Showing posts with label healthcare. Show all posts
Showing posts with label healthcare. Show all posts

Tuesday, October 10, 2017

Mental Health Care – Military Style : Humor in Uniform

Today – 10 October – is  World Mental Health Day 

On this occasion – I am reminded of a spoof I wrote sometime ago  on Mental Health Care – titled  “How to Cure Depression” (Military Style). 

Dear Reader: 

Here is the Humor in Uniform” spoof – for you to read, have a laugh and ponder over... 

Before you start reading – let me remind you that this is a humorous spoof – tongue-in-cheek satire – Humor in Uniform” – 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. 

HOW TO CURE DEPRESSION – MILITARY STYLE

Nowadays – I am surprised to see counselling and therapy being practised in a big way. 

When I was in school – 50 years ago – in the 1960– I don’t remember having any Counsellors in my schools.

Later – Schools had Vocational or Guidance Counsellors – who tested aptitude and advised students on selection of educational-streams/courses/career-choice which were in harmony with their aptitude. 

Now – I understand – that apart from Vocational Guidance Counsellors – some schools even have Psychological Counsellors. 

I heard that even youngsters go for therapy to counsellors for various problems – the main problem being “Depression”

I do not know whether I have ever suffered from depression

In fact – I don’t even know what depression exactly is. 

Yes – I feel sad” and “low” at times. 

Yes – I am a “moody” person – and – I have mood swings. 

Is it depression”...? 

Am I depressed”...? 

I really don’t know. 

Maybe – Ignorance is Bliss”. 

In boarding school – in college – and – later in the Navy (where I spent my entire career) there was no concept of depression

You were either sane” – or – you were “insane.

There was nothing in-between sanity and insanity. 

You were either “normal” – or you were “crazy”. 

And – if you went crazy” – they branded you a “psycho – and they sent you to the psychiatric ward – to be dealt with by the Military Psychiatrists (“shrinks”).

Those days – in the Navy (Military) – since depression” was not recognised as a malady – there was no concept of psychological counselling or therapy – and I did not see any psychologists/ counsellors/therapists in uniform.

So – how was depression cured or managed” in the Military...? 

Read on... 

But – before you read on – please read the “disclaimer” below:

Disclaimer: 
This is a humorous spoof  – tongue-in-cheek satire – Humor in Uniform” – 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. 

Humor in Uniform 

DEPRESSION “MANAGEMENT” – MILITARY STYLE
A Fictional Spoof
By
VIKRAM KARVE

NB: 
The generic terms “Fauji” and “Soldier” refer to all Military Personnel (Officers/Soldiers/Sailors/Airmen) – and – the term “Faujan” refers to all Military Wives...

Last year – I attended a Literary Festival in Pune.

There was a session on “Stereotypes” in Fiction.

The panelists decried the tendency to stereotype characters – especially in romantic fiction.

Among the panelists was an Army Wife (“Faujan”) – an accomplished author – who has written a successful novel on an Army Wife’s Life.

I candidly told her that – in her novel – she too had “stereotyped” her “hero”: 

“Quintessential” Army Officer = “Tough Macho Man” + “Debonair Gentleman” + “Ideal Boyfriend” + “Super Husband” + “Perfect Father” …et al

She agreed with me – that – at least in Indian Literature – most novels/movies with a military backdrop have a tendency to “stereotype” the Military Officer as the “ultimate impeccable superman” with all the perfect qualities.

Most Military Literature, Movies and Jingoistic Military Recruitment Advertisements reinforce such “stereotypes” of Army, Navy and Air Force Officers.

I have come across a few “Military Wife” Blogs (written by “Faujans”) – where – there is a tendency to stereotype the “Military Wife” – and – believe it or not – even the “Military Girlfriend” has been stereotyped. 

Yes – there is a tendency to stereotype “Military Wives” too.

If you have served in military uniform – or – if you are married to a person who has served in uniform – you will know that Military Officers and Military Wives (“Faujis” and “Faujans”) are like most normal human beings.

Thanks to this stereotyping of the “Military Officer/Soldier” (“Fauji”) – there is a perception that “Faujis” are so physically robust and mentally tough that it is not possible for “Faujis” to suffer from an “effeminate” frailty like “depression”.

The quintessential “Fauji” is supposed to be a “Tough Guy”.

So – a “Fauji” is expected to be at one of the two “macho” extremes – either he is supposed to be macho “compos mentis” – or go macho “berserk” and run amok.

In the military – there is no scope for middle-of-the-road sensitive fragilities like “depression”.

Things may be different now – but the “good old days” – Mental Health was a simple “Black” and “White” matter – either you were “sane” – or – you were “insane” – there was nothing in between the two extremes.

Being “sensitive” or “emotional” was considered “un-militarily-like” – there was no place for a “sentimental sissy” in the military.

Such “mushy” traits were considered as a sign of effeminate weakness and lack of OLQ (Officer Like Qualities).

The Military Motto was: 

“Stop crying like a woman – you must take it like a man”

If you had an “emotional problem” – you had to “sort out” your own problem – or – you had to bear it with stoicism.

If you could not “sort out” your emotional problem – and – you were forced to endure your emotional problem with stoicism – two things could happen:

1. Either – the emotional problem cured itself – and – in due course of time – you became okay.

2. Or – the emotional problem worsened and metamorphosed into a psychiatric disorder – in which case – you were declared a “psycho” – and – sent to the psychiatrist. 

Things may have changed now – but – in the “good old days” – there was no concept of psychological counselling to alleviate emotional problems faced by “Faujis”.  

In the earlier system of relying exclusively on psychiatric treatment – Military Officers/Soldiers were afraid – that if they officially reported their “emotional problems” to their superiors – it would be presumed that they were suffering from “psychiatric disorders” – and – they would be sent to military hospitals for psychiatric treatment.
Once Officers/Soldiers were referred for psychiatric treatment – their medical category would be downgraded – and – thereafter – for the rest of their life in the service – they would suffer the stigma of being branded as “psycho” – and – their military careers would be ruined forever.

As it is – in those days – Military Officers/Soldiers were apprehensive of going to “specialist” doctors – since they wanted to avoid down-gradation of their “medical category” – which could affect their career prospects.

But – “Faujis” were most terrified of being referred to Psychiatrists – not only would your “medical category” be down-graded – but – you would be branded a “psycho” to boot.

Hence – Officers/Soldiers suppressed their emotional distress.

Emotionally depressed Officers/Soldiers tried to “sort out” their emotional problem with “self-cure” – by adopting philosophical/spiritual self-help techniques like “positive thinking” “meditation” “prayer” etc.

Or – “Faujis” resorted to the universal “panacea” for all ills – alcohol – which was provided at concessional rates to “Faujis” – as the macho “remedy” for “depression cure”

“Self-Cure” or “Alcohol Cure” may have worked in some cases of “depression”.

But – if the emotionally distressed individual could not cure himself – this could ultimately result in serious ramifications like mental illness – or – even suicide – in extreme cases. 

Recently – I read a news report that 310 Army Personnel had committed Suicide since 2014 and there were 11 cases of Fratricide. 

Doesn’t this highlight the urgent need for psychological counselling/therapy facilities in the Armed Forces...? 

I do not recall any psychologists posted as counsellors on board Naval Ships with whom officers/sailors could talk regarding their emotional problems. 

The only “counsellors” available were your friends, your family – or – your superior officers – like it happened to the officer in the story below – titled “Depression Management” 


DEPRESSION MANAGEMENT (an apocryphal story)

During my early Navy days – 40 years ago – in the 1970’s – we had a Senior Lieutenant on our ship. 

He had coined a maxim  which epitomized “Depression Management” in the Navy:

EVERY PROBLEM IS A “MINOR PROBLEM...” 

and 

A “MINOR PROBLEM” IS “NO PROBLEM”...

therefore 

EVERY PROBLEM is “NO PROBLEM... 

Therefore – by this maxim – a Naval Officer or Sailor was not supposed to have a problem – especially – a personal problem. 

But – was this possible...? 

Here is the story of an Officer who had a problem...


STORY OF THE “DEPRESSED” SUB LIEUTENANT

A young Sub Lieutenant felt depressed. 

So – went to this same Senior Lieutenant (who was his direct boss) and said: 

“Sir – I have a personal problem…”

The Senior Lieutenant promptly enunciated his favourite slogan:

“Every Problem is a “Minor Problem” –  and  a “Minor Problem” is “No Problem” – so – you have “No Problem”…”

Then – the Senior Lieutenant scolded the Sub Lieutenant and asked him to stop behaving like a sissy: 

“In the Navy – you sort out your own problems – you don’t go crying like a bloody Sissy to your Boss regarding your personal problems...

After that – the Senior Lieutenant shouted at the Sub Lieutenant to “get lost” – to “vamoose” – to “bugger off” and ordered him to get on with his work.  

In the evening – the distraught Sub Lieutenant tried to unburden himself by talking about his personal problem to his shipmates in the wardroom.

It was a simple “affair of the heart”.

The Officer had fallen in Love with a Girl from a Wealthy Business Family.

The girl’s parents were not interested in their only daughter marrying a “penurious” Navy Officer.

In fact – the girl was the “only child” of her parents and she was the heir to their “business empire” 

So – the parents had arranged a suitable “business match” for her daughter befitting their affluence and “status” – and – of course – the “business marriage” of their daughter to the son of a business tycoon would help expand their “business empire” as well.

And – though the girl loved the Navy Officer – the girl did not have the guts to go against her parents’ wishes.

The depressed officer’s well-meaning shipmates “counselled” him over a drink in the wardroom:

1. “Forget about her – just get another girl – if you want – I will introduce you to a sexy “fleet auxiliary” who is available at the moment…”

2. “Come on – drink up – and – by tomorrow – you will be fine…”

3. “Why are you crying like a bloody sissy…? You are a tough Naval Officer. Just go and sort it out yourself – just go there – pick up your girl – elope with her – and – get married…” 

Now – the depressed officer was deeply in love with the girl – and – it was not possible for him to forget her – and - neither was he interested in having a “lustful affair” with a “fleet auxiliary”.

So – the “depressed officer” drank up – glass after glass of whisky – till – he was drunk to the hilt – and – fortified with alcohol-induced “Dutch Courage” – he drove down on his bike to the girl’s house to “sort out the matter”.

Well – the officer may have been emotionally vulnerable – but – physically – he was a huge powerful hulk – and – in his wild drunken state – he looked very intimidating.

You can well imagine what must have happened – when the fearsome formidable “angry young man” – dangerously drunk and berserk – ran amok in a menacing manner – and – he accosted the girl’s parents  and he tried to forcibly elope with the girl. 

It was with great difficulty that they managed to overpower him with the help of the police – who handed him over to the Naval Police.

Well – in order to save him from big trouble – the easiest thing for the “powers-that-be” to do – was to fill up a form (AFMSF-10)  and to refer the “depressed officer” for psychiatric examination (notwithstanding the fact that he would be branded a “psycho” for life).

Well – you may think that this illustrative fictional story of an “affair of the heart” is a tall story.

But – the fact of the matter is – that – especially in today’s world – military men (and even military wives) – “Faujis” and “Faujans” – they need “emotional sustenance” – to face the multitude of problems peculiar to the Armed Forces – especially pertaining to Soldiers deployed in combat situations and their families.

And – for this “emotional sustenance” – isn’t compassionate counselling a better option than harsh psychiatric treatment…?

Military Hospitals have “Military Psychiatrists” to cure those who have gone “crazy”.

But – what about preventing individuals from going “crazy”...? 

I wonder if Military Units and Naval Ships have easily accessible “Military Psychologists” to prevent individuals from going “crazy”…

Isn’t prevention better than cure…? 

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)
 

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)