The Waiter Management

 

At a surgeon’s conference, after the day jam-packed with academic activities, the surgeons gathered to enjoy a few moments of relaxation and bonding with each other over a few solid and liquid refreshments, accompanied by a live cultural program. There were round tables on the lawn to sit around and waiters were circulating with plates loaded with snacks to distribute to the doctors sitting at the tables and standing in groups on the lawn.

The head of the department (HOD) of surgery and other senior doctors sat at a table and started partaking in the tasty tidbits while sipping their drinks. The snack plates soon become empty. The HOD asked the junior resident standing nearby to arrange for some more tidbits to munch along with the drinks.

The junior resident waved towards one of the fast-moving waiters circulating the ground with trays loaded with hot delicacies. The waiter without paying attention to them continued his circumambulation around the ground distributing his appetizers to doctors standing on the ground. The junior resident gestured to another waiter passing nearby and was successful in getting him to stop at their table. The waiter hurriedly served a few pieces from his tray and swiftly departed with his tray still filled with delectable morsels, to circulate and distribute around the ground.

Exasperated, the junior resident applied his brain to think of some solution to this problem. When another waiter passed near their table, the junior resident stopped him, thrust a Rs 50 note (around $ 1) in his hand, and asked him to please pay attention to the HOD’s table. The waiter was surprised as in such a gathering only the organizers pay a tip collectively to the entire serving staff at the end of the banquet. The waiter emptied his entire tray at their table and left for the kitchen. Soon, he was back with his tray loaded with a wide variety of snacks, which he again emptied at their table.

The waiter will come first to their table, serve them and only go onwards after they had their fill. This continued for more than an hour. Then the enthusiasm of the waiter started waning. Sensing this the junior resident gave him another tip of Rs 50 (~ $ 1) note and asked to him not stop and keep on serving his HOD and professors with dedication. This second tip served as a booster dose with a lasting effect and the waiter kept on serving them almost exclusively for the remaining evening.

This is an example of micro-management seen at the banquet dinner. Good managers or people who can manage other people are always in great demand. This is true even for the medical field and even at the level of junior residency.

Tips are usually given at the end after someone renders good service, but giving tip at the beginning can sometimes work wonders especially if it is supplemented with a booster dose.

— ND

(Based on allegedly true incident.)

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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. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient and students as foremost and according to NMC and other Board norms. 

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The Fracture Reduction

Forget the ancient period when the knowledge was shared only among a few select persons, often in a secretive society or cult; even just a few years ago, there were many who were secretive about their knowledge or techniques. 

Dr. Ashok Tiwari, senior professor of orthopaedics, in Kota Medical College, recalled the scenario just a few years ago giving the example of treatment of fracture. 

After fracture of the bone of the limbs, depending on the bones involved and exact place they are broken the distal or lower part of the limb may become deformed. In health, there is a complex system of muscle surrounding the bones, fulfilling their function and balancing the action of each other. With fracture, this coordinated action of the muscle becomes unbalanced, causing the distal/lower part of the arm or leg to take a deformed position. Just putting a simple plaster cast or splinting the fractured limb may result in the bones joining in a deformed position, causing cosmetic and functional problem to the patient. 

The distal / lower part of the limb has to be manipulated in a precise sequential manner, depending on the site and type of fracture to bring the limb in normal position, known technically as 'reduction of facture' before applying a plaster cast. Some orthopedicians used to practice great secrecy about their technique to bring the fractured limb in proper position. They did not want other to learn their methods so that they can have a monopoly. 

Some orthopedicians used to ask other doctors and staff members to leave the room when they would do this manipulation to bring the fracture in the proper place. One orthopedician used to throw a heavy cloth or blanket over the fractures arm or leg then manipulate it blindly covered with the blanket so that others including the nursing staff assisting him do not learn how to bring the fractured part in proper position.

In contrast, now when Dr. A. K. Tiwari goes to medical conferences, he notices that the best orthopedicians from India and abroad, freely talk about their methods and techniques to various orthopedic problems, and demonstrate them by an on-screen presentation.

As Dr. Tiwari had so aptly said, ‘In old times surgery used to done behind the screen. Now it is done on the screen!’ or ‘पहले सर्जरी परदे के पीछे करते थे अब सर्जरी परदे के ऊपर करते है!’

This is true in almost all fields now. There are many workshops, courses, classes, seminars, etc. available nowadays in almost all subjects. With the advent of internet, YouTube, bloggers, Wikipedia like sites, there has been a tremendous change in the knowledge and information available to any person with desire to learn something new. There are lots of educational resources available on internet such as video lectures and online courses both in orthopaedics and diverse subjects from medical and engineering science, arts, craft, technical and vocational subjects and what not.

The present students should be thankful that they live in such an open society. Please use wisely the available resources to increase your knowledge and expertise to enrich your life and better serve humanity.

(Based on allegedly true incidents)

— 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. 

The Sober Person

Q:         What do you call a sober, smiling, courteous person at a surgical conference banquet?

A:               The waiter.

 (Truth or Fiction? Let my Surgeon friends decide.)

— 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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