After coming from the rotation posting in the CTVS (Cardi-Thoracic-Vascular-Surgery) Department of AIIMS, New Delhi, Dr. Dev (Fictional Name) shared the tales of the CTVS surgeon’s demanding lifestyles and long work hours with his friends.
Read the ‘The Two CTVS Surgeon’ for details https://agnipathdoctors.blogspot.com/2020/05/the-two-ctvs-surgeons.html
Some of his friends did not believe him. To prove their point, they showed him newspapers with photographs of a prominent Cardiac surgeon of New Delhi who was having his own large private Cardiac Surgery Centre. The newspapers featured him regularly on page 3 news while attending parties and hobnobbing with the rich and famous celebrities in the evening.
The Cardiac surgeon was also doing CABGs (Coronary Artery Bypass Graft or Heart Bypass) surgeries on the rich and VIP patients of India. As he was in the private sector, his earning was directly related to the number of patients who get admitted and operated by him. It was expected that he will be putting in more extra care to attract more patients than the cardiac surgeons of AIIMS, who in government service, receive a fixed salary regardless of the number of patients they admit and operate. And yet here he was having more free time than AIIMS cardiac surgeons.
Dr. Dev did not have an answer to this apparent paradox at that time. Sometimes later he met a doctor who was working in the famous cardiac surgeon’s hospital. Dr. Dev asked the doctor about the secret behind the apparently free lifestyle of the famous surgeon.
A Warning: As Dr. Dev had never met or worked in the hospital of the cardiac surgeon, what he heard might be entirely untrue.
The doctor said that their chief has a very strict policy. Whenever a patient comes for an operation to him, he makes it very clear to him/her before admission that he will not attend any emergency call or visit the patient after 7.00 pm. He has qualified doctors working in the hospital who will attend and respond and take care of the patient in the evening and night in case of any emergency. Only if they agree to his terms and condition that he used to agree to admit and operate on the patient.
The cardiac surgeon used to follow this strictly and his personal mobile phone number was kept secret and was known only to the most senior doctors on duty in the hospital to be only contacted in rare exceptional cases once he leaves the hospital in the evening.
So now the patients had a choice to get admitted under the cardiac surgeon’s terms and condition getting operated by him in the slick 5 stars like private hospital or going to the government AIIMS hospital with a long waiting list, crowds, and other problems. As expected, most patients agreed.
So the cardiac surgeon was able to operate on the rich and famous and yet have free time and a balanced life too.
Lay out the terms and conditions clearly before doing anything so that the patients (or in your case client/customer) do not have any unrealistic expectations or feel cheated after their admission or beginning of the relationship with your company.
Be not afraid to lose your patients/client/customer due to your lifestyles, as there would have been some patients who after hearing the surgeon’s way of working, would not have got admitted and would have gone to some other hospital for further treatment.
Keep well-qualified juniors/subordinates to handle emergencies in your absence and trust them to take care of your patients/clients/customers in your absence.
But remember, all this was possible only because the cardiac surgeon had created a name for him as one of the most qualified cardiac surgeons in India, leaving little choice to the patients.
Became so good and qualified in your profession that there is no other alternative to you so that your patients/clients/customers are forced to choose you even after agreeing to your terms and conditions.
(Based on allegedly true incidents)
— ND
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DISCLAIMER: This article is intended only for fun purposes. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use the information herein is at your 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 purposes. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use the information herein is at your 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 norms. 
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