Showing posts with label Grey's Anatomy. Show all posts
Showing posts with label Grey's Anatomy. Show all posts

Tuesday, March 18, 2014

Me Mark, Me Handsome.



Me Mark, Me Handsome.

This is what people assume i look like

So this happens whenever I introduce myself as a cosmetic Surgeon:

New FaceBook Friend: Cosmetic Surgeon, Are you like Mark Sloan from Greys Anatomy?

Me : Well, yeah mostly the same, except for, you know...

(Significant Pause)...I dont sleep with my friends wives.

Thats the most important point to clarify, right?

P.S. The power of TV serials can make even a McDumpy like me as cool as McSteamy in people’s imaginations (as long as they only chat online and don’t meet me in real life). All Hail the makers of the TV serial Greys Anatomy for making surgeons so cool.

. 
This is how i actually look like



Sunday, September 15, 2013

How to Spot a Fake Doctor



How to Spot a Fake Doctor

Fake or Real? How to tell?
 
Last Sunday on a sudden whim I went to the gym - well maybe not that sudden a whim- for on Saturday my favorite pair of pants had failed to button itself onto me and so to assuage my guilty conscience about my expanding waistline and also due to the multiple phone calls from the gym trainers threatening to close down my membership if I did not put in an appearance at least occasionally. Once there I got down to it with gusto and at the end of a ten minute walkathon on the treadmill was totally exhausted and decided to take a water break.

As I stood there by the water fountain waiting my turn for the drink that revives, an old acquaintance, one of those regular iron pumpers who live for the gym, wandered over to  say "hi" to me. After making the usual jokes on my nonexistent washboard abs and irregular gym visits he introduced to me someone standing beside him as "this guy is a doctor too". I turned and said a polite "hi" to the stranger and that would have been an end to that if only the water fountain had been free but unfortunately the crowd around the water hadn't diminished yet and I found myself in the awkward position of having to make small talk with the new acquaintance.

So perfunctorily I asked the other doctor where he had studied. He hesitated a bit and dropping his voice in a shifty way said something like "in shankhurrah naturally". I thought I had misheard and asked him to repeat again and he murmured the same in an even quieter voice than before. I was genuinely puzzled for the name he gave me was the name of an eye hospital and not of any medical college. As far as I know, and I do know a few   things, a medical college is where you study and a hospital is where you work, you cannot study at an hospital anymore than you can work at a college (or maybe you can- if you already have a degree from somewhere else).

Something was definitely not right here or maybe it was my just my nasty suspicious nature, so I decided to go for broke and asked him right out "So, are you an ophthalmic surgeon?” He took his time weighing his answer and so to help him along with the process I volunteered with a "I probably know a couple of doctors there- colleagues of yours I presume?" that made it clear to him he had had it and could no longer dissemble and it was better to tell me the truth, so he mumbled "I am an optometrist". Ha-ha, I thought that explains it, so why couldn't he have come straight out and confessed this in the beginning and saved himself all the trouble. Anyway, not being an insensitive type who humiliates others, I decided to go along with his story and so said a loud "thank you, nice meeting you doctor" in front of the others and then I moved away from there to go and lift my burdens (for my sins) from the weight rack.

And now for those  wondering what was it all about -an optometrist is a technician who examines the eye for defects in eye power- just like a lab technician or a x-ray technician or an ecg technician - what we call a  para-medical staff and definitely not a real doctor qualified to do eye surgeries. But in a worrisome new trend a few greedy corporate hospitals have started short term Para Medical courses where they train people to assist doctors and to make more money by cheating the poor trainees they inform them that at the end of the course they may call themselves as doctors, which is strictly not true.

But in our country where anything goes we have quacks everywhere and anyone who has assisted a doctor for a couple of years or for that matter anyone who has read half a dozen health related articles on google- considers themselves a medical expert. So doctors are dime a dozen and it is up to each patient to identify if the person they are seeing is a real doctor or not. The best way to make sure- is to ask to see their original degree certificates but as most doctors mortgage this certificates with their banks to get loans for establishing their clinics we need a better way to judge if its a real doctor or just a pretend doctor, so i have taken the trouble to offer you a few hints on how to identify fakes


Hints to spot a fake doctor

1) I know OT but OR?
   If he/she says OR instead of OT - he/she is a fake. In India or for that matter anywhere else in the world except in the US of A where they do things perversely just to be different (don’t they even drive on the other side of the road?) - Any surgical operation is conducted inside an Operation theatre and not in an Operation room. We have places called M.OT- minor Operation Theater, G.OT - general operations theater or S.OT- specialty Operations Theater or doctors just generally refer to it as "the theatre". So if your doctor says "take the patient to the OR" run from there without looking back for he has seen too many episodes of the American Medical Sitcoms like Scrubs or House MD-  where they use the fictional term "OR"  when they meant to say "OT". So anyone who says OR and not OT is a TV doctor who got his degree watching the TV serial Grey's Anatomy which brings me immediately to my next red-flag.

We call it a Theater


2) Is it Gray or just Grey?
      If ask your doctor to spell the word gray’s anatomy and he uses the "E" instead of the syllable "A" for Gray then again run from him for he is just a TV doctor. The name in question "gray" originally refers to a very famous (and very dead) anatomist called Dr.Gray who wrote a big fat book of anatomy called Grays Anatomy- a book which will always stay on the library's dust laden shelf- for who (except body builders) will have the strength to lug around a 5000 page giant sized book when slimmer versions of recent authors are available. They call gray’s anatomy the bible of anatomy for a reason- like the bible it is only read by preachers or pastors- and never by the laity. So that’s about Gray with an "A's" anatomy. If your doctor refers to the other Grey's anatomy with an "e" rest assured the only anatomy he studied is the body of a female sitcom actresses called grey from the TV serial.

The Original Gray with "A"

The TV series with "E"


3) The Wiki-warrior aka the Google-worshipper
      This is someone who thinks that he knows medicine better than doctors because he owns a desktop, a laptop, a tablet and a phone with Internet connection. These people will astound you with facts and figures pulled straight out of recent research papers and offer gratuitous advice to all ailments, even unasked and they won’t stop dosing others with their medical opinions until they finally kill someone with their advice. Be aware that they are just well intentioned idiots who don’t set out to deliberately cheat you but do it only out of ignorance trusting to their half-baked understanding of medicine gained from reading questionable online medical websites.

Remember there is a reason that a medical education takes so many years to complete- doctors literally can kill you with their wrong (or even well intentioned) advice- so are you going to trust someone who read a few medical articles on Wikipedia yesterday and offers free advice on social media today? Real doctors rarely speak about such hot medical news because they don’t go by the most recent internet reports - they wait for the treatment or medicine to become standardized and widely accepted (however long it takes) and then only will they recommend it - making sure that even if the treatment doesn’t work as hyped at least their patients don’t get to die. So if someone starts with a "you know what, i read just yesterday in google/pubmed ...." just close your eyes and delete that chat thread.

Is this your Doctor ?


4) The white coat carriers -
        Doctors wear a variety of dresses but one thing that typifies them is the ubiquitous white coat. But not every doctor wears one all the time. In fact, doctors try not to wear these when not seeing patients. For one thing, wearing white coats in our hot Indian climate, especially over your everyday regular wear, is hot work and you are bathed in sweat all the time. For another the white coat is a dust and dirt magnet and it is so difficult to keep it spotless white all the time- as expected of a dutiful doctor. So when the doctor is not actually seeing a patient the coat is draped over the back of his chair or safely folded inside his locker - to keep it dust free. No doctor or at least no real doctor ever carries the white coat on his shoulders everywhere he goes to show that he is a doctor- only fakes do that even at bus stops and roadsides. Real doctors, by the time they graduate hate wearing those coats so much that only the threat of the chief doctors rounds makes them hurriedly don that coat. So if you see someone walking and showing off a white coat all the time- he is a fake.

Wear it or Fold it....NEVER carry around


5) Scrubs Vs Dress.
        American medical sitcoms often show doctors, all doctors, walking around in what they call scrubs. In India we call it theatre dress, never ever scrubs. And only surgeons get to wear it- not regular doctors who just wear their white coats when seeing patients. And even surgeons never walk around in it all day- for it is supposed to be worn only inside a sterile environment- an operation theatre and not where dust and germs can collect on it. Even the busiest of surgeons don’t actually live in that dress like they show on TV serials- we wear it only on entering the theatre and change out of it when leaving the theatre at the end of the surgery. And male and female doctors (in India) change in separate rooms unlike what they show on TV, which is a pity because the surest way to kill any in-house romance is to see a colleague in their (often weird) undies. So watch out for people who say "Scrubs".

Who wears this ALL DAY?

 So these are just a few of my ideas on how to identify a fake doctor who got his degree from watching TV serials. Please feel free to add your own methods of identification in the comments section below.

Sunday, February 17, 2013

The Joy Of Paeds....



The Joy Of Paeds



My first patient this morning was a child. And so it is most of the days. Every single morning at 7:30 AM, except for a rare rainy day, my first few patients are children. This is because, or so I figure, that adults can bear pain better and decide to drop in later after getting their usual quota of sleep rather than hurry to the hospital at the ungodly hour of 7Am. But when a child is in pain, anytime of the night the parents make sure that the child gets to the hospital as early as possible. And get treated for the pain. There is a rare pleasure in treating children because children don’t dissemble. When they are in pain they don’t hold it back and when they are cured they don’t hold it back either. They show the joy of it. I recently saw a TV serial called “Greys Anatomy where a character, who acts as a pediatrics surgeon, refers to the joy of paeds and I get it. Treating children may be a pain in the wrong place, when they are struggling bawling brats screaming at the top of their voices for mummy and daddy. Getting them to calm down enough to treat them is quite a tough proposition. But once you relieve their pain, there is nothing like a child’s smile to light up your day. I guess I am really lucky that way to be working in a children’s hospital despite not being one myself.

Over the years, many of my friends and well wishers have asked/scolded/advised me (repeatedly) about what I was doing so far away from my core specialty? Was I crazy in wasting my potential career growth in a side-tracked pathway where I don’t fit in? I have tried to explain the joy I feel in treating children but they don’t get it. At least, not many do. In fact even I didn’t realize consciously why I hung around here till recently. When I was choosing my specialty in plastics, the only consideration upper most in my mind was that this way I would get to meet lots of young beautiful (or wannabe beautiful) girls, models, actresses, beauty queens and I could date them all to my heart’s content. That’s one of the primary reasons I joined up- to be surrounded by beauty, to always be in the midst of a bevy of beautiful women. And it did come true. But once inside I found out that routine stales and there is such a thing called saturation point even for beauty.

And now, more and more, I have learnt to appreciate the simple pleasures of healing children because children are some of the most uncomplainingly stoic patients ever. When they trust you, they trust you to the fullest extent. And that makes the normal day to day life far more relaxing than in dealing with multiple adult patients who may or not benefit by anything you do for them but are looking for the impossible ideals as seen in magazine covers, mostly photo-shopped ones. Compared to that, the simple pleasure of doing a surgery for a child with a cleft lip (a harelip/split lip) with the knowledge that you are turning a disfigured child into a normal child by the power of your hands is a real reward in itself. Even if the surgery itself is so far difficult compared to other surgeries for adults- imagine a less than three month old infant who is the size of your palm with a split lip the size of a thread and you are seizing the two ends of the thread and instead of tying them together, you are stitching the two ends together end-to end, while all the while the blood is pouring out of the ends obscuring you from seeing what you are doing and that would give you a pretty fair idea of what it is to do a cleft lip surgical correction. But the very complexity of the surgery is the reward you get when you see the child able to feed/talk/look normally later on in life. When you take nature and improve on it. And this beats hanging out with any number of beauty queens and aspiring models. So I would advise anyone who feels burdened by the cares of life to spend sometime around children. It’s both enervating and exhilarating. And I have found that being around children is mentally relaxing to such an extent that you really start feeling child-like yourself. The worries and cares of adulthood are shed off in the company of children and you find that life is simple and fun. As adults we realize that pain is universal- everyone has some pain or other and no one can say they are perfectly happy with no worries. And we all have developed coping mechanisms to deal with it. Some cry, some blog and some behave childishly or at least try to be childlike and spend time with kids.



Which is why, when I happened to meet someone recently who said she didn’t like children, didn’t want children, forever and ever, I was to say the least, astonished and surprised beyond measure. This specimen who I had gone to meet as part of an arranged marriage personal interview offered the surprising opinion that having children reduces the personal life of a woman to taking care of them and as she wants to enjoy life to the fullest, backpacking and roaming around the world, children would be a hindrance to her lifestyle. I mean, I could understand if she had specified a given time period of say a few years- after all its a woman’s prerogative to decide when to have children. But to absolutely refuse to have children is a decision which is to my way of thinking kind of stupid. Despite all the extra work that having children means, still life would not be so much fun in their absence. And that’s the reason why you see so many long queues standing outside infertility specialists, with childless couples prepared to spend lakhs and lakhs of rupees, to at least get someone’s child if not their own to brighten their lives. Also most young couples nowadays are under the mistaken belief that fertility is under their control and they can conceive when they wish. They are extremely mistaken for scientific evidence shows that fertility peaks in the mid 20’s and goes down with every succeeding year. The longer they delay childbirth due to any reason- job, family or merely to test out compatibility the harder it gets to conceive naturally. I know this well, because my clinic in the hospital is on the first floor and daily I pass by the infertility department (ground floor) on my way up- and the corridor is filled by young couples in their late 20’s and early 30’s who decided to postpone kids for a convenient time and are now regretting that decision and missing the joy of having children in their lives.

And here was a specimen, who absolutely refused to ever have children because they might “cramp her free-living lifestyle” (a direct quote). I am a pretty adjustable type when it comes to negotiating, but I have certain non-negotiable's, certain do not cross lines and this was one. To contemplate a permanent life without kids, however much we enjoy traipsing around the world as a couple, having fun in the beaches and party spots of the happening places of the globe, is not a very appealing aspect to look forward to. Such a life would get very boring and very stale very soon, especially as I love the companionship of kids and of being around them and have always thought I would have plenty of them around the house. Some of these arguments I tried to put forward to the specimen before I realized that it was a waste of time and that I didn’t really need to convince this person when I had the option to refuse. Which I did. Better to be clear about the core non-negotiable's at an early stage than to find yourself in a divorce court later is my opinion. And so I am still looking for someone who loves kids as much as I do and won’t hesitate to have them.

So anyway to come back to my post's premise, the reason why I am still working in the children's hospital and not concentrating on doing my core specialty work is because  I enjoy being with and around children. So I am content with where I am right now and will maybe move on only when I want to go do something different. And till then I want to enjoy the “Joy of Paeds' as the scriptwriter of Greys Anatomy has put it so memorably.