Showing posts with label AFMS. Show all posts
Showing posts with label AFMS. Show all posts

Saturday, July 1, 2017

Doctors Day Story – Memories of “Doctors” in Uniform

“DOCTORS” IN UNIFORM
A Fictional Spoof
By
VIKRAM KARVE

“DOC DANEEKA” STYLE MILITARY HEALTHCARE

When anyone asks me about life in the Armed Forces (the Army, the Navy, or, the Air Force) – I tell them to read the famous World War II Novel CATCH-22 by Joseph Heller.

If you have served in the Defence Services – in all probability – you would have read the hilarious war novel Catch-22 – and even if you have not read the book – you would have experienced the essence of Catch-22.

Are you are a motivated youngster who intends joining the Army, Navy or Air Force...?

I suggest you read Catch-22 – so that you will be well prepared for the inimitable characters and unique situations you will encounter during your military service.

In CATCH-22 there is a character called Doc Daneeka – a Medical Officer or MO (as military doctors are called).

His style of diagnosis and treatment is simple.

In fact – Doc Daneeka has succeeded in elevating medicine to an exact science.

Doc Daneeka fully delegates diagnosis and treatment to his assistants – two soldiers called “Gus” and “Wes”

These two soldiers run the healthcare system in the military unit on their own with so much efficiency – that Doc Daneeka is left with nothing to do – which is fine with him – since he hates medical practice anyway.

The “modus operandi” of the Military Healthcare System is as follows:

All “patients” (who report on sick parade) have a thermometer shoved into their mouths and have their temperature taken.

1. Those with body temperatures above “102 degrees Fahrenheit” are rushed to the hospital in an ambulance.

2. Those having temperatures below “102 degrees Fahrenheit” – they have their gums and throats painted with gentian violet (throat paint) – and they are given a dose of laxative – to clear their stomachs and digestive systems.

3. Those patients who have a temperature of exactly “102 degrees Fahrenheit” – they are told to come after one hour – to have their temperature taken again – so that the line of treatment could be decided as follows:

(a) Temperature more than 102 – rush to hospital

(b) Temperature less than 102 – throat paint + laxative to clear digestive system

4. After one hour – if a patient’s temperature is still “102 degrees Fahrenheit” – he is asked to keep reporting to the clinic every one hour – till his temperature either goes above 102 – or his temperature comes down below 102 – so that he could be treated accordingly – as per option 1 or option 2 above. 

During my long service in the Navy – and in inter-service establishments – I came across many such “Doc Daneeka” style Doctors in the Military.

You cannot escape these “Doc Daneeka” types even after retirement – since they pursue you in the “ECHS” too.


“DOC DANEEKA” STYLE HEALTH-CARE IN THE “ECHS”
(ECHS = EX-SERVICEMEN’S CONTRIBUTORY HEALTH SCHEME)

I have observed another “Doc Daneeka” technique – used sometimes by the ECHS in its clinics – since it works better when dealing with ageing old retired veteran senior citizen ex-servicemen (who are considered a nuisance).

There is a saying: 

“Time is a great healer” 

The essence of this ECHS technique is to make the patients wait indefinitely in the crowded waiting room of the clinic – and let “time” do the “healing”.

On reporting to the ECHS clinic – the hapless old-aged frail unwell senior citizen ex-serviceman is made to stand in a long queue – and then he is given a chit. 

Of course – before this – they try to get rid of the veteran by raking up some issue about his ECHS Card – and – the hapless veteran is sent on a “wild goose paperwork chase” and put in a “red-tape spin”.

But – if the veteran is lucky – then the sick old man is made to wait indefinitely – for a long time – in a congested jam-packed waiting hall.

Four things can happen to the patient – a sick and ailing old man – while he waits at the ECHS clinic:

1. The patient drops dead.

In this case – no further treatment is required at the clinic

2. The patient faints – he becomes unconscious – or he goes into a delirium – as he becomes seriously ill.

In this case – he is rushed to the nearest Military Hospital

3. The patient gets fed up of waiting at the ECHS Clinic – and so – he goes to the nearest private clinic for treatment for which he has to pay from his own pocket.

The ECHS view is that though ECHS contribution is forcibly deducted and membership of the healthcare scheme is mandatory – it is the patient’s personal choice whether to avail ECHS treatment – or to go to a private medical practitioner – so ECHS is quite happy if the military veteran goes elsewhere for medical treatment – thereby – unburdening ECHS load. 

4. If the military veteran patient persists in waiting at the ECHS clinic – he is got rid off by referring him to an “empanelled” civilian hospital 

If you wonder what happens to the sick military veteran patient when he is referred to an empanelled civilian hospital – well – the horror stories could easily fill a huge tome – and more.

5. Well – there can be a happy experience too – for the military veteran patient who perseveres in waiting for many hours at the ECHS clinic. 

The patient actually starts feeling well during the waiting period – the sick veteran is cured by the long relaxed wait – a long period of “rest”.

After all – taking “rest” is the best cure for many illnesses.

Now – after “resting” in the waiting room – since the “patient” has become “well” – the military veteran “patient” does not need any medical treatment at the ECHS Clinic – so he can go away happy – after spending a leisurely relaxed day at the ECHS clinic. 

Dear Military Veteran: 

Do visit an ECHS clinic and tell us whether you see such “Doc Daneekas” around – and tell us about their style of medical treatment of patients. 


THE DOC DANEEKA PRINCIPLE – Make “Patients” Disappear 

(Ultimate Goal = Zero Patients)

Remember – the cardinal “Doc Daneeka Principle” is to make patients disappear and realize your ultimate goal of a “Zero Patient” situation.

And – in this direction – I think the ECHS is trying hard by introducing more and more “hurdles” like increasing red-tape and paperwork – introducing hassles like repeated renewal of cards etc – locating clinics in inaccessible distant places – and is trying its best to motivate military veteran patients to go elsewhere to seek medical treatment – so that soon – ECHS achieves its ultimate goal of “zero patients”

By the way – it was also a “Doc Daneeka” type masterstroke by the Armed Forces Doctors in the 1980’s – when – the Defence Services abdicated responsibility for the post-retirement healthcare of their own military veteran retired ex-servicemen – by creating a new organisation called ECHS – and they effectively passed the buck of post-retirement healthcare to ECHS.


A “DOC DANEEKA” PEDIATRICIAN IN UNIFORM

THE “CHILD-SPECIALIST” WHO HATED CHILDREN  

There are many excellent doctors and brilliant specialists in uniform – but most of the professionally outstanding “fauji” medical officers are posted at VIP Military Hospitals in New Delhi and large stations like Mumbai, Kolkata, Pune, Bangalore etc where abundant medical facilities already exisit in civilian hospitals.

There are many first-rate doctors posted in smaller units also.

So – by and large – there may be more “Doc Daneekas” in smaller units/ships – but – if you observe carefully – you can spot a few “Doc Daneekas” in big military hospitals too – like - the pediatrician who hated children.

Yes – a pediatrician is a child-specialist – and is supposed to like children – but this child-specialist hated children.

This happened long back – when my kids were small – in Vizag – when I came across this unique “Doc Daneeka in Uniform” Pediatrician – a Navy Lady Doctor in uniform – a child-specialist who hated children.

Yes – believe it not – she was a Pediatrician who hated children.

This Child-Specialist “Fauji” Doctor was unmarried – she had no experience of handling children – and worse – she hated children.

This “child-hater” Pediatrician was a “Doc Daneeka in Uniform” specimen of a different kind. 

Her tactic was to avoid seeing children (who she hated).

She insisted on proper “paper work” – and – she would not see sick children unless you had got a “referral” through proper channel. 

If anyone took their child/baby to her directly – she would scream and create a scene – and – shout at the hapless parents to follow proper procedure – and get a proper referral from their unit/ship doctor or general OPD.

The result was that – due to all these hassles and delays – the parents of sick children took their children to civilian doctors (paying from their pockets).

So – hardly any “children-patients” reached the “child-hater” Pediatrician – and she was having a relaxed tenure. 


AN EXCEPTION TO THE RULE 

A “FAUJI” DOCTOR WHO WAS NOT A “DOC DANEEKA” IN UNIFORM

Luckily – we had a Command Medical Officer (a Surgeon Commodore) – who was an exception to the rule – he was certainly not a “Doc Daneeka” in Uniform – in fact – he was a genuine Doctor in Uniform.

Ths Surgeon Commodore – the Command Medical Officer (CMO) – was himself a renowned pediatrician – an outstanding child-specialist – and he loved children. 

Yes – he was a Pediatrician who loved children – unlike the young lady “child-hater” Pediatrician in the Naval Hospital. 

Now – Command Medical Officer (CMO) was a staff appointment – so his job was to push files in Headquarters. 

Had he been a typical “Doc Daneeka” in Uniform – he would have preferred to do paperwork rather than treat patients – but – the CMO was a genuine doctor who wanted to practice medicine. 

He opened a “Child OPD” in his office in Command Headquarters – and – we all used to take our children to him for treatment.

However – even this magnanimous act of the CMO had no effect on the shameless “Doc Daneeka” in Uniform child-hater lady pediatrician – who seemed to be quite happy at the turn of events – since now – everyone took their children to the CMO – so the lady “Doc Daneeka” child-hater child-specialist had to see no “children-patients” – whom she hated anyway.


WHY ARE THERE SO MANY “DOC DANEEKAS” IN UNIFORM...?

In order to understand why there are so many “Doc Daneekas” in Uniform – let me give you a simple illustrative example.

Suppose there a two surgeons. 

The first surgeon does 100 surgeries per month.

The second surgeon does only 10 surgeries per month.

In Private Practice – it is obvious that the first surgeon (who does more surgical operations) will earn more money – and the surgeon who performs more surgeries will also progress faster up the ladder of professional success and fame.

In case of “Fauji” Doctors – it does not matter – because – whether you do 100 surgeries per month – or – 10 surgeries a month – or – even if you do zero surgeries per month – you will get a fixed monthly pay as per your rank and seniority – and – promotion is by seniority – so you have to wait in the queue for your turn to come – irrespective of your merit and work performance.

If someone has joined before you – he is ahead of you in the queue – and so – he will get promoted before you.

So – a “Fauji” Doctor sitting in Headquarters pushing files will get the same pay as his batchmate who is slogging it out treating patients in a military hospital.

And – in case the File Pushing White-Collar Babu “Fauji” Doctor has joined the Army Medical Corps earlier (and is senior in service) – the “White-Collar” Babu “Fauji” Doctor doing administrative work will be promoted earlier than the Professional “Fauji” Doctor who is actually practicing medicine in the field – in accordance with the sacrosanct principle of seniority.

So – maybe – it is the “system” – which creates so many “Doc Daneekas” in Uniform.

I am sure you have read about some of my hilarious encounters with these “Doc Daneeka” style “Fauji” Doctors in my blog – of course – I will tell you some more from time to time. 

Now let me ask you the moot question: 

If you are thinking of studying medicine – would you like to be a “Doc Daneeka” in Uniform...? 

Ha Ha Ha...

And – Dear Military Veterans: 

Did you encounter any “Doc Daneekas” in Uniform during your Military Service or after your Retirement...? 

Yes...? 

Do tell us about your experiences. 

Wish you a Happy Doctors’ Day

VIKRAM KARVE
Copyright © Vikram Karve 
1. If you share this post, please give due credit to the author Vikram Karve
2. Please DO NOT PLAGIARIZE. Please DO NOT Cut/Copy/Paste this post
© vikram karve., all rights reserved.

Disclaimer:
1. This blog post is a fictional spoof, satire, pure fiction, just for fun and humor, no offence is meant to anyone, so take it with a pinch of salt and have a laugh.
2. All Stories in this Blog are a work of fiction. Events, Places, Settings and Incidents narrated in the stories are a figment of my imagination. The characters do not exist and are purely imaginary. Any resemblance to persons, living or dead, is purely coincidental.

Copyright Notice:
No part of this Blog may be reproduced or utilized in any form or by any means, electronic or mechanical including photocopying or by any information storage and retrieval system, without permission in writing from the Blog Author Vikram Karve who holds the copyright.

Copyright © Vikram Karve (all rights reserved)
 

Saturday, January 28, 2017

Humor in Uniform – The Mystery of the Military Medical Category

HUMOR IN UNIFORM 

Doctor’s Orders

MEDICAL CATEGORY
A Fictional Spoof
By
VIKRAM KARVE


MEDICAL CATEGORY – A Spoof by Vikram Karve


During my long service in the Navy – I “enhanced” a lot of things.

I enhanced my academic qualifications.

I enhanced my knowledge.

I enhanced my expertise.

I enhanced my world-view.

I enhanced my personality

And – I even enhanced my physical attributes – especially my weight.

But – the one thing I could not enhance was my “medical category”.

When I joined the Navy as an Officer – my Medical Category was “S1 A1”

And – when I retired from the Navy – more than 34 years later – my Medical Category was still “S1 A1”

I could not achieve even a small “incremental enhancement” in my Medical Category – even temporarily.

Not even for one moment could I achieve a slightly “higher” Medical Category like “S2 A1” or “S2 A2” – of course I never dreamt of achieving greater heights like “S3 A3” “S4 A4” or “S5 A5”

Throughout my entire Naval career – my Medical Category remained consistently constant at “S1 A1” – the “lowest” Medical Category.

By strange military logic – if you achieved a “higher” Medical Category like “S2 A2” “S3 A3” “S4 A4” etc – the Doctors said that you were in Low Medical Category (LMC).

How can “S1 A1” be High Medical Category – and – “S3 A3” be Low Medical Category...? 

Is the number 3 lower than the number 1...? 

But then – Mathematics has never been a strong point of Doctors – even at 10+2 level – Mathematics is not required if you intend studying Medicine.

The only time I was hospitalized – towards the end of my career – was for Malaria – and I thought they would “enhance” my Medical Category – to “S2 A2” – maybe to “S3 A2” – or even to “S3 A3” – or even higher.

But nothing happened.

After a couple of days – when my Malaria began to abate – and just I was beginning to enjoy my stay in hospital – they suddenly discharged me – and threw me out of the hospital – straight back to work – as they were short of beds due the sudden arrival of a few “serious” cases.

And – while discharging me unceremoniously from hospital – the Navy Doctors did not even have the courtesy or decency to enhance my Medical Category.

So – I remained in my lifelong “lowly” and unimpressive Medical Category of “S1 A1”

Yes – I remained a lowly “S1 A1” from “womb to tomb” (to put it metaphorically).

Well – if there is a Navy Doctor reading this – maybe he will be able to explain the significance of medical categories ranging from “S1 A1” to “S5 A5” – with all permutations and combinations like “S2 A1” “S2 A2” “S3 A2” etc etc


ARMY MEDICAL CATEGORIES 

The Army likes to do things differently from the Navy

So – the Army have named their medical categories from SHAPE 1 onwards to SHAPE 5 :–

SHAPE1, SHAPE 2, SHAPE 3, SHAPE 4 and SHAPE 5 etc

And – there are even more possibilities for permutations and combinations in Medical Category like “S1 H2 A3 P4 E5” etc etc – to make it all the more confusing for Army Officers – who are most confused anyway.

Now – this Army Medical Category called SHAPE has nothing to do with the “shape” of your body.

This is evident from the fact that you will see many “Out of Shape” Army “Pongos” in Medical Category SHAPE1. 

Will some “Fauji” Doctor be good enough to tell us all about the Army Medical Category “SHAPE” 

And also – please enlighten us on why some SHAPE 1 “Faujis” look so much “out of shape” 


AIR FORCE MEDICAL CATEGORIES

In the Air Force they call their medical categories “A1 G1” “A2 G2” …. “A5 G5” etc. 

Yes – the “fittest” Medical Category in the Air Force is “A1 G1” 

Is “A1 G1” the same as “S1 A1” or “SHAPE1”...? 

Are Aviators in the Army and Navy required to be “A1 G1”...? 

Or – is it okay if they are “S1 A1” or “SHAPE1”...? 

It is all very confusing – isn’t it...?


“JOINTMANSHIP” IN MILITARY MEDICINE

It is all very confusing and puzzling to me.

“Fauji” Military Doctors keep changing the colour of their uniforms 

Like chameleons – they “flit and frolic” about – between the Army, Navy and Air Force.

Basically – all “Fauji” doctors are the same – and – all of them belong to the Army Medical Corps (AMC).

I have not understood one thing.

The 3 Defence Services – Army Navy and Air Force – all have the same AMC Doctors.

Then – why does each Service have its own style of Medical Categories:

“SHAPE” for the Army

“S1 A1” “S2 A2”... etc for the Navy

“A1 G1” “A2 G2”... etc for the Air Force...?

The 3 Defence Services have the same Doctors.

But – the 3 Defence Services have different Medical Categories.

Is this one more feather in the cap of “jointmanship”...?


ADVANTAGES OF “ENHANCING” YOUR MEDICAL CATEGORY

(The Story of the Officer with a Perpetual “Medical Category”)

“Enhancing” your medical category gives you a lot of advantages – like it did to my friend “D”.

“D” was a master at malingering.

An ex-NDA officer – on the very first day of our training – “D” was missing from morning Physical Training (PT).

When questioned about his absence from PT by the Senior-Under-Training-Officer (SUTO) – “D” answered triumphantly: “I am a “Medical Category”...”

(In colloquial Naval parlance – this meant that “D” had an “enhanced” Medical Category).

During his entire training period – his “medical category” was his all powerful universal “trump card” to be excused from any painful activity that “D” wanted to avoid – like PT, games, divisions, drill, parades, cross country runs, route marches, outward bound camps etc.

Even Senior Officers were wary of “D” because of his “enhanced” medical category – and they avoided bullshitting him – lest he drop dead or have a fit or something serious happen him – and they be blamed for it.

The biggest mystery was none of us knew what was wrong with him – no one knew for what “disease” “D” had got the medical category – from where he had got his medical category – and what exactly was his medical category.

Maybe he had managed to “enhance” his medical category at the previous training ship or unit – or maybe in NDA – or maybe even before that at the SSB – or maybe“D” was born with a medical category.

“D” looked perfectly healthy – and whenever we asked him about his medical category – he told us not to be too inquisitive.

In fact – I once suspected whether he had an “enhanced” medical category at all – but then – the way he flaunted it around – I thought that there must be some truth in it.

Of course – his “enhanced” medical category did not prevent “D” from drinking copious amounts of booze and eating all types of food to his heart’s content every afternoon and evening – or generally enjoying himself to the hilt – and having a jolly good ball of a time.

His medical category did not prevent him from getting promoted – and “D” got nominated for all the good training courses.

And – of course – he got the best of ships – and avoided all the hardship appointments – thanks to his “enhanced” medical category. 

Whenever he wanted to avoid anything inconvenient – “D” used his “Trump Card” – his “Medical Category”

Inspired by “D” – I tried my best to “enhance” my medical category – but I could not succeed – and throughout my long Navy career – I remained at the “rock-bottom” medical category “S1 A1”

Once – during my Annual Medical Examination (AME) – a Navy Doctor said that I was overweight – and I thought he was going to “enhance” my Medical Category.

But – the Navy Doctor did not “enhance” my Medical Category.

Instead – the Navy Doctor sent me in a “spin” – he made me do all sorts of medical tests – he got me examined by all sorts of specialists.

And then – the wise Navy Doctor delivered his final verdict on me: 

“Officer is Asymptomatic. He has been advised to reduce weight. Officer is fit in Medical Category “S1 A1”...”

I was declared fully “FIT” in Medical Category “S1 A1” 

Forget about “S3 A3” “S4 A4” “S5 A5” etc – I had failed to “enhance” my Medical Category even to a measly “S2 A2”...

I was back to “Square 1”

I have not understood the Mystery of the “Military Medical Category”

Have you...? 


EPILOGUE 

I heard a story – maybe apocryphal – about a “smart” officer who took full advantage of the medical category system. 

He was an expert at using the medical category system for malingering or shamming (in military parlance)

With the help of his doctor friends – he would keep manipulating his medical category to his advantage to avoid hardship postings. 

However – the “smart” officer ensured that his medical category was suitably upgraded just before promotion boards/criteria appointments/training courses.

This ensured that he reached high rank without enduring too much hardship. 

Thanks to his expertise in deftly manipulating his medical category – he managed to avoid tough appointments. 

He spent most of his career enjoying the best of lucrative/comfortable appointments – he got nominated to all the prestigious courses – he ensured that he got promoted on time – so that he could reach high rank. 

The “smart” officer delivered his “coup de grace” when he got his medical category suitably manipulated just before retirement – in order to claim “disability pension”.

(Disclaimer: I am totally clueless on the subject of “military medical categories” – so if you have any specific queries on the military medical category system – please contact your nearest “Fauji” Doctor)

VIKRAM KARVE
Copyright © Vikram Karve 
1. If you share this post, please give due credit to the author Vikram Karve
2. Please DO NOT PLAGIARIZE. Please DO NOT Cut/Copy/Paste this post
© vikram karve., all rights reserved.

Disclaimer:
1. This story is a fictional spoof, satire, pure fiction, just for fun and humor, no offence is meant to anyone, so take it with a pinch of salt and have a laugh.
2. All stories in this blog are a work of fiction. Events, Places, Settings and Incidents narrated in the stories are a figment of my imagination. The characters do not exist and are purely imaginary. Any resemblance to persons, living or dead, is purely coincidental.

Copyright Notice:
No part of this Blog may be reproduced or utilized in any form or by any means, electronic or mechanical including photocopying or by any information storage and retrieval system, without permission in writing from the Blog Author Vikram Karve who holds the copyright.
Copyright © Vikram Karve (All Rights Reserved)
     
© vikram karve., all rights reserved.