Tag Archives: CME

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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High alert: Doctor in 5-Star Hotel!

As a middle class doctor, he was always scared to enter a five star hotel.

His parents were simple ethical teachers all their life, the type who have “One dinner in a five star hotel with family” high on their “Bucket list” of lifetime dreams. It so happened that a minister was attending a marriage function of a local liquor baron’s daughter in a five star hotel, and this doctor of ours was posted as a doctor on duty in the team supposed to tag along with every minister’s convoy. The minister’s secretary graciously asked everyone in the convoy to have the “B” class buffet arranged separately for the staff. This included our doctor on duty too.

As this was his first encounter with a five star hotel meal, the doctor couldn’t help being curious and asked the waiter about wanting to see the typical menu especially for the prices. The courteous waiter obliged him. Upon a glance at the menu our doctor was too happy: he could definitely afford to bring his parents there on their marriage anniversary, as a special treat, if he saved half a month’s salary.

His parents, wife and child were beaming with pride as they entered the five star hotel. They had their best clothes on, which were still a level below the managing staff of this hotel. The five star staff sensed the “one timers” and behaved as high handed as they could. Just as the family finished their calculations of approximate bill of their culinary wishes, they realised that it was still a costly affair. Carefully folding their sweet hunger pangs, they ordered overlapping desires and waited.

“Hi! How come you are here? ” someone slapped our doctor on his shoulder. It was his classmate from school, who had dropped out after matriculation. He now owned a petrol pump, thanks to his father in law in the government. “Our Scholar has now become big doctor” complimented the friend to the doc’s wife, artificially greeting his parents. “I am a regular here.. Do let me know sometime when you visit.., now you must be having so many companies sponsoring you here: Saala Doctor log ki aish hai yaar”.

As the doctor hastily clarified to his family that it was not so, he had lost half his joy, and the parents most of their smile. His father still reiterated that they really didn’t care for five star meals, and will be proud if their son stays on the “right path”. They guiltily finished their dinner, feeling way out of their place. Restless, the doctor paid cash from his pocket in front of his parents and child so they were convinced that this was indeed his hard earned treat.

On the way out, the kid started shouting ecstatically: he had seen his favourite cricket player in the lounge. As they all ogled at the cricket star with his actress girlfriend, the kid begged the doctor: he wanted an autograph of his idol. The doctor requested the hotel staff, he was allowed, and the cricketer obliged. “I am a doctor at civil hospital ” said our doc. Nobody seemed to have noticed what he said, although everyone had heard it. ” So what???” was the universal expression.

The lounge was now all full of glitz and glamour, people from almost all professions were there, except obviously teachers, doctors or labourers. There were lawyers and judges, there were reporters and police, there were celebrities and artists and criminals and politicians. Nobody had any trace of guilt, and most of them were there sponsored by someone. Some were being paid by their company, some by government, many by means of bribe. All the remaining had money which they were not born with, money they had earned from others for whatever it was that they did for earning.

There was a medical update seminar going on, great doctors in the field of medicine from developed world were lecturing Indian doctors. This notice was guiltily displayed in a corner by a pharma company that had sponsored the event. Many who crossed the notice commented freely: “Look at the doctors today: they get all free booze and food from the pharma and then prescribe wrong medicine to everyone! All this medical corruption and malpractice must be banned, these doctors must be sent to jail! They survive by looting poor patients!” etc. “Why can’t doctors live simple lives, avoid all luxury and hold their meetings in poor one star hotels or govt colleges? Why do they need enjoyment or good food that they cannot afford? Why doesn’t the government ban doctors from entering five star hotels?” they asked innocently!

This was all way beyond explanation for our doctor. He had never felt so belittled for his profession. There was nobody who cared to look at the big picture. His merit and his education were his cross and his curse: to carry upon his shoulder, while those from other professions who didn’t care to have merit or ability could jealously preach him ethics that he alone must follow.

As the family cramped into the doctor’s small car, there was a loud panic. Someone had become unconscious. “Any doctor around?” shouted the cricketer frantically. His girlfriend had fainted. Just as our doctor took her pulse, the hotel manager kept shouting: “Don’t worry sir! I will get the best specialist in the town: let’s take her to that five star hospital: The owner is my friend “. She had become conscious again, after some sugar solution, apparently normal.

The five star ambulance left, screeching its siren aloud. Nobody cared to thank our middle class doctor. This was his duty to attend emergencies, taken for granted by all and ordered by law.

Addicted to scientific thinking, the doctor commented to his wife late that night:

“What percentage of people entering a five star hotel do you think are earning ethically and honestly? How many are there directly paying for themselves?”.

His wife hugged him, smiling. “I don’t know. But I know this: none of them is as proud as I am”. Her pride was reward enough for him, he had learnt to forget and forgive everyone else. For the sake of sanity required while treating his patients the next day.

(C) Dr. Rajas Deshpande