Tag Archives: postgraduate

The Extinction of Precious: A Medical Horror Story Happening Right Now!

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The Extinction of Precious:
A Medical Horror Story Happening Right Now!
©️ Dr. Rajas Deshpande

“Sir, we have come from Konkan”, said the father, “to seek your advice and blessings . My son has passed the medical postgraduate exams with national rank 30. He wants to decide which branch he should choose”.

I congratulated the genius. Passing medical entrances with high merit requires great talent. It does not earn the glamour, claps and appreciation of stage and limelight, for we live in a society that only worships looks, muscles, bhashanbazi, financial success and sports (sorry, one sport. Even if someone wins a world gold in any other sport than cricket, they go home in an auto rickshaw when they return to India!).

Speaking with the boy, I realised that he was very sensitive, compassionate and had an excellent logic and reasoning. Besides having a calm bearing, he was also a hard worker. A perfect blend for becoming a great physician or a surgeon, in a world that is fast losing able clinicians. I suggested him to prefer Internal medicine.© Dr. Rajas Deshpande

They looked awkwardly towards each other. The boy garnered some courage to speak.

“Sir, I saw our family doctor being beaten up by a local politician, his clinic was ruined. He was humiliated in the worst language in front of his wife and children, and instead of protecting him, other patients in his hospital kept on recording videos of the incident, which later became viral. He left, we don’t know where he went. I cannot ever think of directly dealing with patients now. I want to choose a non- clinical or para-clinical branch.”

I appealed to the father: “Your son has a great potential and matching talent to become a good clinician, we desperately need many more. It is not necessary that he practices in your own town or even in India. The whole world needs good doctors. Please think about this”.

The father, a simple teacher from a primary school, thought for a prolonged moment. His eyes reddened up.
“I don’t know, Sir. When he said he wanted to become a doctor, his mother and I always thought that he will become a saviour, running around saving people’s lives. We were never interested in only money. But the day that we saw our own doctor being beaten up by a crowd and the local politician, we realised how helpless a doctor’s life is. We knew our doctor for over 25 years, he was like a God for many in our town. All he did in 25 years became a zero in a few minutes, thanks to a hooligan politico and his crowd. We don’t want our son to ever face that. If we had a daughter in his place, we wouldn’t even have made her a doctor, women as doctors suffer a lot more trouble and get no returns, sometimes even from their family. And this is our only son, we want him to stay in India near us.”

Somehow I didn’t want to give up convincing him, he was an ideal candidate for becoming an excellent clinician.© Dr. Rajas Deshpande “Think of the future. Hopefully there will be better laws, he can also consider working in bigger, safer hospitals if he is scared”.

“What would you advise your own son if you were in my place, Sir?” asked the father.

He had bombed my mind.
I was trained by parents and teachers to always do good, be compassionate and kind. My kids had a potential to become great doctors coming from this background. I worry a lot about the extremely critical condition of deteriorating healthcare standards and reducing number of good clinicians that is destined to cause a havoc in a few years. Still, honestly, I did not wish upon my children the insecurities and threats I face. I don’t want them to live under the perpetual fear of being vandalised, defamed, tortured by over-expectation and punished by committees made up of politicians and medically inexperienced judicial experts. I won’t want their lives, work hours and remunerations to be dictated by a corrupt bunch living for votes of free mongers.© Dr. Rajas Deshpande

It would be hypocrisy to advise someone else what I wouldn’t choose for myself. That’s how a doctor makes the best possible decision. With a heavy heart, I advised him what I always advised my children:

“I agree. Please choose what suits your heart most, what gives you fearless happiness in your work and also leaves you with some time for yourself and your family, ensures a good income and is not dependent upon jealous people’s expectations of what you should do and for what price. You have so many options for social service other than becoming a clinician. I am sure you will stay a good human being all your life.” I suggested him two para-clinical branches that offer good scope.© Dr. Rajas Deshpande

The world indeed will have to suffer the gradual extinction of good clinicians. We need many more excellent doctors in para clinical and non clinical areas too, but the face of the profession is the clinician, and we certainly, desperately need many thousand more. It is a fact that in spite of increasing number of doctors, patients still die travelling in an ambulance to reach good healthcare far away from most homes in India. Many federal orphans who cannot even afford government healthcare die at home.© Dr. Rajas Deshpande

The father asked his son to touch my feet. As he did so, the melancholy of my own advice bit my heart. I couldn’t let down the flag of my noble profession.

“Listen, dear. I am speaking this against my own convictions. I am struggling. Think about becoming a good clinician and practising in a safe country, take your parents with you. I will be happy whatever you finally decide, but not everyone has the ability and talent to become a good doctor, it is rarest of the rare traits.”© Dr. Rajas Deshpande

They left. So did a part of my hope for the future of good healthcare.

When the next couple walked in with an infant baby in their hands, I looked at the smiling baby, and forced a smile. She didn’t know it yet, but I had just bought a precious gift for her.

©️ Dr. Rajas Deshpande

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The Wrong Sacrifice

The Wrong Sacrifice
© Dr. Rajas Deshpande

“Come home this weekend.. I feel like seeing you” my father said. He was already feeling sad, missing my sister who had married three months ago.

That was 14th October, a day prior to my sister’s birthday. I had taken a week’s leave for her marriage and preparations.
I felt sorry for Baba and desperately wanted to meet him. I was quite attached to him.

I asked my professor, and was reminded that there was a shortage of resident doctors, we had a ward full of 50 patients, 10 more than the capacity. “You have to sacrifice some things once you become a doctor, Rajas. I am sorry, but you cannot get leave at present” my professor said.

Late that night I called Baba and told him so. I could feel the heaviness in his throat as he replied “Ok. I am proud that you value your duty and responsibility above me. Take care. And yes, don’t forget to wish your sister tomorrow for her birthday, and get her some good gift. She must be missing us too”.

I had had one of those cruel “brother-sister” fights with her, and we weren’t talking. Another carefully protected window to our childhood, we enjoyed those fights which multiplied our love.

“You have always sided with her, Baba. You are partial to her” I replied with pretend-anger.
He laughed “That’s because I have made you tough enough to take care of yourself in any situation. She has a delicate mind” Baba said.

I assured him I will call her. I did, and wished her a Happy Birthday. She was ecstatic. That evening on 15th October, I called up home. My mom picked up. She told me that both of them were feeling very sad about being away from us especially because it was sister’s birthday. “Baba has tears in his eyes all day” she said.
I tried to cheer up Baba. “I have called your laadli daughter and wished her. I have also sent her a nice dress from Mumbai. Now you have to buy me something when I come home okay?”
“When will you come?” he asked again.
“As soon as my professor allows” I replied.

The next afternoon, on 16th October 2000 at 2.30 PM I received a call that Baba had had a sudden cardiac arrest and passed away. I suffer that call till this minute. I will never recover from the trauma of that moment.

Now, whenever someone questions the integrity of a doctor, the honesty and hard work of genuine doctors or accuses them of working only to earn money, or high-handedly suggests that the hardships and sacrifices involved in this field are ‘chosen’ and mandatory, I feel I made a wrong sacrifice for an undeserving society.

There are sayings in every religion about some animals not understanding their holy texts. Medicine is my religion and I will not explain its holiness to the donkeys who refuse to understand it. Be it the corporators, MLAs or MPs from ruling parties who attack doctors, Journalists or reporters who spew poison against every doctor, or the perpetually “cheap and free” demanding class.

There are thousands of doctors who have gone through this situation: sickness, marriage, rituals and even death in their families which they could not attend just because they were working to save someone, attending other patients. I know of umpteen doctors who got one day leave for their marriage, when their child was born, or their parent was sick.

Before you question a doctor’s intent and integrity, before you talk loose about this profession, please do search your soul.
© Dr. Rajas Deshpande

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