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.


“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 

“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 G1the same as “S1 A1or “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.