The Madhuri Dixit Fans

            The Surgery Residents and Consultants of AIIMS, New Delhi, were having a party at Dr. Suresh’s House. 

Dr. Suresh took special care to see that his wife, Dr. Vinita, was getting portion of each dish. Noticing this, Dr. Vinita inquired, ‘Aare Suresh, why you are taking such special care of me today?’ 

Dr. Suresh replied, ‘You are the only one left for me to take care now that Madhuri Dixit has married.’ (Famous Hindi film actress)

Dr. Vinita consoled, ‘Take heart, after all she married a doctor.’

‘That is the saddest part’ replied Dr. Suresh, ‘When such eligible doctors like me were waiting for her in India, she had to go and marry someone from USA.

*                                  *                                  *

Madhuri Dixit had a large fan following among Doctors and medical students at the peak of her career. For most, it started with her dance in the movie Tezaab’s ‘Ek Do Teen’ song and reached a peak with her heart-scorching performance in the song ‘Dhak-Dhak Karne Laga’ from the movie ‘Beta’. 

My friends who were studying in RNT Medical College, Udaipur, recalled when the movie ‘Beta’ was released in Udaipur. 

The medicos of RNT Medical College had a very good relationship with the management of the nearby movie theatre ‘Chetak’ at Chetak Circle, Udaipur. 

They used to go and watch movie at the theatre without the manager or staff ever asking them to buy any tickets. All shows were free for them. Even if the hall was full and any medicos of RNT Medical College came to watch movie, the staff will arrange folding chairs in the aisles and gallery to accommodate them. 

There was an usher (torchman) named Kallubhai in the theatre. He also shared a very friendly relationship with the medicos of RNT Medical College.

Some medicos saw the movie ‘Beta’ 10 to 15 times at the ‘Chetak’ movie theatre (of course, without buying ticket) just for Madhuri’s dance in the ‘Dhak-Dhak’ song. But being, busy persons; alas many could not continue to give time for the full movie. 

So, they noted the time when the ‘Dhak-Dhak’ song used to start in each show. When the song was about to start in the movie, horde of medicos used to leave the hospital and hostel, go to  ‘Chetak’ theatre, knock on the hall’s closed door and demand, ‘Kallu, open the door.’ 

Kallu used to promptly oblige by opening the door. The medicos will stream in, sit or stand wherever they could find any space, watch mesmerised the ‘Dhak-Dhak’ song and again leave once the song was over and so on.

Here is the YouTube link for those who want to relieve their old memories:
https://www.youtube.com/watch?v=fCxILMxlg4Q

NB: All names are fictional.

(Based on true incident)

— 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. 

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Practical Tips: First there, then here

A common scenario seen in government OPDs is that many a times patients come to the wrong department's clinic. If the doctor sitting in the OPD tries to guide them to the correct departmental clinic, the patient frequently views this suspiciously. He thinks that the doctor don’t want to work and just wants to shunt him away i.e. tarkana chahta hai. 

            This problem is faced even in private clinics. The various reasons that the patient have not going to another doctor may include, travelling from one clinic to another, additional waiting period at the new doctor’s chamber, taking a new appointment, paying additional consultation fees, etc.

So he will try to argue with the doctor; that he was sent to this particular room by so and so, please why don't you see me, why don’t me write some medicines now and I will go there on next visit, why should I go there, and so on.

This leads to wastage of time, rise of temper and deterioration in public relation of doctor community, even though ironically the doctor has the best possible interest of the patient in his mind. 

            An elegant solution suggested by my friend, Dr. Arun Sharma, Urologist, Kota (Rajasthan), is to just say to the patient,

 ‘First show in room number X and then report back here'.  

Since the doctor is calling me back here, the patient does not feel unwanted or shunted and happily goes to the correct room. In most cases the patient does not came back after visiting the correct specialist. Even if they do, then the referring doctor gets valuable feedback on whether his earlier diagnosis and referral was justified and can gently remind the patient to continue treatment from the referred doctor in future. 

Try it and let us know your experience. 

— 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 Missing Needle: Sweet Medicine – Bitter Coating

                Intern Dr. X was posted in Casualty (The Accidents and Emergency Department) during his internship posting in AIIMS, New Delhi. This is the same intern doctor whose adventure, ‘The Mystery of the Retained Urine’  some of you may have read earlier. http://agnipathdoctors.blogspot.in/2015/05/sweet-medicine-bitter-coating-mystery.html

A young lady came to Casualty with a needle accidentally and embedded in her foot. Dr. X independently attended the patient. He got x-rays done which showed the position of the needle inside the sole of the foot. He took the patient to the Casualty Operation Theater (OT). 

After giving local anaesthesia and making the area insensible to pain, he made a cut (incision) in the foot just above the position of the needle, as seen in x-rays and started to search for the needle.

       

     After 5 minutes he did not find the needle, but he was not worried and the patient was lying comfortably. After 15 minutes, he still had not found the needle. He started to get worried. The patient started making sound of discomfort. After 30 minutes, the needle has still not been found. 

Dr. X now became worried and beads of sweat appeared over his forehead even in the cool winter of Delhi. The patient also was now squirming, moaning in discomfort and repeatedly asking him when the procedure was going to be over. After 45 minutes, Dr. X decided, enough is enough, and it’s time to face the music.

 

            He sent a message to the Surgery Senior Resident (SR) doctor, regarding his position. The Surgery SR become very angry that he has taken up a patient with foreign body for exploration, without consulting anyone, a procedure that is even difficult for senior surgeons. Since there was great rush of patients in the Casualty, he asked Dr. X to come out and see the patients in the Casualty and Dr. Dev (fictional name) the surgery junior resident to assess and try to remove the needle. 

            Within 5 minutes, Dr. Dev sent the message that the needle was out and he was now cleaning the cut and putting stitches.

Dr. X was simply amazed. He asked Dr. Dev how he was able to find and remove the needle so fast, when he has failed after trying for 45 minutes. 

            Dr. Dev just gave a mysterious smile, made a comment regarding ‘magicians never tell’ and kept quite. Dr. X impressed, amazed, baffled, puzzled and flabbergasted and lots of other things, to say the least.

            What happened was, Dr. Dev went inside the OT, and he checked the x-rays of the patient. From this he decided the best way to approach the needle. On inspection of the patient, he found Dr. X has given the skin cut, in the best possible place, right over the needle. He started exploring the wound through the same skin opening. To wipe the blood from the wound, he started to lift the dressing pad (made of cotton and gauze cloth) from the instrument trolley placed near the patient. 

When lifting the pad, he felt a prick in his hand. To his surprise, he found the needle lying entangled in the dressing pad. 

Most likely, after giving the skin cut, some amount of bleeding is expected and must have occurred. While Dr. X was wiping the blood from the wound with the gauze pad, the needle must have got entangled in the pad. The needle got removed while lying entangled in the pad. Dr. X failed to notice that the needle was out and was searching for the needle in the wrong place in vain.

            Never undertake any intervention without informing your seniors and their advice. This may be minor operation as in this case or handling a major project in your case. 

When in doubt get help early. It is better to risk looking a fool, then to be proved a fool. Which you will look after you foul up something important. 

When you have looked in the obvious place then look in the not so obvious place. When the obvious solution is not working then think of applying something unusual. The history of science is filled with examples that thinking in different direction, people have made new discoveries, inventions, etc, when other people had reached a dead end

(Based on true incident)

— 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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