammed, are approved by government, and additionally, they are scientific products, not just claims. The government also earns tax on each medicine, stent or joint sold in India”.

I was offended somewhere, and so continued:

“We come from similar families as yours, mam. Even our parents teach us culture, compassion and good habits just as yours do. We doctors learn in the same schools as you, and common school teachers have taught us the importance of good. We too have parents, spouses and family, kids whom we teach good values by practice. Why will such doctors hide the truth from you and suggest you something that will harm you, who have come to us in good faith? Do you presume that all of the thousands of brilliant patriotic doctors will hide a cure from patients, and continue to let people suffer? Just because some bakery is selling rotten cakes, how would you like someone badmouthing your bakery, your integrity? ”

“Not you doctor, but not all doctors are like you” she said.

“Thank you for your faith mam, but I know that most doctors are like myself, who have struggled hard to achieve their degrees, to be able to save lives and bring an end to the suffering of millions. It is not an easy task, there are many easier ways to earn money with lesser hard work and sacrifice. You will rarely find the children of stars, sportsmen, industrialists and other ultra rich becoming doctors, no one wants so much hard work for such less money.” © Dr. Rajas Deshpande

“We cannot advertise, while most of the alternative medicine companies, gurus and babas keep on blatantly claiming cures for incurable diseases, spreading rumors about allopathy and some other recognised pathies, cleverly selling their own products to desperate patients who hope for relief, and spend far more in the wrong direction. Look at who all is earning crores while claiming that allopathic doctors are cheating people”.

She said she agreed, and won’t interfere with the right treatment of her child now onwards.

This is a complication of a deliberate and sick propaganda which has been orchestrated to tarnish the image of especially allopathic doctors, to be able to sell innocent patients one’s own unscientific products. It is sad that the very people who complain about the consultation charges of qualified doctors go and buy extremely costly “magic remedies” like some unproven, unscientific laser instruments, vibrators, garments, herbals, extracts etc. © Dr. Rajas Deshpande

The fact that vegetables and fruits are costlier than many medicines, that weekly vegetable expenses or family dinners in India are far more pricey than a specialist’s consultation which can be obtained urgently, speak a lot about where we stand. In the developed western world, there are year-long waiting lists to see most specialists. The fact that Indian doctors are the best and hardest working is appreciated all over the world, but so many Indian gurus, babas and fraudulent quacks run campaigns against our own doctors, in our own country! © Dr. Rajas Deshpande

Want to really know what the doctor doesn’t tell you?.

A doctor never tells you to go to herbal babas when you come to the emergency and need immediate attention. A doctor never asks you to take your lot to the websites that slam medical profession, when you need help. A doctor never abandons even a faithless and arrogant ignoramus, does not ask them to go search internet for blogs and natural remedies when someone is dying of a heart attack or a stroke or accident. While many recent fulminant ads claim that all doctors are greedy and deceptive, there are thousands of doctors in the hospitals all over world, who are not eating, sleeping or being with their family right now: not because they want more money, but because many will die if we don’t work hard. It is so sad that this had to be explained in India!

What a doctor really doesn’t tell you is: how difficult it is to treat and to save lives of the very people who have no faith in the one trying to do them good!

© Dr. Rajas Deshpande

PS: Recently the number of posts circulating to slam all medical professionals, especially allopaths, have increased, especially in an attempt to market certain products. This extremely harmful trend is ignored by all concerned authorities. This article is an attempt to defend the glorious scientific profession I belong to.

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The Cult of Good Blood: Superhero Medical Students

The Cult of Good Blood:
Superhero Medical Students
© Dr. Rajas Deshpande

He grew up selling vegetables and fruits grown by his mother. He went door to door and in the village market to sell those. He also walked for two miles every day to catch a bus to a school over 20 miles away. He then enrolled in a private class that waived off his fees, because he had a passion: He desperately wanted to become a doctor.

Atul Dhakne, son of a school teacher Mr. Nivruttirao Dhakne and farmer Mrs. Mandabai Dhakne, with his hard work and merit, got admission in the prestigious B.J. Medical College in Pune.

But he wasn’t satisfied. “What about those like me who are from the poor rural background, those who have no access to good classes and education, but want to become doctors?” he worried.

Good Blood speaks, whichever soul it flows in. Young medical students of different origins, studying with him, decided to resolve this. Ketan, son of a lawyer Mr. Avinash Deshmukh (who mostly handles cases for the non-affording,) wanted to do charity like his father. Farooque Faras, whose father raised a family in one small room, was burning with the desire to give. Many others joined in (names below), and the Cult of Good Blood multiplied. They all wanted to uplift the deserving.

“Lift For Upliftment” was born, formed by the superheroes among medical students.

They printed posters and went to almost all junior colleges in Pune, appealing students from poor backgrounds to join their free tuitions / classes, to prepare for the CET /NEET. In the first round, over 40 students joined. After the medical college hours, Atul and his friends took turns to teach these poor students, give them notes, set question papers, conduct exams, assess and counsel for improvement. All expenses were borne from their own puny pocket-money.

There was no fixed place for the class. One local bakery owner, Mr. Dinesh Konde, decided to help these students. He planned the logistics and took them to the corporator Mr. Avinash Shinde, who asked for only one thing in return of his help: commitment to continue this good work. The Cult agreed whole-heartedly. With him, they approached Mrs. Meenakshi Raut, Asst. Director in the education department in Pune, who helped them get two classrooms in a Municipal school after the school hours. The classes thus became regular, every day, from 6-9 PM.

The cult lacked stationery, the huge backup of notes and question paper sets for 40 students, so they approached Mr. Sanjeevkumar Sonavne from Latur, who runs many educational institutes, helps poor students, and even pays the fees of some who cannot afford college. Mr. Shelke and Dr. Harish from Sassoon Hospitals also joined hands to help.

The results were impressive: from the first such batch, 6 students qualified for MBBS, 3 for BDS, 11 for BAMS and 2 for BHMS.

No one had earned anything, but Good Blood flowed forward. Many medical students from subsequent batches came forward to teach free, imparting their fresh acquired knowledge and skills to those who could otherwise have no access to it.

There is no discrimination while accepting junior college students for their class. They have two batches now with 60 students in each. They have also started weekend classes for poor students preparing for NEET in the extremely backward area of Maharashtra, named Melghat. These medical students go to Melghat with their own expenses, teach the rural junior college students over the weekend, and return to attend the tough schedules of medical college again!

“I learned helping others from my mother. We don’t earn anything, but we learn something precious every day” tells Atul, who has now passed MBBS. Ketan Deshmukh, Abhiraj Matre and Farooque Faras help him supervise the group. Their endless enthusiasm only reminded me of how much more I can do. I came to know of this group “LFU” during the recent “Quest Medical Academy” event arranged by Dr. Sushant Shinde.

They are naturally, perpetually short of funds.
I am not rich, but I won’t feel right about myself if I didn’t contribute. They graciously accepted.

When these students came to meet me today, I offered them dinner at a good restaurant (knowing that they stay in hostels). Farooque said “Sir, we will rather use that money to print some more question paper sets”. Farooque’s father has stopped all celebrations in the family, and sends all the money he can, from his one small room home, for the torch of humanity that his son carries forward!

When they asked for an advice, I had but one small request for them: that a Doctor should be completely free of all political and religious influence at work, in teaching, and especially while treating a patient. They assured me that “Lift For Upliftment” has decided to never be affiliated to a political or religious organization, keeping humanity as their highest ideal.

There is no better lamp than the one which carries the light from soul to soul. There is no better definition of humanity than holding hands of those who need it most. I feel very happy today, that I could contribute to this beautiful, divine cause.

Long Live the Cult Of Good Blood, and may we all find it in abundance within ourselves!
© Dr. Rajas Deshpande

The group “LFU” also includes: Esha Agarwal, Shivkumar Thorat, Satyender, Tanvi Modi, Mayank Tripathi, Nikhil Nagpal, Sitanshu, Arvind Kumar, Nagesh Pimpre, all from the B. J. Medical College Pune.

PS: My heartfelt appeal to all medical students and doctors to contribute by starting similar activity in your region, by teaching poor students who want to become doctors, by joining this group and / or by donating for this cause.

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Which Is The Best Festival Upon Earth?

Which Is The Best Festival Upon Earth?
Dr. Rajas Deshpande

“Happy Diwali” said Mr. Abdul as he entered with a box of sweets in the OPD.

Over five years ago he was admitted with a complete paralysis, and had fully recovered as he had reached the hospital within two hours of the onset of paralysis. Since then I had received his Diwali hampers without fail.

A happy gentleman who liked to make funny sarcastic comments (maybe Pune effect), he made me smile every time. “Your fees has increased, doctor, but my feelings of gratitude for you will not change” he said now, silently laughing: “Every Diwali I remember that I was admitted on the Laxmipooja day, and our family was worried if the specialist doctors will be available. My wife was praying that there should be some specialist doctor to attend my case all the way from home when I became unconscious” he recalled. Dr. Rajas Deshpande

Indeed, he was admitted on the auspicious festival day, the junior resident doctor had activated the stroke code, our team had rushed in. I was already in the hospital to see a VIP leader whose headache usually worsened on holidays and then many specialists had to be called in to ego-massage his headache. So I could see Mr. Abdul immediately, and explained to his family that his condition was critical, that there were risks of complications in the first few days. Uncertain with the new doctor, they requested that I talked to their family physician Dr. Feroz. I did.
This is but natural, and there was no reason to feel offended with the anxieties of a serious patient’s family. In the age of trustless relationships where couples check each other’s cellphones like detectives and parents and kids question each other’s intentions, it is hardly possible that a serious patient’s family will blindly trust a new doctor. Even some doctors distrust new (not senior / junior, but the one being consulted for the first time) doctors. The only possible solution is an understanding doctor who takes this in stride, refuses to be offended, and acts in the best interest of the patient, taking an extra step to make the worried family comfortable. There are indeed some who never trust anyone whatever one does to satisfy them, but that is their own cross to carry, one should simply ignore the ugly trait. It is well known that those patients who do not trust any doctor suffer worst, as they don’t take anyone’s advice seriously. Dr. Rajas Deshpande

Three days later, as Mr. Abdul recovered, the family breathed in some confidence, and started believing all that I explained, without having to involve their family physician. Since then, although I have advised that he does not require to see me now, and instead he can follow up with Dr. Feroz, Mr. Abdul visits me every six months for a check up. His wife calls me Rajabhai, a name I would not have allowed anyone to call me with, but couldn’t dare tell this to her!

This is a pretty standard picture across India, most of even the poorest recover well from strokes, accidents, burns, infections, fractures, heart attacks and various other emergencies if they reach hospital in time. While people all over the world wish happy festivities to each other, take holidays, revel and eat and enjoy, while leaders give long festive speeches from their farmhouses to please various voters according to mob IQs, it is the professionals like doctors and servicemen like police, military, etc.who slog and run to save lives. They forget family and enjoyment to be available for those who suffer. The perpetual thankless will immediately say “but this is a choice you made”, but not understand that this choice was made to be respected, to earn well and to save lives, not for the society, the skimpsters and politicians to take advantage of. To see the sick and crying, angry people, to witness death and disability on the very days that your family expects you to be happy with them is not something one can easily come to terms to, and this is lifelong, not a five year term with long vacations. Dr. Rajas Deshpande

The fact that millions of critical patients are attended well during the most auspicious festivals: Diwali, Eid, Christmas, and all other religious festivals included, is conveniently forgotten once the festivals are over, and then the mudslinging about medical professionals starts, with the long speeches advising doctors to work harder with lesser expectations. Dr. Rajas Deshpande

“Doctor, this is not about Diwali or our religions” Mr. Abdul said while leaving, “this is to continue the tradition of humanity. There must be so many patients who can be with their families this festival, because some doctor worked hard to save them. This is my token of respect for those doctors”.

As always, I told Mr. Abdul that I was immensely grateful that the superpowers gave me this opportunity to be a doctor. I meant it. Dr. Rajas Deshpande

I often imagine: what if I was born with too much money, son of a rich father, with no worries for earning and no limits on spending, I would so much love to roam around the world in luxury cars and jets, among beautiful people (you understand), enjoying life to the brim, without caring for any suffering around me. In that case, I might have been very happy probably, but I won’t have respected myself as much. Even the most junior, newest recruit of a doctor is far superior to anyone who has chosen to cunningly ignore the suffering around, speaking big words and doing nothing about it.

Therein lies the best festivity in life: being a doctor, with an ability to abolish suffering and avert death.
Dr. Rajas Deshpande

Happy Diwali to all Patients, Medical Students, Junior and Senior Doctors, Resident Doctors, Nurses, Technicians and wardboys, Hospital staff and administrators, and to everyone who cares for others, showing it in their actions.

Advise Doctors What To Do?

 

For the hypocrites who don’t do anything to correct their own profession (almost every profession has immense corruption), but think they have the right to criticise other professions. Criticising the most intellectual profession of doctors irrespective of one’s own credibility, effort, contribution, or even intellect, has become an ugly fashion.
Here’s the answer:
(C) Dr. Rajas Deshpande

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