Tag Archives: Software

The Killer ‘C’.. Are You A Victim?

© Dr. Rajas Deshpande.

“I have no life. I depend upon comedy shows to laugh, I don’t remember when I was truly happy anymore. There’s no connection with anyone. Inspite of working a lot and achieving too much, life seems complicated and meaningless at the same time. I have even started forgetting things now”: the 32 year old man was quite distressed when he spoke:

“Can you take a break?” I asked.

He laughed sarcastically.

“Doc, there’s so much competition in my field, that I cannot afford to take a break. They depend upon me for things to be done well. If something goes wrong, it reflects upon my career. If I am not available, I will be replaced”. He replied.

“What are your work hours?” I asked.

“I start from home at about 9 in the morning” he said. I waited for the remaining part of the reply but he didn’t speak. © Dr. Rajas Deshpande

“When do you return?” I knew the answer in his silence. I had heard it one too many times.

“There’s no fixed time” his wife replied, “Mostly after 9 at night, sometimes past midnight. But even after coming home his calls and online work continues.”

“That’s because I have to deal with the Western clients, their timezones differ” he snapped.

“May I speak with the doctor?” the wife asked him, a little insistent.

He nodded, looking down.

“Doc, we had a love marriage. He was not like this at all. He was full of life and vigor. He made everyone smile and had hundreds of friends. Now he has no friends, but even with me and our daughter, he gets hardly five minutes every day. On weekends he is so exhausted mentally to interact that the schedule is almost set: visiting mall, watching a movie, eating out and coming home tired again, immediately to sleep. He gets irritated without any reason. He was so attached to our daughter, she was his life, but now even she avoids playing with him. Even enjoyment has become mechanical” both of them became tearful.

Then, lowering her voice, she continued “Dr. Rajas, this is embarrassing, but who else can I tell this to? You are like family to us, so I will say it. We had a great sex life earlier. Now he seems to have lost all interest in me. We have lost our physical bonding just because of lack of time. And now we are losing the mental connection too, as he has started becoming quite forgetful” she completed. © Dr. Rajas Deshpande

They were the second couple today with similar problems.

Excessive work hours, traveling long distances, continuous multitasking without resting the brain and body and eating junk have become the lifestyle for not only most software engineers, but almost every doctor, sales and marketing person, and most other careers in India.

The concept of “minimal salary” and “maximum work hours”, so vehemently fought for by the human rights organizations around the world, seem quite unrelatable and impractical in India: not only competition, voluntary overwork, unrealistic financial expectations and unemployment, but a social tendency to “shove this phenomenon under the carpet” has led to a country of human robots who cannot connect with other humans.

India is an exploitation hub since decades. Cheap manpower is our famous boast. And the worst part is that they are thrown away instantly the moment their productivity is less than excess, or when someone cheaper can replace them. Years of loyalty, honesty, hard word had zero meaning in corporate world. You are just another table with an assigned process. © Dr. Rajas Deshpande. Be it secretaries, clerks, employees, students, teachers, or labourers, the message by the employer is loud and clear: work as told or go. We have many others to replace you. Eight hours of work with two hours of travel every day is itself very taxing, add two more hours of work and on is misusing body and brain both. Health is not on the cards here.

5-6 hours of sleep has become a norm with most of the above categories. For a normal brain, 7-8 hours of sleep is essential. Whatever one may hear about geniuses sleeping less, chronic lack of sleep does cause damage in the brain, that manifests as irritability, personality changes, forgetfulness and less mental efficiency.

Years ago, gymming at the Athletic Club in London ON Canada, I met an old man in the locker room. After the initial ‘Hi’, he asked me what I did. I replied that I was a postgraduate doctor, now a specialty fellow at the University. He said “Oh I did my career in health too”.

“Were you a doctor too?” I asked.

“No. I did many jobs, whatever gave me happiness and satisfaction, but I made my career in my own health. For decades now, I have eaten only healthy food, cooked for myself, taken good sleep, read a lot, traveled the world, played with kids and of course gymmed: not to show off my muscles, but to keep fit. I am ninety two now, healthy, and most importantly, happy”. © Dr. Rajas Deshpande

I told him I envied that lifestyle.

“It’s a choice, doc, and a sacrifice too. If you want health, you must give up anything that is against it. I had great job offers, but they did not go with my choice of a healthy life. Now I think I was right. I don’t have too much money, but I am happy and healthy. I had many friends with millions in their bank accounts, but they are either dead or can barely walk”.

I told that couple this short story. They appeared to understand.

“I will start working upon this, doc” said the husband.

One aspect of human evolution should be good mental and physical health. However we are going backwards. People have developed funny concepts: that muscles and physical stamina alone is health, that less weight is the best health etc. We meet many who diet excessively but piss of everyone they meet as they are continuously irritable due to hunger. Mental and physical health shows upon a person’s face: peace and happiness are its prime components. These are impossible without bonding with your family, ensuring adequate sleep and rest, and opting for stress-free career choices.

As for now, the ‘Killer C’ called career is turning out to be the biggest life- killer at least in India.

© Dr. Rajas Deshpande

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The Full Stop and The Comma

The Full Stop and The Comma
(c) Dr. Rajas Deshpande

A panic struck voice shouted on the other end of the phone: “Doc, This is Neerja. My husband suddenly cannot remember anything. Not my name, not even the kids. I am rushing him to the hospital. Can you please see him now?”.

Mrs. Neerja Dev was my old patient, under treatment for migraine. Actually it was late and I was done for the day, but when faith and trust calls, a doctor cannot say no. I drove back to the hospital.

Her husband Mr. Alok, a young and handsome software engineer in his early thirties, was placed in a big multinational. He was his company’s blue-eyed beloved, groomed for a long-term high flying career. His salary much exceeded that of the President of India. I had met him earlier, when he accompanied his wife. Quite brilliant, he had an arrogant attitude to go with his achievements. Neerja had often complained in privacy that she had a lot of stress as her husband worked excessively, had too much responsibility upon his shoulders, and growing up two daughters was left to her. “He loves me and the kids, but he has no time to spend with us” she had often complained.
“There’s cut-throat competition in the software industry, I need to work hard to be where I am” Alok had replied curtly whenever the topic came up. (c) Dr. Rajas Deshpande

I reached the hospital and examined him. Indeed, Alok was blank. He could just answer his name, and yes/ no to some questions, but he could not even complete a sentence. As he struggled to find words. Neerja was devastated, and could not stop crying. Their sweet daughters, aged fourteen and seven, boldly waited outside the casualty.

“Did he have fever? Did he take any new medicines? Did he fall down? Was he fasting?” I went on with a long list of questions. Nothing should be left to chance, every bit of information must be collected for an accurate diagnosis. There were no clues from the history. His pulse, heart, and blood pressure were normal. He was able to move well, and had normal sensation all over the body.

We rushed him into the MRI. Alok had many large white spots all over his brain in the MRI, a condition that is called “demyelination”. This usually happens in young patients after viral infections. Some other abnormalities in the immune system can also cause this. I explained the situation and its uncertain outcome to Neerja.

“There is no threat to his life right now, but we cannot comment anything about the recovery”. I concluded.

“What now? Will he recover at least enough to remember me and our kids? What will we do?” She broke down again.

“High dose Steroids may help some patients, but this treatment may increase his blood pressure, sugar levels, and also his chances of developing an infection. Are you ok with this risk?”

“I will leave it all to you. I cannot understand anything now.” She replied.

We started the injections of high dose steroids. His heart rate, blood pressure and sugars were continuously monitored, fluctuations treated promptly. The ward doctors, nurses stayed upon their toes, informing me every hour about him.

Friends from his company and even his boss visited. The boss just asked how long it will take for him to recover. “You know, we have deadlines and our clients need to be informed” he said.

After three days, Alok started to gradually recognise family and friends. In about ten days, he spoke well, and even started understanding what had happened. He was shocked.

“What about my job? Can I work from the hospital? They are dependent upon me. My boss has immense faith in me. Many high end projects need my supervision” he asked impatiently. (c) Dr. Rajas Deshpande

As controlled mental activity is good for recovery of brain functions, I allowed him to work from his hospital bed for an hour or two.

The next day he was all depressed: “Doc, I cannot remember many things necessary for my work. I cannot afford this. Please don’t tell anyone from my company. How long is this going to take? Will I ever completely recover?”

I wished I could reply, but I had no answer. Every doctor is frustrated when explaining uncertainty about outcomes.

“This is going to be a long process. I cannot say how much recovery is possible or how long it will take” I explained to him. His wife and friends requested my permission and sent his reports to various specialists in the developed world, and were reassured that the ongoing treatment was correct. Finally, they accepted the situation.

Alok followed up every month. After first three months his company fired him. His boss who he treated like God, refused to even meet him, and did not reply to his emails. For him Alok was dead. Word spreads. Although recovering fast, Alok did not get any new job. Neerja took up a job, and they divided the housekeeping chores and babysitting among themselves.

The family is now far less stressed, the kids are far more happier now because their father spends more time with them. At a lower income, they have reached a higher happiness bracket. The kids took every effort to jog their father through the past memories,and that has helped him recover faster. There is no higher medical stimulus for recovery than love. (c) Dr. Rajas Deshpande

Yesterday, all of a sudden, Alok came over with a box of sweets, and a greeting.

“I have decided to start my own business. I feel confident now. I may have lost some bits of my brain, but my heart is still strong enough to dream big. I have decided to turn this full-stop into a comma. But this time I have decided that I will first reserve time for my family and then work hard. It is because of them that I am back. I just came to thank you for standing by. My daughter has made this greeting for you “.

The sweets were of course delicious, but the greeting hand-made by his daughter moved me.

It said: “Thank you, doctor, for giving back our papa his dearest family”.

(c) Dr. Rajas Deshpande

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