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Saturday, June 23, 2018

Where is Stethoscope?






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In a hot Chennai summer afternoon, I was having a headache though I was inside an air cooled room. Pain was horrible. To forget the pain, I called up my friend who is always cheerful. But when my call was picked up, what I heard was something like a bear's growling sound! Bear said, "Hello?" I was confused because I didn't know how to start a conversation with a bear, that too at that particular moment. Still I managed to utter a hello and bear replied, "Hi buddy, how are you? I'am having a severe headache. It is all due to this bloody weather. I feel as if a Hard Rock band is playing a live programme inside my head. Can I speak to you later?"

I realized it wasn’t a bear at all but my friend only. I hung up phone after asking him to take care of himself. It was little comforting that I was not the only sufferer  - very similar to a feeling we get when we find that power has not only gone in our house but in entire street! Left with nothing else to do I tried to get some sleep. But I couldn’t sleep. Finally I thought of going to a doctor. I started to analyze the pros and cons of going to hospital; where to go? How to go? How long will it take? How much money would I be shelling out of my pocket? At that time, slowly my thoughts took a turn in a bypass route and started to think about doctors.

From my childhood until recently, say 10 years, how did I recognize a doctor in a hospital? If a gentleman walks with an ornament like instrument, half circle shaped, worn around his neck like a garland - I knew he was a doctor. And that garland around his neck is known as 'Stethoscope'.

I have a liking towards Stethoscopes. To me, it is a symbol that I ‘am with a professional, who is there to help me. When a doctor wears it and touches my chest and back using that acoustic based big button shaped end and asks me to breath in and out deeply, my mind gets satisfied that – ‘here…just like that he will find out what’s wrong inside me’ and I only have to wait for a prescription.

I actually don’t know why stethoscopes are used. Based on my knowledge, it can find out my blood pressure, any cold infection etc. Somewhere I read that a ‘good doctor’ can even find lung or heart malfunctions using a stethoscope. But I don’t know and I ‘am not sure. I don’t remember where I read it - may be from a Whatsapp forward too. Therefore only doctors know when to use stethoscope and when it is not needed. That too nowadays many advanced technology based diagnosis systems are available, which are better than olden methods.

(Just like a frequent flier) I’ am a frequent visitor to hospitals. Frequent fliers get bonus points and sometimes get upgraded class too, but a frequent visitor to hospital wishes and pray for no up gradation of present status to ‘upper’ level! I hope you can understand.

While waiting in hospital, to kill time until doctor calls me, only option is to look around, to see what’s happening around me – satirically saying, to see how better I’ am or how worse I ‘am. During that time I could see some gentlemen walking slowly or briskly, neatly dressed, wearing neck ties. I initially mistook them for medical representatives – I’am sure you would have seen them waiting outside doctor’s room for a long time because doctors give importance to patients first, correctly so.

After a period of time (or after meeting one or two of those gentlemen inside their rooms) I realized they are actually doctors. And some of them are senior doctors. Of course these are corporate or big hospitals and patients come from abroad to get a better treatment. So nothing wrong in decently dressed and I don’t or can’t complain about it.

But stethoscopes were missing. A doctor may get annoyed hearing this. My humble opinion is – we don’t see them as humans. They are above normal humans to us when we suffer in pain. Patients sometimes see them as gods; each and every word a doctor says is of vital importance to a patient. Because those words don’t take normal route to head; they go through heart first and then to head. Hard to believe – check this with any patient who goes through a terminal illness.

I firmly believe on seeing a doctor with a stethoscope, wearing it on neck or holding it in hand, is much more relieving for me than a one without a stethoscope.

Kindly forgive me for my ignorance and naivety. But as a patient I believe that:

“A tie cannot replace a stethoscope to a patient’s mind”

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R.Bharathram
23 May 2018


Thursday, June 21, 2018

NEET - a parent's worry!


Already many discussion have happened across all media - in newspapers, in TV channels, blogs, Facebook, WhatsApp, Twitter, SMS, through pigeons, telepathy etc. So I'am not going to write 'about NEET' - whether it is good or not, whether it will produce good doctors for future (like how big budgets always come out with great movies for humanity) etc. My intention (actually it is a worry) is simple: how am I going to handle this for my child, as a responsible father.

I'am fortunate in two aspects, those differentiate me from the fathers belonging to villages or living in small towns and who do very normal (but essential) jobs; i.e. (1) I can make my child to join in a good coaching centre as I'am blessed to be born in Chennai, which is blessed with as many coaching centres as road side eateries in Madurai. (2) I have a hope - after calculating inflation, future Real GDP, my share from it, economic disasters (or boost) born out of natural calamities - I'll be able to afford my son's coaching fee (God - save me here). So ideally I shouldn't be too worried.

But just like how a coin has two sides, here also there are two sides; one is a coaching centre (which I hope will be able to sort out) second is the person who is going to coaching centre, here, it is my child. 

Just like any other father, I too have high hopes on my son. Recently, educationalists, think tanks, psychologists, why, even psychiatrists have started advising that a parent should not push his child into a study in which that child has no interest. It would have been better if they had given this advice to my father. 

Anyway, my main issue is, I don't know whether my son wants to become a doctor or not. Because two years ago when I asked him the most important question of life, 'what do you want to become when you grow up?' - he calmly replied, 'I want to become an engine driver.'

I started to worry and asked the rationale behind his decision. He was surprised and told me, 'why? I can drive train throughout night and can see many stations.' I tried to calm myself by my reasoning skills. He just had a train journey so that excitement might still be there. So I gave him an year time and asked the same question for which he replied that he wanted to become race car driver. I had a shock of my life because I just finished seeing a clip of a race car flying in a whatsapp message sent by my friend.

This year his reply was much better. Conversation went like this:

Me: "What do you want to become when you grow up? Think and tell me."

He: "An Engineer.....whatever it is."

Here I must mention one point. This year my son is entering into first standard.

I can sense your thoughts: 'why is he over reacting? why is he worrying" etc. But I'am not over reacting. See, I shouldn't force him into medical studies or any other studies as per the view of knowledgeable people. At the same time I must find out in which profession he has interest. The sooner I find it out, easier it will be to find better coaching centre, arrange fee.

To make things worse, we don't know to how many more professions, entrance exams are going to be announced and to what extent is going to be the change. How much gap is going to be there with our school curriculum and that particular special exam? How many experts will be available to teach (less tutors more will be fee).

It is very obvious. I'am surrounded by many challenges here: what my son wants to do, which coaching centre should I go, how much is going to be the fee and...how am I going to manage it at that time.

The only consolation I have is, I live in Singara Chennai.

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Bharathram
21-June-2018