Many parents want their kids to become doctors in India. Many kids also have similar dreams.
This thread can help you choose with better information about medicine and healthcare.
Read on...
Most children aspiring to be doctor talk medicine as -
Saving lives
Fighting disease
Giving access to healthcare to all people
Glamour
Finding pathbreaking ways of treatment
Money
Impressing friends and relatives
All honest answers. True.
Real life medicine is simple -
Working with ONE person at a time. A few or a lot everyday. Everyday of the year. All your working life.
It is intimate and emotional work irrespective of your clinical speciality.
People in front of you are vulnerable - everyone understands this.
What most don't even imagine is - a doctor is equally vulnerable and bare in front of patients.
In spite of all professional training and experience, you are a bare human in front of people you help.
This level of intimacy, vulnerability, emotional bombardment for many hours a day. Everyday. For rest of your working life.
This is real medicine at ground level.
If this is your cup of tea (it is mine :)), then be a doctor.
If not, read on...
For all other aspirations related to healthcare, you don't need to be a doctor at all.
Yes. Read it again -
For all other aspirations related to healthcare, you don't need to be a doctor at all.
That is true.
21st century healthcare is run by -
Technology
Automated decisions
Management systems
Politicians
Judges and lawyers
Scientists
Investors
Each of these make more impact on healthcare at ground level than any single doctor ever can.
So your interest in better healthcare can be served by studying -
Law
Business Management
Money management
Public administration
Core science
Mathematics
Computer science
And Politics
Choose wisely.
Ask yourself - 10-15 years from now, I will be a full time working component of this machine.
How do I want to spend my working day in healthcare?
And then choose how you want to proceed after 10th or 12th std.
After a few months break, I did a home visit again.
This is my favourite part of work. Visiting a child in their home for assessment/consultation/intervention is one of the most rewarding part of my work as a child psychiatrist in India.
Read on..
Possibility of violence and self neglect are two commonest causes of home visit in my work.
I have been called to talk a child out of locked rooms, toilets, homes, etc. Sometimes I succeed.
What I see in clinic is a sanitized, made up version of family.
Even a planned home visit lets me into their real world and gives wealth of useful clinical information that can help the child and family.
For whatever reasons, "good touch-bad touch" has become buzzword with NGOs and Govt agencies.
They feel compelled to include "Good Touch" in every discussion about Childhood Sexual Abuse (CSA).
This is highly dangerous and may make children MORE vulnerable.
Reasons - 1. 85-95% CSA happens at home. From people depicted as "good touch" in various programs. 2. Abusers groom children for a considerable time before moving on with sexual assault. Grooming involves various techniques INCLUDING so called "good touch".
This picture shows one of the most poignant moments in doctor's/nurse's working life. The moment when patient passes away.
(I don't know name of the painter)
Now a days, most of us choose hospital as our place of transition. It is very rare for people to breathe their last at home in their own bed with dear ones standing by.
Most people have no experience of being witness of this moment of passing away. And for us medical professionals, unfortunately, it is a frequent experience.
A batchmate of mine settled in remote area of Maharashtra 25 years ago.
Financially well off family and intelligent chap. He had every opportunity to choose a more lucrative branch and city to settle down for practice.
He chose to go back to his family village. It was a Taluka place but really a largish village. His training as pediatrician in Mumbai was grossly inadequate to work in realities of rural Maharashtra.
He persisted. Became a successful practitioner.
In a recent phone chat he told me that he shut down his pediatric ICU and gave away all the equipment to whoever was willing.
I was surprised and pulled his leg about third wave and child patients of covid. And also about him abandoning the iminent battleground.