Tuesday, 3 July 2018

The Dashed Suggestions


Dr. Dharma (Fictional Name) was a medical officer posted in the surgical unit headed by Dr. Dash (Fictional Name).

Dr. Dharma admitted a patient in the ward with the plan for operating on the next day. At the clinical ward round when Dr. Dash came near the patient’s bed, Dr. Dharma asked, “Sir, can we post this patient for tomorrow’s operation theatre list?” Dr. Dash went through the patient’s case-sheet and asked Dr. Dharma to get some additional investigations done and then only the patient will be considered for the operation. As the report of the investigation will come after two days, the plan of Dr. Dharma and the patient to get operated the next day were dashed.

Similarly, a patient admitted and operated by Dr. Dharma wanted to stay in the ward till his sutures were removed as his village was at distance from the city. When Dr. Dharma requested Dr. Dash to defer discharge of the patient until his sutures are removed, Dr. Dash ordered that the patient be discharged today and his sutures to be removed at the next follow-up visit.

Similar things occurred many times and Dr. Dharma discerned a pattern.

When he next admitted a patient with a plan to operate the next day, at the round at the bedside of the patient, Dr. Dharma said, “This patient was quite rude to me yesterday. Can we delay his operation till next OT list and not do the operation tomorrow?”

Dr. Dash looked at Dr. Dharma meaningfully, went through the patient’s case-sheet and said, “I do not see any reason to not do the operation tomorrow. Post him for surgery tomorrow.”

Similarly, when a patient operated by him wanted to stay in the ward, at his bedside on the ward round Dr. Dharma said, “Sir, although the patient wants to stay till his sutures are removed, I think this patient should be discharged and he can get his sutures removed at the follow-up visit.” 

Again, Dr. Dash checked the patient and said, “If the patient wants to stay till his sutures are removed, then let him stay in the ward. Why do you want to discharge the patient so early?”

Some superiors do the opposite of what their juniors desire to prove their superiority. Handling them by suggesting the opposite what you want can be one option as Dr. Dharma learned by experience.

 (Based on allegedly true incident)

— ND
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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. 
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 Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm. 
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