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
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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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