Wednesday 30 March 2016

Who’s Afraid of Good Publicity

Please Note: This article is intended only for doctors. Non-medicos please skip it.


News items such as doctors remove huge tumour, done such an operation in the city for first time, introduced such & such facility, appears frequently in the press. On reading it many doctors comment negatively.
These doctors ask, why this publicity stunt, why are these doctors promoting themselves, why are they blowing their own trumpet? In private sectors indirect peer pressure is exerted to discourage such activities. In government sector there may be direct pressure from administration and seniors to discourage such ‘paper-baazi’  by juniors.
          Nowadays, bad publicity is being thrust on medical professions. This is especially true of the government sector, as the doctors there do not have the liberty to choose their patients and the increasing attitude of the public, the politicians and bureaucrats to treat government doctors as public slaves.
          On talking to media persons and news-reporters, they (reporters) state clearly that if anyone claims deficiency in services of doctors they have no choice but to publish it. They have to air the grievances of the public. On the other hand most of them are glad to publish anything that will help in building the medical profession’s image.
As people are most reluctant to say anything positive about doctors, this has to come from the doctor community itself. This is especially true for the government sector.    

Let us examine one by one few objections to such positive reports. 

1) Personal propaganda: When a bad report about certain doctor is published, we are quick to say that he has given a bad name to the profession. This is true to large extent as after few days, only few person in general public will remember the specific doctor’s name; many will remember the place of his working and almost all will remember that a member of medical profession has done something bad. This is true for good report also. After some time the general public will forget the specific doctor’s name, but is likely to remember something positive was done by doctors working in a particular place or city. Ultimately the name of the city and medical profession is highlighted more than the name of the doctors involved. 

2) Routine job: Some doctors ask, after all, it is the work of doctors to provide full care to the patients. Then why proclaim loudly what is their normal duty? If routine complications, such as wound infection after surgery, or some complications which can occur even after full precautions such as CBD injury during cholecystectomy gets highlighted in media as some heinous crime, then why not counteract by highlighting almost routine cases as achievements. 

3) Against medical ethics: Having large nameplates or sign-boards, notice-boards proclaiming address, advertisement of hospitals bearing the name of doctors working there, writing membership and fellowships short forms after names to give impression of degree, writing non-MCI recognized degrees and qualifications, etc is more clearly mentioned as being against medical ethics. Yet many of those doctors who are indulging in one or more of the above mentioned practices still say highlighting medical advancements or achievements in media is against medical ethics. 

As is the way to fight fire is with fire, same way is to fight bad publicity with good publicity. The medical community must develop positive attitude towards any good report appearing in media about doctors.
In fact, doctors should encourage each other to publish more media reports highlighting the good work being done by doctors. This will help in building a positive image of medical professions.
This positive image of medical profession in public will lead to greater work-satisfaction by doctors, increasing their productivity, attract more talented youngster to medical profession, which will ultimately benefit the society.


— NKD
© Author. All rights reserved. 

DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 


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Tuesday 29 March 2016

Finishing Medical Education


Lady:          "What will be your son be after finishing his medical education?"

Mother:       “Very old.”

Amusing Fiction or Bitter Reality?



— NKD
© Author. All rights reserved. 


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Sunday 20 March 2016

The Peacock, The Lion and The Ass



The single man is a peacock, the engaged man a lion, the married man an ass (donkey).
— German proverb

I was having a conversation with my good friend Dr. Jolting (or Dr. Jhatka). I asked his opinion about the above mentioned German proverb. 
Dr. Jolting replied, ‘Dev, I cannot comment on the proverb in reference to a man’s marital (marriage) status, but this proverb fits the middle part of medical student’s career’.
‘How is that possible?’ I asked my friend, Dr. Jolt. 
Dr. Jolting replied, ‘When a MBBS student, after years of study passes his final exam and starts his internship, with the prefix- Dr. before his name, he feels like a peacock. How many of us are not guilty of displaying out new found 'Dr.' status like a peacock preens and displays his feathers?
‘When he gets selected in a Post-graduation (PG) Residency entrance exam with good rank, he feels like a lion’. ‘You know how difficult it has now become to get PG seat in good college and branch. Sometimes, students don’t get selected even after giving the PG entrance exams five to six times. The PG entrance exam selected doctor feels like a lion among his less fortunate peers.’
‘And, when he joins the PG residency in some high profile institute like AIIMS or PGI Chandigarh, especially in branches with tough working condition like Medicine, Surgery, Paediatrics, Orthopedics, etc, he feels like or is made to feel like an ass (donkey)’. 

 Truth or Fiction? You decide!


— NKD
© Author. All rights reserved. 

DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 


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Thursday 17 March 2016

The Medicine Sample



This happened to my good friend, Dr. S. M. Meena. He had gone to Baran, Rajasthan for giving expert medical evidence in a medico-legal case, in the District Judge (DJ) Court. The District Judge had become friendly with Dr. S. M. Meena as he had gone many times previously to the same court for giving evidences in medico-legal cases.

After his evidence was over, the Judge asked Dr. S. M. Meena to please give him some medicines for his ear-ache. He was having the ear-ache for some time, but due to his busy schedule, could not find time to go and consult some ENT specialist for it.

As, Dr. S. M. Meena was posted and living outside Baran at that time, he did not have any medicines with him. He remembered his senior, Dr. Prithviraj (fictional name) was having a roaring general medicine practice in the same town.

So, Dr. S. M. Meena, went to Dr. Prithviraj’s clinic and asked him to give some medicines from the samples provided by the Pharma companies’ representatives. Dr. Prithviraj searched through the samples to find some higher generation antibiotics, ear-drops and some pain-killer for the Judge Saab. Finally, finding some suitable medicines, Dr. Prithviraj gave them to Dr. S. M. Meena,

Dr. S. M. Meena immediately took the medicines to the Court and gave them to the Judge Saab with a feeling of mission completed successfully. The Judge took the medicines, thanked Dr. S. M. Meena profusely and looked at the medicines.

Suddenly with a stern look on his face the Judge demanded, ‘Dr. Meena, do you want to cure me or kill me?’ On hearing this, Dr. S. M. Meena was shocked. With a crest-fallen face he asked, ‘Sir, what is the problem?’ ‘What have I done to make you say such a thing?’

Pointing at the medicines, the Judge explained, ‘Look at the expiry date on these medicines. Both the antibiotics and ear-drops have passed the expiry dates months ago!’ Dr. S. M. Meena looked closely and indeed found this to be true.

The judge further enquired. ‘Where have you got this medicines?’ Dr. S. M. Meena replied, ‘I have got them from my senior Dr. Prithviraj.’ The judge ordered, ‘Call Dr. Prithviraj here immediately. I am registering a case against both of you for negligence and attempt to cause bodily harm by your action.’

Dr. S. M. Meena phoned Dr. Prithviraj, explained the goof-up which had occurred, and immediately called him to the Court. Rushing to the court, Dr. Prithviraj along with Dr. S. M. Meena, explained to the Judge that the mistake has occurred unintentionally, they had the best intentions in mind and such an error will not ever occur in future.

Suddenly with a smile the Judge said, ‘I understand that giving this expiry date passed medicines to me was unintentional mistake on your part. I just want to impress in your mind the problem which can occur if you had given these medicines to someone other than me. They may have not checked the expiry date on the medicines and used them and then blame any subsequent problems on you. Be vigilant in future and make sure such a thing never occurs in future.’

Dr. S. M. Meena and Dr. Prithviraj thanked the Judge Saab for letting them off the hook and departed the Court.

Dr. S. M. Meena and Dr. Prithviraj learned their lesson that day. Sometimes actions done with best intention can back-fire due to some small over-sight. They now very carefully check the expiry date before giving or receiving any medicines or samples.


(Based on true incident)


— NKD
© Author. All rights reserved. 

DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 


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Sunday 13 March 2016

The Hourly PR: Sweet Medicine – Sour Coating



A fresh MBBS passed doctor newly joined the Dept. of Surgery as Junior Resident in a medical college in Andhra Pradesh. On the very first day he was assigned to night duty. That day a patient with growth in the rectum had been operated. 


            (Rectum and anus: The lower most part of the intestine through which a person passes feaces or stools)


In the patient’s post operation orders, among other things it was written; PR hourly. Since he had growth in the rectum, the doctor naturally thought that PR means per rectum examination. 
 (In per rectum examination the doctor inserts a gloved finger in the anus opening and feels for any abnormality in the anus, anal canal and lower part of rectum.)
 So the whole night, he sincerely looked after the patient and did an hourly per rectum examination. 


            Next day the professor came to take the morning clinical round. When he went near the patient he enquired, ‘How are you?’ ‘Is adequate care being taken care of you?’

The patient replied, ‘Everything is very well but I have been disturbed the whole night by the frequent per rectum examinations’.

The professor was angry and demanded an immediate explanation from the doctor on duty. On enquiring he was amazed that the Resident doctor had thought that PR means Per Rectum examination, while all it meant was to record Pulse Rate hourly.



Avoid abbreviations or jargons. If you do use them, do not assume that the opposite person will understand your instruction. Be especially careful when dealing with person not in the trade or newcomers.

When you are faced with an unfamiliar abbreviation or jargon, confirm the meaning intended. Do not try to guess the meaning. You may be right majority of time, but even a single mistake could cost you or others dearly.

(Based on true incident)


— NKD
© Author. All rights reserved. 

DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

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