For Whom the Bell Rings?

Dr. Dev (Fictional Name) rang the bell at his friend’s house. He was surprised when the bell rang loudly as it was just on the opposite side of the main door, although his friend’s bedroom was on the first floor.

After some time his friend came and opened the door and ushered Dr. Dev inside. A curious Dev asked his friend, ‘Why is the door-bell placed just near the main gate on the ground floor when you live most of the time on the first floor?’

The friend replied, ‘Initially I did place the door-bell on the first floor. The problem occurred that whenever someone rang the doorbell below they were not able to hear at the ground floor the sound of the bell ringing on the first floor. Confused whether the bell had rung or not they used to keep on repeatedly pressing the bell switch, disturbing the whole household and causing us irritation.’

‘So, we moved the doorbell near the main gate so that the person ringing the bell is able to hear the bell ring and get satisfied the bell had indeed rung and is not malfunctioning.’ explained his friend.

‘But what about you having difficulty in hearing the bell ring from below?’ enquired Dr. Dev.

‘We had installed a small low volume bell in parallel to the main bell below on the first floor to solve this problem’ revealed his friend.

Tip: Place the doorbell such that the person ringing the bell is able to hear it ring, to avoid repeated irritatingly ringing of the bell.

Tip: Install a smaller bell in parallel to the main bell if your room is away from the main bell.

(Based on allegedly true incident)

— ND
© Author. All rights reserved. 
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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 Use of Research Papers

I recently came across a newspaper article about a study done in 2016 about medical research papers publications from 579 Indian medical institutions and hospitals between 2005 and 2014. There was a comparison between different Indian states and with some of the leading academic medical institutions of the world.

https://www.sciencedirect.com/journal/current-medicine-research-and-practice/vol/6/issue/2

It was a matter of pride that my alma mater, All Institute of Medical Sciences (AIIMS), New Delhi, was the top institute from India, and was ranked third in the world after Massachusetts General Hospital and Mayo Clinic, Rochester, USA.

This reminded me of an exceptional medical research paper writer who did his MD in medicine from AIIMS, New Delhi, who we will call as Dr. Albert McMohan (Fictional Name).

Dr. Albert was very prolific research paper writer and during his stay in AIIMS, New Delhi, initially as a junior resident and then senior resident in the Department of Medicine, AIIMS, New Delhi, he wrote and published around 100 papers in indexed international and national journals.

To put this in perspective, 332 (57.3%) of the medical colleges in the above-mentioned study did not have a single publication during the 10 years period.

There was a vacancy for the faculty post of assistant professor in the Department of Medicine, AIIMS, New Delhi. Dr. Albert applied for the post.

Everyone was thinking that with his century of published research papers, Dr. Albert will be easily selected for the post. To everyone’s surprise, Dr. Albert did not get selected for the post.

A naturally dejected Dr. Albert bade adieu to AIIMS and shifted to his home state of Andhra Pradesh. He was selected as a faculty member in a medical college there.

After some time during a medical conference some doctor from AIIMS, New Delhi met Dr. Albert at his new town. The doctor was curious to know about how Dr. Albert’s paper writing is going on now after leaving AIIMS. He asked Dr. Albert about his present paper writing status.

It appeared that Dr. Albert had not forgotten his non-selection as a faculty member in AIIMS, New Delhi, even after writing so many papers. 

Dr. Albert replied, ‘I now know the true value of the papers I had written in AIIMS. I am now using them as toilet papers.’

Fortunately for the medical science, his bitterness was short lived and last time I had checked he has now more than 220 research publications in national and international journals and had become the Head of Department of Medicine at his medical college.

It is a fact of life that academic achievements may not be enough for selection to an academic post. There may be other factors in play. Learn to live with it and continue doing your good work.

(Based on allegedly 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 Torsion Testis Operation

A young lad had torsion of the testis.

For Non-Medicos: Testis is the sperm and male hormone (Testosterone) producing organ located in the scrotum. The testis hangs from a spermatic cord which also carries its blood supply. In torsion of testis, the spermatic cord gets twisted / rotated which decreases its blood supply to the testis. If the rotation of the testis is not corrected early, usually within 6 hours, the testis can ultimately die (atrophy).

The lad was studying in a college, away from his home in New Delhi. The young man first consulted the doctor in the city where he was studying.

As it often happens, there was a delay in diagnosing the condition and the chances of saving the testis by the time he was advised surgery was very low. The only operation planned was the removal of the non-viable testis and operating on the opposite side testis so that such a problem does not occur in future on that side. 

On hearing that he will require an operation but the chance of saving his testis was negligible, he came to Delhi to his parents.

They consulted a surgeon in Delhi who gave them an estimate of Rs Fifty thousand as operation charges. The lad’s parent had relatives living in Kota and they consulted them. The relatives consulted the surgeon in Kota and told him the whole story including the operation charges.

The surgeon had read the ‘The Economical Charges’ post https://agnipathdoctors.blogspot.com/2016/10/the-economical-charges.html

The surgeon told them the operation can be easily done in Kota and the charges will be just Rs 20,000. The relatives in Kota communicated back to the patient in Delhi and the family came to Kota and the patient got admitted for the operation.

The patient was in the operation theatre and the surgeon’s assistant was cleaning and preparing the operation area for the operation while the surgeon was outside the operation theatre. The assistant was not aware of the background story of the patient.

The assistant asked the patient from where he was. The patient replied that he was from Delhi. The assistant asked him why he had come from Delhi to Kota for operation. The patient replied, ‘My uncle lives here. I had initially consulted a surgeon in Delhi, where he was charging Rs Fifty thousand for this operation.’

“Fifty thousand!” exclaimed the astonished assistant. “Why, Sir does this operation only for Ten Thousand rupees.”

Tip: It is better not to discuss the financial matters, such as charges, fees etc., with the patient/ client/ customer if you are the junior/subordinate/employee, unless you are fully aware of the circumstance of the situation.

Tip: If you are the senior/ boss/employer, it is better to give clear and explicit instructions to your juniors/ subordinates/employees not to discuss the financial matter with the patient/ client/ customer.

Tip: If there is some change from your usual charges/fees then it may be better to communicate the same to your juniors/ subordinates/employees to avoid an embarrassing situation.

 (Based on allegedly 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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