A woman patient was referred this
morning from the casualty/emergency department for pain on the face and jaws. Before
speaking to the patient it is customary to read up on the name, age and other
details from the case notes written by the emergency doctor who had checked her
in. There was a small red marking on her case notes, in the top left corner, a
question mark with the words “MLC” written beside it. Which meant in doc-speak –
“Be Alert” possible medico-legal case, with all the attendant complications to
follow. And no wonder the others had deftly passed on this patient to me to
deal with. A medico-legal case for your information involves any injury to a
patient obtained through violence and the doctor attending should be ready to
go to a court and give evidence of the actual injuries and sufferings of the
patient. As we are all aware, this evidence business is not a one-time only
thing in Indian courts, every time the case gets called to the court but also
gets postponed the doctor has to be at the court again and again, neglecting
all his other work. Now for a dozen medico-legal patients, think about how much
time the doctor has to spend in court every month. Hence most doctors try to
avoid getting involved in such patients.
Anyway this patient had ended up
in front of me and I had to get on with it. So as I examined her and asked her
what happened she told me the pain in the cheeks and jaws, especially around
her jaw joint (the tempro-mandibular joint which connects the lower jaw to the
upper jaw in front of the ears) was there ever since her husband had slapped her
last night. And there I had my cue. So I asked her, if she was planning to give
a police complaint against her husband for hitting her, under the domestic
violence act. She shook her head and said vehemently and with noticeable pride
that she had no intention of blaming her husband for anything and there was no
chance of getting the police involved in what was now amicably settled between
them. But it was my duty to have asked for the clarification and I had done my
duty.
So having got that statement from
her, I went on to examine her and found that she had no fracture of the jaw
bones or joint but on the contrary her ear drum had burst on that side. When I
mentioned this fact to her she said so proudly (and with a laugh) that her
husband was so strong he had burst her ear with just one blow. So then I asked
her why? Why he had struck her? Was it a regular thing? For this time she had
been lucky, there was no major damage to her but the next time she could even
end up dead if struck with such force in the wrong area of the face or head.
But she didn’t answer my questions then, so I went on to order investigations
and talk about treatment options. And finally when she was leaving with the
prescription she volunteered the information that she was already taking
medicines for infertility and she wanted to know if any of these medicines will
interfere with those other drugs. When I asked her how long she was being
treated for infertility she said five years and that’s the reason this quarrel
happened. Her husband had said something about her not having a child all these
years and she had retorted that the fault might not be on her side and she if
he really wanted a child that bad, she would go sleep with someone, get
pregnant and give her husband that child. And that’s when he had slapped her.
After saying this, she took her prescription and left.
Later, when I was in the canteen
and had some free time to think over the day’s events, I pondered over this
strange drama. Why was that woman so proud of him, of his strength and of his
violent behavior? Do some women get their kicks from being punched and thrown
around? Is that at all possible? Or was she acting before me? The woman had looked educated and was
probably financially independent and could support herself without her husband.
But she still hung on to him despite getting blows for her patience. This was
contrary to all the media reports we read about educated and financially
independent women not being victims of domestic violence and only the sole wage
earning lower classes getting away with this sort of behavior. And she didn’t
even have kids to worry about spoiling their future due to any action she took
on her husband.
And as she said the infertility
could be due to any number of causes on both sides. And none of which reasons
excused the husband from hitting her violently. But she was actually proud of
him in front of me, defending his right to hit her, refusing to give a police
complaint, even thought the risk of a bigger injury in the near future was
threatening. Did she love him that much? Or what was she thinking? I am merely
a writer of medicines and I don’t have the answers to these complicated
questions. Hell I don’t even have the answers to some of my own questions about
what goes on in a woman’s mind (considering my distinct lack of success so far
with the fairer sex). So I offer no expert analysis here. But maybe you my
readers can help me with understanding this Bharatiya Nari's devotion to her
abusive husband and why she keeps on clinging to him despite the risk to her
life. I hope at least the female readers of my blog can explain the why to me.
Do enlighten me....