Tag Archives: India

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

One Way Relationship: I Quit.


© Dr. Rajas Deshpande

Let’s face it. India is not a country where politeness, manners and etiquette is considered essential or important. In fact if you have these qualities, you are looked upon as weak. The more you accept it, the more crap is piled up upon your cell and mind. Politely saying “don’t message, don’t disturb” never works, and routine cases become emergency because no one is available when people have holidays. So a relative’s health may be completely ignored all week when everyone in the family is busy, and the doctors are then screwed on weekends, with expectations of compassion and sympathy, and with two chocolates “Will pay fees”, and “You are so kind”.

If there’s an emergency, visit the nearest doctor, take the patient to the hospital and admit. Don’t look for an excuse and escape to save time and money by exploiting a doctor who has entrusted you with his / her private number in good faith. They are far busier on holidays than on the working days.

Yes, a doctor is busiest on his holiday, having to attend to umpteen chores at home that are left undone during the weekdays. The weekend stress is extremely high. Family members expect some quality time and interaction too. Even simpler Personal tasks like a haircut, Cleaning home, vehicle, shopping for essentials and completing paperwork, banking, financial supervision etc. completely consumes the weekend of every working doctor. All this has now multiplied due to the pandemic, extra tasks have been added with higher risks. Add planning for upcoming meetings, catching up with academics, and incessant calls of those who think that the doctor will be “at leisure” on a holiday to attend to anything that pops up in their mind.

The irritation of not getting a holiday even on a holiday is unbearable. Be it family or friends, very few truly respect the necessity of some peace of mind for their doctors. Just because they get the doctor’s phone number, people feel it is an open access to their private time. I have even met VIP patients who requested my private number and then told me that their secretary will call me as they cannot disclose their personal numbers. Now I regret having given out my personal number to certain friends who incessantly send reports and ask consultation almost every weekend.

I quit this one way relationship. I may lose some friends and some patients, but it is worth the peace of mind I need to serve my deserving patients well.

Sincerely requesting my patients, friends and family members to NOT message/ call / email me on personal numbers or on social media, on Saturday and Sunday🙏🏻.
No exceptions.

Wishing everyone best health and a great life.

© Dr. Rajas Deshpande

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

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

Two Shades of Nepotism, and Doctors.


© Dr. Rajas Deshpande

Surgery final exams.Butterflies.
My best friend and me were sweating since last few nights.

My turn, a case of breast cancer. I did well, but obviously it is not possible to answer everything, and there comes the “Sorry Sir, I don’t know” moment, I said it. The kind external examiner smiled at the end, a positive sign. I started on the next short case nearby. My best friend was presenting to the same examiners when I was recording my next case. Poor guy, he had a difficult case and was confusing. He was better than me in surgery, and here he was, not doing well. Just then, his uncle, a senior surgery professor, entered our ward, and our examiners stood up to wish him. They were his students. Our professor wished my friend best luck, and said to the examiners he hoped his nephew did well.

I got enough marks to cross the first class, my friend was far ahead. While I secretly resented that my friend had an advantage, I knew he was a good student, and it did not hurt much. Maybe, if it was an enemy my reactions would have been different. Many examiners in India actually discriminate between an outsider (belonging to non-medical parents) and insider (belonging to doctors, especially from the same institute), or on the basis of caste, language, and even gender.

Gender discrimination and its various shades are nothing new in India and still a taboo to write about, but there are beneficiaries and victims of this anomaly. There was a girl in my college, not very academic, who did ‘impress’ the examiners with her beauty and smile. We saw some male professors being partial to her because she was exceptionally beautiful and had a model-like personality. She always passed with very good grades, got the best ranks, and eventually married a similar rich and handsome guy. Nothing in this story offends me, these are the ways of today’s world, but since centuries probably. I know that most beautiful women also face a reverse discrimination, i.e. even after being the best they are accused of using their looks to get what they want. They are usually above the tendency to reply to such allegations.

A very wise quote mentioned in almost all spiritual texts says “Imagine yourself in their place before you speak about someone”. What would I have done, if my uncle was a Surgery professor, and could ‘push me up’ a little bit? Or, a more difficult question, would I have taken advantage if I was a woman with really good looks? Well, the answers are not very pleasant, and certainly not universal. I wished I had a Godfather in medicine, to guide and protect me. However I do not hate those who have one. Not having a godfather helped me grow better and stronger, and I always found ways to create enough opportunities for myself, to face this reality head-on rather than engage in a blame game about it.

Nepotism and discrimination are not new, in fact it is an ancient tradition in many cultures, like some other questionable traditions. From Kings and Priests to classical singers, people have preferred their own over deserving others. For example, if a wrestler has struggled and won medals, name and fame, he would want his progeny to excel in his own craft, and will do everything possible to help his own son/ daughter. Only those who can say ‘ I will never help my son / daughter / friend to excel in their career, I will never invest for them, never use my goodwill to get them the best life should be able to criticise nepotism in true sense. Nepotism is the naked truth about almost every profession, from politics to mafia. Even genetically (this might need a broader-grasp mind) there are certain things which people inherit an ability to do better. Right from famed watchmakers to singers, dancers, and some artists in fact retain their craft strictly within families, and proudly keep it a secret. So long as they do not prevent someone else from making their craft, or do not stand in the way of others, one cannot blame nepotism. Why should we presume that the son of a great singer cannot be a greater singer if given a chance?

Unless everyone in our society is mature enough to swear not to help their own family and friends and follow that, unless we eliminate nepotism by laws that apply to everyone, we cannot selectively blame one profession or other about it. While we evolve away from it, we must also accept that near and dear ones will always be the favoured ones as a human tendency, with rare exceptions. If a woman is rich enough, she can buy a Mercedes for her daughter, and her neighbour has no case crying nepotism because their kid was denied a Merc. However, if the neighbouring child’s toy is snatched, then alone there can (and should) be an argument. A true anti-nepotism sentiment should be to help every hungry and homeless kid we see on the roads, as they need food and home more than our overfed kids do. Is that happening?

Most of the politicians, businessmen, and even doctors who have reached heights in their careers have tried to rope in their own near and dear ones in their field of expertise. That has never prevented outsiders in any field from reaching where they are destined to reach with their hard work. In fact, outsiders are often seen reaching higher and farther than those who get help and support early on. I have very strong feelings about those with money buying out medical undergraduate and postgraduate seats while those without money and just merit having to let their valid claim vanish. What money does when it changes hands is far worse than what nepotism does in any field. There are other vices far worse than nepotism in every profession. Taking advantage of gender, power and connections to disrepute, defame or emotionally torture others are far worse. There’s nothing wrong in helping one’s own, but it should not be at the cost of destroying others. If a doctor has established a great hospital with his life’s blood and sweat, he will obviously want his own child to own it rather than conducting an international survey for researching the most eligible person to run it. I am not at all in favour of Nepotism, but I strongly feel about the misuse of this term by those who openly practice cronyism, favoritism and shoelickism.

To choose a vice that suits one’s immediate cause and ignore one’s own ‘bypasses’ to success, being thankless to those few who made one successful is a creepy tendency. Many who accuse others of having ‘Godfathers’ gladly indulge in other types of ‘push-pull’ tactics for utterly selfish gains. In medicine too, while we gradually become more objective, we should try and also eliminate our own faults before raising fingers at others. Every doctor should be graceful enough to be above short term attention seeking. If we don’t understand good and bad mentalities, who will? The best we can do is to concentrate on the good we can do, while fighting with a smile those who suppress others. We can never forget that there indeed were people who helped us.

Nepotism will create only a transient glitter. The beautiful spirit of eternity is never affected by it.

© Dr. Rajas Deshpande

My Best (And Last) Effort For Indian Healthcare.

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

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

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

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

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

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

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

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

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

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

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

This is possible.

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

I am willing to be in the front seat.

Do you want to start a revolution?

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

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

Any political/ religious/ discriminatory activity will permanently disqualify.

Only those with medical council registrations should join.

Let Us Work Together For A Great Indian Medical Establishment.

(c) Dr. Rajas Deshpande

A Love Letter For All Haters Of Allopathy

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

© Dr. Rajas Deshpande

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

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

Please share unedited.