{"id":280,"date":"2016-06-17T08:21:34","date_gmt":"2016-06-17T08:21:34","guid":{"rendered":"http:\/\/13.201.39.237\/?p=280"},"modified":"2016-06-17T08:21:34","modified_gmt":"2016-06-17T08:21:34","slug":"doctors-day-india-demons-governement-hospital","status":"publish","type":"post","link":"http:\/\/13.207.105.184\/?p=280","title":{"rendered":"How Doctors Become Demons"},"content":{"rendered":"\nB<\/span>\neing an orthopaedic surgeon involves a lot more paperwork than I had bargained for.\n\nImagine a harassed, underpaid, overworked, sleep-deprived person given responsibility of a life-and-death situation, and you get what most sign up for. But bury them under an avalanche of bureaucracy and you get a clearer picture of the healthcare practice in India.<\/span>\n\nA typical day begins at\u00a07 am\u00a0with a quick circuit of the wards to check whether patients have survived the night (always a pleasant surprise). Then, on to the outpatient department.<\/span>\n\n\u201c<\/span>I have this niggling pain in the back of my knee,\u201d an overweight middle-aged woman complains. \u201cAlso I\u2019d like painkillers that will last me two weeks.\u00a0The last doctor only prescribed it for a couple of days.\u201d<\/span>\n\nLack of empathy is a wonderful tool to diagnose bullshit.\u00a0Bored by this woman’s excuses,<\/span>\u00a0<\/span>I instead concentrate on a fascinating case of neurological deficit in a 25-year-old, otherwise healthy man.<\/span>\n\nUnfortunately, in medicine, as in politics, the severity of a condition is directly proportional to how strident people are about it.<\/span>\n\n\u201c<\/span>Why are you ignoring my mother? She is suffering from the most unimaginable pain,\u201d the middle-aged woman\u2019s son says, venom in his voice. Recognising defeat, I concur that painkillers had been indicated for a month, at least.<\/span>\n\nFilling out various prescriptions and giving vague directions toward the drugstore takes some time, and I am now behind my schedule. So, I end up hurriedly writing a set of poorly thought-out tests for the 25-year-old man, who has been waiting with no sensation in his left hand all this time.<\/span>\n\nA lunch of cold samosas and poisonous chutney follows, and I\u2019m all set to hit the emergency department for an all-night shift.<\/span>\n

***<\/span><\/p>\n\u201c<\/span>Your hip is shattered, sir. It will take surgery to fix.\u201d I fight a yawn, while explaining to one man that he needs to call his folks to the hospital. The 65-year-old tells me that he has no one.<\/span>\n\nSo, I rouse a social worker sleeping in the basement and explain my patient\u2019s predicament. He stares at me. Was I a complete newbie to wake him up for this pointless rubbish, he sneers, as only a veteran Class-4 government employee can.<\/span>\n\nI weakly explain that protocol requires me to contact a social worker in such cases. This time, he doesn\u2019t even condescend to reply.<\/span>\n\nThankfully, I get called to the floor right then, as a gunshot victim enters the premises.<\/span>\n\nThe victim was at a wedding in western Uttar Pradesh, where post-nuptial celebrations involve firing live rounds into the air, daring gravity to do its thing. In this case, gravity obliged by punching a bullet through his thigh. The exit wound is a beautiful mess, it seems like his buttock had exploded outward, strewing pink gelatinous flesh everywhere.<\/span>\n\nWhile we clean his wound, I tell his family that they would have to donate blood. A blank silence meets this announcement. They then fall over themselves trying to explain \u2013 my brother and I haven\u2019t eaten since morning, our women are scared of needles, our uncles, cousins, etc believe that donating blood leads to AIDS…<\/span>\n\nScreaming is an excellent method of getting things done.<\/span>\n\nOnce I\u2019m done, a scrawny old man offers to donate. It so happens that besides being the least healthy looking member of the posse, he isn\u2019t even related to the victim. I try to shame the family by pointing this out, but none offer to donate in his place.<\/span>\n

***<\/span><\/p>\nSurgery is a back-breaking effort. There\u2019s more sweat that pours off a surgeon in the OT than the blood off a patient. That\u2019s why we like our theatres freezing cold. So, of course, when we start on our gunshot victim, the ACs stop working.<\/span>\n\nSurgery is halted while everyone scrambles to figure out who\u2019s responsible for fixing the air conditioning. Meanwhile, the civil engineers and bureaucrats assiduously pass the buck. Finally, a junior engineer is dragged out of bed to the OT, where he stonily explains that the \u201cproblem is from the backside\u201d.<\/span>\n\n\u201c<\/span>The backside of what? Can you fix it?\u201d glowers a senior resident doctor.<\/span>\n\n\u201c<\/span>Not a chance, sir,\u201d the JE chortles. \u201cCMO\u00a0<\/span>saab<\/span>\u00a0<\/span><\/i>will write the order for mechanics from Toshiba to fix it, but they can only come in the morning. Also, the order must be countersigned by the officer in charge of tenders, and he is at home.\u201d<\/span>\n\nSomehow, through a lot of sweat and tears, we manage to successfully operate on our patient.<\/span>\n\nA tender-hearted intern asks what his chances of survival are. I\u2019m brutally honest with her. \u201cThe leg is probably going to get infected,\u201d I say, wiping the sweat off my face (not an ideal sterile procedure).<\/span>\n\nI go back to the floor to check up on the patients. Splattered with blood and reeking of sweat, I must have been a comforting sight to the people looking for hope in their most desperate hours. A couple of children clutch their mothers when I pass by.<\/span>\n

***<\/span><\/p>\nThe 65-year-old man with a broken hip is silently crying. To take his mind off things, I try talking to him. Unfortunately, doctors aren\u2019t good at small talk.<\/span>\n\n\u201c<\/span>So\u2026 How\u2019d you break the hip?\u201d<\/span>\n\n\u201c<\/span>It was a goat.\u201d<\/span>\n\nI stare. Should I call in psychiatry?<\/span>\n\n\u201c<\/span>I was taking the goat to the butcher, when it tried pulling away. So I yanked back on its leash, and it turned around and charged at me.\u00a0Now I\u2019m here.\u201d<\/span>\n

***<\/span><\/p>\nIt\u2019s now\u00a03 am\u00a0and the floor is quiet. I stumble on to the filthy bed in the doctor\u2019s room and fall asleep instantly. I am also instantly woken up by a nurse.<\/span>\n\n\u201c<\/span>Patient, doctor.\u00a0He\u2019s making a scene.\u201d<\/span>\n\nIt is now\u00a04.30 am.<\/span>\n\nA young man is standing on\u00a0the floor, glaring around him. He sees me and launches into a diatribe about the apathy of government hospitals and the laziness of doctors. He isn\u2019t going to be silent anymore, he says.<\/span>\n\n\u201c<\/span>So what\u2019s the problem,\u201d I ask.<\/span>\n\n\u201c<\/span>I have this terrible pain in my right ankle. I can barely walk,\u201d he says, striding around manfully and deploring the conditions in our emergency ward.<\/span>\n\n\u201c<\/span>Uh-huh. And did you fall, or twist it, or what?\u201d<\/span>\n

You choose not to get treated for four\u00a0months, but decided that\u00a04 am\u00a0is a good time to show up at\u00a0the hospital?<\/blockquote>\n\u201c<\/span>It\u2019s twisted. I need urgent medical attention. You can\u2019t understand the pain.\u201d<\/span>\n\n\u201c<\/span>Well, it doesn\u2019t look swollen, which it would if the injury was severe. You also seem to be able to put some weight on it, so I don\u2019t think it\u2019s a fracture.\u201d<\/span>\n\nHe immediately hops on his other foot, grimacing.<\/span>\n\n\u201c<\/span>So when did you injure yourself?\u201d<\/span>\n\n\u201c<\/span>I can\u2019t remember exactly. I think about four\u00a0months back\u201d<\/span>\n\nThere\u2019s a long, awkward silence. I figure now would be a good time to start yelling again.\n\n\u201c<\/span>You do know this is the emergency department, right? You choose not to get treated for four\u00a0months, but decided that\u00a04 am\u00a0is a good time to show up at\u00a0the hospital?\u201d<\/span>\n\n\u201c<\/span>I was busy with work. You can\u2019t imagine the pain I had been having, I mean, am having. Look, you guys are supposed to treat this right?\u201d<\/span>\n\nI glare.\n\n\u201c<\/span>Uhhh.\u00a0Can I just get some painkillers please? For at least two\u00a0weeks?\u201d<\/span>\n\nAnd so the circle closes.<\/span>\n","protected":false},"excerpt":{"rendered":"

Suresh Narayan is your ordinary orthopaedic surgeon in a government hospital. He has not slept for days. And he is ready to operate on you \u2013 with a vengeance.<\/p>\n","protected":false},"author":52,"featured_media":281,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[494,62,63,64,65,66,67,495,496,497,71,72],"class_list":["post-280","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-people","tag-apathy","tag-arre","tag-arre-digital-platform","tag-arre-originals","tag-arre-reads","tag-arre-text-articles","tag-arre-website","tag-doctor","tag-doctors-day","tag-patient","tag-web-series","tag-web-shows"],"yoast_head":"\nHow Doctors Become Demons<\/title>\n<meta name=\"description\" content=\"Suresh Narayan is your ordinary orthopaedic surgeon in a government hospital. He has not slept for days. 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