Tag Archives: Mind

The Last Bullet For Indian Private Healthcare


© Dr. Rajas Deshpande

Many doctors, nurses and other staff, police officers are dying due to corona exposure. Recently the quarantine period of doctors was cancelled. To add to this, very ridiculously, doctors’ salaries were reduced, and covid funds were deducted from even frontline warriors’ salary. This is like taking money from a soldier’s paycheck to fund the army!!

When I recently heard some people shouting about excess bills in hospitals, doctors not working etc., I felt like shouting back too, but one cannot argue with a sold TV screen.

For decades India has had
Excess urban crowding,
Very poor hygiene.
Very high poverty and illiteracy.
Lack of town-planning for slums.
Severe lack of state/ national healthcare infrastructure.
Tiniest budget for healthcare.
Perpetually under-functioning government hospitals. Every season hundreds die due to epidemics.

Where were you till before the pandemic? Who is responsible for all of the above? Do you want to discuss these factors which are responsible for the pandemic chaos today? Or now you just blame it all upon Doctors and Private hospitals?© Dr. Rajas Deshpande

Only private doctors with small nursing homes and dispensaries, clinics were shouldering all healthcare needs that government hospitals could not provide. They had low profits and catered to middle and lower class. These were destroyed in last few years because of too many stringent regulations and costly licensing. Many closed down. Legal troubles by relatives, politicos supporting them and vandalising hospitals forced many private doctors to stop admitting patients. Protection to doctors was denied by almost all governments till before this pandemic.

Indian poverty is never ending, and charity cannot run anything perpetually unless there’s a strong fund generating mechanism supporting it. If someone expects that doctors charging 2 rupees fees are the ideal healthcare for all our medical needs, they should happily go to such a doctor. We highly respect them too, but it is their choice and there are obvious limitations to that. To develop advanced healthcare in India, higher profits were necessary for higher investment. Corporates, some businessmen and the likes of Mr. Ambani pitched in. Advanced healthcare with heart and liver transplants, complicated brain surgeries, cancer treatments came to India because of these investors. They accepted all the conditions of governments to accommodate over twenty percent poor, nonpaying patients via various schemes. The payments for running these schemes were delayed by various govts for years, and the hospitals were arm-twisted in still continuing to treat everyone. The only source of profits was private and some insurance patients who were paying a higher fees for facilities: from air-conditioning, food to choice of specialists. Higher quality of staff, especially nursing and technicians who can operate high end machinery and robotics requires very high salaries. Maintenance costs are heavy. A specialist cannot do much without such a very good team. Each of these requires good if not great salaries, as they are continuously invited by developed countries who pay far higher.

But then every patient wants the highest facilities, best staff and specialist team, with no payment or basic payment. There’s no concept of billing beyond actual price of medicines and room charges. Service and maintenance is considered a ‘free right’. © Dr. Rajas Deshpande
Even in this modern era of equality, a higher class Indian officer like a minister gets a higher room, better food and other facilities, even higher medical bill sanctions, whereas the labourer from his department gets minimum basic facilities and bill eligibility only for general ward. Law allows higher healthcare’s standards and payments for higher officials. Why do they even have classes in railways and airplanes? If a “Gareeb bechara” migrant wants to fly home, should we offer him road transport or compassionate air travel? Why don’t we do for all the poor something that you all expect doctors and hospitals to do?

We don’t mind if basic and emergency healthcare is uniformly cheap or free for everyone. But when you force a high-end medical commodity (skill-time-investment-staff) to be sold at a loss or extremely marginal profit, you kill the system.

Doctors do not differentiate when making a diagnosis or treating anyone from any financial/ power background. But the private hospitals must be allowed to cater to different classes, earning their profits. That is their only stimulus to grow forward, engage best personnel and bring advanced healthcare to India. Different governments have failed at maintaining high standards of healthcare in their respective set-ups (with some proud exceptions- but because that’s where our powerful go). Some hospitals indeed take more bills for better class of services, including staff, but none of them forces a patient to come to them. Even these hospitals never deny free emergency treatment to anyone.

“But isn’t healthcare a charity? Haven’t you taken oaths to serve?” our loudmouth hypocrites ask.

Yes we have taken an oath to serve everyone rich and poor equally, but no, we have not taken any oath to neglect our own health and well being. Yes we have taken an oath to serve, but we have not taken any oath to live in perpetual poverty and financial stress. Yes we are under an oath to do our best for every patient, but we will not be bending backwards to fulfil their unreasonable demands. Yes we want to save every life, even if it is dangerous , but we will not unnecessarily endanger our own life because someone forces us. We haven’t taken an oath to abandon our families. The Hippocratic oath does not ask any doctor to stay hungry, work without sleep, and do the unscientific because various governments cannot pay for adequate number of doctors. Still we are doing all this already. Let us be clear: we proudly and intellectually serve our country, but we refuse to be considered slaves of either the system or the society. © Dr. Rajas Deshpande

Capping bills in private hospitals will be the last bullet for all advances in healthcare development in India. Be prepared to go back to the chaos of ancient times in that case. Quality will suffer most: right from specialists to nurses to medicines. You can of course force one generation of doctors to work like this, under low cost and excess work. People aren’t fools to send their children to such hells of social slavery. Yes you read that right. There’s a difference between service and slavery. Do not attempt to turn medical service providers into slaves. It will backfire very sourly.

Instead of this, the government can invest in existing private healthcare players to create low cost infrastructure alongside their private hospitals, or privatising its own healthcare institutions with increased capacity. Our governments do have friends in very high places who can invest.

We love India. We are not against any particular government, and this post is not against any leader or party. But we do feel very strongly that healthcare decisions must be made involving everyone concerned, that this people-pleasing for short term will turn out to be a huge disaster in long run, and it will be irreversible. If any government thinks that cancelling hospital permits and doctors’ licences in a country with severe shortage of medical services is the right way forward, God help it.

If private and corporate hospitals start shutting down now, it will be permanent. India will then have to mostly rely upon prayers alone for healthcare. And of course those who think they know medical science more than doctors. India has no dearth of such “fatally self-medicating” ignoramuses.

Jai Hind

© Dr. Rajas Deshpande

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Disoriented


© Dr. Rajas Deshpande

“Doc, he appears confused. He has delusions. He was very methodical and logical earlier. He had excellent deduction and was considered a genius among his colleagues. Yet now he himself does not understand that he is making gross mistakes in making simple decisions. He appears completely disoriented…” the lady gave me an update in a deeply concerned voice. The devastating fear of mental, intellectual decline of a beloved is not grasped by all. For want of simplicity, we term it dementia. However, the meaning of this term is far broader and deeper than what most people can grasp, and the mental agony that the spouse goes through is beyond many a people’s emotional basket too. Infections and low sodium levels can often worsen the mental-cognitive personality of the elderly. I advised her a few tests to be done urgently and returned to my quarantine chores.

Her words kept on echoing for some time in my mind. This pandemic has challenged what the humanity perceived as truth till date. Disoriented, demented, illogical, delusional: isn’t that what the whole humanity has become today? Hasn’t this virus uncovered our intellectual, emotional limitations and selfish vulnerabilities? Have we not become exactly what the best human souls taught us never to become: money minded selfish humanoids hiding behind facades of clever and intelligent, politically correct wordplays, fatally attracted to glamour and clamour, emotionally cut off from the world, concentrating upon our families, cults, religions and regions? And of course, intermittently well-crafting the social service façade by donations, our signature face on every penny.

Financial success and numbers have become the new, hidden definition of life. Some wisely hide the word ‘Financial’ in the prior sentence. We won’t be able to name any financially unsuccessful / poor geniuses from the fields of medicine, science, art and even sports. I do not hate capitalism, in fact I believe that wealth creators are the ones who fuel the world. But among these are the compassionate and human who would rather be a million short of their billion rather than destroying a competitor and his/ her business. Squeezing-twisting every arm in the giant machinery that governs laws to finish everyone else and engulf everything with a gluttony that is hailed as business acumen is a real tragedy unfolding right now. We very gladly become the proud cogwheels of such ‘man-eating’ giant machineries that bleed competitors to a certain death.

While never being able to make peace with our neighbours we speak of world peace. We cannot bring ourselves to acknowledge the good in our competitors and enemies, we cannot deal with those with a different religion or country, come what may! While excepting ourselves from laws and rules we blame and blast those others who break laws. While secretly cultivating the filthy “money is all that matters” gene in our next generation, we encourage blindness towards the moral, ethical bypasses required to earn humungous money. The amount of real happiness, truth and honesty that needs to be sacrificed to be extremely rich is the worst inheritance our next generations will have to suffer from. Clever Wordplays is the sociopolitical success mantra of today!

I had never thought that I will witness anything more emotionally traumatic after seeing the hundreds of dead bodies and bleeding, broken-bone victims during the Killari earthquake. Today’s migrant crisis appears to cause deeper wounds than that upon our soul. This is a very tragic question, but what causes more hurt: witnessing dead bodies or extreme suffering of the living? Millions of migrants facing the worst wrath of fate, walking under a scorching sun towards a faraway home with their children, some dying, some delivering on the roads, strong men and women labourers breaking down and wailing – will be a shameful and guilty memory which I will carry for the rest of my life. We have excess caps and shoes; they are walking in rude heat bare headed and barefoot for hundreds of miles. We are discovering new cooking skills, they are discovering new depths of hunger. We are complaining about broken air conditioners, they are gasping for a glimpse of their beloveds in their zuggi-zopdi. We are too comfortable and grateful knowing that we are not them.

That India is overpopulated appears to be our strength on social media. We can show how many million fans, hits and likes there are, but we cannot speak a word about a tragedy which happens right in our backyard. We are scared of the worst: socio-political ostracisation, defamation, destruction of a hard-earned reputation and closure of financial support for survival. An intellectual is more scared of losing freedom of creativity, giving his best to the world and so mostly decides to be a silent spectator around strongmen with their invisible socio-political weaponry. Society as a whole has never protected or rewarded its intellectuals, especially in backward countries.

This pandemic will go. Few will have changed their perceptions of the world. Few understand that anything requiring a crowd must please a crowd’s intelligence quotient. Because crowds gather for hate easier than for love. Look at what content gets the best response: hate mongering, roasts, nudity, vulgar language and sloganeering. None of these is a proud achievement of humanity, yet these are the top hits. Pleasing a crowd can entertain, can earn one money, fame and votes too, but cannot ever bring this world health, happiness or peace. Entertainment, although critically essential for a stress-free mind, although soul-awakening, will never be among the first essentials of reducing hunger, pain, disease and suffering. There indeed was a time when entertainment was creative, with art, literature, acting, music and sports, fulfilling for the soul, but now only the superficial, jaded antics and the gaudy glitter with numbers remains the identity of most entertainment forms.

We indeed are disoriented. Yes, I too am guilty of some such disorientation. I have consciously decided to change. I do not have all answers right now, but I better appreciate the bigger picture now. My perceptions of what matters most have further changed. My faith in human nature has been deeply wounded, but my hope has always won, and I will help it heal even now. The current crises just told me what human race truly needs. My wish to make everyone understand has decided to take a back seat. My wish to do what I can is in the driving seat now. My contribution will be probably too small, but I have started.

I want to be well oriented for the rest of my life.

© Dr. Rajas Deshpande

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Mumbai Diary- 3 To The Silent Patriots

Mumbai Diary- 3

To The Silent Patriots

© Dr. Rajas Deshpande

Neurologist

Mumbai / Pune

Usually I stay in Mumbai on Sunday nights to be able to attend the OPD at Lilavati Hospital on Monday. Strolling by the sea is usually a pleasant addition to a Sunday evening. However, this time there were huge crowds as Christmas was only three days away, and people thronged to have a glimpse and seek blessings of their beloved Mount Mary. I decided to use the evening to visit my favourite Udyan Ganesh Temple at the Shivaji park.

I had my car but didn’t want to drive in Mumbai traffic that day, so I requested for a rental car. As the car came up, a perfectly dressed chauffeur in a white hat got down swiftly and held open the door, politely wishing me. He must be in his sixties. “I am Abdul, Sir” he introduced himself. I introduced myself too.

“Can you please drive me to Shivaji park?. and on the way I also want to visit the Mount Mary for a minute.” I requested.

“Sure Sir” he said.

In a few minutes, as I returned after praying at the Church, we headed towards Shivaji park. © Dr. Rajas Deshpande.

We chatted, he opened up very well, a rarity in a world full of cellphone robots. His father had retired with many honours from Mumbai Police.

“Those were the days, Docsaab! We stayed in a small society, there were three Hindu and a Christian family around us. Yet there was no awareness about religion, any child went and ate in any home. There was also no hesitation in anyone scolding any child for being naughty .. we were like a single big family. Nowadays one has to think a lot before speaking even to one’s own kids!”. I agreed with him.

I met my favourite deity at the Shivaji Park and returned. As we drove back, we crossed a building belonging to an ultra-rich famous businessman. The intention of the owner to show extremely gaudy luxury and glittery affluence in every inch of that construction was truly manifest. Passing by that building, we witnessed the state police guarding its gates.

Mr. Abdul spoke in a tone with hidden bitterness: “Every glass, every brick of this building is cursed, Doctor saab. This man has cheated and looted millions to earn this kind of money. There’s nothing against anyone being rich, I mean who doesn’t like to have a lot of money? But it should not be made by sucking people’s blood”.

In a few minutes his tone normalised. His smile returned. “Docsaab, I have worked for this company belonging to Mr. Ratan Tata Sahab for over 20 years. No one has ever seen any show-off of affluence or power from the Tata family. Once I was posted as a night-duty chauffeur at Mr. Tata’s bungalow. Sitting in my car, I dozed off by midnight At about 3 AM, I heard someone knocking on my car window. I woke up with a shock: it was Mr Ratan Tata, holding his own bag. I came out of the car shaking and apologising. He said to me: “Why do you apologise? Everyone gets sleepy at night. Not a mistake. In fact I am sorry I had to wake you up, but I must reach the airport as soon as possible. Will you be able to drive, or are you feeling sleepy? I don’t mind if you sleep in the back seat, I will drive the car to the airport and wake you up there. You can bring back the car in the morning”.

Pausing to clear his emotional throat, Mr. Abdul said “I felt that it was like meeting God. Since that day I never felt like working for anyone else. People usually show off and become mannerless when they get even little power or money, they insult and mistreat their employees, dependants and staff. But not Mr. Tata, he has the biggest heart I have known”.

That this should happen with me on the very day of Mr. Ratan Tata’s birthday was such a divine coincidence for me! © Dr. Rajas Deshpande. It provoked a different line of thought.

Soldiers, Police, Doctors, and millions of workers, labourers, watchmen work day and nightshifts, silently performing their duty while also serving the nation with their blood and sweat. Somehow people tend to think that these “true patriots” do not have a right to sleep well, eat well, and spend some good time with their families. Many think that sacrificing sleep, hunger and family time comes naturally as a duty when someone chooses such a career. As if it is a crime for a soldier or policeman to feel hungry, or a doctor to need adequate sleep. As if the children of these professionals do not need a father or a mother at home! © Dr. Rajas Deshpande. Our society thinks that, it is okay for them to sacrifise, suffer, even die in the line of duty. That is hardly a sign of an evolved, civilised or humane society!

Most people in our society get to sleep eight hours, have three square meals a day, then watch TV / entertainment, and in the remaining leisure some of them scream about Patriotism, share posts of emotional speeches about loving one’s country. There’s no better patriotism than actually working hard. Those who shout slogans and bellow speeches actually do nothing good for any country.

Through this post I would like to thank the millions of silent nation lovers: men and women from all religions, from all parts of my Great India, who show their love for their nation in their work, in their perfect execution of duty and service. May this New Year bring you immense inner happiness, exuberant health and realisation of the beauty of life.

Of Course, Happy Birthday Mr. Ratan Tata, if at all this post reaches you someday! You are one of the most respected icons in this world.

© Dr. Rajas Deshpande

Neurologist

Pune/ Mumbai

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Lost and Saved Life: The Indian Puzzle

Mumbai Diary-2

Lost and Saved Life: The Indian Puzzle

© DR. RAJAS DESHPANDE

He had a sudden, severe chest pain, so he told his office-colleague so. The colleague first called his wife and alerted her “Bhabhiji please don’t panic, I am taking your husband to this hospital, please reach there as soon as possible and give me a call once you reach”.

The cab driver grasped the situation at once and drove as fast as he could. He prayed in his heart. Just a kilometre before the hospital, there was a huge mob blocking the road. A great leader was shouting aloud about his pride for his religion and patriotism, least aware that they were all blocking many children and mothers trying to reach home, patients and doctors trying to reach hospitals. The bought crowd was eagerly listening to the violence provoking words of this rich politician, also a convict and suspect in many crimes, There was less audience at the real places of God’s worship nowadays than at political speeches giving religious sermons, mixing them with the love for one’s nation!

The cabbie honked. Two monstrous looking goons peeped in his window and started abusing him insanely, least aware about the women and children around. The cabbie was abused first for his profession, then his language, and the state he had come from, threatened to be burnt alive along with family if he honked again when the ‘great’ leader was speaking.©️Dr. Rajas Deshpande

The cabbie begged with folded hands: “Sirji forgive me, I accept my mistakes, but there’s a patient on the back seat. He looks serious, we must reach the hospital as quickly as possible. For god sake, let us go”.

One of the goons opened the back door and asked this patient his name. After he saw the chest-clutching patient almost gasping, they made way and allowed the cab to leave.

Now the patient had started profusely sweating. His face had turned bluish, and he was making efforts to even breathe well. He could not speak. As they entered the hospital, the patient’s friend noticed that the patient had stopped breathing.

He shouted in panic. The wardboy and the cabbie lifted the patient on a stretcher and ran towards the emergency room.

A frantic, fearful sound of thuds of the last heart massage was now heard, along with breaking of many glass syringes and instructions shouted by doctors and nurses. A tube to restart breathing artificially was inserted in the patient’s throat. ©️Dr. Rajas Deshpande

There was no one to cry for this patient there. His friend was sitting outside the emergency room, clutching his head, stunned. The cab driver had left without taking his bills. Religion and Patriotism stayed outside the hospital campus, they couldn’t save lives.

A young and dynamic heart specialist who had just returned to India saw the ECG of this patient. An urgent action was required. He called upon the patient’s friend to sign a consent.

The friend hesitated and refused. There were a lot of news every day everywhere about doctors fleecing patients, earning money by misuse of stents and surgeries. The friend no more believed in what this doctor told him.

“I don’t know. Wait till his wife arrives, she will be here in an hour”.

Every millisecond was crucial. The dynamic heart specialist called his medical director. “Sir, I take full responsibility for this case, he needs immediate action”. The medical director cautioned him: “Doc, if anything goes wrong, if the outcome is not good, they will file a murder case against you. Why do you want to risk your bright career at the very beginning? You must also think that you don’t have any political godfather”.

The doctor rushed the patient to the cathlab and inserted three stents in the patient’s heart, that resumed the normal blood flow to heart. The patient’s heart function returned to near normal in an hour. By the time the patient’s wife arrived, the lost life of the patient was brought back. The next day, the patient could breathe well by himself.

Now the most crucial puzzles: which state did the cabbie come from? What was the caste of this patient? To what country did the helpful friend belong? Why didn’t they go to the government hospitals run by those who criticise private doctors and hospitals? And lastly, what was the religion of the doctor who saved this patient risking his own life and career?

Any sane person with an ounce of humanity in his heart won’t ask these stupid questions. But some Indian leaders and their followers do. And it is very sad and unfortunate that the answers to these questions cannot be openly revealed in my beloved India.

©️Dr. Rajas Deshpande

Neurologist

Mumbai/ Pune

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Doughnuts, Laddoo, Anyone?

© Dr. Rajas Deshpande

He was so cute and plump as a child, that everyone started calling him “Laddoo”. Soon this became his name. His parents were both hyper-educated, and both owned google browsers, so they studied about parenthood in-depth every day, and decided to provide Laddoo with the best parents and upbringing. They had many fights about how to do it right, but they took care that they never ever fought or argued in presence of Laddoo. They never raised their voice in front of him. Laddoo therefore grew up thinking that any arguments, disagreements or raising of voice was so uncivil and wrong. In a calm, disciplined home, he was being given the best of parenthood as suggested by the best parenting websites in the world.

Laddoo’s parents took care that he could only eat the most fresh and clean, organic food. Laddoo was proud that he did not eat garbage like other children of his age. He often envied those who could eat spicy, oily roadside food, especially the panipuri, kachori etc., but he remembered what his mom-dad had told him about the bacteria and viruses in such dirty food. So he never ate anything like that, but he started developing anger towards those indisciplined kids who could eat and digest anything they wanted. In the midst of beautiful, clean plenty, Laddoo started growing up resentful of everything around him. © Dr. Rajas Deshpande. At home though, Laddoo was always a prince. To encourage free thinking, his parents had decided never to shout at him or punish him. They chose only logical, scientific, calm explanations when he was wrong. Once a maid-servant who was cleaning their home shouted sarcastically at Laddoo: “You call yourself a grown up, can’t you keep your clothes in a little order?” Laddoo’s mom was shocked, she fired the maid immediately. “Such ignorant, stupid illiterates! These slumdwellers have no idea how to raise children!” she commented, patting Laddoo on his head.

“You are stupid, Mom, you and Dad both!” Laddoo shouted, “Why do you stay in India with such people around?” His mom was so thrilled to hear this, that she immediately WhatsApped Laddoo’s words to her friends’ group, adding “Laddoo has become so mature now, he’s speaking exactly what I think sometimes. I am so proud!”. Laddoo was pampered more. All that he wanted was being made available. If he did not get what he wanted, he would throw a tantrum, accuse his parents of cruelty, and write about his parents in his famous blog “Parents and Children’s Freedom”. He had many followers. His parents oozed with pride when they referred to their Laddoo as a “Child Celebrity Author”. His proficiency with cellphones and gadgets was their pet boast.

The thoughts that “I can be wrong, someone else can be better than me, someone else can grasp better, be more intelligent or successful” never crossed Laddoo’s mind. “What I think must be the final word” became his perpetual attitude. If at all anyone was successful in proving his mistake, Laddoo would immediately state how some fault of his parents, teachers or friends led him to commit that mistake. He freely used words that scared elders: abuse, violence, childhood trauma etc. This would usually hush up the matter, and Laddoo always kept on convincing himself and others that everything good that happened in his life was solely due to his own heroic efforts whereas everything bad that happened was the fault of someone else. His parents did not want to ever shake his self-confidence, so they never made an effort to correct him.

Once Laddoo spoke arrogantly and then argued rudely with his class teacher. She was so upset, that she scolded him in front of the class, called him stupid, and gave him a punishment of standing for an hour till the class was over. After returning home that day, Laddoo complained of severe pain in both legs and giddiness. He was taken to the best child specialist, then a neurologist. “There’s nothing major, please take him to a counsellor” they were told. © Dr. Rajas Deshpande.

“Indian doctors really cannot understand a thing” said Laddoo’s father, and sent his reports to Laddoo’s aunt in the USA. The experts there commented that the child may have suffered a mental trauma due to the scolding and punishment by his teacher. Laddoo’s parents immediately filed a police case, wrote blogs against the school and the teacher, and then also complained to the school about the teacher with threats of legal prosecution. It was only after the teacher and the school apologised to Laddoo, that the cases were withdrawn, and his pain and giddiness improved. No teacher ever scolded Laddoo throughout his career thereafter.

Now Laddoo is heading a major company in California. His useless, old parents live in an old-age home, pretending to be happy. They believe that their beloved Laddoo does not see them regularly because of their own parenting faults. They cannot express this to others, they just tell people “He is extremely busy”. Laddoos parents also truly believe that his success in grabbing a great job is the highest achievement of their life.

Laddoo does not have any friends. He only has drink-n-game partners in luxurious clubs. His first wife left him long ago (“She was ridiculously orthodox, she wanted to grow up kids and all”). His second wife owns a company in Washington DC, they meet twice a year. Both of them tell people how they are victims of childhood traumas., especially when they fail competing with those “unruly, ridiculously happy” colleagues. They have decided never to have children so as to compensate for their childhood traumas, bullying by friends, teachers and parents etc. “We cannot afford time for such traditional lives” they mutually agree. They believe, understand and cover each-other’s lies so effectively, that they find it difficult to grasp why others around them cannot accept those.

Laddoo does not like anyone arguing, asking him questions. “Geniuses like me do not owe an explanation to anyone” he says, often freely quoting the likes of Newton, Einstein and Steve Jobs. No one really wants to interact with him now a days. Just as people avoid the spoiled brats of rich fathers, knowing that they are beyond any resurrection, they avoid Laddoo too. © Dr. Rajas Deshpande.

“Thay are all jealous about me, my genius, my success” Laddoo thinks. His wife agrees. Both of them spend their time at home and work blaming the whole world, showing people down, being bitter to the happy ones, and repeating the stories of how they suffered in the past, how they struggled through those imaginary problems and how heroic they have been to reach where they are now. They compliment each other like the two halves of a doughnut.

I meet such Laddoos and doughnuts (men and women) everywhere now a days. They are frequent among Doctors, Patients, Engineers, Lawyers, Businessmen etc., but also very common in big offices, major posts in the governments and managements, professors, judicial offices, ministers and even among rulers.

Do you meet any?

© Dr. Rajas Deshpande

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The Sensitive Girlfriend and The Monster

© Dr. Rajas Deshpande.

“She is oversensitive, Doc. I try to explain to her that this is so dangerous, yet she does not want to change, and continues to suffer” said the boyfriend.

As a doctor, I am expected to be sensitive. I cannot be a phony and pretend to be sensitive while not being so. Fortunately, life and times, parents and teachers have always insisted that I remain sensitive to the core. I think that is one of the most precious quality any human being can have after peace. Naturally, I am biased towards the sensitive.

However, there is a big difference between the ‘hysterical, dramatizing’ ones and the truly sensitive.

“Can you give me an example?” I asked him, as the girl looked at him curiously.

“Yes” he said, “Her boss keeps on saying demeaning things to everyone, and she almost always comes home hurt. Even if I comment anything adverse, she gets hurt easily. Like yesterday I told her that she should be more practical and instead of asking to spend time with me, do something of her own. We had a great fight after that”.

“What were you doing when she asked this?” I asked him.

“Oh I was at home, relaxing, as I was tired from work” he said, cautiously.

His girlfriend smiled “Doc, he was playing games on his cellphone. I was tired after work too, but he refuses to spend quality time with me as he is now almost addicted to social media and games. The only time he wants me is when he is hungry”.© Dr. Rajas Deshpande.

I saw at once what was happening. I was myself quite addicted to social media once, but now I have started to de-addict myself. It is indeed difficult, but for a doctor it is quite essential, nay, life-saving. My patient’s life and health depend upon the accuracy an wisdom of my decisions, and that is possible with only a hundred percent concentration. But that wasn’t what bothered me here.

I have been told umpteen times by people in the ‘business’ that “sensitivity and kindness” comes in the way of making money and other professional goals, that people skin and eat you alive so long as you allow them to exploit your sensitive nature. ‘Sensitivity’ to other people’s feelings is considered a weakness in most business circles, and right from the student days, we meet people who take advantage when you respect their feelings. This ranges from exploiting those who are mannerful, helpful, and kind, to creating a deliberate emotional disturbance for the competitor during a competition. Surprisingly, this is taken as a normal strategy even in such a gentleman’s game as cricket.

I could not find it in myself to be insensitive to how others feel. I could not switch on and off my emotional responses and sensitivity. Yet, I never felt that it was a shortcoming or a weakness. In fact, most of the patients I connected best with have told me that they find it very reassuring when a doctor is sensitive. Hence I devised a personal strategy: to keep away the advantage takers, the drama people, the insensitive robots who are only after money without caring about the feelings of others around them. Observe behavior rather than words, and you know a person well. This helped me quite a lot. I earn a little less than I would want, but I think that is a universal feeling, and that is never the prime aim of life.© Dr. Rajas Deshpande.

It made my life beautiful. Sensitive people bring much positivity, trust, faith and contribute significantly to the inner peace of others. With them around you are assured that you will not be deceived, not taken advantage of. That brings you the highest luxury upon earth: peace of mind.

Most bosses work on the perpetual Indian Corporate Philosophy “Unless you squeeze and crush, there’s no juice”. Employees at all levels are overburdened, asked to do a lot more than their job profile, forced to finish within insane deadlines and still treated like they are easily disposable. Employee health, physical or mental, is never the concern of any boss. A fault-finding, comparing, humiliating language is usually what bosses prefer and most employees accept. This builds up a culture of rudeness that is now accepted as a ‘reality and normalcy’ of any business. Very few honorable bosses treat their employees according to their sensitivity to enhance productivity. I wonder if Human Rights commissions or agencies, federal or private, ever notice this.

I asked the girlfriend if she wanted to contribute. She said she understood that he was stressed, but she worried about a ‘mental disconnection’ so common now because of digital addiction, and wanted to destress him by making him laugh and feel loved. © Dr. Rajas Deshpande.

“I want a mental bonding with him and that is not happening, as almost all the time he is home he is occupied with his cellphone. In fact, doc, when we started dating, he used to tell me that my sensitivity attracted him most, he thought I could best nourish his soul” said the tearful lady.

I explained to the boyfriend that sensitivity, so long as it does not impair normal functioning, is a very precious attribute, that he was extremely fortunate that she was sensitive rather than insensitive. To consider her “right to companionship, dedicated time together” as an unnecessary ritual, because he wanted more time for social media browsing and gaming was the actual problem. In these days of equality, to “want her to be sensitive and enthusiastic” only as per his convenience was an unfair expectation. He assured me that he will make an effort to implement a few changes in his routine. I thanked him for accepting reason.

As they left, a fairy-like young girl of about 7 years walked in with posh parents. Her mother kept looking into the cellphone, and her father started to tell me about his continuous headache. Like every normal child, the kid pointed at my stethoscope and said she wanted it. Just before I could allow her, her father shouted at her.

“No” said the angry father, and looked at her mother with an expectation. The mother kept on looking into her cellphone. Then the father thrust his own cellphone on the hands of the kid and said “Here. Play your game, I need to talk to the doctor”.

© Dr. Rajas Deshpande.

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Victim? Dr. Reena’s story

Victim? Dr. Reena’s story

© Dr. Rajas Deshpande

“I am being victimised, Sir! I have tried to do my best, but my senior has developed some prejudice against me and has started to find faults with everything I do. I don’t know, I feel suicidal sometimes” the resident doctor Reena said, breaking down. She was into medicine, one of the toughest branches for post graduation.

This was a difficult situation. It is very well known that some seniors and teachers do take advantage of the situation to mistreat and misuse their students or subordinates. It is also well known that both men and women in every profession, including medicine, have strong gender biases and favouritism. Sycophancy is so essential in India, that I wonder sometimes whether an official bachelors / masters “Chamchagiri” (sycophancy) certificate will be necessary before people are selected for their jobs.

I gave her some instructions to ignore words and minor incidences, and concentrate on doing her official duties with concentration. I also counselled her about how to handle egoistic, arrogant seniors. She was supposed to follow up next week.

That weekend, I met a colleague of mine, Dr. Anand, in the coffee shop. There was no OPD, it being a Sunday. We sipped coffee in the canteen, telling each other funny stuff about other colleagues. Medicine provides great entertainment too, in the form of various types of doctors, and we start with ourselves usually. © Dr. Rajas Deshpande

Just then, another doctor came in, Dr. Anand invited him to join us and introduced me to him as Dr. Ashwin. “Ashwin was my junior resident” said Dr. Anand, “and one of the most brilliant students. He’s a wiz. He wanted to work for the downtrodden, so he has continued to work at the govt. hospital after his MD. Most dedicated! That’s why most girls around us liked him and we all envied him”. It is rare for Anand to praise someone this much, I was quite impressed and happy.

But Dr. Ashwin appeared quite disturbed. Dr. Anand asked him if he was ok.

“No, yaar. I am facing a big problem. There’s this girl in my unit, who has made my life hell. She has filed complaints against me to the dean, my name is all mud”.

“Complain against you?” said Dr. Anand, truly surprised “Even your wife never complains against you”. He was trying to lighten up the mood. © Dr. Rajas Deshpande

“Yes. But you know how heavy our PG duties are. This girl, besides being lousy and careless, refuses to finish her work, constantly looks at the watch and doesn’t want to be corrected. How can we tolerate carelessness in medicine? There are patients in the ICU and this lady keeps busy with her cellphone! I gave her a warning that I will complain, but instead, she went ahead and complained that I was harassing her, implying serious charges. Fortunately my wife and the dean understand the situation, but you know some people in the campus would rather see me down. I don’t know what to do. I am thinking of resigning”.

“Can you share her name?” I asked, cautiously. The guess was correct. It indeed was Dr. Reena.

“I tried to talk to her, I requested her to call her parents. Apparently she has grown up as a pampered child, her parents refuse to even think that she can be wrong. They started complaining that their daughter didn’t get enough rest and good food, that she has always been a super genius kid and how many a times even her teachers could not understand her genius”.

Now the picture was clear, with the other side of the story revealed.

There indeed is, nowadays, a rampant tendency to play a victim, especially to cover up for one’s own failures, inadequacies and lethargy. Children who allege that their failures are either because of their parents being over disciplined or completely negligent, boys who hate their parents and refuse accepting that they fell short of hard work and dedication because of too many diversions, girls who sometimes lie about “sexual abuse”, and employees who underperform only to blame it upon a racist / pervert / prejudiced boss are classical examples when stress factors are analysed well. There was one girl who alleged abuse by her step father, just to tell me minutes later that it was probably her imagination, and that she didn’t know if it was a dream! It was her mother who then revealed that the girl had always used that ‘dream reality’ sequence whenever she wanted something and was refused. © Dr. Rajas Deshpande

There indeed is rampant true victimisation in all these areas, and one must always stand by the victim. But the overflow of sympathy that drowns sense and reasoning (thank you, media and some movies!) must always be avoided. Differentiating ‘true’ and ‘pseudo’ victims is never easy especially because there always will be the social biases. Most Indian men unfortunately truly look down upon women, most seniors think that juniors cannot be more intelligent, parents often mentally overpower logic when dealing with kids etc.. Still there indeed are many who hide behind the “victim” tag, just to take advantage of the sympathy and protection it offers, using it to hide their own negative side. A lot of people use suicide threats, false complaints and other pressure tactics to emotionally exploit and threaten others. When this happens in a workplace, it poisons the whole atmosphere. There is indeed no protection for the true victims here.

Next time when Dr. Reena came to visit, I told her how I chanced upon the doctor who was “troubling” her. As expected, she cried and defended her stance, but after some gentle coaxing, when I reiterated that the actual problem must be dealt with, she agreed to have a meeting with Dr. Ashwin. I called in a female counsellor too, and in a few meetings, we could sort out the issue.

Medical career is, difficult, it is important to do every single thing perfectly and with utmost care and concentration. No one else can ever replace the life-saving responsibility of a doctor on duty. A doctor who isn’t fully attentive to everything about every patient can be dangerous.

Dr. Reena agreed to go by the duties allotted and improve her performance, while Dr. Ashwin reassured her that he had nothing personal against her, that she could always compare her duties and performance with her other batchmates. He also told her that now onwards he will mind his words better. She withdrew the complaint.

Dedicated to those such who have had this horrible experience.

© Dr. Rajas Deshpande

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G-Bhai, The Suicidal Intellect.

G-Bhai, The Suicidal Intellect.
© Dr. Rajas Deshpande
 
G-Bhai is an extraordinary genius, and all that he lacks in the matter of manners, culture, and grooming oneself to a neat and clean appearance is compensated for by his superb analytical abilities and internet access. He was so engrossed in Google all the time, that he was nicknamed G-Bhai by his family.
 
A few weeks ago, he went to his boss, who owned one of the biggest profitmaking multinationals upon earth. The boss was absorbed in his divine meditation about new tricks to lay off more IT personnel in pursuit of that greatest human achievement in today’s world: moolah. G-Bhai, who believed in complete equality, sat cross legged in front of his boss, and scratching his beard, told his boss where all the boss and the company could improve. © Dr. Rajas Deshpande
The boss, amused by free entertainment, asked G-Bhai where he learnt it all.
“Internet” said G-Bhai, and showed some Googled statistics to his boss.
“Thank you, you are fired with immediate effect” said the boss
.
G-Bhai wasn’t affected at all. With his oversized grey T shirt, jeans, slippers and laptop that connected him to all the internet data, he was still the king.
 
He thought of adventure, and went to the Indo-Pak border. The firing and shelling was full-on. He met an Indian soldier who asked him to hide in his shelter. The soldier, who had spent all his life upon the border, was prepared to even die for this citizen, so gave away his helmet to G-Bhai.
G-Bhai was intensely searching the internet, wearing the soldier’s helmet.
“Don’t fire the gun like that” told G-Bhai to the soldier. “This website says the right way to fire is with the gun aimed at oneself”. The soldier ignored him and continued to defend the border. Just as he held a hand grenade to be thrown, G-Bhai held his hand. “Let me search first if you are doing it correctly” he said. The soldier, now in defense of his own life risked, slapped G-Bhai tight and asked him not to interfere. © Dr. Rajas Deshpande
 
G-Bhai proceeded to write a very critical review of that soldier, saying that in his opinion, all the soldiers were doing it all wrong.
 
Then he went to the court and tried to teach the lawyers how to argue, and the Judges how to analyse cases and deliver judgments. He showed them multiple websites from which they could learn law. “We are all equals, why are you sitting so high?” he asked the judges and tried to sit on the Judge’s chair.
After six months in jail, upon his release, G-Bhai went to the police commissioner to teach her how to deal with crime and criminals, based upon internet searches from different countries. He came out limping, and refused to tell anyone why. © Dr. Rajas Deshpande
 
Due to excess stress, his health worsened. He went to the best of the doctors. He demanded that he wanted a complete check up to reach the most correct diagnosis. He was advised tests. He researched the internet and did only the tests he thought were necessary, because he thought all doctors were corrupt. He reached a very reputed doctor with the test results. The 70 year old doctor examined him, checked the reports and told him: “You are a failure in your own life, you have excess stress, and are unable to handle it. You are jealous of everyone who is doing well, and therefore you have developed a complex that everyone who does well is either corrupt or wrong. Go home, exercise, find your own life and deal with yourself” When he tried to show the experienced doctor what internet said, the doctor smiled and asked “Did you also net-teach your parents how to make you?”. © Dr. Rajas Deshpande
 
G-Bhai then went to many doctors in many pathies. Then he researched and tried many home remedies. But his health kept on worsening. He was very upset and started a blog of criticizing that all the doctors. Here, for the first time in life, he discovered success: he was an instant hit, because there was a huge population who agreed with his views. There are more buyers for poison than for wisdom in this world.
 
But unfortunately by then, his kidneys failed due to experimentation with various medicines and various pathies. Now he is undergoing dialysis and posts his anti-doctor articles from the dialysis ward. The old doctor recently visited him with his flock of medical students, and spoke with empathy to the bitter G-bhai, who tried to show the old doctor some more internet references about his treatment.
 
The old doctor then told his students: “This is what I would call a suicidal intellect”.
© Dr. Rajas Deshpande
 
 
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The Official Daily Murders In India

The Official Daily Murders In India
© Dr. Rajas Deshpande
She was breathing heavily. Pale and weak, she could barely speak. The ghoonghat covered her head, but her single eye that could be seen had given up hope. She looked at me just as she would have looked at God, begging to save her, or at devil, begging to end it all.
20, pregnant for the third time, in her eighth month, she was on the verge of death.
Her in-laws and two daughters accompanied her. “She has always been weak. We ask her to eat well, but she does not like to eat at all. You fire her, Doctorsahab. Ask her to eat well. How else will the child get food? This is her third child”. Somehow, the emotional words of her mother in law appeared as dry as the moving appeals of a political leader.
“She will need admission. She has very less blood (haemoglobin) remaining, she may require blood transfusion. Where is her husband?” I enquired.© Dr. Rajas Deshpande
“He has gone for work. He said he will talk to you on phone”.
I asked them to call her husband immediately. She was admitted. They could not arrange blood, she was transfused enough to settle her heart rate and blood pressure. The obstetrician saw her simultaneously, and took over.
Her husband had a guilty expression, but did not talk. The mother in law took charge. “What can we do, doctorsahab? He has to go to work. We try our best to treat her well, but she is very slow. She was probably a laadli (excessively beloved) at her maika (parent’s home), now she cannot work. She does not even eat well. Who will do the work at home? My son married her with the normal expectation: that someone will take care of his home and parents, and give him a son. Now if she cannot do it because she cannot work or does not eat, what is his fault?”
“Does that allow him to kill her, his wish to have a child?” I asked her.© Dr. Rajas Deshpande
Millions of Indian girls, married too early and too deficient already, are forced through pregnancy after pregnancy for their socially expected “duty” of producing a son. Poor diet, low levels of iron and other essential vitamins, minerals and proteins push their health to the verge of extreme torture: pain, weakness, breathlessness and many risks to health and life. Such a health status of the mother also badly affects the child, and many children are born with defects that are rarely noticed until they grow up.
This shameful phenomenon is seen at all levels of financial status, literacy, or location. It takes less than five thousand rupees to correct the maternal nutritional status and maintain it throughout pregnancy. Many cheap and healthy diets are recommended. But the love and care for a woman that must come from the in-laws is lacking in most cases, and the society that is busy with black and white money, patriotism and other higher causes in life, does not have time to correct black mind sets: of owning the health and life of a woman.© Dr. Rajas Deshpande
Thousands of Gynaecologists and Obstetricians, Medical Officers, Interns, Resident Doctors take it upon themselves to fight with this situation desperately: spending their own money, time and effort, in an ocean of apathy called social attitudes and administration failures. Hundreds of private practitioners and hospitals make available free treatments, counselling, investigations, consultations and other help for the pregnant women who cannot afford it all. All this is never acknowledged. Every OBGYN practicing in India, especially in rural India deserves highest civilian awards for doing far beyond their assigned duties. Instead, they are tortured by one-sided laws that presume everyone guilty of mal-intention.
There are many laws that the society can use against doctors. The Supreme court can appoint any number of judges on any big financial or other institutes and seal their accounts, suspend them, even call for midnight hearings. The government can meet overnight for special issues. But nobody has time to stop the “forced motherhood on deficient women of India” that causes thousands of deaths every year. © Dr. Rajas Deshpande
Do we have guts to make a law to make “Physical Fitness” of a woman a compulsory criteria before she becomes pregnant? Can the OBGYN society or IMA float a request for such a law, where it would be possible to punish the husband / in-laws for enforcing pregnancy upon a weak woman? © Dr. Rajas Deshpande
What do you call such a society that kills starving women and their children by expectation?
© Dr. Rajas Deshpande

The Price Of Love

© Dr. Rajas Deshpande

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

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

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