महिला छात्रावास के सामने टूटी चारपाई

शीर्षक से लग रहा कि लेखक ने महिला छात्रावास की एक और टूटी हुई चीज पकड़ ली जैसे पिछले बार महिला छात्रावास की टूटी चारदीवारी थी।

खैर इस बार ये टूटी हुई चीज भी चारदीवारी न हो कर चारपाई है(लेखक को नंबर चार......से क्या है प्यार?)। लेकिन ये गर्ल्स हॉस्टल की ही संपत्ति है या नहीं इस पर कुछ नहीं कहा जा सकता(गुप्त सूत्रों से संपर्क नहीं हो सका है)।

महिला छात्रावास, जैसा कि पिछले बार बताया कि, हमेशा से लड़कों/पुरुषों के लिए एक कौतूहल का विषय रहा है चाहे तो आप इस बारे में बातें करते हुए पूरी रात गुजार सकते हैं। बस बातें मजेदार होनी चाहिए और छात्रावास की सिर्फ चारदीवारी पर केंद्रित न हो कर इसके मुख्य निवासियों पर होनी चाहिए(अरे भाई हम उन निवासियों की जीवनशैली और उनकी समस्याओं पर चर्चा की बात कर रहे हैं.......आप भी न कुछ भी सोच लेते हैं)।

अभी कुछ दिनों पहले मैं लोकडौन के बाद घर से वापस कॉलेज कैंपस लौटा। 

ये भी अजीब ही विडंबना है हम मेडिकल के छात्रों की। परीक्षा न हो तो कॉलेज को कोसते हैं और परीक्षा होने की सूचना आये तो टालने के बहाने ढूंढते हैं (खुद ने पढ़ाई नहीं की इस बारे में सोचने पर विषादग्रस्त होने का खतरा रहता है)।

घर से लौटने पर कैंपस में एक मजेदार चीज देखी। अब ये तो सर्वविदित है कि युगों युगों से महिला छात्रावास के सामने वाला पेड़ ही हम मेडिकल के छात्रों की असली मंजिल PMT रही है। जिसके लिए ही कई लोग AIPMT अर्थात नीतू जी(NEET UG) को अपनी परीक्षा के नंबर से रिझाने में लगे रहते हैं(जी हाँ, सही सुना आपने। कोटा के बच्चों को जब अपनी जवानी के शुरू में "उनके" कांटेक्ट नंबर के लिए मेहनत करना चाहिए तब वो टेस्ट में आने वाले नंबर के लिए मेहनत करते हैं)।

हमारा कॉलेज PMT से आगे बढ़ कर कुर्सी/बेंच तक पहुंच गया है(हम नई पीढ़ी के बच्चे हैं)।

गर्ल्स हॉस्टल के सामने PMT की छाँव में हमेशा लोहे की आपस में जुड़ी हुई 3 कुर्सियों वाली बेंच लगी रहती है। वो भी वहाँ इसलिए रखी हुई है क्योंकि उसमें जो बीच वाली कुर्सी थी वो किसी ने उखाड़ दी थी। अब वो दो गज की दूरी(क्योंकि हम कोरोना के नियमों का समर्थन करते हैं......दूरी की मजबूरी) वाली दो कुर्सियाँ बन गई हैं जो अब जुड़ी हुई हैं और रखी हुई है गर्ल्स हॉस्टल के सामने। अक्सर वो कुर्सी हॉट सीट रहती है हंसों के जोड़ों (कपल्स) के लिए।

कल मजेदार चीज ये देखी कि उसके सामने अब किसी ने चारपाई डाल दी है वो भी एक पैर टूटी हुई। अब ये समझ नहीं आ रहा कि किसी ने चारपाई तोड़ कर वहाँ डाल दी या वहाँ डाल कर तोड़ दी! चारपाई टूटने का तो मतलब समझते हैं ना आप?(हम फ्रैक्चर की बात कर रहे हैं.......बाकी आप जो सोच रहे हैं वो भी हो सकता है।)

अब इस चारपाई के वहाँ पहुँचने का इतिहास और उसका वर्तमान में इस्तेमाल क्या है? इस बारे में जाँच समिति का गठन करेंगे। आपको जवाब पता हो या आप इस जाँच समिति के सदस्य बनना चाहते हो तो नीचे टिप्पणी कर के जरूर बताइएगा।

संदर्भ व शब्दकोष:

शीर्षक में "टूटी" का प्रयोग विशेषण(adjective) का तौर पर है या क्रिया(verb) के तौर पर?

महिला छात्रावास की टूटी हुई चारदीवारी- इसी ब्लॉग में पहले से प्रकाशित एक रचना

विडंबना- दुविधा/समस्या

विषादग्रस्त- डिप्रेशन

PMT - पिया मिलन ट्री

नीतू जी - NEET UG हमारे कोटा वाले गुरु जी के द्वारा दिया गया नाम

कोटा- आप अपने शहर और प्रिय शिक्षक का नाम सोच लीजिये

हंसों का जोड़ा- कोरोना काल में मेडिकल कॉलेज का हाल भाग 1

चारपाई टूटना- अब इसका अर्थ भी बताना पड़ेगा?

आपका वरीय/कनीय/मित्र

वरुण(२०१७ बैच)

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पारिवारिक चिकित्सक दिवस

जिंदगी की पहली

शिशु चिकित्सक(माता),

मनोचिकित्सक(पिता),

आयुर्वेदिक चिकित्सक कड़वी दवाई वाले (भाई),

होमियोपैथी चिकित्सक मीठी गोली वाली(बहन),

हड्डी रोग विशेषज्ञ(चाचा मामा), 

प्रसूति रोग विशेषज्ञ(बुआ मौसी), 

सामाजिक रोग विशेषज्ञ सर्जन (फूफा मौसा), 

गृहस्थी रोग विशेषज्ञ रेडियोलाजिस्ट(चाची मामी),

पारिवारिक रोग विशेषज्ञ डायग्नोस्टिक पारा क्लीनिकल(दादा नाना), 

खान पान विशेषज्ञ डायटीशियन(नानी दादी)

और सब बीमारी का इलाज करने वाले औषधि विभाग चिकित्सक(मित्र बन्धु सहपाठी सीनियर जूनियर)

को चिकित्सक दिवस पर मेरा प्रणाम और धन्यवाद।

🙏🏻🤗😁

ध्यान देने योग्य बातें:

1.मित्रों को गुप्त रोग विशेषज्ञों की भी संज्ञा दी जा सकती है।

2. बाकी विभाग के चिकित्सकों की रिश्तों में तुलना अभी बाकी है।

3. कृप्या कमेंट कर के बताएँ कि आपने अपने परिवार के किस रिश्ते में किस विभाग के चिकित्सक को देखा है।

आपका वरीय/कनीय/मित्र

वरुण एकलव्य

(२०१७ बैच)

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महिला छात्रावास की चारदीवारी

महिला छात्रावास की चारदीवारी

प्रकृति ने भी महिला छात्रावास की चारदीवारी  पर धावा बोल दिया। पहले अक्सर सिर्फ कुछ सज्जन पुरुष ही उस पर सेंध लगाया करते थे। उस टूटी हुई चारदीवारी की चर्चा आज रिम्स के हर एक प्रेमी जोड़े की चुहलबाजी का हिस्सा रहेगी। कुछ जोड़े उस टूटी हुई चारदीवारी की खिल्ली उड़ाएंगे तो कुछ जोड़े छात्रावास प्रबंधन को सुंदर शब्दों से नवाजेंगे। कुछ नए नए बने तोता मैना की जोड़ी को उसमें से आजादी की हवा आती हुई सी दिखेगी( फर्स्ट ईयर के प्रिय जूनियर्स)। 

इस कैंपस के कुछ जिम्मेदार छात्र दिन में छात्राओं की सुरक्षा को लेकर चिंतित हो कर शायद अपने दोस्तों संग विस्तृत चर्चाएं भी करेंगे लेकिन रात होते होते वो भी उस गिरी हुई पेड़ की टहनी की ऊंचाई नापते हुए नजर आएंगे। अरे भाई आज बारिश हुई है तो ठंड तो लगेगी ही न तो बस उसके लिए। आप भी न जाने क्या क्या सोच लेते हैं। 

यूं तो महिलाओं का छात्रावास लड़कों के बीच अक्सर ही कौतूहल का विषय रहता है। खैर इनमें भी लड़कों का क्या कसूर। ये तो मानव की जिज्ञासा ही है जो हर कैद चीज का रहस्य जानने को लालायित रहती है और कुछ हॉर्मोन्स का भी इनमें योगदान होता है(अरे भाई मेडिकल कॉलेज में पढ़ते हैं तो थोड़ा बायोलॉजी का ज्ञान नहीं पेलेंगे तो कैसे पता चलेगा)। 

खैर लड़कियों के छात्रावास में प्रवेश करने का अनुभव तो मुझे कभी मिला ही नहीं लेकिन गुप्त सूत्रों(नाम लेंगे तो देशद्रोही साबित हो जाने का खतरा है) से पता चला है कि ये भी एक अलग ही दुनिया होती है। ऐसी दुनिया जिसमें चारो तरफ सिर्फ लड़कियाँ होती है। पुरुष प्रजाति के नाम पर बस गार्ड जी और मेस वाले भैया दिखते हैं। वैसे तो इस दुनिया किसी भी बाहरी व्यक्ति(चाहे वो अंदर रह रही लड़की का पिता ही क्यों न हो) का आना जाना सख्त मना है खासकर तब जब वो पुरुष हो।

लेकिन फिर भी अक्सर दूध वाला, न्यूज़पेपर वाला, पानी वाला, आदि का आना जाना लगा रहता है(शायद ये लोग पुरुष ही नहीं............. महापुरुष हैं)। 

कई बार तो हमारे तरफ़ के लड़के दूध वाले और मेस वाले भैया को पटाने में लगे रहते हैं कि भैया हमको भी एक दिन के लिए खाना दूध पहुंचाने के काम पर रख लो। बेचारे गरीब छात्र पार्ट टाइम जॉब की कोशिश कर रहे हैं (आपने कुछ और सोचा?)। 

खैर एक बात तो है कि अंदर रहने वाले पुरुष प्रजाति के सदस्य बड़े मौज में रहते हैं। जब चाहा जिसको टोक दिया डांट दिया वार्डन को कॉल करने की धमकी दे दी। 

(स्पेशल टिप- हालांकि गुप्त सूत्रों से पता चला है कि इन लोगो को एक डब्बा मिठाई और एक बोतल दारू से आराम से पटाया जा सकता है।)

वैसे इस चारदीवारी की कुछ दिन पहले ही मरम्मत हुई थी। सुरक्षा व्यवस्था के नए पुख्ता इंतजाम हुए थे लेकिन वो शायद दरवाजों के आसपास के चार ईंटों की ही सीमा तक सीमित रह गई थी शायद पैसों की कमी हो गई होगी(या फिर नियत......)।

खैर प्रकृति से पहले भी कई बार इस चारदीवारी पर सेंध मारने की कोशिशें हुई हैं। कई कोशिशें तो कामयाब भी हो गई और किसी को कानों कान खबर तक नहीं हुई। 

कुछ अफवाहें तो कहती हैं कि इस तरह की पहली लोकप्रिय सफल कोशिश हमारे कॉलेज के ही एक शिक्षक के द्वारा की गई थी और वो भी तब जब वो यहाँ अपने छात्र जीवन का मजा ले रहे थे। अब भी जब उनको देखता हूँ तो लगता नहीं है कि यही वो इंसान है जिसने ऐसा दैवीय चमत्कार दिखाया होगा। खैर गुरुजी के चरणों में दंडवत प्रणाम क्योंकि उन्होंने शालीनता से सभ्यता की मर्यादा का मान रखते हुए अंदर गए और बिना किसी को कोई परेशानी दिए बाहर भी आ गए। 

वैसे गए तो हम भी एक दो बार हैं लेकिन बाकायदा गार्ड से बात कर के और वो भी मेडिकल इमरजेंसी के कारण (देखिए हम शरीफ़ हैं........वो बात अलग है कि वापसी में बाइक खराब होने का बहाना कर टहलते हुए लौट थे)। 

लेकिन यार जो कहो अंदर का नजारा सच में लुभावना होता है। एक तो चारो ओर फूलों(सच के फूलों की बात कर रहा हूँ, कोई उपमा नहीं है) की क्यारियां लगी हुई है और सुबह की सैर के लिए रास्ते बने हुए हैं। रात में भी अंदर लगभग हर जगह रौशनी रहती ही लेकिन फिर भी कई ऐसी जगहें हैं जो अगर इस चारदीवारी के बाहर रहती तो दिन क्या रातों को भी गुलजार रहती। 

वैसे तो कई बार हमारे क्रिकेट खेलने वाले बंधु चारदीवारी के अंदर जा चुके हैं लेकिन उन्हें भी 15 कदम से ज्यादा अंदर जाने का अनुभव शायद ही मिला हो। लेकिन ये बात तो रहती है कि अंदर गई हुई गेंद को ढूंढने में अक्सर ज्यादा समय लग जाता है, शायद गेंद किसी झाड़ियों में खो जाती होंगी(या फिर नजरें..….)।

आपका वरीय/कनीय/मित्र

वरुण(2017 बैच)

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LETTER TO AMIR KHAN

LETTER TO AMIR KHAN

[a work of compilation from facebook/news/tv/personal opinion of various doctors]

From- ALL MEDICOS N DOCTORS.

Dear Mr. Amir Khan,
 “NOT ALL DOCTORS ARE GREEDY”

“THERE IS NO PROFESSION THAT IS ABSOLUTELY CLEAN”

“DOCTORS ARE OBLIGED TO SERVE BY CHOICE, NOT BY COMPULSION”

Sir,

I have been a big fan or your work, life and principles. I am also a fan of ‘Satyamev Jayate’.

I saw your show on the status of medical healthcare in India on star plus and doordarshan. It highlighted to society the concern about the healthcare that it receives at the hands of brutally dishonest and unethical doctors also known as ‘maut ke saudaagar’. Web- Link of that episode is-

(http://www.youtube.com/watch?v=1Lg0kUtS8ic)  or

(http://www.satyamevjayate.in/every-life-is-precious/every-life-is-precious.aspx)

 I understand that there are sections of the medical fraternity that behave in ways that do not bring glory to the profession but I was shocked to see the episode on 27th May, 2012. You are an Icon. You should have thought well and done the homework before doing such a biased show. There are only two people in the film industry that are being taken seriously by the thinking class of society, you and Amitabh Bacchhan. So, when you give such a biased and one sided version of a story, it hurts. Speaking about such a thing on a “commercial” TV show is bad. (I am sure you have taken a big amount, only doctor are supposed to do charity and social work, not actors!!! Right! ) I want to highlight few important points here. And yes I am qualified to make observations as I am a medical student. Dear Mr. Aamir Khan, I have been trying hard but cannot get over the fact that you can 'sell' ignorance with such ease and honor.

1. You said that the most brilliant students who take up medicine, should take it only for service to mankind, they should go to other fields if they want to earn. What do you mean when you say ' People of high IQ and desire to earn money should not become doctors’? Why? Are doctors not allowed to earn and spend a good life? Are we living in imperialism? Why aren’t doctors allowed to have an ambition?? How can a person who earns 4 crores for an episode of a so called 'social' show decide on what should be an individual's ambition and financial status!! Why can there be no doctors who earn well for their professional skills and do not indulge in malpractices? It just reflects your hypocrisy.

It’s not a fight sir but we have few questions for you and public

1. Does a doctor get any special discount on MRP of consumer goods?
2. Does any school waive its fees for a doctor's kid?
3. Does a doctor get any special tax rebate?
4. Does the govt. gives permanent jobs to doctors in village?
5. Does the court convict the people who attack doctors on duty?
6. Does a doctor get any discount on railway, airplane
ticket, or petrol?
7. Is the doctor responsible for poor health infrastructure or the
politicians whom you elect on the basis of caste, religion or quota sops?
8. Does Amir Khan treat u when you are ill?
9. Why should a doctor not be paid well for saving your life? Or
is it that your life is worthless?
10. Is Amir Khan promoting good health by doing ads for
coca-cola and earning millions?
11. Why should a doctor sacrifice his life and happiness
for you? What have u done to deserve it?

2. You said since 2001, government opened 31 medical colleges and 106 private institutes were opened. Please note that today in India; there are a total of 181 Private and 152 Govt Medical colleges. So the number is not as bad as you projected. Don’t project only the time period which suits your story. Either you give a complete picture or do not give a picture at all and also, please find out how many of these private colleges are owned by politicians? 95% of Private colleges in India are owned and run by politicians. It is a bloody nexus between politicians and MCI. The corruption by politicians is to be blamed for the mess, not doctors!!!

3. One of your guests (Dr. Gulhati) said that doctors ask for 30% commission from Pharmacy companies to write their drugs. That is baseless, over-the-roof and sensationalizing the matter. That is as true as “Most Leading actors ask newcomers to sleep with them” or “Lawyers take money from both the sides in a legal battle” or “Most chartered accountants teach their clients how to save tax and also pass info to taxman on where his client saved tax”. I know all of you will shout “Where is the proof?” So are doctors!!! I am not trying to sensationalize things as you did on your show by shading those fake tears, but just trying to project that allegations are easy to make. I know you will say that this was the opinion of our guest, and not yours. But you provided a platform for these fake allegations.

4. You compared the numbers of Licenses cancelled in England and in India. I must say your team is quite resourceful and please collect and compare following details also –
a. Number of doctors beaten on duty by goons from various political outfits in government hospitals in UK and India in last 10 years, and also the number of people convicted for such crime.

b. The Stipend (Salary a post- graduate trainee doctor/intern gets) or Salary, living standards and the doctor: patient ratio and accommodation facilities provided to the doctors of the two countries.

c. The duty hours and working conditions of the doctors of the two countries 

d. The academic and research infrastructure being provided to the medical students.

5. Your guests and audience (the words were almost put in their mouth) said that private colleges charge a capitation fee of 40–50 Lacs for MBBS; you should have also produced some evidence of such practice. Like you call a victim in all your episodes, why not here? And do the same story on Engineering, Architecture, Law and MBA colleges; do you think they are clean? Why to target doctors alone? You spoke about doctors buying medical degrees for 40-50 lakh rupees. Here are some figures for you. In 2011, 2, 21,867 students appeared for an entrance examination into medicine called the All India Pre Medical Test (AIPMT). They were competing for 1887 medical seats in government colleges. After listening to your show, every doctor who has worked tirelessly and endlessly to get into the profession, and in spite of ALL odds, qualify as a doctor will be viewed with suspicion by his society, as someone who may have “bought” his degree. You have condemned me, and thousands, perhaps lakh of young and upcoming doctors like me, who struggled among 2, 21,867 people to get those 1887 seats, to a lifetime of suspicion and ignominy. You then went on to chat with a gentleman from Wales about how he had to flee India due to rampant malpractice. In doing so, you have encouraged thousands of young Indian minds into falsely believing that the west is the destination where they will have a clean, ethical and well paying job. You have just doubled the brain-drain singlehandedly, Mr. Khan. And you have condemned every Indian to losing the best minds they could have had treating them in India.

6. Why only Doctors are being forced to work in rural and government hospitals after their study? Why only we should pay government if we don’t want to do it? The rural/Govt sector needs help of Engineers, Lawyers, Chartered Accountants and MBAs also. Why aren’t the Engineers sent to rural areas to design and monitor roads and industrials development? Why aren’t the Lawyers forced to work as Public prosecutors before they can join some big foreign corporate firm? Why aren’t the CAs asked to work in CAG office and various other government financial sectors before joining Multinational Giants? Now government wants that doctors should not immigrate to other countries without asking them. Why? Are the IIT/IIM students stopped before they flee to foreign countries for big fat salaries? So, why only us? What is it that government of society has done for doctors that they should repay? They bloody can’t even protect them from goons while on duty.

7. You say that doctors are writing unnecessary and costly medications. Do we decide the price of a drug? Do we manufacture or give license to drug manufacturers? Controlling the price of essential drugs is a government job. We are helpless. Sir, it’s easy to point fingers. We don’t say that all is well. But all is not well anywhere. It’s a different thing creating awareness about dowry or female feticide. But it’s entirely different to comment on such a technical and complicated issue without getting into the details of it. You have maligned the entire medical fraternity. For every 10 doctors who are doing wrong, there are more than 1000 healers. You owe us an apology!!! This issue is not as simple as you think it is! Please show stories which are unbiased and straight-forward. You cannot do justice to such an issue, especially after charging a whooping amount for creating awareness!!!(We hear that Amir has charged 3crores for episode of satyamevjayate in which he spreads the message to doctors that they should not make money and do social service!! How sacred!! I don’t know if it’s true, but well, it’s the season of allegations. Doctors may be doing little social service, but at least we are not charging for it".

Coming to generic drugs, yes, a large amount of rural population should have access to cheap generic drugs. But one should not forget the pharmacy companies that charge more for the drugs are the ones that spend crores of rupees for research and development of new drugs. Had there not been drug trials no new drugs would have been invented and we would have mortality rates compared to Stone Age. Also I agree that most doctors endorse certain brands of drugs (which I do not deny may be for some financial gains also) because they have faith in the quality of the 'active drug' of certain companies. Yes many local companies manufacture generic products (which is a copy of the original molecule discovered by the expensive company which can be used for unaffordable patients. But you did not mention that many of these generic drugs are of substandard quality and are the reason of many uncalled deaths due to drug reactions. Most doctors would not want to take responsibility of the quality of the 'generic' drugs.

 

8. Sir, we don’t say you are wrong there are bad doctors out there as well but you projected whole medical fraternity as fake corrupts and evils.Mr. Aamir Khan I am not getting back at you because I took your show personally. Yes, I agree that there are doctors indulging in shameful malpractices and even I know a few of them. But I can proudly say I am surrounded by more doctors who work day and
night just to ensure that their patients get the best possible treatment..The 'BAD' doctors should be punished and we all can come together to ensure we do not encourage such malpractices

9. I'm a doctor because I’m capable and not because of charity.....I’m qualified on my own merit and not because u elected me!!
You were asking Dr. Devi Shetty whether he can do humanitarian work and Earn at same time? This is like asking Amir Khan or Shahrukh khan their income and generalizing it for every actor in the industry (Even junior artists). Sir, just as there are only few Khans and Kapoors,There are even fewer Devi Shetty and Naresh trehan who run their chain of Multi-specialty hospitals spread all over the country. See what it takes to become a doctor and then give such “Geeta-Gyan”.

A.  5 and half year of MBBS training and 1 more year of Compulsory Rural Internship at Rs. 15000 - 20000 per month. (Any other field e.g. Engineering, Management, a person would become Postgraduate in this much time and start earning double the amount.) If one doesn’t study further, the pay at this step is 22,000 per month.
B.  After above 6 and half years of Graduation, SERVICE BONDS RANGING FROM 2 YEAR TO 10 YEAR

C. 3 more years of Post graduation, followed again by compulsory rural / Government job for 1 year to 5year or pay Rs. 25Lac to 2 crore bond. If one doesn’t study further, the pay at this step is 40,000 per month.
c. After this above 10 and half years, 3 more years of Super specialty, followed by 1 year of Govt job or a Bond of Rs. 2 Crore. And the seats are so few with tough competition, there tends to be a gap of a year or two in preparing for various entrance exams.

10. We don’t sleep at nights to have knowledge about your pain. My life is just books and tests because I have to save your life in future. Secondly I would have appreciated if you would have thrown some light on the entrance examinations and the hard work, dedication and sacrifices a doctor needs to clear his MBBS, MD, DM etc examinations. I wish you had spent half a day in the emergency department and OPD of a Govt. Hospital and realized that the work timings, working conditions, lunch breaks, doctor: patient ratio, hours of sleep per week, living conditions in the hostel and the stipend is worse than a class 4 laborer. You would have also surprisingly realized that the 'DOCTORS' are the only 'FUNCTIONAL' part of a Govt. Hospital which still caters to thousands of patients in a day. I am always exposed to infections coz I am always around the sick. My job is not from 9 to 5 but it is 24*7 till I die. My family life is a mess because I don’t spend time with them instead treats you. I study all my life just for u people...so RESPECT DOCS.

11. I understand that your aim in this episode, and on the show, as a whole, is to make society aware of the issues that plague India, and help it to move towards a better place. I also understand that you may have, unfortunately, done the exact opposite, at least with this episode. I’ll tell you why.

You started the show with the story of a diabetic losing his toe. (You did not tell us that he is diabetic, but the footwear he was wearing hinted at that.) This gentleman was retrospectively told about the possibility of medical management of his toe infection. You should know few statistics about diabetic foot disease (yes, Indian doctors also are aware of research methodology, like your famed “research” team).The foot ulcer incidence rates range between 2% and 10% among patients with diabetes mellitus. The age adjusted annual incidence for non traumatic lower limb amputations in diabetics’ ranges from 2.1 to 13.7 per 1000 persons (as per a study published in the Journal of American College of Surgeons in 1996). India has approximately 50.8 diabetic patients, according to the world diabetes foundation. Assuming that Indian doctors are competent enough to treat diabetes as well as their counterparts in the US, (where, presumably, you will be going for your medical treatment, as you proudly proclaimed that you will not undergo any medical treatment in India) that translates to about 5 million Indians having a chance of developing a foot ulcer, and about 500 thousand Indians needing lower limb amputation. Each of those 5 million people who develop the foot ulcer, will remember your episode, and will opt for medical treatment, which, if it fails to work (which it will, Mr. Khan, in a more than a few cases), will convert a toe amputation into a below knee or above knee amputation, or even death, depending upon how long the patient chooses to be on medical therapy. You have just condemned 5 million Indians to uncertainty, loss of limb more than what would have been, or even death. And you should know that the patient in your show might still be able to walk just because of the timely action taken by the surgeon.

     

Next,

There was a chat about “unnecessary” Kidney transplants. Here are a few facts, Aamir. In the United States, the general hemodialysis and peritoneal dialysis populations have 2 hospital admissions per patient per year; patients who have a renal transplant have an average of 1 hospital admission per year. Additionally, patients with ESRD (End Stage Renal Disease) who undergo renal transplantation survive longer than those on chronic dialysis. The mortality rates associated with hemodialysis are striking and indicate that the life expectancy of patients entering into hemodialysis is markedly shortened. In 2003, over 69,000 dialysis patients enrolled in the ESRD program died (annual adjusted mortality rate of 210.7 per 1000 patient-years at risk for the dialysis population, which represents a 14% decrease since peaking at 244.5 per 1000 patient-years in 1988). The 5-year survival rate for a patient undergoing chronic dialysis in the United States is approximately 35%, and approximately 25% in patients with diabetes. Though there are no nationwide records to calculate the incidence of ESRD in India, a population based study done in Bhopal showed the average annual crude and age-adjusted incidence rates for the period were 151 and 229 per million populations, respectively. Extrapolating this data to the population of India, we have 200 thousand Indians with ESRD. Again, if you are willing to believe that Indian doctors are as competent as their western counterparts, only 25 percent of these will live beyond 5 years without a transplant. So renal transplant remains the best available treatment option for chronic kidney disease. You have just condemned 150 thousand Indians to uncertainty, indignity and death. You said patients on dialysis live up to 15-20 years. (I hope you take responsibility for people who after watching your show plan to not go for kidney transplant and die in less than 5 years)

Next,

You spoke about doctors asking for “unnecessary” tests, and even went to the extent of describing a “basin” test in jest. In doing so, you condemned every clinical practitioner in the country to a lifetime of uncertainty about how his patients will react to his demand for justified investigations which will undoubtedly save the patient’s life. And get some research done on the cases of somatoform and somatisation disorders where patients have only a psychological belief about some serious illness inside them. In such patients we need to prescribe some costly medicines maybe just multivitamins to act on their psyche and placebo effects are generated to correct their cognitive distortion. Some times in doing so we need to order some apparently unnecessary investigations but they are all justified in the eyes of a TRUE HEALER just to get rid of the illness and not to get money.

Next,

An overenthusiastic girl from the audience said that her father was forced for an emergency liver transplant '6-7 years' ago for gastroenteritis. Fact- Even today there are ' a handful' of hospitals in India offering liver transplants. To think those 6-7 years ago, just for gastroenteritis 999 patients (according to your data) were offered liver transplant is not only improbable but technically impossible.

I could go on with this dissection of your well researched show Aamir, but I just want to end this issue with a story. There is a man, who was educated in rural India, came to a city with next to nothing, practiced as an honest doctor there for 30 odd years, refused to give or accept commissions or cuts, stayed simple, worked hard, and gave his family a decent life. Today, you have condemned him to being seen as a criminal in the eyes of the same people he served.

16. Here are some of suggestions to heal the ill medical and health system of india.

1.  Govt. medical colleges and hospitals should multiply several folds, increasing the number of doctors in each department, improving the doctor: patient ratio. Doctor's salaries and living conditions should be looked after and should be comparable to other professionals.
2. Try to maintain the govt. hospital up to the standard of private sectors. And this is the job of govt. The Govt. should spend 6-8% of GDP ON HEALTHCARE and a part of which should also be committed to the research and development of newer drugs.
3. Public too bears the responsibility to maintain the govt. property like hospital.
4. Stop corruption at top level that eats the major% of hospital fund. No politician should be allowed to be associated with any private medical colleges.
5. Give doctors the proper social security.
6. The primary school education must include more and more health related topics because who can be fooled? Only those who don’t know about It.! So the general public should be educated well about common diseases and the 'acceptable' qualifications of the doctors
7. If treatment of better quality (at lower cost) is available at govt. hospitals, why would we go to empty our pocket at corporate hospitals?
8. Public should know that good treatment doesn’t come just by money.
9. ' BAD' doctors indulging in malpractices should be suspended for life. We need a strong regulatory authority to publish expected treatment 'protocols' and punish doctors found to be doing unethical practices.

10. After this show people just lost their mind. They must use their brain coz it’s a sensitive issue. Aisa na ho ki real me surgical emergency ho but wo doctor badal le ye soch k ki doctor ka paise thagne ka  bahana hai!!
11. Have regulation over pharmacy companies. They are the real money maker. Doctors are just the apparent culprit. Regulatory authorities should also keep a check on the quality of drugs being manufactured and at the same time 'sold' at the local chemist.

12. Jb hamare top leaders and stars private me treatment karayenge to govt. doctors pe bharosha kaun karega. . They often prefer foreign doctors and corporate hospitals.
13. Doctors too r human being. They too need money for survival. So people should not exaggerate the GODness of them. But yes it’s true that bad intention is always a shin either in a doctor, a businessman, an actor, politician, a bureaucrats or a common man!

These are just a few points I can think of at the moment. I am sure had you bothered to have a panel discussion and find solutions in a healthy way, we could come up with a lot more viable solutions. However you chose to sensationalize your show, by hiring 'few' people with 'fake' or 'amplified' problems and shed a few tears. Hope you understand that Your allegations like 'HAMARE DESH KE DOCTORS ITNE BIMAAR KYUN HAIN' and 'MAUT KE SAUDAGAR' are as serious as calling all actors 'Rapists' (after the shiney ahuja incident ) and all Muslims 'Terrorists' .Knowing that you twisted not one but  many known medical 'facts' to strike a chord with the 'ignorant' 'naive' audience, How do you expect me to have faith in you and the stories you would project in the upcoming shows. You have betrayed a large segment of the 'classes' as well as 'masses'. All i can say is I feel sad for the death of the 'image' you created in our minds and hearts. An unbiased Aamir who strives for nothing but the truth and the betterment of the society was after all a MYTH. Condolences….

In the end I would just like to narrate this poem...

Box me up n send me home,
Put my papers on my chest,
N tell my mom I did my best,
N tell my dad not to bow,
He will not get tension from me now,
Tell my brother study perfectly,
Keys of my scooty will b his permanently,
Tell my sis don’t b upset,
Her sister will not rise after this sunset,
Don’t tell my frndz they r hearties,
N start to ask for parties,
Tell my love not to cry..coz
" I'M A DOCTER..
BORN TO DIE...”

                                                            Source:- a medico’s diary                

                                     http://medicosdiary.blogspot.in

lecture theatr-a description of our classroom scene

"a descriptive study of the classroom situations at rims,ranchi by Dr. Govind madhaw and Dr. Chandan kumar yadav"

आदमियों की एक आदत होती है,जहाँ भी गए, जो भी देखा,या जो कुछ भी मिला उसमे कुछ न कुछ बुराइयां जरुर निकालेंगे अपनी बुद्धि का प्रदर्शन करने के लिए. मैं भी एक इंसान ही हूँ और इसलिए ये सद्गुण मुझमे भी व्याप्त है. यूँ तो बुराई करने को हज़ारो चीज़ें है  इस जहाँ में मगर मैं उस चीज़ पे ज्यादा मेहरबान हूँ जो मुझे सब से ज्यादा अज़ीज़ है और अजीब भी.
जी हाँ, आपने बिलकुल ठीक समझा. ये है हमारा क्लासरूम. यानी lecture theatre. सही मायने में भी यह किसी ड्रामा थियेटर से कम नहीं यानी नौटंकी से भरपूर. आइये नौटंकी का पात्र परिचय सेगमेंट शुरू करें.....
1.students- future doctors, future.....
2. assets of students
3. teachers-professors.doctors
4. assets of teachers
5. attendance
6. lecture
so these were the headlines of the hour.
now in details...
1. STUDENTS-
 इस नौटंकी थियेटर में निम्नलिखित प्रकार के विद्यार्थी पाए जाते हैं...
१. जिनकी नींद हॉस्टल में पूरी नहीं हो पाती
२. इन्हें कम सुनाई देता है यानी पीछे बैठने वाले,....शायद पीछे साफ़ आवाज़ पहुँचती हो
३ . एकाध गो आगे बैठ के मुड़ी हिलाने वाले......क्लास की इज्ज़त के अंगरक्षक
४.. सज धज के क्लास में ज़रा देर से आने वाले ...सही में इन्ही के सहारे तो समय कटता है.
५..इनकी सजावट को निहारने वाले

2. ASSETS OF STUDENTS-
a. Earphone- स्टूडेंट्स की अहम् जरुरत है...बुढापे की लाठी है..नंगे का लंगोटा है..डूबता के लिए तिनके का सहारा है
 जहाँ एक तरफ टीचर्स के मधुर वचनों से बचाता है वहीँ batchmates द्वारा बनाये गए मजाको से भी अनजान रखता है, अपने antisedative action के लिए भी यह काफी मशहूर है. लेकिन इसके कई साइड इफेक्ट्स भी हैं .जैसे attendance छुट जाना या फिर किसी दुसरे के रोल नंबर पे आवाज़ दे देना इत्यादि....
b.टोपी- यह गंजो के लिए लंगोटी है , हाँ भाई वही इज्ज़त ढंकने वाली. कुछ लोग इसका प्रयोग आगे झुक कर नींद मर्लेने के लिए भी करते हैं. या फिर नज़ारे बचाकर किसी को निहारने के लिए भी ये अक्सर प्रयुक्त होता है.हाँ एक बात और, अगर सुबह देर से नींद खुली हो और बिना नहाये क्लास आना पड़े तो भी यह बहुत उपयोगी है...
c.मोबाइल फ़ोन -यह सुदर्शन चक्र है. टारगेट पे अचूक निशाना लगाता है. नर या नारी...सभी छात्रों को यौवन को सही मायने में enjoy कराने में यही एकमात्र मददगार है. रूमानियत महशुश करना हो, नए रिश्तो को पनपाना हो, sms यानि "सरल मोबाइल सन्देश " भेजना हो या टीचर्स को मिस कॉल मर कर तंग भंग करना हो....तो हर मर्ज़ की बस एक दवा है ---मोबाइल. हाँ धार्मिक विडियो देखने और दिखाने में भी यह काफी प्रशिद्ध है.
d. कलम - लेखनी ...नोट्स लिखना इसका सबसे तुच्छतम प्रयोग माना जाता है. सबसे महत्वपूर्ण प्रयोग है कान खुजलाना, सामने वाले की पीठ में उकेत्तना , कार्टून बनाना ...बाकि हर कलाकार की कबिलियत पर......
e.बेंच-डेस्क - महत्वपूर्ण कार्यो  का निष्पादन इसके बिना असंभव प्रतीत होता है. सतयुग से ही इसका प्रयोग ड्रम बजाने में, कार्टून बनाने में, धार्मिक चित्रकारी में, इसके निचे छिपकर मोबाइल काल अटेंड करने में, इत्यादि अनुशंधानो में होता रहा है.

3. TEACHERS-
हमारे यहाँ यानि रिम्स में योग्य शिक्षकों की कोई कमी नहीं है. एक से बढ़कर एक विद्वान्,आचे clinicians,doctors, और अनुभवी प्रोफेसर हैं हमारे पास. कईयों के पास तो विदेशी डिग्री भी है.शायद इसलिए इनमे से कई हिंदी बोलने में अपनी डिग्री की बेईज्ज़ती समझते हैं.कुछ तो यहाँ तक कहते हैं-" u are a medico, u must try to live with english. All of u note it, when i speak then i speak, when u speak then u speak, dont speak in between between." और इसलिए वार्ड में हम मरीजों से पूछ बैठते हैं -"ऐ जी सरसती देवी, जपला से आये हैं, ok then plz let me know about severity of ur angina..." और मरीज़ बेचारे हक्का बक्का. कुछ कान्वेंट स्कूल के प्रोडक्ट्स ने एक बार हिंदी में मरीज़ से पूछताछ करने की ज़हमत उठाई. और एक महिला से पूछने लगे-"हाँ तो आपकी महामारी कैसी है?????"  अब उस ग्रामीण महिला को क्या पता की मेम साहब माहवारी को महामारी बोल रही है ..अब अपनी भाषा की अल्पज्ञता का ये नमूना......खैर...अंग्रेजी makes us feel superior then others....इसलिए तो हमलोग फाइनल मौखिक परीक्षा के पहले english spoken class join कर लेते हैं.
किसी किसी टीचर की आवाज़ इतनी अच्छी  होती है की पहले बेंच पे बैठ कर हमें अपनी कानो पर विस्वास ही नहीं होता. हो सकता है कि maaleus and incus में demand hypertrophy हो जाये.
हालाँकि हमारे प्रोफेसर डॉक्टर के पास समय का सर्वथा अभाव रहता है फिर भी वे अपना कीमती समय हमें देते हैं, वाकई ये गर्व की बात है.उनकी व्यस्तता का अंदाजा इसी बात से लगाया जा सकता है कि क्लास के बीच में ही उन्हें कितनी ही बार फ़ोन पे बात करना पड़ता है. और उनके वार्तालाप पे हम तरह तरह के निष्कर्ष निकलते रहते हैं, जैसे-"जरुर बीबी का फोन होगा....नहीं रे कोई आइटम भी तो हो सकती है....न रे मरीज़ फंसा रहे होंगे...कम्पनी का भी तो हो सकता है...ना ना medical representative  से होटल बुक करवा रहे होंगे...."...
कुछ प्रोफेसर को तो chalk allergy होती है, कारण  हमारे श्याम पट  यानि black board का अति सुविधासंपन्न होना भी हो सकता है, या फिर हम क्षात्र  इतने कुशाग्र बुद्धि है कि शिक्षक्मुखाग्र से निकले शब्द रूपी प्रसाद को कर्ण पथ से निगलने को आतुर रहते हैं हम, और शायद इसलिए लैपटॉप के ज़माने में भी श्रुति स्मृति ज्ञान विधि को ही बेहतर समझते हैं और इसलिए उन्हें श्याम पट पर कुछ भी लिखने की जरुरत ही नहीं पड़ती.

4. ASSETS OF TEACHERS-
 तो हमारे क्लास रूपी स्टेज में शिक्षकों को अपनी कला प्रदर्शन के लिए जिस अत्यंत महत्वपूर्ण यंत्र की आवश्यकता पड़ती है वो है विद्युत् चालित प्रक्षेपक यानि "PROJECTOR". इसके भी दो प्रकार है, एक मल्टीमीडिया वाला यानि HIV- HIGHLY IMPORTED VARIETY का और दुसरा बाबा आजम के जमाने से चला आ रहा....
बीच लेक्चर में अगर बिजली रानी मायके हाली जाये तब मनो ज़िन्दगी थम जाती है. हाई-फाई डिस्कसन से हम तुरंत साधारण बातों की पढ़ाई करने लग जाते हैं, या फिर ऐसे ही गप्पे हांक कर क्लास किसी तरह ख़त्म कर दी जाती है.

5. ATTENDANE-
यह शब्द आंग्ल भाषा के शब्द ATTENTION से बना हुआ प्रतीत होता है,जिसका शाब्दिक अर्थ होता है ध्यान देना. मगर हमारे यहाँ यह एक MISNOMER है. अर्थात PHYSICAL AND MENTAL PRESENCE की बजाय सिर्फ PHYSICAL PRESENCE को प्राथमिकता दी जाती है. हालाँकि आपके दोस्तों की दुआ से आप इस से भी निजात पा सकते हैं. मगर उसके लिए जिस रासायनिक अभिक्रिया की जरुरत पड़ती है उसका नाम है-  प्रॉक्सी..
PROXY- It is a type of social ativity, done in good faith to ensure the dual presence of his client in the future university exam as well as by that time outside the class.
वैसे तो ATTENDANCE को MCI ने MUST बना दिया है, क्लास आना अच्छी बात है मगर कुछ प्रश्न अभी भी उत्तर की तलाश में sms बनकर भटक रहे हैं.
१. आखिर क्यों यह बताना पड़ता है की attendance जरुरी है ?
२.क्या हर ८०% attendance वाले का एग्जाम अहह ही जाता है?
३.क्या प्रॉक्सी लगवाने वाले हमेशा फेल ही होते हैं?
४.आखिर प्रोक्सी की जरुरत ही क्यों पड़ती है?
५.जहाँ एक तरफ attendance कम होने पर , चाहे कोई भी मजबूरी हो, हमें sent-up होने से रोक दिया जाता है, वहीँ दूसरी तरफ over-attendance होने पर अगले साल उसका कोई भी बोनस या फायदा नहीं मिलता.ये तो सरासर अन्याय है..?

6. LECTURE
हमने सुन रखा था कि स्कूल में क्लास होते हैं और कॉलेज में leture. मगर आज तक हमें ये अंतर नहीं समझ में नहीं आया की class and lecture में अंतर क्या है? यहाँ भी हमें definitions रटवाए जाते हैं तोते की तरह,notes लिखवाए जाते हैं पहले क्लास के बच्चे की तरह.शिक्षक अपने अनुभव और बारीकियां profess करने की बजाय अपने स्लाइड्स की reading करना ज्यादा पसंद करते हैं. कुह लोग तो पूरी की पूरी किताब हनुमान चालीसा की तरह बिना किसी पड़ाव के धाराप्रवाह बहा कर चले जाते है...
एक टीचर को सिर्फ एक टॉपिक मिलता है पढ़ाने के लिए.वो भी सदियों से उसी को पढ़ाते आ रहे हैं. मगर ताज्जुब वे हर साल एक ही नोट्स को लिखवा भर देना अपना फ़र्ज़ समझते हैं, भले उनकी कर हर साल बदल जाए मगर हर साल उस टॉपिक पे वही चुटकुला चलता है,हर बार लड़के वही उबाओं कहानी सुनते हैं..और नोट्स भी वही...जिसे कुछ छात्राएं बड़ी म्हणत से छपने का काम करती हैं, और हम उनसे फोटो कॉपी करवा लेना अपना परम कर्तव्य समझते हैं.इन नोट्स को पढने की कोशिश सिर्फ एग्जाम के पहले की जाती है, क्यों की ऐसा अंधविश्वास है की इन्हें लिखने से एक्साम में पुरे मार्क्स मिलते हैं.
एक टीचर को सप्ताह में एक ही क्लास मिलता है, यानि एक सप्ताह में ६-७ टीचर अलग अलग टॉपिक शुरू कर देते हैं. मसलन नज़ारा ऐसा होता है कि एक तरफ हम neoplasia का  definition रट रहे होते हैं वहीँ दूसरी तरफ साथ साथ हमें melanoma surgery भी पढनी पड़ती है और अगले तरफ prostate का ट्रीटमेंट.
क्लास में कव्वाल्ली की टीम की तरह लड़के-लड़कियों के अलग अलग बैठने पे तो हर साल टीचर्स अपनी कहानिया सुनाते हैं-"हमारे समय में तो ऐसा नहीं था..बहुत फ्रैंक था हमारा बैच ...साथ सिनेमा देखने जाते थे..."

ज्यादा पोस्ट-मार्टम नहीं करना चाहिए, वरना कल को गए जब मेरा p.g. में नहीं होगा तो लोग यहि कहेंगे की "ई लड़का साल भर खली यही सब research किया है तो रिजल्ट कैसे होगा?????" इसलिए पाप ज्यादा नहीं बटोरते हुए अलविदा. कल किसी और टॉपिक का पोस्ट-मार्टम किया जायेगा......जाइए लाश का इंतज़ाम कीजिये....

this is the beauty of medical science

"This is the beauty of medical science."

Exceptions are rules.

Facts are superior to theory.

Memory is the only best trick to understand it.

Mnemonics are like chemical formulas of millions of molecule.have to mug up all.

Even an illiterate patient may declare u within a fraction of second as - "ye to kharab doctor hai...." and the worst part is people take it as a certified data against you."

Most beautiful nurses u keep to entertain ur patients as cheer girls rather than for urself.

Every next year new edition of book comes and suddenly whole of ur knowledge till gained sum up into a big zero. restart the new one from the very first page whole of the year till new edition comes again to screw u.

Your patient will die if u apply ur concept instead of fixed protocol. bcoz there is a huge screwier named as "idiosyncrasy'.

So on.....describing the beauty of medical science.....keep on adding ur pain.....

BEING AN ATTENDENT----a real story

BEING AN ATTENDENT----a real story

 By- डॉ सत्यम सिन्हा 

RIMS, ranchi

An unknown number flashing on my mobile screen! May be any girl; any wrong number girl; any old link or any returning sentiments!.... “Hello!”.... Shit. It is called KLPD. Its not sounding like a female voice.. may be due to network problem, I consoled myself. But really it was a male voice. And the tragedy train just begun to rush into my life from this instant.

Emergency landing by an Auto, time 1:30 PM, Friday. A lady (30 yrs) was injured in road accident and she was brought here. Her husband was known to my father and so he rang me for help. It was a head injury. After primary treatment in emergency ICU, the case was referred to the Neuro indoor. This case was registered with PIR No. as a Police case, although it was not (what a facility!) but who will not wish to save
money!

They were well dressed like belonging from an average middle class family. This helpedme because I introduced them to doctors and seniors as my own relatives (Bhabhi?).Bhabhi is appropriate word for her because if a girl comes to visit her, she will be most probably a Sali...and then I can have a chance to score!! Really, sometimes I am a genius!!

A politician type man (new undertraining roadside leader) was accompanying them. He was never in favour of RIMS. Continuously nodding against RIMS, he was forcing to opt for Raj Hospital. But the attendant (husband) was getting a point to suspect him. He may be having some comission for every patient, because in an earlier incidence also he had suggested for Raj hospital. But am I that big a fool? Who says RIMS is full of negligence? And after all, HAMARE MADHUKAR JI TO YAHIN HAIN NA!” He did not even remember my name (Madhaw). I too was interested in attending the patient because of the dream of visiting girls, although only one came and that too she was not beautiful, but however I added her in my list, expecting for some of her friends.

Before the patient was placed in the neuro ward, I went there, got the investigation slipfor CT-Scan from a PG Boss (Because I am a medico, so I can violate rules) and took the patient directly to CT Scan room, boycotting the long queue of waiting people (who were gazing at us with a suspicious look). I was in a hurry of getting the CT Scan done on that very day (Friday) as getting it done on the next day (Saturday) would lead to wastage of 3 days (this is what happens with common/ general patients) – obviously no doc. comes on Sunday. CT-Scan was done 3 times due to lack of experience & knowledge of technicians (contract basis par bahal hue the na!) and the hazard of radiation was always there. But as I was working for RIMS Director’s Souvenir (Pragati Ki Udan – A booklet about RIMS development), I was conditioned to see everything positively, specially any incident related to RIMS. So I explained it to the attendant –he whole 36 pages that I had written for RIMS in the souvenir. Earlier too, I had presented it to 10-12 persons. I was feeling like a Brand “Look! 3 times scanning. In other hospitals, they would have done only once.Hamare Yahan deeply diagnosis ki jati hai....and then a long lecture started about RIMS. I delivered to him t Ambassador of RIMS – Ek karmath nishthawan chhatra.

In the indoor, the politician type man was in a mood of having an argument with me..... .“You are all careless and irresponsible medicos.This RIMS is never trustworthy because of you,your rules and your thoughts. Govt. invests so much money on you and how do you repay?Neither do you want to serve in the village (R.D.) nor you are dutiful here. The only thing you have in your calendar is strike! Strike and again strike!! You will never come to know how important a life is! Poor people come here not because of your facilities and infrastructure but because they cant afford any other place. Unki majboori hi unke ummid ka karan hai.”
“You doctors start playing with dead bodies in 1st year of medical study, continue enjoying it in 2nd year as FMT and thus gradually you get an addiction of death. You lose your emotions. For you, a death is just like a kiss in a hollywood film, it happens here and there and everywhere.”
I was losing my confidence. Is this a debate competition? Then suddenly I woke up as a champ! I began recalling my talent, I was the winner in my school. And then I appeared as a super champ....
   “What do you want? Everytime we are compared to God. But is this the way to behave with God? Atleast let us be simple human beings. We are also like you. (Bastiwalon se jhagada hue kuchh din hi beete the). We too have the fear of death when it comes to us...we do have the dreams. We could have gone for engineering or MBA and by this time, we would have been playing in lakhs in a metropolitan.But we are here because we want to serve. We have already burried our young life among the books (But ideally it should be among bo**** censored). And just imagine what we feel when the people for whom we sacrifice so much begin to attack us, even become misers in giving respect. Our self respect is also being snatched in fact... “, and again the same long lecture (36pages) I delivered breathlessly.

That night the patient again called me. Oh shit.. But “Yes, this is a doctor’s life”. I tried to feel proud of the sacrifice of my sleep.
When I was going to see the patient, it was around 1 AM at night. One man was weeping silently. I asked him about the tears, and he narrated the incident.His daughter (14 yrs) was admitted in medicine ward. Doctors had declared that she had Acute Renal failure in advanced stage. Renal transplant was the only option left, if the parents could manage it easily. And for this too, they would have to go to higher centres. Definitely they were unable to afford it, so they decided to stay in RIMS so that atleast she could die in comfort (As they thought). At that moment,the girl was anxious, dyspnoeic, restless. Her father requested the nurse for oxygen.But the nurse who was sleeping, replied arrogantly – “Who are you to decide whether to supplement oxygen or not? When the doctor will come, he will decide if it is required or not. Your patient is dying anyway. It is not wise to spend the Govt. oxygen like this. May be this will be lifesaving for some one else needing it actually.
I went to the bed with her father. But now the girl was at rest, with a calm and smiling face. She didn’t need any more oxygen even for breathing. I was standing still. Pause!! A lot of questions began to explode. Did their purpose get solved? Was the nurses’ logic correct? Or was she irresponsible towards her duty? Can’t we have a hope till the last second for a miracle to occur? Is it superstition.. was she dying with comfort? Could the oxygen supplement be of any help in this case?

In the Neuro ward, the attendant was tense & worried, waiting for me near the gate of C2 ward. As soon as he saw me, he ran to me and said – “Lagata hai yahan aake phans gaye hain kaa?” Actually his patient was vomiting and was restless. Although the condition was not so severe but in neuro ward,where everytime life is in 50-50 probability, his anxiety was obvious. He firstly reported to the doctor in Emergency, but no body came. Again he went to call but the doctor on duty replied – “Jao na ji, aate hain na 5 minute main! Tum aise kar rahe ho jaise tumhi mar rahe ho turant.” And then the doctor preferred to sleep rather than going with him to the ward. Ultimately he called me after losing all hope. I thought it was useless to go to the emergency again. So I preferred to go to PG Hostel. There was a PG Boss, quiet, laborious and caring, known to me.He was very popular among patients because of his dedication.

Saturday night, 1:35 AM. I was going to PG (Boys!!) Hostel 2nd time. My 1st visit came In my mind as a recap of a TV serial. 1st time during Saraswati Puja (then we were the junior most) ‘chanda’ collection. We got a chance to see this completely different form of medico life.At that time, most of us were excited to knock at the gate, because in 1st few rooms we had seen girls 1st time in any boys hostel. Our dirty mind were working fast. There are two types of rooms. First type – like a library, hardly any space to sit. (PG Aspirant and single-unpaired PG Boss), and 2nd type – well decorated with AC, internet, TV,girlfriend or wife. This time, as I had no idea as to which room I should go, I took the help of another Boss of my fibre to whom I had promised to arrange a girl friend. (Because the whole campus knows that I have many girlfriends and I have arranged for many of my batchmates).

In the destined room, as I was expecting, no specific signs and symptoms were present.
Boss was busy on phone (probable symptom) and indicated me to sit. While he was talking.I concluded that on the other side of phone was the same ma’am (senior girl) for whom maximum of UG go to library as a routine work. Boss had to finish his talk and came with me to the ward.

Boss : Is this patient your own relative?
Me : Yes Boss (I answered with hesitation).

Boss : You are in 3rd year na?Then also you don’t know the condition and situation of this institute; surprisingly you are a stupid guy. Man! Here only those come who can’t go anywhere else or those who have to get a false medical certificate.

Me : Boss, what is the problem here? Is the staff careless or is the system defective?
Boss : No! Everything is not defective. We have the latest instruments and labs. Some nurses serve better than those in any other hospital. Their dedication is really appreciable.Some doctors are really dutiful and caring.Some senior doctors like are really hard working due to whom this institute is surviving. But some are still here who don’t want to work.The system is also much defective. Afterall its a Govt. hospital na?

He came to the ward and while prescribing medicines, nearby patients also started telling their problems. He had to give a complete round, although he was not on duty. While leaving he gave me a burning suggesting – “From now don’t bring your own relatives here. Not because I had to come here at night, but because of the absence of responsibility in the system”.

I was analysing the truth. Really some are good like him, but many are negligent. And the  lives of patients is more important than this statistical analysis. If only one doctor is irresponsible, this means one life is being lost every day. And specially in conditions where the patient doesn’t have any recommendation from ministers or medicos like me.

While returning from medicine shop, near the fountain I saw Putesar of my village.His father (40 yrs) was a labour in Kolkata. There he fell ill but was neglected initially. Later when he consulted the doctor, it was too late. Cancer was diagnosed. He spent all his money there,and when every penny was lost, he decided to return to his village so that he could take his last breath near his four marks and die in front of his family. He was waiting for his death every second.One day it came in Newspaper “Now complete treatment of cancer with RADIOTHERAPHY is available in RIMS (July 09). Patients of Jharkhand now don’t need to go anywhere else.” Some of the villagers collected money and suggested him to go to RIMS, although some were suggesting for TMH or BHU. But he wished to arrange for the marriage of his daughter so that he could see it before dying. But here in RIMS, he could not get Radiotherapy, bcoz it’s not available here.
Doctors told him to go somewhere else, but he didn’t have any zeal and enthusiasm for it. He had spent his money in early investigations and medicines. Although I didn’t have the strength to face the situation, I had to go with him. The patient was lying in cachexic condition. “No need to worry or fear. You have atleast one year. Who knows the power and will of God. He takes care of everyone. “koun janta hai kab chamatkar ho jaye“– I was trying to console him.But instead he began to smile – ““pandi ji marz ke bare me bhale aap hamse jyada jante hain,par mout ke bare me to mat hi bataiye..–” Definitely medical science may teach me more about disease, but when it came to death, he was a scholar no doubt.
 After some days he died in his village but left thousands of questions in my mind. Was it correct to publish it in the newspaper like this? Is false advertisement is more important than the life of common man? Is it a simple death or the death of a common man’s hope regarding RIMS? Was the investment in treatment against his will fruitful.” Would it have been better to arrange for the marriage instead of treatment?The question was not whether treatment is given here but if this false self-appreciation in News Paper hadn’t come, he might have gone to some other institution.

To my patient on Monday, doctor advised for blood transfusion urgently. Blood group AB negative. And coincidently or by foul play, it was not available in RIMS. I tried in other blood banks, but with no success. After a long struggle, we could manage two units from Bokaro. Although it was life saving, but we still needed atleast two more units. That politician type man took me to RIMS Blood Bank and said– “I know blood is available. You are a medical student of this institute. Try to get it.” I was surprised, how did he know? But I tried my best. I got the same reply again – “AB negative is not available, try to consult after 2-3 days. May be we will be able to provide it.” Then the politician took out his mobile and dialed the number of an MLA. While talking on phone, he gave a cunning smile to me. After some time he got the blood.

I was shocked. What was this? Before this I used to think that we medicos are supreme, only we can violate and modify the disciplines (sometimes outside the RIMS also). But in this case MLA is the supreme and we are just like a common man. But still the bigger question was that, Does it happen with every common patient, even in emergency situations?

Any way, next day my patient was advisedsome investigations. But the investigation slip was kept by the nurse. Consequently the investigation could not be done. The relatives called me but as I had my exams on the next day, I explained them my inability to come and promised to visit the next day. Next day in the morning the patient and the relatives were scolded by the doctor for not getting the investigation done. Also this critical case was not handled with specific modification due to nonavailability of investigation eport.When I visited there in the evening, the nurse explained me the reason to me. Actually it was a police case, so only the hospital trolley staff could get the investigation slip and only he could take the patient for investigations. But because no trolley of Neuro ward was vacant and the staff was not interested in bringing a trolley to the 4th floor of Neuro wards, he didn’t take the pain of bringing a trolley for the patient.And thus, no investigation was done.I, taking the advantage of being a medico,got the slip, took the patient for nvestigation,got it done, felt a bit relaxed, and came to my hostel.

Of oh! My mobile started ringing at 2 am.I became so angry, almost willing to break it.But cooled down seeing the patient’s number.I received the call. But alas!! I was shocked. I just couldn’t believe it. An apparently smiling normal (obviously injured) person whom I visited a few hours ago was dead. Reason – delay in investigation – delay in diagnosis – delay in specific treatment. I had no other option left than to repent, as she might have been saved if I had visited her earlier. Although she was not my own relative, but I felt a relation. Several times I had felt joy, when she had told that she was feeling well due to my help. Was it a fixed final destination, which could never be altered?

Its already 2 months since this incident.Now I am busy with my exams. I also forgot about the incident like most of the readers will.But one good news, I got many new girlfriends through the visitor girl. If you need, try to be the attendent or call me on 9709033291. Hey listen, I am getting calls. Remaining in the next story.“Hello.... excuse me! Bye readers!! ... Hello! Oh you are so naughty dear....”
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RIMS,ranchi