Tag Archives: doctor patient relationship

The Hurt Passion Of A Doctor

The Hurt Passion Of A Doctor
© Dr. Rajas Deshpande

The recent picture of our favourite cricketer Mr. M. S .Dhoni exhausted and fatigued on the field caused a lot of concern, and we wish him best health with many more years on the field. The passion with which he plays is inspiring, we all love and respect him just like we have loved and respected Mr. Sunil Gavaskar, Mr. Sachin Tendulkar, Mr. Anil Kumble, Mr. Virat Kohli and many other greats that the Indian cricket has produced.

By the age of 40 or so, most of the heavyweight sportspeople usually retire from a competitive life and take over other, less tiring jobs. They have spent their entire youth in working extremely hard, with untiring efforts to perfect their craft. The fields of both sports and films are unforgiving, and exceptional talent is required to make it to the top. On the plus side however is the recognition, fame, and money that follows success.

Where does a doctor stand then?

While we cannot compare any two professions given the different client-base and frustrations of each, we can definitely draw some parallels. Competing intellectually starts from school for every doctor, innumerable hours in studying, applying the best mental effort to performance, and overcoming all temptations of a light-heartedly enjoying outside world are just basic compulsions if one has to excel at least in India. The extreme competition for medical admission is worst in our country.

However, that’s just the beginning, and the real struggle starts after one joins medicine: exhausting timetables, extra work and duties, unending patient loads of an hygiene- illiterate society abandoned on health front by its own government are the basic premises. Add expectations of immediate cures and filmy, miraculous recoveries with best recommended World-class internet treatments but with “Indian Compulsions” of charity treatment by doctors from their own pockets, and a never-ending game of moral-ethical looting, compassionless exploitation begins. In the midst of all that mud, a doctor must still keep studying to be abreast of all the modernities of his science, keep a calm mind and be polite and good to even the worst behaved.

Then come home and see pictures of compassion for celebrities. No we do not envy the celebrities. We love them as much as anyone else. We just hate the hypocrisy that our people have created: that if you choose a career in medicine, you are far less likely to be loved, whatever you do, however hard you work, and even if you lose your life. The whole government machinery which rushes to wish celebs and click selfies with them on every tiny occasion cannot have the list of doctors who died treating covid patients! Has anyone seen any selfie of any minister with the doctors who saved their lives from covid?© Dr. Rajas Deshpande
There are thousands of young and old doctors in India, this very moment, working in covid wards, more exhausted and tired than any cricketer in the world. They cannot retire: 99 percent are so financially dependant on their daily income or monthly salaries, that they have silently accepted the tyrannous, cruel policies of various governments to inhumanly exploit them. They are on the verge of death due to exhaustion, and some are already having thoughts of ending it all. Over 500 have died. But the very same society has no compassion for these exhausted doctors, it has abandoned the very heroes who have stood between them and death. Their salaries are pending, they have to buy their own masks and kits, and thousands are estranged form their families for quarantines.

A society that browbeats doctors and hospitals to convert compassion into acceptance of non-payment of bills (as if doctors do not have basic compassions and humanity that everyone else has!) has money to queue up in restaurants, bars, liquor shops, malls, and bet millions on cricket matches is still completely ignorant about the exhausted doctor. We can build everything else as development agenda, but India can not invest in doctors. It can have the most modern aeroplanes and bullet trains, but it cannot pay its doctors.

The young doctor is now rethinking. Many have chosen to change their preferences and not become a doctor. Most doctors do not want to push their brilliant children into this chasm called ‘medical practice in India’: a dark, exploiting, thankless, violent and vulnerable machinery to suck out the blood of the most brilliant minds of our generation. The most important part of becoming a doctor is to reduce suffering and save lives. No one, however rich, becomes a doctor with a mindset to earn out of the dying and suffering.

That very passion to save lives is being insulted, mocked, and widely abused by our great nation today. I will continue to write to my students, to the next generation doctors to please preserve this passion: that is the most beautiful part of your soul, and please do not let it be scarred by an unevolved, regressive and exploiting society that we live in. Take care of yourself. We have a mission to save lives, without thinking whether they deserve to be saved or not. We will shortly also devise strategies to end this exploitation.

© Dr. Rajas Deshpande

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The Future Girl and Her Message


© Dr. Rajas Deshpande

At about 7 PM, I was about to finish the OPD at Ruby. One last patient was waiting, I could see her in the waiting hall outside.

My N95 was on since 10 AM, and I hadn’t had an opportunity to drink even water since I entered hospital at noon. Fatigued, thirsty and heavy-headed, like most doctors today.

‘This isn’t fair’, I was thinking, ‘I don’t deserve this torture after so many years of hard work. This pandemic seems unending, this stress is piling up on my mind and body now,. The world seems to have come to an inhuman standstill’.

The last patient walked jauntily in, a young girl of 27, her eyes smiled excited. She’s been my old case of epilepsy since last three years. She works in a virology research set up, and had told me six months ago that she’s working on Corona. Her parents are working as labourers in a local government factory.

“How are you?” I asked, mustering a smile she couldn’t see.

“All fine Sir, no fits at all. I just came to share a good news. An American University has liked my virology work and offered me a job for three years. I am leaving in three days. I will begin a new life, I have decided to spend it for virology research. I just came to say bye to you. I will of course keep in touch, but I will miss you there” and she touched my feet.

“God bless you. Stay safe at all costs. I am sure you will reach great heights and win a Nobel. Don’t forget your parents. Let me know if you need anything anytime “. I said what I could.

I was happy and sad at the same time. Happy for her career leap, and sad that such a brilliant scientist was leaving India.

I was startled that she had shaken away my fatigue and the pandemic rust that was accumulating on my mind. A sign of youth, she had taken the burning world around her as an opportunity rather than being cowed down by it. She was going to wear a mask almost all her career life, and the thought didn’t seem to affect her. She had accepted the reality faster than anyone I knew. A mind made for the future, she was travelling to the US (she has reached now) at a time that the world was locked down.

The world hasn’t come to a standstill, I realised. It is picking up. It will thrive again and boom in few months. Till then I must keep all negativity away. Till then I must do whatever it takes to survive and live the best life possible even in a pandemic. She had unknowingly come to deliver that special message before she left.

She left teary eyed and yet with a smile. My tiredness was gone. My spirits felt rejuvenated, I was grateful that she visited. Like every doctor who gets up and puts on his mask every morning for seeing their patients catch on with their life again.

© Dr. Rajas Deshpande

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Standing Ovation, Doctors with Hemlock

Standing Ovation, Doctors with Hemlock
© Dr. Rajas Deshpande

It is not new that the world has chosen to torture and kill the right and good. From Socrates to Mahatma Gandhi, the speakers of truth and advocates of good have been punished by a majority addicted to the illusions of both. Socrates, who was declared guilty and awarded death by drinking poison hemlock, had a chance to escape. He chose not to. ‘A true philosopher is not afraid of death’ he said. He chose to drink the poison.

At this very moment, thousands of young doctors all over India have chosen not to run away from the deadly virus: because they believe in the ultimate sacrifice: for saving the life of millions. They are the true heroes of India. If a soldier dies, the whole nation rises to salute the sacrifice. Nearly 400 doctors die, and our administrators said they did not have information about it in the parliament. © Dr. Rajas Deshpande

Digital India, where there wasn’t a day without messages about Aadhar cards, PAN linking, etc., and so many other messages reached everyone, yet unable to know tell how many doctors died. We can tell exactly how many patients were positive, how many tests were done, how many discharged or recovered, but we cannot tell how many doctors died while treating them. Shame!

Thousands of junior / PG doctors, interns and medical officers are being forced to work not only against their wish, but against all fair constitutional rights. They are being threatened and punished even after overworking. Their salaries have been cut, some have not been paid for months now. Everyday, patients too are frantically searching for good covid care beds.

Hospitals are overflowing, no beds available in some places, many centers are closing down because of lack of resources, but what we really need now is an IPL. We don’t have money to pay the doctors, create more healthcare resources for thousands of dying patients, but we can definitely watch cricket and forget all that. There’s nothing wrong with sports or entertainment, but is this the right time? Will the IPL profits be used for creating more hospitals? All through the economic crisis, I was amazed by the perpetual news of few Indians getting higher on the list of the richest in the world. I do believe that they are good at whatever they do. However, what was most ironical was that yesterday I read the news of people urging one of India’s richest businessman to buy the Man-U team. Mind you, people did not want a hospital for the dying poor, people did not ask the billionaire to pay the unpaid covid warriors, they asked him for buying a football team!

Add to this the new law about Violence against healthcare workers “During pandemic”. How can this be best described? “No murders, crimes, corruption during summer months”? Or “No stupid talking between 10 AM and 10.30 AM”?© Dr. Rajas Deshpande

The point is, dear Covid warrior doctors, please understand that the society does not want you, it only wants your free service without offering either respect or remuneration. The government has not even responded to our petition about human rights for doctors who have been slogging, carrying the pandemic burden on their shoulders as everyone else hogs the credit of recovering patients. Postgrad medical students have been denied education in their own branch for over six months now. They have been denied leave, permission to meet sick parents, or even a quarantine after exposure that is followed world over. They also face extremely hostile relatives and goons every day in hospitals. Many doctors who died just as they started their careers, are not even acknowledged! Just as every responsible institution in the country has taken precautions to safeguard itself from the virus, working online, just as the parliament is mulling over whether to cut short the monsoon session as some members were positive, no one wants to think about those actually dying every day facing covid patients: our doctors.

I have never felt so frustrated about the future of doctors in India. I have carried a proud torch of being an Indian medico and am blessed to have a great connection with most present generations of brilliant doctors, but I haven’t slept peacefully last few months knowing that my juniors, students are left to die in the pandemic. Every effort being made is quashed or falls on deaf ears.

I can only say to every doctor in the covid ward right now: humanity will always be grateful to you for drinking this poison hemlock just like Socrates did: bravely and in service of truth and good. If Mahatma Gandhi was alive today, he won’t have published his own achievements, instead, he would have made the country realize how indebted it is to your sacrifice. I believe in the power of one. Mobs never achieve anything. Each one of you out there is a hero saving lives, even when your own countrymen seem to have forgotten and abandoned you.

My Standing Ovation to every doctor working right now anywhere in the world, especially in India.

© Dr. Rajas Deshpande

Picture Courtesy: By Walter Crane The story of Greece : told to boys and girls (191-?) by Macgregor, Mary, Public Domain, https://commons.wikimedia.org/w/index.php?curid=32804549

The Good News: ‘Life Is In Brains’

Last three years we were planning a beautiful, comprehensive and patient friendly, “All under one roof” Neuroscience set-up at Ruby Hall Clinic.

Specialty Clinics for Multiple Sclerosis, Parkinson’s Disease, Epilepsy, Vertigo, Stroke, Brain Tumors, and all neurological investigations will be available here, on this floor. Also Neuropsychology, Speech Therapy and Counsellor for family members dealing with difficult illnesses.

My dynamic CEO Mr. Bomi Bhote has long dreamt of a world-class Neuroscience department at Ruby Hall.
“Give our society something to remember you for” he said often. I have tried my best to design this fully new Superspecality Neuroscience Department. After many meetings and many precious inputs from Dr. Purvez Grant, Dr. Manisha Karmarkar (COO), and Dr. Rebecca John, and the blessings of senior Doctors like Dr. Ravi Gulati, MD Dr. Sanjay Pathare we added one stop troubleshooting and convenience so that patients do not have to roam around.

Mr. Iqbal Chaney, Dr. Abhijit Rokade, Mr. Shailesh Kelkar, Mr. Avro Chatterjee, Mrs. Nilofer Shaikh, Mr. Tushar Patil, Ms. Ansha and so many others contributed to the efficient beauty of this set-up.

One item on the top of my bucket list thus ticked off: giving Pune, Maharashtra and India a Neuroscience Department to bank upon. This is just the beginning.

© Dr. Rajas Deshpande

Orphaned Doctor, Change and Future

Orphaned Doctor, Change and Future

© Dr. Rajas Deshpande

For two decades, I have taught medical batches one highest principle in medicine: To go out of your way to earn the patient’s confidence and trust, make the patient comfortable, understand their anger and frustration, and to never lose temper with a patient. Unfortunately, Covid 19 has started to change some of that. Because some patients and relatives do not listen. They do not care if they endanger other people’s life. They have no concept of importance of time and avoidance of “medical gossip”.

We must now treat everyone a potentially infectious source and take adequate care. Longer the exposure to a potential case, higher the chance of infection. That creates a new covid19 complication in our medical practice: dealing with the adamant, the slow, the repeating and the illogical. The days of personally explaining everything logically and patiently seem to be over, at least till the pandemic lasts, as extra time now means that much prolonged exposure. We should now record history with direct questions, examine and diagnose the patient, handover the list of tests if required and a prescription, and arrange for a telemedicine follow up of limited time to explain and discuss. In confirmed diagnoses, we can give the list of authentic websites which patient can read from and get their answers. That will eliminate a lot of unnecessary discussion and “unlimited questions because I paid for this consult”. © Dr. Rajas Deshpande

To risk his / her own life can be a doctor’s choice, but I don’t think any doctor has the right to risk the lives of his / her own children, spouse and parents. I don’t think it is right for the doctor to ignore his responsibilities towards his children, spouse and parents because he has to serve others outside family.

No doctor can endanger other innocent patients and hospital staff by exposing them to adamant, careless patients who refuse to wear masks in waiting rooms. A doctor cannot have time to go out and fight, especially with our politically powered criminals. The only way-out seems to be politely refusing to see the patient who does not follow basic mask etiquette. What is the point of explaining to a patient or a relative who wears a mask on their neck, leaving the nose and mouth open?

Many a times the doctor can diagnose and prescribe for common ailments within minutes, but it is customary to listen to the patient, to pacify their anxiety, to explain in detail and address many a fears born of google searches. The more difficult a medical condition, the more frustrating it is to explain it to patients. In every branch of medicine, there indeed are many extremely complicated medical conditions, situations which the most brilliant doctors also must make efforts to grasp.

It took me 3 years of specialty education after completing DM Neurology to understand Multiple Sclerosis or Parkinson’s Disease well enough to treat it, and even after 25 years of practice, neither me nor any of my teachers- some topmost authorities in the world- who spent their life studying these conditions can claim to have understood them fully. There are far more complicated conditions of the brain we must still keep on studying. How can these be explained to everyone from every background in few minutes?

While the medical treatment is the same for the intellectually challenged and endowed, the former takes the cake here because they stop once they trust their doctor, the later rarely can. © Dr. Rajas Deshpande

The Indian Doctor has been long orphaned by all. The pandemic has revealed the cruelty with which doctors are being exploited all over the country: especially the UG and PG students, interns and junior doctors. It is high time that every doctor takes charge of his / her own career, come out of exploiting contracts and services, even go to the courts if necessary, to be relieved of injustice, and start a good clean practice. That way at least one can serve many more patients, earn peace, satisfaction and funds, while also fulfilling the responsibility to safely look after one’s family. Resident doctors should seriously consider a national level petition to the courts of law about the various unfair practices being enforced at present.

We cannot change the clumsy, clueless, perpetually failing yet adamant mismanagers of the situation who unfortunately hold the reigns.

I’ve worked with orphans. They are most self-sufficient, beautiful souls who learn how to survive independently in a big bad world. I have learnt a lot from them, but the best thing they taught me was to not be affected by the false sympathy, artificial display of love, sweet talkers with black agendas and mean exploiters. They taught me that just holding hands without words at difficult times is far more meaningful than any huge boxes of chocolates, gifts, and to wit: thali, diya etc..

The key to wisdom is in silence. Doctors should silently change now.

© Dr. Rajas Deshpande

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#covid19, #pandemic, #India

Dear Indian Film Industry,

Dear Indian Film Industry,

We doctors support the sentiment of Producer’s Guild’s open letter today about relentless efforts to disrepute the entire film industry based upon some negative experiences.

But there’s a contradiction in that logic.

Please recall the umpteen times that the dignity of entire medical profession was decimated in films by showing all doctors and hospitals in poor light, casually beating them up by heroes. © Dr. Rajas Deshpande

Thanks to the dialogues like “They hook up dead bodies on ventilators to earn more money “, thousands of Indian patients who could have otherwise survived were disconnected from ventilators and taken home to die.

Thanks to one episode of Satyamev Jayate, thousands of great ethical Indian doctors suffered mistrust, vandalism and violence at the hands of malleable filmgoers.

The very ugly, dirty, cheap and below-the-belt jokes being cracked to gain TRPs by dressing up as doctors in comedy shows, addressing kidney thefts in films as if every doctor is involved, showing street goons teaching doctors humanity and not to wait for paperwork (by the way, it’s not doctors who made the paperwork laws, and no doctor lets any patient die for lack of paperwork): how do you think this affects our now-maskless society?

Fortunately the pandemic has exposed how “disciplined and civil “ our society is, and what the doctors do.

300 doctors have died during this pandemic, serving India, completely ignored, but the news channels are hooked on to the news about film industry: that’s sensational! “Negative” attention burns souls: like ours when we doctors watch films with our children and the heroes beat up and treat doctors as they typically do: humiliating!© Dr. Rajas Deshpande

Entertainment at the cost of someone else’s pain and suffering hurts, do you agree now? If a few stars have cocaine, it is unfair to blame all. If a few rag others it is unfair to blame all. If a few doctors are corrupt, it is very unfair to defame all. Rarely do we see an Indian film about good doctors- honourably mentioning the good Indian doctors portrayed by few like Mr. Amitabh Bachchan or Mr. Pankaj Kapoor.

Add to this the uncalled-for and hurtful fun made of certain communities like Parsis (most valuable contributors to Indian Honour), patients with epilepsy/ disabilities, even those who have stammering or squint etc… who are already being shamed by our retro minded society. When will we cross the need to hurt/ shame someone disabled as a form of entertainment?

What goes around in films comes around in reality.

Let us respect each other. Like everyone else, doctors too enjoy watching good Indian films as stress busters, we are also your fans, but it really hurts when doctors are unnecessarily defamed/ shown in poor light in films.

I must mention, many of our critical patients watch your movies and songs on TV screens in ICU, and forget the pain, even imminent death because of your performance and talent. I have seen patients laugh on their deathbeds, thanks to some performers, actors and singers. We are indebted to you in that sense. One of my stroke patients who couldn’t speak suddenly started singing along with his favourite hero Mr. Dev Anand on screen (Khoya khoya chaand..khula aasmaan..), a phenomenon well known in Neurology. I really didn’t mind it when the relatives said he had recovered because of Dev sahab and that song!

Dear Indian Film Industry, We love you, (actually some doctors imitate you, dress up like you, and even flaunt their biceps to their colleagues). We adore your talent, but please recognise ours too, and stop defamation of medical professionals in films. Please don’t sacrifice medicine’s dignity to prove the hero’s greatness. Indian female doctors in reality are far beyond only good looks, almost none corrupt. India has given some of the best doctors to the world. We appeal to your sense of decency to consider this in future before bashing medical professionals in films. We can definitely accommodate healthy jokes and humour about ourselves, but spare us the perpetual role of real life looters.

Wishing you a quick and healthy recovery and waiting for our most handsome, beautiful and talented actors to come back with wholesome entertainment as soon as possible. Also exceptional gratitude to Mr. Shahrukh Khan for his huge donations of life saving PPE kits for doctors, and Mr. Sonu Sood for everything he has been doing for our society.

Coming soon in the nearest theatre to see all of you once more.

© Dr. Rajas Deshpande

#filmindustry #producersguild

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Indian Healthcare On A Ventilator and The Mask Matrix

Indian Healthcare On A Ventilator
and
The Mask Matrix

© Dr. Rajas Deshpande

Thousands of Indians, both rich and poor, are helping out each other during this pandemic. Many employers, from large companies to even lower middle class, are paying their employees for months now, without any income. While I am very proud of this humanity among the masses, there are some serious questions in my heart. Our lives cannot be just a matrix of dependence, help, sympathy and compassion as a society. That is still exploitation and abuse, although sometimes wilful on both sides.

Only 2-3 percent Indians pay income tax, and 60 percent of total income tax comes from only 4 percent of all taxpayers. That means, 95 percent of population DOES NOT pay tax, and the ones who do pay taxes are not only compensating for the poor, but also for the defaulters, many of whom may be escaping law. With the pandemic costing the national reserves far beyond repair, it does not take great intellect to anticipate heavier taxations, tighter finances for about a decade to come, and all that burden will af course be borne by the 3 percent taxpayers. Unless you know you are special. © Dr. Rajas Deshpande

With one of the heaviest taxation, why should the nation still have to depend upon someone other than the governments / system to arrange for basics of life free of cost? People are dependent today on other compassionate people and NGOs, social groups for food, healthcare and other basics which the government should be providing them. More disturbing is the fact that when they don’t get these basic life facilities, the blame automatically shifts on those who have hard earned their affluence with education, hard work and talent: be it film stars, doctors, software companies, private hospitals or anyone who has some money: you are projected to be cold blooded and cruel rich who must either automatically shoulder the responsibility of millions of poor, helpless and unguided people, non tax-payers and everyone left out by the government, or you must face an audacious media, social trial for trying to appease the majority by criminalising your authentic, legal earnings.

Why has “HELP” become so crucial for our society today? When there are floods or accidents like the recent airplane crash, we take pride in sharing news of preventable sacrifices and write poetry about those who died because of an extremely poor infrastructure and maintainence. We glorify poor people who jump in to help, hiding important questions. Be it soldiers, pilots or doctors that we are losing every day, we miserably, idiotically dodge the basic human rights question: was it possible to prevent it? Was something wrong about the flood management, was something wrong with the airplane, was something missing in the healthcare that was earlier brought to the notice of the concerned but was ignored? © Dr. Rajas Deshpande

Instead, we choose to use the common masks to hide truth: patriotism, sympathy, compassion, donation, etc. Why could not so many richer politicians and ministers in India do for the migrant poor what some film stars graciously did? I will join the chorus in applauding those film stars, but the haunting question remains: why was the life of so many people dependant upon the compassion of a few film stars and NGOs? Why do NGOs and many others have to arrange donations to get sanitisers, masks etc. even for the police and the doctors?

News of goons fighting hospitals for inflated bills (in some cases indeed the bills are inflated), are exciting for the junta. One link is usually missing in such news: logic. Why doesn’t any of the self proclaimed, overaggressive, megalomaniac TV anchors or leaders enter any government hospital and ask questions directly to the responsible, like why there was no healthcare development in many decades there, why staff was always inadequate, why in the first place people should have to visit a private hospital which has a different financial ballgame and of course private investment. These TV anchors who speak as if they own the country and its population, act like they are above judiciary and replace reason with loud voice, are earning millions every month, why don’t they make a hospital for the poor in every town? In fact, it should be compulsory for every TV channel reporting medical news to donate all the earnings from ads during that news towards the treatment of poor patients. Every political leader should also take the responsibility of insuring health and life of every person in his / her constituency as a priority over bridges and flyovers, gardens and statues.

While everyone is making financial hey during the pandemic, doctors are made to pay in excess for all the masks, sanitisers and every other thing added to the routine by the pandemic, without any compensation. How can the private hospital escape these excess expenses? If at all the bills need to come down, let the government declare everything free: masks, sanitisers, remdesivir or tocilizumab, even the ventilators and electricity. At least strike off all taxes on these. While even the state governments are openly expressing inability to carry on without funds from central govt, how do you expect private entities like hospitals to run without charging patients? Even the hospitals should grow up now and give the patient three separate bills: one for hospital infrastructure and usables, second for doctors fees, and third for all the money that government has added to the bill: viz. taxes. If there is a request from any political strongman for reduction of bills, let the govt waive off the huge taxes part. Doctors fees are less than ten percent in all the bills, and they are the worst defamed ion all these news in spite of working so hard. © Dr. Rajas Deshpande

I feel very bad about the pilot who died while saving others, and naturally think if the airplane was indeed maintained well. I feel very bad also about the 175 + doctors who have died treating corona patients and think if they were adequately provided protection and isolation, treatment and compensation. Every day we are losing a precious healthcare asset and resource in the form of dead doctors.

We can of course shout slogans and bring in the topic of army again, crying aloud that if they can die, everyone must. The ridiculous part is that it is not the army men who usually say that, it is those who sit at home with some gadget, free internet access and a lot of time to write about everyone else, especially against the very taxpayer who pays for their internet and other facilities.

Only those who have paid their taxes should be allowed to opine politely about other professionals, and only after mentioning their own contribution to the country. Anyone who quotes the army as an example for others should be recruited in the army as per their caliber, and made to work free for three years, to help our brave soldiers.

Lastly, any sale of liquor, tobacco or any issue of driving license should be denied unless the person shows his / her own health insurance papers.

We should remove all these dangerous masks of sweet words we all love: compassion, sympathy, patriotism, bravery etc. used to hide the truth: we are financially most disorganised, almost bankrupt, and hiding behind these masks instead of being true patriots and facing the problem, while exploiting not only the taxpayer but also the never-acknowledged pride of our nation: Doctors.

Otherwise our dear country will always remain an exploitation hub, where few keep toiling and paying for many who do not work, and people sitting in tall places and high offices who earn too much while redistributing our national wealth. It doesn’t take a doctor always to tell this: our healthcare is on a ventilator.

Jai Hind!
© Dr. Rajas Deshpande

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Doctor 2025: What Happened After The Pandemic?

© Dr. Rajas Deshpande

The whole family was happily relishing desserts after a sumptuous dinner, when Mr. Shah suddenly went blank. His eyes rolled up, and he started having violent movements of his body. His daughter Amira shouted “Mom, call the emergency ambulance number” and tried to comfort her father who was now in a full blown convulsion, blood oozing from a corner of his mouth with froth.
The ambulance came with paramedics. Its driver handed Mrs. Shah a cellphone: “Please enter his Aadhar card and Insurance policy number, we will take care of everything” he said.

They collected a drop of blood, which would give all the necessary information about the patient. A video scanned the patient and recorded history and legal statements of the family members.
The sugar level was high.

“Was he given sweets? asked the paramedic.
“Yes” said Mrs. Shah.
“Did you take permission from the government? He is a diabetic, sweets are illegal” the paramedic said.
Amira pulled out a big pink note from her purse.
“Listen, please delete that video. Please take another clip, Mom doesn’t know, I will speak” she said. The attendant agreed. His salary had been halved since the pandemic.

They reached the nearest hospital in few minutes. The nurses hooked the patient with various tubes and told the relatives to wait in a counselling room. The patient appeared stable now. “This is really cool. India has made such great progress” Amira said to her sweating mother.

After a few minutes a Doctor on the TV screen greeted them, and explained them that Mr. Shah had developed bleeding in his brain. Interrupting the doctor, Mrs. Shah, sobbing, asked if her husband will be out of danger. Amira too, very anxious, asked many questions. The doctor replied very pleasantly “Just after this video call, you will see a video of all the likely things that can go wrong in your patient’s case. You will also be provided interactive links like a telephone menu, to ask any questions you want, the answers are scientifically standard. All treatment and billing is standardised”.© Dr. Rajas Deshpande.

In a fit of anger, Amira loudly asked “But doctor, we want to see you and speak with you. When will you visit the patient?”.

Smiling, the doctor replied “Oh! Sorry, but we abolished that practice long ago. We don’t directly meet thee relatives now. For every patient, we give you the diagnosis and condition, all the information is made available on the internet, you can read for yourself.”

Mrs. Shah took out the Bramhastra “But we are paying your fees. You must answer and explain to us. You must be available for the patient all the time”.

The Doctor’s smile now became distant and curt.

“No madam. The law requires that I see the patient every day and treat him / her well, which I will continue. The insurance company and the hospital to whom you pay require me to visit the patient only once in 24 hours, which I will do. I am supposed to inform you, which I just did. You are paying the hospital and the insurance company for my services, from which they both cut some amount and pay me, you are not buying my time or me. You are free to request to change the doctor, or for a second opinion at an extra cost. The government has now made it mandatory to treat the patient at the hospital that they will decide, unless you are a special category. There is nothing like personal care now, everything is standardised by the ministry. We have a PRO who can assist you with searching all the information you need”.

Amira, wiser to the world, asked directly, in a cautious, lower pitch “Doc, what can we do to get your direct services? We can pay anything you want. We want you to personally see my father, make all the treatment decisions, and we also want to speak with you daily, in person. Do you have a private hospital? Please, I beg of you, have some compassion”.

The Doctor paused with a sad face, then said in a more personal tone “ I am sorry mam, all private healthcare has been abolished in India. . Many relatives attacked and injured doctors, most spoke in an abusive, rude manner, many wasted our precious time with illogical, repetitive and absurd questions. So the unnecessary was eliminated . During the pandemic of 2020, doctors were abused by our society so badly, that many died, many left either the profession or the country. Now the number of doctors is very low, We have a wild, abusive society that swings between begging for compassion and free treatment to violently attacking doctors. So all hospitals are now controlled by the government, and all doctors just follow the treatment recommendations set by the government. Even the brands and quality of medicines, stents, instruments for each patient are decided by the government, according to that patient’s category”

Mr. Shah’s condition was worsening day by day. Once every day, Amira received updates about her father via a lengthy SMS, with advertisements of big business houses, who had access to every data in the country. Nothing was private anymore.

Amira asked the PRO one day “What happens to the poor patients who don’t have money?”

The PRO smiled in disdain. “There are special insurance schemes and different stadium-hospitals for them. They have the same system, but low cost everything, including medical staff. Those who cannot afford even basic insurance are sent a CD of patriotic songs and motivating sermons. After the pandemic, this has emerged as the most cost effective way of healthcare.”

“What if I want to take my father outside India for treatment?” asked Amira, now fed up with all the robotic answers. All human touch in medicine was lost.

The PRO looked at her in awe. “Are you in Politics? Are you super-rich like celebrities? Because taking someone out of India for medical treatment is reserved only for them, or those who have special links”.© Dr. Rajas Deshpande

Every morning, Amira and her mother went to a temple and prayed. One day, Amira asked the doctor: “Doctor, what if this was your father. Would you do the same?”

The doctor replied “Mam, My father died because I was posted in the pandemic ward. He was a high risk case but I did not get exemption. I think I am already doing far more for your father than I did for mine”.

On the fifth day, Mr Shah woke up. In a week’s time, he was scheduled for a discharge. Arguing about the hospital bills or complaining about the treatment with the insurance company or the government was now considered anti-national, so she carefully remained silent and paid all the bills, right from that for the first drop of blood collected at home and the ambulance. The pandemic tax and GST almost doubled every bill. Everything was authentic and standardised.

On the day of his discharge, a political leader came over, and a picture was taken with Mr. Shah. “Recovered due to the untiring efforts of the party and the government” said the newspaper the next morning.

On the way home, Mr. Shah told Amira “That doctor was fantastic. When will we see him again?”

Amira replied “I don’t know. The government will assign a doctor for you to follow up now”.

Mrs. Shah looking far away, said “At the temple every morning, I prayed for two things: for your health and for return of the good old days of personal relations with our doctors”.

© Dr. Rajas Deshpande

Please Share Unedited

Much of this is happening right now. This is the foreseeable unavoidable future.


© Dr. Rajas Deshpande
“Sir, we are screwed. The Chief Minister and other ministers have closed all doors, they won’t respond. Our careers are in grave danger. Can you please help us?” I frantically spoke.
From the other end of the phone, the Don, Dr. Nitu Mandke answered: “See me at my home at 12 midnight”.
The Maharashtra state resident doctor’s agitation for dignity, national pay parity and better living conditions was on, and I was given the responsibility of coordinating and being the face. We had successfully established a multilevel network.
When students go on a strike anywhere in any field, it is almost always out of desperation, either for dignity or for rebellion against some sort of suppression by the system. Students never rebel for money or power. This raw student power is almost as mighty as the army, and although it falls prey to political misuse sometimes, it has tremendous capacity towards achieving intellectual evolution of the society. The government always treats any unrest as an offence to its ego, and uses everything at its disposal: CID, Police, Administration, Force, Threats, Caste Politics, Cheating and Legal torture to mow down student agitations. Students have no money, no experience and rare political or social backing, and must unite and stand up for themselves. © Dr. Rajas Deshpande

On the fourth day of the strike, a big politico from the ruling alliance came over to our office at Mumbai KEM. There was no telling between him and a mafia goon. The members of student’s central committee: Dr. Sanjay Singh, Dr. Dinesh Kabra, Dr. Narender Sheshadri, Dr. Pramod Giri, Dr. Nilesh Nikam, Dr. Kuldeep, Dr. Vishal Sawant, Dr. Noor, Dr. Shahid, and few others were with me. The politico did not have any scruples using an arrogant, raw and filthy language to threaten that if we do not stop and withdraw the strike, our careers and even life will be in danger. As he was from the ruling party and threatened us in presence of the police, there was nothing we could say.
There are angels everywhere. A senior police officer who was supposed to “keep a constant watch” upon us ‘student leaders’ was quite fatherly. He told us “Do what you must, but don’t declare. Dumb people cannot interpret silence. Stay away from any violence”. © Dr. Rajas Deshpande
Unknown calls kept threats alive. That is when a resident doctor suggested we meet the Don: Dr. Nitu Mandke, the famous heart surgeon who was known to be a fearless, straightforward celebrity doctor.

We went to his home, and waited, hosted by his extremely courteous family. He returned home past midnight. We briefed him the details. He asked a few questions to assess our determination and strength. He asked us to stay united and avoid any misbehaviour during the agitation. To our surprise, he picked up the cellphone and called the Chief Minister’s PA. The CM was fortunately available, and talked to Dr. Mandke. © Dr. Rajas Deshpande

After the call, Dr. Mandke told us: “CM has advised us to meet the Deputy CM tomorrow. Two of you come to Lilavati Hospital tomorrow at 2 PM. I will take you to the DyCM.”.
At Lilavati hospital, Dr. Mandke’s chamber was intimidatingly clean and posh, yet simple. He checked our applications for the CM and corrected them with his beautiful pen. His briefcase had every essential of writing stationary, the mark of a perfect man.

As we waited, I asked him cautiously: “Sir, shall we start?” He replied that he was waiting for someone to carry the bag on his table. I offered that I will carry it. He laughed his thunderous laugh, and looked at us as if we were small puppies. “ Deshpandyaa, that bag has two and a half crore rupees cash for construction of my hospital. A professional bodyguard will carry it. People kill for that. Do you want to carry it?”. I shut up.

In his big car, for the 45 minutes that his bodyguard drove us to the DyCM, I asked Dr. Nitu Mandke questions about what was going through his mind when he was actually operating the Shiv Sena Supremo Mr. Balasaheb Thackeray. Such an enormous pressure it must have been!
“Oh yes, it was stressful. But he is a gentleman, and he had assured my safety. His word is enough”.© Dr. Rajas Deshpande.

That’s when we told him how some politicos had threatened us recently. He laughed and replied something that has been tattooed upon my cortex permanently:
“Rajas, a doctor is a doctor and king of lives forever. Politicos come and go. Idiots misbehave with others when the have any post or power, in any field. You should not budge. It is pathetic to see doctors licking shoes of those in power, under various pretexts. It is up to you to maintain your dignity and pride. That is the true luxury, everyone cannot afford it. So long as you do the right thing, fear nothing. The few crores in that bag is nothing compared to how I feel about myself”.

We entered the VIP zone and bungalow. His car was not stopped anywhere. The DyCM offered us tea, and gave us a patient listening.
“These junior doctors and students are my boys, our own boys, they will look after the health of our people tomorrow. You must help them” Dr. Mandke insisted. The DyCM assured he will. The spell was broken, talks resumed.
Many twists and turns later, one of the most memorable strikes was called off.

A year later, I saw a white Lexus car in our KEM campus at Mumbai. Fond of cars and having never touched a Lexus, I went to see it from a close distance. Just as I tried to touch it, the driver’s window rolled down, and I heard “Deshpandyaa, open the door and come in. Do you like my new car?”
And I sat besides the King of proud men, one of the most proficient Cardiac Surgeons, Dr. Nitu Mandke, in his Lexus. The feeling is unforgettable, not only for the Lexus, but for his simplicity, love and affection for a ‘nobody’, a junior doctor like myself!

Needless to say, then onwards, I have guarded my dignity and pride as a doctor more than any other possession I have. That took away many opportunities and huge finances, still I am doing quite well by God’s grace, and Dr. Mandke’s blessings.
How I feel about myself is more precious than anything I can earn. The luxury of pride is mine.
© Dr. Rajas Deshpande

Dedicated to all students, resident doctors, proud people in every field, student unions and their apolitical fearless leaders.
Please share unedited.

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

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

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

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

He didn’t say that:

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

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

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

And lastly, is this happening only in certain states?

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

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

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

Stop your poisonous blah.

© Dr. Rajas Deshpande