Santhosh's ramblings

The husband walked in with his wife. He said, I have been taking her to many places for these skin lesions on the face, have spend quite a bit of money and  in one sense "Suffered in the hands of many physicians" - can you do some thing for her. I looked at her - her face and body was full of "Pappular eruptions" what we call in medical terms as PPE. I asked a few relevant questions to her about the illness and send her to the examining bed to do a full physical. Then I turned attention to the husband. Asked him about his job - he was a migrant laborer, and I was sure that he would have had some "extra marital affair" and started asking about his way of life, habits, contacts etc. He was polite but clear and articulate - though he was illiterate - I do not do any such things. I go out for  a living, others might but I have my standards! I was quietly reprimanded about my own attitude of seeing beyond what was there. I still was not sure, and I wanted to pr...

Adam and Eve’s sin is an interesting incident to reflect on. The pattern of behavior has not changed much from what happened in the Garden of Eden to the current modern age! God had told clearly that these are the limits and a life of submission, within which they are expected to live. And the limits were put by an all knowing God, who knew that the finite human that they were, their faculties of intellect and reasoning, apart from God, will lead them astray! What was told clearly by God, was doubted by humans. Did God really say – was the question Satan raised. Eve knew the facts – God had told. But Serpent had a way of explaining away or turning Gods word into what was acceptable for human reasoning and desire! Trying to turn word into something which fulfills the physical desires, emotional fulfillment and intellectual reasoning – (good for food, pleasing to eye and desirable for gaining wisdom). This rational explanation of the word of God and responding based on that, led...

The man had some mild chest pain. He was accompanied by about 15 people, all walking around trying to show their importance and prominence. The Junior Doctor got the ECG done which was inconclusive. She send the ECG to me and I over phone asked her to shift the man to ICU and then get a repeat ECG and some blood tests. It was about 12 mid AM at night when all this was going on. Since a repeat ECG would any way come to me, I thought instead of it being sent, I could go to ICU and be there, see the ECG settle in the patient and come back. Which was not what the JD wanted, I did not know that the relatives had been pushing her to call the consultant and was trying to make life tough for her. She was not too keen to disturb me. Walking into ICU, a group followed me in. Questions followed. What about repeat ECG. What about blood test? Then dropping some names of prominent people and places where he has been treated etc. ECG, Blood tests all being inconclusive, morning itself they were off,...

The context in which we are living now, every day multiple issues come up related to "Shame" and "honor" which affects clinical management of patients. A girl admitted with suicide attempt on a ventilator tried communicating to us, writing on a paper - first note - please save my life, second note - please adopt me. The father seemed to be keen for her to be treated and looking forward to her recovery, but was not taking any efforts to pay the bills, or support in decision making, though they seemed to have the resources to support her treatment. The shame of having a daughter (though she is doing her BA) who has tried to commit suicide, was that why the father was aloof? Did the girl know that the honor of her family was at stake and that is why she did not want to go home? Parents (both mother and father) when asked about the number of children they have - would blissfully say - 2 "bacha" and when asked again, how many girls you have, they will say ...

The man who came for a Medical checkup was rather arrogant with the Junior Medical officer. May be because she was a lady doctor. She was asking relevant history but he was getting angry and was trying to push her to a corner by objecting to answer most of her questions. She got upset with the way he was behaving and tried to make him see reason. But he was not relenting and so she asked me whether I could see him later when he comes in for his reports. The next day he came in for his reports. Walking in, one could see the haughty arrogant face. I asked him to sit down and started talking to him about some abnormal reports he had. His face seemed to show some change but soon he composed himself and told me – there is nothing wrong with him, just give the reports and fill up the medical forms and let him go. I was getting irritated with his manner. I was sure that I wanted to tell him about the abnormal reports and asked him to go to the examination table. Lying down, curtain drawn, he...

POSITIONS VACANT IN EHA HOSPITALS Emmanuel Hospital Association (EHA) is the largest non-government provider of health care in India, with a network of 20 hospitals and 42 community-based health & development projects located in 14 states of India. EHA's comprehensive health services integrate essential clinical services with primary health care and community-level engagement in order to address the health priorities of the poor and marginalized people. For more details visit EHA website: www.eha-health.org. EHA is looking for committed Medical, Para medical & Technical staff to join its network of 20 hospitals in Central, North & North East India. A GREAT OPPORTUNITY TO EXERCISE OUR FAITH IN WORK, TO BE INNOVATIVE, TO REACH OUT TO THOUSANDS WITHOUT HOPE – AND GAIN INVALUABLE CLINICAL EXPERIENCE IN THE PROCESS! MEDICAL Position: Medical Officer Qualification: MBBS Experience: 0-2 years. Position: Consultant – Surgeon, Obstetrician, Anaesthetist, Paediatrician, O...

65 year old male who came to OPD couple of days back was found to anemic and hypertensive and an evaluation revealed that he had an ESRD – (End Stage Renal Disease – Chronic Renal Failure.) He had just recovered from a Cerebro-vascular accident couple of months back. He was from a lower middle class socio-economic back ground. As we started preparing the family for Renal replacement therapy (Dialysis/Transplantation) Vs Palliative care, to our surprise the relatives seemed to be - too keen and proactive for a transplant! Within 24 hours they had found a donor and was asking to be referred for further management. Such a response seemed too good to be true and so I called the younger brother over to talk. And the story came out. The patient has been married for more than 30 to 40 years but had no children. 2 years back, with the aim of having a child he (? with consent of the first wife) took a second wife. This wife is only 14 years old! (One is never sure about age in these co...