The Urologists Train Discussion

A famous senior Urologist (a surgeon specializing in the surgery of the Urinary organs) of Kota, was traveling from Delhi by train after attending a surgical conference there. A fellow urologist was also traveling in the same compartment who was going onwards to Mumbai. The Mumbai urologist was a relative newcomer and had just started his practice in Mumbai.

As the Kota urologist was very famous and had a roaring private practice, the Mumbai urologist asked him for some tips to increase his practice. Being of a very friendly nature the Kota urologist obliged and shared some insight he has gained during his long experience of establishing his thriving private practice.

Unnoticed by them, a fellow traveler who was also from Kota while appearing oblivious to their discussion was listening attentively to their conversation.

Some days later this fellow traveler met his friend who was a dentist. The traveler said to his dentist friend, ‘your Dr ­­­____ (the Kota Urologist) is extremely money minded. I was traveling in the same compartment with him on the train a few days ago. I listened to him while he was conversing with a fellow urologist. During the entire journey, their discussion was only about fooling patients and making money.’

If a doctor is buying land for his hospital at commercial rates, paying the electricity and water bills at commercial rates, paying the salaries to his staff at prevailing market rates, and paying income tax at a rate similar to any other business, then to survive he has to adopt tactics and techniques to increase the income of his hospital. In most cases, this is not being money-minded but simple survival and commercial viability.

It is not just for doctors but for any other business, discussion and acting on methods and means to increase the business’s income can be seen as being greedy or fooling the patients/clients/customers. So be very careful in discussing such things in public.

Who knows, your fellow traveler who appears to be sleeping or reading a novel or the person standing next to you at a party is listening carefully to your discussion and forming a bad impression of you and your profession or company.

— ND

(Based on allegedly true incident.)

© Author. All rights reserved. 

Please share this post on WhatsApp, Facebook, Twitter, Pinterest, etc.

If viewing from Mobile, switch to Webpage view to see a list of popular posts and index of topics of previous posts.

Please give your valuable feedback via the comments below. Please note that comments will appear later only after moderation. Please Log in with Google Id before writing comments.

You can receive a notification on the latest post by subscribing via clicking on the bottom of the page on the Subscribe to: Posts (Atom)

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 NMC and other Board norms.

The SR to JR Reversal

Dr. Ravi (Fictional Name) was a junior resident in the Department of surgery in AIIMS, New Delhi. Dr. Ajay (Fictional Name) was the senior resident in the unit in which Dr. Ravi was posted. Both were preparing for the AIIMS Urology Mch entrance exam. 

Mch is a 3-year super-specialization course done after passing the Master of Surgery (MS) exam in general surgery. Urology is the super-specialized branch dealing with surgery of the genito-urinary system, e.g. kidney, prostate, testis, etc.

Being a brilliant student, Dr. Ravi got selected in the first attempt to the Mch Urology course and joined it while his senior resident, Dr. Ajay, did not get selected. 

Dr. Ajay kept on working as a senior resident and studying and preparing for the Mch exam. Dr. Ajay got lucky the third time and finally got selected to the Mch Urology course in AIIMS, New Delhi. By this time, his junior resident, Dr. Ravi had become the 3^rd year resident in the Urology department. 

So the senior resident now became the first-year resident and his ex-junior resident became his senior resident.

A similar incidence occurred in Rajasthan (India) police department. A constable who was preparing for the Rajasthan Civil Services got selected to the Police branch and got posted as Deputy Superintendent of Police (Dy SP) with the police station where he was serving as constable coming under his jurisdiction. Now he had become a senior officer to the same inspector under who he was serving in the past.

Life is filled with ups and downs. Keep in mind that those who are junior to you now may become your senior and those who are senior to you may become your junior. Temper your behavior with people around your suitably. 

As someone had so well said, be kind to people who you pass when you are climbing the ladder of success as you may meet them as you slide/fall down the same ladder.

Education and hard work can work wonders for you and make you jump up in life. So if you are not satisfied with your career/job or your supervisor/boss/officer, make these the tool to rise above them.

The opposite case of a JR becoming SR is illustrated in 'The JR to SR Promotion'

(Based on allegedly true incidents)

— ND

© Author. All rights reserved. 

Please share this post on WhatsApp, Facebook, Twitter, Pinterest, etc.

If viewing from Mobile, switch to Webpage view to see a list of popular posts and index of topics of previous posts.

Please give your valuable feedback via comments below. Please note that comments will appear later only after moderation. Please Log in with Google Id before writing comments.

You can receive a notification on latest post by subscribing via clicking on the bottom of the page on the Subscribe to: Posts (Atom)

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 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. 

Please share this post on Facebook, Twitter, Pinterest, Google +, etc, using the Buttons above 'Labels' and below 'Posted by:'.
Please give your valuable feedback via comments below. Please note that comments will appear after moderation.

You can receive notification on latest post by subscribing via clicking on the bottom of the page on the Subscribe to: Posts (Atom)

The Bank Encounter

Dr. Dev (Fictional Name) had finished his Urology rotational posting during his junior residency at AIIMS, New Delhi.

He went to the bank in the AIIMS premises for some work. He spotted Professor (Dr.) S. N. Wadhwa, who was the head of the Department of Urology at that time, on the other side of the bank.

Thinking that such a great person is hardly likely to interact in a social manner with just a junior resident, Dr. Dev did not approach Dr. S. N. Wadhwa and got in the queue at the counter.

Suddenly he heard a voice behind him, “Hello Dev, how are you?”

Surprised, Dr. Dev turned around and saw Dr. S. N. Wadhwa, standing behind him with a warm welcoming smile on his face.

Dr. S. N. Wadhwa had seen Dr. Dev when he was going out of the bank and came out of his way to enquire about his wellbeing.

Dr. Dev replied, “I am fine, sir, thank you. How are you?” and exchanged pleasantries with Dr. S. N. Wadhwa for a few minutes.

Now his fear broken and impressed with Dr. S. N. Wadhwa’s amiable nature, Dr. Dev never hesitated in future to meet and chat up with Dr. S. N. Wadhwa.

Not all of your seniors are aloof and reserved when it comes to interacting with their juniors. If you happen to meet in a social situation, don’t hesitate to approach and talk to your seniors. If they give you a warm response then do continue. If they give you the cold shoulder then politely excuse yourself and behave accordingly in the future.

Conversely, not all juniors who do not approach you in a social situation mean to be disrespectful towards you. Like Dr. Dev, they may be just shy. Following Dr. S. N. Wadhwa’s example, you may take the initiative to start the interaction with your juniors in a social situation.

 (Based on 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. 

You can share this post on Facebook, Twitter, Pinterest, Google +, etc, using the Buttons above 'Labels' and below 'Posted by:'.
Please give your valuable feedback via comments below. Please note that comments will appear after moderation.

You can receive notification on latest post by subscribing via clicking on the bottom of the page on the Subscribe to: Posts (Atom)

Alcohol and The Doctor – Part 5

Dr. Dev was once talking informally with one of his surgeon - teacher. The talk turned to alcohol drinking among doctors. Dr. Dev’s teacher narrated an incidence which happened to him.

The teacher was a teetotaller i.e. never used to take any alcoholic drink in his life. When he got selected as a faculty member in AIIMS, New Delhi, he attended a party where the cocktail was being served. Under pressure from his other faculty members, he reluctantly took just one peg of alcohol.

Next day he developed severe pain in his abdomen. He consulted the gastroenterologist (a medical doctor dealing with abdominal diseases) and was diagnosed as alcoholic pancreatitis.

For Non-Medicos: Pancreas is a deep-seated gland in the upper part of the abdomen, which secretes many hormones including Insulin and other digestive enzymes. Pancreatitis is an inflammatory process of the pancreas usually due to gallstones or alcohol intake. In its severe form, it can even cause the death of the patient.

His condition deteriorated and he had to be admitted to Intensive Care Unit (ICU) for treatment. It once appeared that he may not survive his illness. Luckily he survived and got well without any long-term sequelae of the illness. From that day onwards he never touched an alcoholic drink again. It is lucky for the world also he went on to become a world-renowned Uro-surgeon of laparoscopic surgery of the kidney.

Every one of us have different body anatomy and physiology. It is better not come under peer pressure and do something which we really do not want us to do. Sometimes just one drink of alcohol can have a catastrophic consequence.

 (Based on 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. 

You can share this post on Facebook, Twitter, Pinterest, Google +, etc, using the Buttons above 'Labels' and below 'Posted by:'.
Please give your valuable feedback via comments below. Please note that comments will appear after moderation.

You can receive notification on latest post by subscribing via clicking on the bottom of the page on the Subscribe to: Posts (Atom)

The Timing – Part 1

Dr. Dev (Fictional name) newly joined a private hospital as consultant surgeon. Dr. Anurag Sharma (Fictional name), a famous and busy Urologist was also a consultant in the same hospital. (Urologist is a specialized surgeon dealing with surgical problems of kidneys, urinary bladder, etc.)

Dr. Dev admitted a patient of appendicitis in the hospital for operation. He planned for the operation of removing the diseased appendix in the noon as the Operation Theater (OT) was occupied by Neuro-Surgeon in the morning. After finishing his OPD at another clinic at around 12.30 pm, he phoned the OT staff to know whether the OT was now free for his case.

The OT nurse informed him that the neuro-surgery operation has just finished and they were in fact just going to phone him regarding when he wanted to take his case.

Seeing, that it was just 12.30 pm, Dr. Dev thought it is better to hurry and do the operation now and have relaxed lunch afterwards.

To save time, Dr. Dev, keeping in mind the average time taken by him to drive from the clinic to the hospital, instructed the staff nurse to shift the patient from the ward to the OT and ask the anesthetist to start the pre-operative preparations, saying that he will reach the hospital within 5 to 10 minutes.

When Dr. Dev reached the hospital around 6 to 7 minutes later, he changed and entered the OT, expecting to find the patient lying on the OT table.

To his amazement he found the OT empty, the anesthetist and the OT staff in the side room enjoying hot cups of coffee in a relaxed mood while the patient was still in the ward.

Dr. Dev demanded the explanation why his instructions were not carried out. The OT staff and the anesthetist explained, “When Dr. Anurag Sharma (the Urologist) phones and says I am coming in 5 minutes, he takes at least half hour to reach the OT.” “When he says I am coming in 10 minutes, he never reaches the OT before an hour.”

“So when you said I will reach the hospital in 5 to 10 minutes, we assumed that you will come to hospital only after half an hour to an hour later. So, we were just passing time, and did not take your instructions literally.” “But, now that we know that you mean 10 minutes when you say 10 minutes, we will respond accordingly in future.”

Many of us do not tell the exact time when asking others to wait for us. It may be due to embarrassment to ask another person to wait for say a hour. A 10 minutes wait may sound reasonable but if you do not reach within 10 minutes then soon people will stop taking you seriously.

Conversely, when joining or working at a new place it may be better to know what a colleague or co-worker may actually mean when he says 5 to 10 minutes.

 (Based on 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. 

You can share this post on Facebook, Twitter, Pinterest, Google +, etc, using the Buttons above 'Labels' and below 'Posted by:'.
Please give your valuable feedback via comments below. Please note that comments will appear after moderation.
You can receive notification on latest post by subscribing via clicking on the bottom of the page on the Subscribe to: Posts (Atom)