The First Hernia Operation

As an intern, Dr. Dev was posted in the Surgery Department of AIIMS, New Delhi.

For those who are not aware, after passing the final MBBS exam, the students are provisionally treated as a doctor but are required to work under supervision for one year in the hospital in various departments which is known as the internship. After successful completion of the internship, the intern is recognized as a full-fledged doctor and can then practice independently.

By his hard work, inter-personal skill and his clear aim of becoming a surgeon later in life, he convinced the senior resident to let him do an operation of an inguinal hernia as the chief surgeon.

When the patient was under the influence of the anesthesia, Dr. Dev proudly walked and stood at the place of chief surgeon at the patient’s side. On seeing this, the assistant nurse asked the senior resident with dismay, “Sir, are you going to let him do the operation? Please don’t bore me to death and do the operation yourself fast.”

Dr. Dev looked at the nurse with anger and annoyance at the fact that even though she is qualified as a nurse, she is questioning a doctor’s competence. Then he quickly looked with pleading eyes at the senior resident, silently imploring him to not listen to the nurse and let him do the operation. 

Luckily the senior resident stood true to his word and guided Dr. Dev as he performed his first hernia as an intern under the watchful judgemental eyes of the assistant nurse.

The great (and the not so great) among us had to start humbly at some time. The teachers and masters of today were students and neophytes of yesterday. At the beginning of one’s career, one may have to face criticism and ridicule by persons in lower post or less qualified by us. Instead of getting disheartened and distracted by this, concentrate on improving and learning your subject to reach the pinnacle of your field.

(Based on 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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The Greedy Doctor – 2

Please Note: Although not essential, but it may be better if you read first the earlier post, ‘The Greedy Doctor’ at https://agnipathdoctors.blogspot.com/2018/05/the-greedy-doctor.html before reading this post.

In the ‘The Greedy Doctor’ it was meant that greed can serve as a positive motivator which ultimately benefits both the patient and the doctor. A doctor or any person, because of his/her greed should not do anything that is illegal, immoral, unethical or harmful or dangerous to self or others.

One of my senior colleagues gave an example of one of his colleague. The doctor in question was highly motivated by the urge to earn money.

Once, a very wealthy person in the city fell ill and his condition became quite critical. The team of treating doctors advised him to be shifted to higher center at Jaipur (the capital city) in the night itself. As his condition was very sick, the doctors advised him to be shifted in an ambulance accompanied by a doctor to take care of him on the way.

It was monsoon season with heavy rains and storm lashing the state with areas of waterlogging on the roads with overflowing rivers in between. When the relatives of the patient contacted some doctors, all of them refused to go in such dangerous weather condition in the night time. When they contacted the money-motivated doctor he agreed to accompany the patient in exchange for a hefty fee.

The patient with his attendants and the doctor started the journey in the turbulent weather condition in an ambulance. They reached Jaipur late in the night and doctor handed over the patient safely to the doctors at the higher center and in the dead of the night, in the stormy weather condition started the return journey.

The exhaustion of the ambulance driver, the time of the night, the limited visibility, the waterlogged roads, all took its toll and the ambulance met with a serious accident and the doctor expired on the spot.

 (Based on true incident)

— ND
© Author. All rights reserved. 

If viewing from Mobile, switch to Webpage view to see a list of popular posts and index of topics of previous posts.
 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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The Chest Injury Visit

Dr. Dev (Fictional Name) was on way to his son’s school to pick him up after the school when he received a phone call from a private orthopedics hospital where he used to go on call consultations. The hospital’s receptionist informed him that a patient of a road traffic accident with chest injury has been admitted and they want his consultation.

Worried at the patient’s status, as chest injury can be very serious and need prompt treatment, Dr. Dev phoned one of his colleague whose son also used to study in the same school as his son. Dr. Dev asked his colleague to find his son at the school and drop him at his house as he had to go on an urgent call. Dr. Dev turned his car towards the orthopedics hospital and drove quickly to reach the hospital as soon as possible.

When he reached the hospital and reached the patient’s bedside, he received a shock to see an apparently normal appearing patient sitting comfortably in the bed. You can imagine Dr. Dev’s exasperation when on inquiry he learned that the patient had the accident two days ago, and was only having mild pain in the chest at present. The orthopedician had ordered the surgical consultation as a routine.

Whether calling a doctor for consultation or your plumber for a leaking tap, mention the time frame in which you want him to visit, eg. immediate, urgent, priority, routine, etc. depending on the severity of the problem and the trouble it is causing. These will show your consideration and appreciation of the visiting person’s time and he is more likely to cooperate if you really want him to rush in future.

(Based on true incident)

— ND

© Author. All rights reserved. 

If viewing from Mobile, switch to Webpage view to see a list of popular posts and index of topics of previous posts.
 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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The Ear-Ache

Dr. Sunny (Fictional Name) was junior resident in Department of surgery in Khota Medical College. Dr. Sunny was busy in OPD on Saturday and emergency surgery on Sunday and was not present during the unit-head Dr. Jolting’s (Fictional Name) clinical ward round.

On Monday again he was absent from the clinical round.

Next day when Dr. Jolting saw the resident in the operation theatre, he asked him where he had been the last 3 days.

The resident replied, “Sir, I was busy in OPD minor OT on Saturday and in emergency surgery on Sunday and I had severe ear-ache (pain) on Monday, therefore, I did not come for the ward round.”

A surprised Dr. Jolting asked, “When you had not listened to my scolding on Saturday and Sunday, how did you develop ear-ache on Monday?”

 (Based on true incident)

— ND
© Author. All rights reserved. 

If viewing from Mobile, switch to Webpage view to see a list of popular posts and index of topics of previous posts.
 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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The Fruit Seller

Dr. Dev (Fictional Name) and Dr. Jolting (Fictional Name) were going to Dr. Dev’s home in his a car. Dr. Dev wanted to buy some fruits. The fruit-seller near the hospital where Dr. Dev usually used to buy fruits had not opened his stall on that day. While on the way, Dr. Jolting spotted a fruit-seller and pointed him to Dr. Dev.

Dr. Dev said, “I avoid going to this shop. But since your insisting let’s go to this shop and see what happens.”

When Dr. Dev stopped at the fruit-seller’s stall and started selecting the fruits to buy, the fruit-seller started speaking with clear resentment and anger in his voice, “Sir, why do you visit my shop so infrequently? Why have you started buying from the other fruit-seller near the hospital? What is wrong with my shop? I have the best fruits and charge you the most reasonable rates still you have stopped coming to my shop” and so on.

Once an uncomfortable Dr. Dev had hurriedly bought the fruits and again started his journey in his car, he turned to Dr. Jolting and said, “Now you see why I was avoiding going to this shop. I used to buy fruits regularly from this fruit seller in past. Then I started buying mainly from the fruit-seller whose shop was closed today. I had operated on him and since then he had started charging me the most reasonable rates and he himself chooses the best possible fruits from his lot for me. When his shop used to be closed or if he was not having some particular fruit variety I started visiting this fruit-seller as an alternative.”

“Whenever I stop at his shop now, instead of trying to make my experience a pleasurable one, he starts complaining and spoils my mood. Now I have stopped going to his shop altogether. By his behavior he is losing even the partial business I would have otherwise provided him.”

Dr. Jolting started laughing at Dr. Dev. He said, “Dev, you are blaming the poor fruit-seller for his resentment at your infrequent visits, but you and many of our doctor colleague behave in a worse manner than him in a similar situation.”

“When a patient consults you initially and then get operated or treated elsewhere, how do you feel? And how do you or many of our colleagues respond if the patient develops some problem and comes back to them for consultation? Do you respond in a friendly manner, pleased that he had come back to you with his problem or feel resentment and anger that he had not got operated by you? Do you try to win him by your supportive and understanding nature with excellent treatment so that the patient does not go anywhere else in future or do you show your anger at his past rejection of your professional expertise making the patient uncomfortable?”

Many of us, whether doctors or in other professions, take it as a personal insult if a patient/customer/client leaves us and takes his treatment or business elsewhere. And if the patient/customer/client comes back to us, instead of behaving like the biblical father who celebrated the return of his prodigal son who had left the family initially we behave like a jilted lover.

Make the patient/customer/client feel comfortable and welcomed on his return,  respecting his prerogative / free will to decide whose services he wants to avail to increase your chances of retaining him as your client in future.

(Based on true incident)

— ND
© Author. All rights reserved. 
If viewing from Mobile, switch to Webpage view to see a list of popular posts and index of topics of previous posts.
 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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