Showing posts with label practice. Show all posts
Showing posts with label practice. Show all posts

Sunday, October 15, 2017

“Doctor” in Uniform – “Second Opinion” or “Cut Practice”...?

HUMOR IN UNIFORM 

[NB: The generic Hindustani word “Fauj” refers to all arms of the Military (Army, Navy, Air Force) – so – the term “Fauji” or “Soldier” refers to all Military Personnel in Uniform of the Army, Navy and Air Force (Soldiers, Sailors and Airmen) – and the term “Faujan” refers to all Military Wives)]

My Hilarious Encounters with “Fauji” Doctors

“SECOND OPINION or “CUT PRACTICE
A Fictional Spoof
By
VIKRAM KARVE 

THE “FAUJI MEDICAL OFFICER 

This happened more than 32 years ago  in the mid 1980’s – at IAT Girinagar Pune.

I had newly arrived in station. 

Those days – IAT was an inter-service training establishment comprising Army, Navy and Air Force Personnel  but  it was run in typical Army Style.

During my evening walk  I saw a crowd of young student officers and families sitting on the lawns of the house of our Unit Medical Officer (MO). 

Seeing the crowd – I thought that our Unit Medical Officer (Doctor) was having a party.

“So  Doc is having a party  is it...?” I shouted to them.

“No Sir. We have not come here for a party. We are waiting to see the doctor for medical treatment...” they said.

I was impressed.

I had thought that our Unit Medical Officer (Unit MO) was a typical “fauji” doctor.

Most Army Medical Officers followed strict timings and rules.

You had to visit the Medical Inspection Room (MI Room)/Clinic/Sickbay when you were sick (even if you were seriously ill) 

This was because “fauji” doctors did not make house calls – nor did they entertain patients at their home. 

That is why I was impressed to see so many patients at the “Fauji” Doctor’s home. 

It was evident that he was such a good doctor  that patients were going to his house in the evening for consultation and treatment.

And – our Unit Medical Officer (Unit MO) – he seemed so compassionate, sincere and devoted to medicine – that he had started an Evening OPD at home for their convenience.

Thoroughly impressed by the dedication of the Unit MO  I said to the officers: 

“That’s great. I did not know that our Unit MO sees patients at home...” 

A student officer said to me: 

“Sir  we have not come to see the Unit MO

He is a “Quack” – a useless good-for-nothing doctor

We have come to see his wife. 

She is an excellent doctor who works in XXX Hospital  the best hospital in Pune. 

In the evening  she does her private practice here at her home  and everyone comes to consult her. 

Of course – she charges quite a lot of money as “consultation fee  but then  she is a really good doctor...”


I was stunned to hear this.

But – after a few days – I realised that the student officer was right.

A young Naval Officer told me a story a few days later which proved that the “fauji” doctor’s wife was a good doctor  yes  she was a really good doctor. 

Let me tell you the story. 


MEDICAL CATEGORY SCARE

Once  the young Naval Officer got a strange cough.

During his morning run  in the expansive picturesque campus  he would suddenly get a spasm of cough  so severe  that it was almost like a convulsion.

He would sit down  terminate his run  walk home  and drink water  and take rest.

For the rest of the day  he would be okay.

These fits of cough happened only in the mornings during his runs  and – while jogging in the open.

The Naval Officer reported to the Unit Medical Officer (MO) [“fauji” doctor] in the MI Room.

On hearing the symptoms  without even physically examining the officer  the Army Unit MO immediately concluded that it was Asthma.

And  the Unit MO referred the Officer to the Specialist at the Military Command Hospital (CH) Pune.

The Naval Officer was due for his sea time”  immediately after the course.

His fellow Naval Officers scared the shit out of the officer  by putting all sorts of fears in his mind.

They told him that  if he went to the Specialist for Asthma  he would be subjected to all sorts of tests and examinations  and  the Specialists at Military Hospital would surely downgrade his Medical Category.

Now  if his Medical Category was downgraded  that would be the end of his sea time  and – as a consequence  his Navy Career would be badly affected.

All Fellow Officers and their Wives wife advised the “Asthma Afflicted Officer” to see the “fauji” doctor’s wife (the civilian lady doctor who practiced at home). 

They all told the “Asthma Afflicted Officer – that – before he surrendered himself to the “Fauji” Specialist Doctors at the Military Hospital  it would be better if he took a “second opinion” from the civilian doctor wife our unit “fauji” doctor – since she was a good doctor. 

Of course – though she charged a hefty consultation fee – it would be worth it in the long run – rather than let the Military Specialist Doctors ruin his career by awarding him a Medical Category”. 

(In the Military – some Doctors are more adept at awarding Medical Categories than treating “fauji” patients...)


THE “FAUJI” DOCTOR’S WIFE

In the evening  the worried “Asthma Afflicted Officer went to see the “fauji” doctor’s wife.

The doctor’s wife  the civilian lady doctor  she heard him out  she examined him thoroughly  and – she said to the officer: 

“Don’t worry – it is not asthma – it is just a seasonal allergy due to pollen from the congress grass which is abundant on the campus. This allergy happens to some people in spring. Just stop your morning runs for a month or two. Don’t go out in the open in the mornings. You will be okay. Once it is summer  you can start your morning outdoor exercise and running again.”

“Any medicines – any treatment...?” the officer asked.

“Nothing. There is no need for any medicines...” said the “fauji” doctor’s wife (the civilian lady doctor) – and then – she advised the officer, “if you want – you can just add some gavati chaha  à¤—वती  à¤šाहा (lemon grass) to boiling water when you make tea in the morning – it will act as a placebo – there are plenty of gavati chaha bushes growing wild in the campus.”

Within a few days  the officer’s cough disappeared.

And soon  the moment the season changed to summer  the officer was absolutely fit and fine – and  he started his morning runs again.

Of course  the Naval Officer scrupulously avoided going to the unit MO in the MI Room  during the remaining part of his course. 

And – at the end of the course – fit and fine – he went for his sea time”.


AFTERTHOUGHT 

In the civilian world – I  have heard stories of doctors referring their patients to fellow doctors – for a cut or commission (known as cut practice...) 

So – in hindsight  I wonder: 

Was the “fauji” doctor much smarter than we thought...? 

Was he “faking it”...? 

By giving a “medical category scare to all his “fauji” patients  was it the ulterior motive of the “fauji” doctor to boost the private practice of his civilian doctor wife...? 

Was the Unit MO “fauji” doctor indulging in cut practice”...?

Ha Ha – “Second Opinion” – or  “Cut Practice”...? 

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. 
2All 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.
 

Monday, June 10, 2013

SPECIALIZATION - Humor in Medicine

HUMOUR IN MEDICINE

SPECIALIZATION

The Vanishing GP and MODERN MEDICAL PRACTICE
Clinical Diagnosis versus Evidence Based Diagnosis
By
VIKRAM KARVE


Now-a-days SPECIALIZATION is the buzzword. 

Here is a story for all you who believe only in Specialists. 

This story is about doctors but the moral of the story is equally applicable universally in all professions.


THE GENERAL PRACTITIONER (GP) - CLINICAL DIAGNOSIS 

When I was a small boy living in Pune in the 1960s, if you fell ill you called your family doctor home and he checked you up.

Every family had their own family doctor, a General Practitioner (GP), who was like a member of the family. 

He knew all about your medical and family history and you had explicit faith in your family doctor and you had a mutually rewarding relationship.

If you were sick, your family doctor would come home to see you.

After a thorough physical examination to diagnose what was wrong, your family doctor either gave you medicines or an injection then and there.

Then, the GP asked someone to come over to his clinic to collect medicines which were mostly mixtures of ground tablets or liquid concoctions prepared by the compounder and given to you in bottles with dosages indicated by stuck paper strips.

My doctor friend tells me that this approach is called Clinical Diagnosis

Surfing the internet I found that clinical diagnosis is a diagnosis based on a study of the signs and symptoms of a disease (The American Heritage® Medical Dictionary 2007) or a diagnosis made on the basis of knowledge obtained by medical history and physical examination alone, without benefit of laboratory tests or x-ray films (Mosby's Medical Dictionary, 8th edition, 2009, Elsevier).


THE SPECIALIST - EVIDENCE BASED DIAGNOSIS

Nowadays GPs seem to have vanished and you have to go to a specialist if you fall ill. 

There no such thing as a family doctor and the specialist will not come and see you at home.

You have to go to his clinic or the hospital where the specialist practices and wait.

Then, the specialist sends you for a series of laboratory tests – blood, urine et al.

You run around to the lab, get the tests and investigations done and report back to the specialist who then studies the reports and prescribes medicines accordingly. 

My doctor friend tells me that this is called Evidence Based Diagnosis.

In a lighter vein let me share with you a humorous story, surely apocryphal, that my doctor friend narrated to me on this subject.


THE PET and THE VET 

A woman brought her unconscious pet parrot to a veterinary doctor (vet).

The vet physically examined the lifeless bird and told the woman that her pet parrot was dead.

The distressed woman wailed, “Are you sure…?”

“Yes. I am sure. Your parrot is dead,” the vet said.

“How can you be so sure that my parrot is dead? You did not do any tests or investigations on my parrot,” the distraught woman said.

“Madam. There is no need for any tests. I am sure that your parrot is dead,” the vet said.

“I don't believe you. You are just an ordinary vet. I want to show him to some good specialists. I want a specialist opinion,” the woman demanded.

The vet nodded his head and said, “Okay...”

The vet then turned around and left the room.

The vet returned a few minutes later with a dog – a black Labrador retriever.

As the woman looked on in amazement, the dog stood on his hind legs, put his front paws on the examination table and sniffed the parrot from top to bottom. 

The Labrador then looked up at the vet with sad eyes and shook his head. 

The vet patted the dog on the head and the Lab went out of the room wagging his tail.

The vet again left the room.

A few minutes the vet returned with a cat. 

The cat jumped on the table and also delicately sniffed the parrot from head to foot. 

The cat sat back on its haunches, shook its head and meowed softly.

The vet lifted the cat and sent it out of the room.

Then the vet looked at the woman and said, “I am sorry, but as I said, your parrot is definitely dead.”

The vet then went to his desk and wrote out his bill which he gave to the woman.

The woman, still recovering from the grief of the death of her beloved pet parrot, was totally stunned with disbelief when she saw the bill.

“What…!!! Two Thousand Rupees…?” the woman protested in bewilderment.

“Yes. The bill is 2000 Rupees,” the vet said nonchalantly.

The woman was furious and shouted at the vet, “You are charging me Rs. 2000 just to tell me that my parrot is dead? This is ridiculous!”



The vet shrugged and said, “I am sorry but it is you who wanted to show your parrot to specialists. If you had taken my word for it, my bill would have been just Rs. 50. But you were not satisfied with the diagnosis of an ordinary vet like me and you insisted that I refer your parrot to specialists and get some tests done - so the Lab Report cost Rs. 950 and the Cat Scan a further Rs. 1000 so that along with my fees of Rs. 50 totals Rs. 2000.”


In the Navy, our health was looked after by General Practitioners who were very competent doctors.

But even in the defence services, the trend of specialization is taking root. 

For good health-care what the country requires are good GPs but we tend to be producing more and more specialists, many of whom seem to do the job GPs are supposed to do. 

So, whenever you are tempted to go to a specialist for a minor ailment, do remember this story of the Lab Report and Cat Scan

VIKRAM KARVE
Copyright © Vikram Karve 2013
Vikram Karve has asserted his right under the Copyright, Designs and Patents Act 1988 to be identified as the author of this book review. 
© vikram karve., all rights reserved.

NB:
1. All stories in this blog are a work of fiction. The characters do not exist and are purely imaginary. Any resemblance to persons, living or dead, is purely coincidental.
2. 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 2013 all rights reserved

Did you like story?  
I am sure you will like the 27 short stories from my recently published anthology of Short Fiction COCKTAIL
To order your COCKTAIL please click any of the links below:
http://www.flipkart.com/cocktail-vikram-karve-short-stories-book-8191091844?affid=nme
http://www.indiaplaza.in/cocktail-vikram-karve/books/9788191091847.htm
http://www.apkpublishers.com/books/short-stories/cocktail-by-vikram-karve.html
COCKTAIL ebook
If you prefer reading ebooks on Kindle or your ebook reader, please order Cocktail E-book by clicking the links below:
AMAZON
http://www.amazon.com/dp/B005MGERZ6
SMASHWORDS
http://www.smashwords.com/books/view/87925

Foodie Book:  Appetite for a Stroll
If your are a Foodie I am sure that you will like my book of Food Adventures APPETITE FOR A STROLL. Do order a copy from FLIPKART:
http://www.flipkart.com/appetite-stroll-vikram-karve/8190690094-gw23f9mr2o

About Vikram Karve

A creative person with a zest for life, Vikram Karve is a retired Naval Officer turned full time writer and blogger. Educated at IIT Delhi, IIT (BHU) Varanasi, The Lawrence School Lovedale and Bishops School Pune, Vikram has published two books: COCKTAIL a collection of fiction short stories about relationships (2011) and APPETITE FOR A STROLL a book of Foodie Adventures (2008) and is currently working on his novel and a book of vignettes and an anthology of short fiction. An avid blogger, he has written a number of fiction short stories and creative non-fiction articles on a variety of topics including food, travel, philosophy, academics, technology, management, health, pet parenting, teaching stories and self help in magazines and published a large number of professional  and academic research papers in journals and edited in-house journals and magazines for many years, before the advent of blogging. Vikram has taught at a University as a Professor for 15 years and now teaches as a visiting faculty and devotes most of his time to creative writing and blogging. Vikram Karve lives in Pune India with his family and muse - his pet dog Sherry with whom he takes long walks thinking creative thoughts.

Vikram Karve Academic and Creative Writing Journal: http://karvediat.blogspot.com
Professional Profile Vikram Karve: http://www.linkedin.com/in/karve
Vikram Karve Facebook Page:  https://www.facebook.com/vikramkarve
Vikram Karve Creative Writing Blog: http://vikramkarve.sulekha.com/blog/posts.htm
Email: vikramkarve@hotmail.com
Twitter: @vikramkarve
      
© vikram karve., all rights reserved.