The Pocket Name Badge

The Head of the Department (HOD) of Medicine in AIIMS, New Delhi was very particular that every student attending even his theory class should come wearing a doctor’s white coat (apron) with a pocket name badge (name plate) with the student’s name.

Once a student went to his class while wearing the white coat but forget to attach the pocket name badge.

When the HOD noticed this, he started reprimanding him for not wearing the pocket name badge. He explained that the name badge is very important to give an identity to the students and the doctors and all students and doctors should wear it.

When faced with criticism, there are various kinds of student’s reaction, ranging from those who withdraw in a shell like a tortoise to those who puff like a puffer fish. The student was of the latter variety.

When the HOD was lecturing the student on the need for the pocket nameplate, the student started pointedly looking at the pocket of the HOD’s white coat where there should have been pocket name badge.

It occurred that the HOD himself had forgotten to wear the pocket name badge that day! Catching the student’s stare’s meaning the HOD said, “All should wear a pocket name badge on their apron so that they can be easily identified unless you are famous like me and everyone knows your name.”

Before pointing out someone’s mistake it is better to do a self-check first. Otherwise, when you are pointing a finger toward someone, 3 fingers may be pointing towards you.

Your teacher/boss/officer may follow different rules from you. Learn to live with this fact.

 (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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The White Coat Inspection

Wearing of white coat (Apron) was compulsory for the doctors working in the government hospital. When the temperature reaches 45 degree Celsius (around 110 Fahrenheit) with only inefficiently working air-coolers in the jam-packed Out Patient Department (OPD), it becomes a test of willpower for the doctors working in India.

The doctor was sitting in the surgical OPD along with other fellow surgeons. He had forgotten to bring his white coat to hospital and was seeing the patients without wearing a white coat.

Suddenly he noticed some noise near the entrance of the OPD. Looking up he saw the city Administrative Officer along with hospital administrative officers discussing something as they started entering the room.

Afraid that he will be castigated for not wearing the white coat, the doctor thought for a moment and in a jiffy got up and stood inconspicuously in the patient’s queue with his head bowed and turned away from the entering administrative officers. The officers entered the OPD did a cursory inspection and went away without noticing the doctor standing among the patients.

Once they had gone to the other section of the OPD, block the surgeon once again sat at the table and started seeing the patient.

(Based on a 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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Alcohol and The Doctor – Part 2

Dr. Dev (Fictional Name) met one female dietician at a social gathering. When she came to know that Dr. Dev was a surgeon, she recounted one incident which happened to her.

The lady dietician once had severe colicky abdominal pain at around 12.30 am in the night. The dietician’s brother took her to the nearby nursing home being run by a senior surgeon of the city. When contacted by the hospital’s reception staff, the surgeon agreed to come down from his residence and look at the patient. The dietician and her brother were thankful that the surgeon had agreed to treat her at such a late hour.

Her thanks turned to amazement and disgust when the surgeon came down to see her, shirtless, wearing a cotton vest, a towel wrapped around his waist and breath reeking of alcohol. He examined her, advised some injections which relieved her of the pain. But due to his presentation in the night, she never went to him again for further treatment.

It is better to refuse to see some patient if you are not entirely presentable unless it is a dire emergency and there is no time for the patient to reach some other doctor or hospital.

A dress code has to be always followed, no matter what the time. If necessary, surgeons can follow the suggestion at  https://agnipathdoctors.blogspot.com/2016/04/the-ot-dress.html

(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 behaviour 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 OT Dress Protest

This happened in the operation theatre (OT) of a Government Medical College in Rajasthan, but not in Kota.

It is frequently the problem in many OTs that the OT dress/ OT scrubs get torn and ragged, usually due to strong detergent used to clean them of blood and other stains and due to the hot sterilization process.

A Professor of Surgery got some torn and ragged OT dress to wear continuously for three-four times in a row. By the time the Professor of Surgery used to come to the OT all the good pieces of the OT clothes used to get selected by the residents and other staff coming to OT early. The professor finally got angry and warned the OT in-charge head-nurse, that he better get OT dress in good condition the next he comes to OT or else.

When next time the Professor came to the OT and got out of his normal clothes to change in the OT dress, he again, found sub-standard OT clothes waiting for him in the Doctor’s Changing Room.

The professor called out from inside the Changing Room to the In-charge Nurse having her room adjacent to the changing room, “Sister, please send quickly some OT clothes in good condition for me to change and go to the OT, as I am getting late for the operation.”

The in-charge nurse heard him in the adjacent room and shouted back, “Sir, Please wait. I will send someone with good OT clothes shortly.”

After a few minutes when the new OT clothes did not reach the Professor of Surgery, he shouted slightly angrily now, “Sister, I had warned you last time to arrange some proper OT clothes for me. I am getting late, send the OT clothes immediately or I will have to take some action.” The in-charge again shouted back, “Please Sir, have patience, I am arranging for the OT clothes.”

After waiting a further minute or so when the good OT dress did not arrive in the Changing Room, the Professor got up and calmly walked out of the changing room towards the Operation theatre in his underwears.

As expected, a furore broke out in the OT at the sight of the senior surgeon walking towards the theatre in only his underwears. The in-charge nurse rushed to the professor and begged him to go back to the Changing room and assured him that he will get his OT dress immediately there.

The professor walked back to the Changing room and magically in few seconds, the OT clothes appeared. And he never had the problem of OT clothes ever again.

(Based on 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 behaviour 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 OT Dress

One problem encountered by Junior Resident (JR) doctors is what clothes to wear while on-call duty in night.

If the doctor wears formal clothes, they are uncomfortable while the JR is resting or sleeping in between calls. The dress’s crease and get-up also gets spoilt.

If they wear informal clothes such as track-suits or pajamas, then they have to either change to formal clothes wasting time or go in informal clothes to attend call looking unprofessional. Wearing informal dress has a negative impact on the patient’s and their relative’s perception regarding the doctor’s professional’s competence.

There is also the problem of spilled blood or other body fluids spoiling the resident’s expensive clothes while attending patients.

Another frequent problem is regarding attending calls in emergency rooms. Even in a stable patient with no immediate urgency, the relatives want the patient to be seen immediately by the on-call doctor. They pester the emergency room doctors to call the on-call doctor immediately. The relatives frequently get angry and create scene if the doctor do not come instantaneously.

Dr. Dev (fictional name) has noticed that for JRs from surgical branches, there is lots of advantage in changing to OT (Operation Theater) dress, while on night duty in the hospital,

The OT dress is both comfortable and looks professional at same time.

There is also no worry regarding spilled blood or other body fluids spoiling your expensive clothes. If such a mishap occurs, just change to another pair of OT dress and let the hospital laundry worry about getting the stains out of the clothes.

An additional benefit of attending emergency call in OT dress, is that the emergency room doctor can give the excuse, that the on-call doctor is doing a life-saving operation and will come as soon as free. When the on-call doctor comes in OT dress, this gets confirmed, soothing the patient’s and relatives temper.

A word of precaution. OT dress once worn out of OT becomes as good or as bad as normal street clothes in term of OT wear. Therefore, never actually go into OT while wearing OT dress worn in non-OT area of hospital. Change to fresh set of OT clothes before going into OT.

— NKD

© Author. All rights reserved. 

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. 


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The Mysterious Discussion: Sweet Medicine – Bitter Coating

A patient was to undergo operation the next day and the chances of his survival were bleak. While the intern attending him went to write the patient's notes, his relative said to him; “ Doctor, can you please come to one side? I have something important to talk with you.”

                The intern thought, perhaps the relative wanted to know the probable outcome of the operation and did not want to discuss it in front of the patient. With a solemn face he went with him to one corner of the ward.

                The relative said; “Doctor, I just want to tell you, your trousers’ zip (fly) is open.”

                Pay attention to your appearance. The people you are dealing with do notice small details and form an impression of you. If you are sloppy in your appearance, people are going to get impression that you are sloppy in your work also. Be smart and dress smart.

— NKD

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