Thread on #HumanBehaviour
When the couple entered my room in OPD, I could make out that she was agitated. She was trying to pull her mask down to speak to me, probably to show me her emotions. I asked her politely to wear the mask & tell me what happened.
Her husband was operated in a outside hospital 3 months back for a fracture. He has been having pain since then, not able to get back to work which worried her. Her main query was whether the surgery was done correctly. Her husband kept telling her it was alright and not to worry
I seated them, examined him ,asked them to get the latest X-rays. Once they came back, I saw the X-rays and told them the fracture is healing well, but might take some time. I asked him does he smoke, which might delay healing in some fractures.
There was an other round of arguments and counter arguments between them, the wife basically making a point of " you don't listen to me" . He said he has quit and when asked since when, the standard answer I always get is since one/two weeks 😀
The questions came back again as to whether the surgery was done correctly in the first hospital for which my standard answer always is , the surgeon has done his best at that point of time, which is always the truth. We cannot be judgemental on that and never get into jousting.
The husband told me that they had financial issues & hence, went to a nearby place to get the surgery. There was some guilt & remorse there. I reassured him & to see me in a month's time. The wife returned back again & told me about her two kids & no income since few months
Her main concern was whether a repeat surgery might be required. I didn't have a definite answer to that at this point of time.
Saw so many subtle layers of conflicts in that interaction: Health, financial, social, legal, physical and mental agonies for all the stake holders..
Health care is not just statistics/graphs /numbers & definitely, never white or black. It is raw emotions of a spectrum from happiness to utmost sadness at times . It does takes its toll at all levels. The lessons learnt in this pandemic should be our guide for future generations

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More from @anilbhatortho

24 Jan
#uppittu ( Upma if you want to be stylish😀)

The magic of Rava ( Suji) transforming to uppittu before your eyes is magic ❤️

In my personal opinion, the satiety factor of uppittu is next only to rice for a South Indian🙂

My learnings for making this humble but royal dish are
1. Take time to roast the rava ( Bansi/ Bombay rava) to get a good texture
2. Give adequate time to roast each ingredient during initial seasoning ( mustard, dals, ginger, onion)
3. Light fry the onion till they become translucent only. Retain their juiciness. Don’t brown them
4. Add ghee twice , once before adding the rava to water & later when the process is done n the uppittu cooks for those couple of minutes at the end
5. Add lime juice liberally to enhance the taste
6. Rava is a sucker for oil. Don’t be shy if you need a moist plate of uppittu
Read 5 tweets
21 Jan
A #thread on paradigm shift in Indian medical education

How many of you doctors entered the hospital in the first week of joining MBBS, met clinicians, joined rounds or entered operation theatre or a clinic? It would have been at least a year & half before we did such things
The new curriculum involves a foundation course which has a component called 'Clinical shadowing' in the first week of them joining the course. It is an interesting concept which none of us have experienced among the old school doctors or even the batches which did MBBS recently
The new batch MBBS students have joined 2 days back with enthusiasm in their eyes we see in those initial days. I perceive a huge difference in this generation who are confident, outspoken & tech savvy. The idea of tagging is to give them a feel of the hospital right from day one
Read 9 tweets
9 Jan
4 types of learning
#MedicalEducation now teaches about learning from teachers,self directed learning,peer learning & lifelong learning.This has been explained beautifully in this shloka long ago

आचार्यात् पादमादत्ते पादं शिष्यः स्वमेधया ।
सब्रह्मचारिभ्यः पादं पादं कालक्रमेण च ॥
One fourth from the teacher, one fourth from own intelligence,
One fourth from classmates, and one fourth only with time...

Not necessarily that one fourth should come from each of these, but is based on any individual’s capacity to absorb from each of these sources
1.Teacher : it’s a two way traffic here. The best of the teacher might not be successful if the student is not ready.The teacher can guide you , but you need the student to work on themselves, take help of their peers & nurture everything as you mature in time
Read 8 tweets
3 Jan
#SundayMusings
Parents left to Bangalore back today .. It’s a heavy heart for all . Few thoughts on parents in their old age , especially when you meet them after almost an year

Dad has definitely slowed down compared to Mom.. His walking, his reflexes etc.
I realised how thin our patience is with elderly people. It took me couple of days to adjust myself to their speed & not become impatient , especially when we travelled out. We need to slow down for them n remember our own kids when they were tiny. Parents become kids again
The most striking was Dad’s struggle with his denture while eating. Got it changed here & the joy of chewing food without pain was immense . Lesson to be learnt is look after your teeth well into your old age & of course, your general health as well,to the maximum extent possible
Read 7 tweets
1 Jan
It was 2.45 pm today when we finished lunch at Kamath restaurant at Murudeshwar on our way back from Goa. I had a splitting headache & badly needed a coffee. The waiter said no coffee at that hour. I came to pay the bill n saw this old man at the cash counter sipping coffee
I just smiled n told him I was refused coffee n there he was having it . He gave a smile back n said they have just put the fresh decoction into the filter n it will take some time . I went to wash my hands n then returned to pay the bill.
I walked out after paying n kinda judging the old man for the privilege he had for his coffee ! I was getting into the car when the waiter came out n called me. I thought I had forgotten something but as I went in,the old man asked me to take a seat & brought me a cup of coffee ! Image
Read 5 tweets
17 Dec 20
#VIPsyndrome: A syndrome in medical field where something goes wrong somehow with "VIP" patients..

I am sure many of us have come across this phenomenon where some sort of complication of varying degree happens in patients who come with that tag /1
These can be of various categories
1. Real VIPs in your practice ( mostly hospital staff/celebrities/politicians)
2. Those who come with a heavy recommendation
3.Those who are closely known to you ( family/friends)
4. Medical tourism related /2
These categories behave in various ways
1. Total trust in you,ask relevant doubts,not interfere in your decisions
2.Patient trusts you but family/friends have lot of doubts & interfere in everything
3.Irritating right from beginning ,mistrust ,high handedness at you n staff /3
Read 6 tweets

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