(c) Dr. Rajas Deshpande “Is the patient Dying? Operated? Bleeding severely? Dead?” “No” “Then we will not pay his / her medical bills”. The insurance companies (most) have been giving a hard time to both patients and doctors: no patient’s bill is fully paid even if they have a genuine illness. OPD bills and investigations […]
© Dr. Rajas Deshpande “Doc we have come for a second opinion. We think the earlier specialist was wrong.” said the patient’s daughter in law. Complicated case of Parkinsonism. 82 years old. “But the earlier Doctor (a senior bigwig) has in fact written the probable diagnosis here, and started correct line of treatment.” I said. […]
© Dr. Rajas Deshpande “Doc I have severe headache since last three days, with nausea, vomiting, and giddiness”. Young girl of 24. Recent break-up from first love, changed job. Completely normal physical examination. Accompanied with a caring new boyfriend. Both work in same software company. Simple, common problem. A few years ago, just a painkiller […]
© Dr. Rajas Deshpande From primary schools in inaccessible villages to metropolitan Universities, almost all teachers in India suffer poverty, neglect, transfers, non-teaching dumped duties and multiple tasks that the administration forces upon them, immense bullying and insecurity. Living in different hells, these angels still smilingly create heavens for their students. Suffering due to honesty […]
A friend’s wife was once admitted with severe burns, she had caught fire while cooking alone at home. After admitting her at a govt. hospital where I was a student, my devastated friend called me for help. Their whole family was in a wordless shock. The couple had married a year earlier. The doctors had […]
The Last Medicine © Dr. Rajas Deshpande “Do you love someone too much, DucKtoor?” asked this Iraqi student in hesitant words with an awkward face. He was just translating what his countryman had insisted him to ask me. A young lady in late twenties was paralysed below neck, and her husband had risked his life […]
“The Free Fetish” © Dr. Rajas Deshpande “I want to treat all patients free all my life, Sir.” I told my most beloved professor on the day that I passed my MD Medicine exams. Always fair to me, my Prof. did not brush away my words as overexcited blabber of a passing student on the […]
© Dr. Rajas Deshpande “Anyone Treat Anything” and the “Add-On complaints”. “Doc I have come to you for this severe headache since last five months”. Examined, investigated, prescription given. 5 days later: “Doc there is no relief. This back pain is killing me”. “What about the headache you had?” “Oh that went away the next […]
© Dr. Rajas Deshpande A court recently awarded a compensation of 12 crores to a patient because that’s what she would have earned if alive, as she held a job in the US. While human life is invaluable, there has to be a logic / discipline to such punishments. What compensation was ever awarded to […]
I’ve finally accepted that all doctors are uniformly and completely corrupt. There’s no hiding from this obvious truth. It must be true because the greatest intellectual of the modern era, Bollywood superstar and busybody Aamir Khan, says so. Another great humanitarian Akshay Kumar has confirmed it in a movie called ‘Gabbar Is Back’ which showcases […]
Living wills and advance directives describe your preferences for end-of-life care. These documents speak for you when you’re not able to speak for yourself. By Mayo Clinic Staff Living wills and other advance directives are written, legal instructions regarding your preferences for medical care if you are unable to make decisions for yourself. Advance directives […]
Living wills and advance directives describe your preferences for end-of-life care. These documents speak for you when you’re not able to speak for yourself. By Mayo Clinic Staff Living wills and other advance directives are written, legal instructions regarding your preferences for medical care if you are unable to make decisions for yourself. Advance directives […]
In the last canto of the Bhagavata Purana there is a list of predictions and prophecies about the dark times for the present age of Kali Yuga. The following 15 predictions, written 5,000 years ago by sage Vedavyasa, are amazing because they appear so accurate. Despite the negative tone of these prophecies, there is still […]
(c) Dr. Rajas Deshpande “We don’t want her to suffer. We don’t want any ventilator etc. treatments”. Said the calm son, no traces of emotional tones in his speech. His mother was admitted last night with stroke. Quite a sophisticated family, this son owning a company of repute. His teenager daughter was sitting by her […]
© Dr. Rajas Deshpande It was raining hard as I started on a Sunday noon for my escape long-drive. Staying on the outskirts of town has the advantage of lower noise and longer roads. On one such long road I always saw an elderly couple sitting on the footpath selling vegetables, not plenty, but two-three […]
I can deceive myself and others by pretending to understand.. Hold hands and falsely reassure myself and someone else of things being shared, but then we both choose to close our eyes to the reality: that no pain ever can be shared. No happiness, no personal achievement, no mental evolution, even peace cannot be shared. […]
When we set out to perform and dazzle the world, we seldom analyse ourselves: a cause of great discomfort and pain to others, and mostly, ourselves! Much as it is impossible to dislike oneself (we cant hate ourselves, all said and done!), it would be worth a try to atleast analyse. On the inside, we […]
Stop “Doctor Bashing”!! The said firm in this news is said to have conducted research about this. What is its standing in medical research? Has it obtained permission for such research from ICMR/MCI/local medical councils? Has it obtained permission also to publish such studies in the general press/media? Who has verified the statistical/medical authenticity of […]
Parenting is the most difficult career, don’t know when it became unfashionable for some who claim success “outside” parenting. However successful one may have been otherwise, if they have neglected growing kids for want of money/ fame / career they have committed a crime. There is no greater insult to childhood than a parent NOT […]
Doctors, especially surgeons should stop all forced “deadline and ultimatum-based” government programmes unless and until: 1. All the world-class standard equipment and theaters are available for every surgery / procedure, and the number of procedures that can be done without stress and hurry is decided by the treating doctor / operating surgeon. 2. An “All-is-well” […]
GM Sir. I am pursuing PG after MBBS. I follow your posts regularly. I have a question: Does the passion we have to actually become doctors and serve society and those who need us actually fade away? Many of my friends tell me that there’s nothing like passion, only money matters after a while, and […]
I can’t ever adequately express the beauty of the neuronal organisation within the Brain, realising once again that it feels far more rewarding to study than to explain it, to understand its poetic yet mathematically perfect logic rather than to describe the names of its components, to know that it functions as beautifully without one’s […]
We don’t even grasp the threat! (c) Dr. Rajas Deshpande Imagine someone without consciousness / awareness of self / self control handling a gun around you or driving a truck / train or flying an airplane with you in it. The recent claim about a pilot “deliberately” downing his plane with many others will make […]
(c) Dr. Rajas Deshpande Sir, What about the responsibility of quality of drugs used for the treatment? These are the only weapons with which we fight a disease. Does it make pharma a share holder of responsibility in case of adverse outcome ? This is another grey zone to elaborate. Dear Dr. Sachin Jaybhaye, Thank […]
(c) Dr. Rajas Deshpande This simple looking girl in her early twenties walks into my OPD with her parents. They all are dressed up typically worker/ lower middle class, just enough to avoid obviously torn clothes. Everything humble, barely touching middle class, but very well behaved. She starts telling her father’s complaints in perfect English, […]
(c) Dr. Rajas DeshpandeIt was still raining after the college, but that was never an obstacle. We still reached “Mangesh”, our pet tea (plus ahem!) joint, just outside the college campus, a routine religious for many reasons. Ofcourse the steaming hot tea was crucial to rejuvenate brains exhausted by the extensive and complicated knowledge bombarded […]
Letter to a beloved Teacher: (c) Rajas Deshpande Respected sir, Yourself and most other teachers are my Gods, I am what I am largely because of teachers like you, and cannot argue with your opinions. Like any normal man, I wanted Porsches and Ferraris, a bungalow by the beach, a calm and quiet life of […]
Make a law against “Interference in patient care” Should the docs leave casualty if they sense hostility / arrogant and threatening relatives? Every doctor cannot make correct decisions under duress, and patients suffer. © Dr. Rajas Deshpande Doctors who work in any emergency ward / hospital in India are exposed to two great risks: violence […]
Patients who taught me life. The breathless grandpa. © Dr. Rajas Deshpande This octogenarian Mr. Abaji was admitted for the umpteenth time in the general ward for sudden breathlessness due to a respiratory condition called COPD. In general ward at govt. hospitals, there’s barely three feet distance between beds, without any privacy (No embroidered / […]
(c) Dr. Rajas Deshpande Tuesday 3 pm. OPD “She needs urgent admission and treatment.. she may be developing a stroke.” I told the relatives of this 70 some year old lady who was having recurrent episodes of tingling / numbness all over her body, with slurred speech. Otherwise healthy. The disturbed family was displeased: a […]
The Mother Brain © Dr. Rajas Deshpande “Get out of the ward, Rajas!” said Dr. Pravina Shah. Although many of my teachers may have thought of these words school onwards, it was Dr. P. U. Shah who finally said them, in the first month of my joining the D.M. Neurology course at KEM hospital (Seth […]
The Messiah of Medicine © Dr. Rajas Deshpande “Sir, many times last night, I felt it was so easy to slip in some wrong drug to that rapist: if that criminal is allowed to go back in the society, he will just continue to rape more women”. Said the devastated intern with tears in her […]
© Dr. Rajas Deshpande What is the Guarantee, Doctor? Best of the Doctors internally react like metal on sandpaper to this question by the patient or relatives. While surgeons are the most common victims of this question, physicians also often succumb to these innocent words. It’s not that the doctor wants to hide or lie, […]
The new medical villain on the block “Medical Meddler” © Dr. Rajas Deshpande There are more than one options to choose from in the treatment of most medical conditions. Although doctors may differ on the exact diagnosis in some cases, they usually agree upon the “umbrella” or parent medical condition, and usually prescribe similar molecules […]
Should the docs leave casualty if they sense hostility / arrogant and threatening relatives? Every doctor cannot make correct decisions under duress, and patients suffer. © Dr. Rajas Deshpande Doctors who work in any emergency ward / hospital in India are exposed to two great risks: violence and murders and early health problems and death […]
© Dr. Rajas Deshpande There are more than one options to choose from in the treatment of most medical conditions. Although doctors may differ on the exact diagnosis in some cases, they usually agree upon the “umbrella” or parent medical condition, and usually prescribe similar molecules as treatment. It is extremely important for the patient […]
Added by Alex Lemieux on April 12, 2015. Saved under bipolar disorder, Headlines, Health, Mental Illness Tags: bipolar disorder and schizophrenia, darpp-32, schizophrenia In today’s society, mental illness receives and bad rap. After all, for centuries, and most likely even further in the past, the notion of mental illness was seen to be a taboo […]
It was a hot and clammy morning in S. N. Medical College. Agra. India..Dr Y Agarwal was on his morning round in the Coronary care Unit.He had to prepare all the details before the visit of the Professor.A old patient with CAD,HT,type 2 DM and other complications who had had a cardiac arrest last night […]
Dr. Mukul C Kapoor Apr 12 2015 Share with Colleagues Career in Medicine Votes(12) Comments(155) Viewed 3028 Times Hippocrates wrote an oath for Physicians circa 350-370 BC. Medicine in those times was considered a holy service meant to heal the sick and not a profession. With time medicine became a profession and monetary […]
Embed from Getty Images (Things doctors don’t get time to say!) © Dr. Rajas Deshpande Wherever possible, and whenever they deal with “mature and understanding” relatives, most doctors explain and predict about the patients, but the moment they sense accusive, legality oriented, halfbaked googlecakes, doctors have no option but to turn on their guards in […]
(C) Dr. Rajas Deshpande KEM Mumbai Ward No 10. 2.30 PM somewhere in 1999. Prof. Dr. Sorab Bhabha, Neurologist, entered the clinic room. Dr. RNR, my seniormost chief resident appearing for DM Neurology exams, was to present the case to him. Three other batches of DM students, almost 20 others including medicine residents, lecturers, interns […]
Medical Gods I met upon Earth: Part II © Dr. Rajas Deshpande Today (10th April) would be Dr. Sorab K. Bhabha’s Birthday. Due to some administrative glitches, Dr. Sorab Bhabha left KEM Hospital Mumbai. He still visited us at KEM for the famous “Neuro-Radiology” meet on Fridays at 8 AM. This was the war zone […]
Embed from Getty Images Medical Gods I met upon Earth: Part III (c) Dr. Rajas Deshpande “My decision is final. You can kill me now” Said my professor to the mob in his room, about twenty hardcore muscular giants in the trademark outfit of a dreaded political party. He was just about five feet, thin […]
Medical Gods I met upon Earth: Part IV (c) Dr. Rajas Deshpande “He’s a King.. and also a Superman” Deb said. One of the most respected figures in the world of clinical and research Neurology, director of a specialty unit and professor in one of the best reputed western universities, and the highest among genius […]
Lets talk about FEEDBACK. This is something which we should do everyday, may be after every shift or may be twice/thrice on a single shift. An effective feedback can really transform learners. This is important for the attendings/consultants as well as the residents as they need to provide constant feedback to the residents/medical students. So, What […]
The matter with regard to violation of MCI’s code of ethics by the Indian Academy of Paediatrics (IAP). The Medical Council of India noted the following recommendations of the Executive Committee:- “The Executive Committee considered the matter alongwith opinion of the Law Officer and the Committee accepted the legal opinion. The Committee also considered the […]
From Hogarth to Van Gogh, art has challenged our understanding of mental illness. Jonathan Jones ‘Vincent’s eyes are crystal blue, his gaze acute and penetrating. He is neither “sane” nor “insane” but a fellow human being who speaks to us with courage and honesty.’ Self-portrait with Bandaged Ear, by Vincent van Gogh, 1889. Photograph: Peter […]
Hairworms turn crickets suicidal, wasps make spiders spin their last web, and more. Under manipulation by a parasitic wasp larva, a Leucauge argyra spider builds a special “cocoon web” that will house the larval wasp until it grows up. PHOTOGRAPH BY ANAND VARMA, NATIONAL GEOGRAPHIC Mary Bates for National Geographic PUBLISHED OCTOBER 31, 2014 Zombies […]
Big Wedding or Small? By DANIEL JONESJAN. 9, 2015 In Mandy Len Catron’s Modern Love essay, “To Fall in Love With Anyone, Do This,” she refers to a study by the psychologist Arthur Aron (and others) that explores whether intimacy between two strangers can be accelerated by having them ask each other a specific series […]
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