Friday, May 12, 2023

Nurses Day 2023


When sickness and ill health come to hound,
Nurses move from patient to patient without a sound

Between a life and death they'll always stand,
And fight hard to give that life back, not leave your hand,

When no one seems to give or care,
You can count on our nurses, they're always there.

Saturday, May 6, 2023

Patient diagnosed with depression, blames Bajaj Finance.


Mumbai: In an incident which has perplexed even the learned psychiatrists in the country, a young patient diagnosed with depression has shockingly blamed and sued Bajaj Finance for it.

The 30 year old male Mr. Loande has sued Bajaj Finance for discrimination, on the grounds that he had not received even a single phone call from the company ever!

It is a well known medical fact that being the target of discrimination can stir up a lot of strong emotions including anger, sadness, and embarrassment; and people often get stuck on episodes of discrimination, because they’re not sure how to handle those experiences which can lead to depression.

In an exclusive interview with the Quackdoses, Mr. Loande said, “All my friends get multiple phone calls every morning from Bajaj Finance, HDFC Bank (k behalf pe), Just Dial, etc, for pre approved loans or free credit cards, but they have never called me so far. My friends often boast of how they now relieve their stress every morning not by doing Kapalbhati with Baba Ramdev, but by giving mother-sister swear words learnt from Virat Kohli to those Bajaj Finance marketing executives. Because of them, I have to now pay a psychiatrist for his expensive and critical analysis about myself, which my wife anyways gives me for free, daily.”

Unconfirmed sources have now claimed that Bajaj Finance has now ordered an internal enquiry to investigate how Mr. Loande’s number was missed out, and have instructed their executives to strictly ensure he gets a call for loan, before he pulls his pants down to use the washroom every morning.

Sunday, April 9, 2023

Tujhe Chahne ka...


Main bechen sa rehta hun,
Tu rahat jaisi lagti hai,
Khota hoon jab sapnon mein,
Tu andar mere jagti hai

Tuhi soch hai har subah meri,
Tujh se hi meri sham hai,
Yeh kaisa rishta hai k,
Har saans pe sirf tera naam hai

Tujhe chahne ka, hi toh jurm kiya tha,
Pal pal tadapne ki, tune saza de di…

Tum jitna soch nahin sakte,
Utni mohabbat karte hain,
Tum dikho ya na dikho fir bhi,
Didar tera hi karte hain

Na chand ki hai ab chahat,
Na hai taro ki farmaish,
Har janm mein tum hi milo mujhe,
Bas itni si hi hai khawaish…

Tujhe chahne ka, hi toh jurm kiya tha,
Pal pal tadapne ki, tune saza de di…

Wada hai jab tak jinda hain,
Sirf tujhko hi chaahenge
Dil se tumhe pyaar karte hain,
Poore dil se hi hum nibhaayenge,

Tujhe chahne ka, hi toh jurm kiya tha,
Pal pal tadapne ki, tune saza de di…
Ek baar tu aake, mera haath thaam le, 
Yeh dhadkanein chalti hain, ab tere naam se.

Friday, April 7, 2023

Tu Pehla Pehla Pyar


Deewanon sa, haal hai mera,
Kaisa jaadu yeh, tune kiya,

Kyun mujhe, tum satati ho,
Aake mere khwabon mein,
Dil par na, ab zor hai,
Kho gaya hun teri yaadon mein,

Tu pehla pehla pyar mera, Tu hi iqraar mera,
Tere bin main kaise jiyun,
Tere khayaalon mein, Raaton ko jagun main,
Chain na hai, na hai sukun.

Chadh jaye to, utarta nhi,
Ye ishq bhi, nashe se kam nhi,

Yeh kaisi, khwahish hai,
Mit ti hi nahi,
Ji bhar k tujhe dekhun main,
Nazar phir bhi hat ti nahi

Tu pehla pehla pyar mera, Tu hi iqraar mera,
Tere bin main kaise jiyun,
Tere khayaalon mein, Raaton ko jagun main,
Chain na hai, na hai sukun.

Dhunde tujhe, meri nazar,
Rehti nahin, mujhe apni khabar,

Uljha rehta hun sawaalon mein,
Kab sath honge hum,
Phir iss qadar tujhe, pyar karun,
K yeh zindagi lage kam.

Tu pehla pehla pyar mera, Tu hi iqraar mera,
Tere bin main kaise jiyun,
Tere khayaalon mein, Raaton ko jagun main,
Chain na hai, na hai sukun.

Tuesday, March 21, 2023

Khota hua Bachpan


Kahan kho gaya woh samay,
Jab zameen pe tippe maar kar nali mein padi hui ball saaf ho jati thi,
Dusri society k ladkon k sath cricket k match hua karte the,
Jab chappalon, ya pattiyon se lakir kheech football k goalpost banaye jate the,
Jab garden mein hath pakad sakli kheli jati thi,
Ek k upak ek pathar rakh lagori kheli jati thi,
Jab Buildingon mein bacche chor police and chupam chupai khelte the,

Aj sunsaan pade hain who jhule, jinke liye kabhi line hua karti thi,
Aj buildigon mein khelne ki jagah gaadiyon ne leli hai,
Aur doston-khilonon ki jagah mobile ne leli hai,
Mobile ek aisa yantra hai jisne bacchon se unka bachpan cheen liya,
Usne Camera, Ghadi, music player ko toh khatam kiya hi diya hai,
Par dukh ki baat toh yeh hai ki wah rishton ko bhi khatam karta ja raha hai.

Friday, February 24, 2023

CME invitation goes viral, Knowledge thirsty doctors register in hordes.


Mumbai
: In a revolutionary idea which might usher in a new era of medical CME invitation, the Quackdoses Multispeciality Hospital (QMH) sent out a symposium registration flyer stating ‘Applied for Cocktail Approval’, sending doctors into a frenzy on social media, Twitter and all medical Whatsapp groups in the country.

It is a well known fact that most CME invitations in Maharashtra now have ‘Applied for MMC (May-be Medical Council) points’ mentioned on them, as bait and in the hope that more doctors will pay and register for the conference. Also, it has been observed that, with or without credit points, CMEs where registration-invitation flyers mention ‘Dinner followed by cocktails’ always draw huge crowd and are a hit among the knowledge thirsty doctors.

In an exclusive interview with our Samwadata, the organizing secretary at QMH Dr. Kabhi Mat’bann™ said, “For our symposium titled ‘Alcohol is the medicine to life, and joining medicine is injurious to health’, we were yet to get formal approval for hospital sponsored cocktails from the management. Though it was a minor human error, where instead of ‘Applied for MMC points’, the typist mentioned ‘Applied for Cocktail approval’, our registrations are now full even before the last closing date. It truly reflects the enthusiasm among the doctors to interact with our distinguished speakers and panelists.”

Unconfirmed sources have claimed that maximum registrations were from NEET PG aspirants, in the hope of getting unlimited ‘neat’ fluid boluses.

Wednesday, February 8, 2023

Patient undergoes Robotic Circumcision, refuses to pay surgeon.


MUMBAI: In an incident which has sent shock waves in the surgical community, a patient admitted at the Quackdoses Multispeciality Hospital refused to pay the surgeon’s fee after undergoing a robotic circumcision.

Robotic surgeries, although facing stiff resistance from the insurance companies, is now slowly becoming the preferred choice for most surgical procedures. With the advent of the fast-growing AI based technologies and robotics, surgeons are already scared that they might soon become an extinct species in the coming decade.

In an exclusive interview with the Quackdoses, patient Dis’Kount Dey said, “The surgeon had offered me 3 methods of circumcision – by open method, laparoscopically or by minimal access through the testicles, and by robotic surgery. He counselled me that robotic surgery offered the fastest recovery, hence at the insistence of my wife, I opted for it. During the surgery, I was shit scared that the robot might cut off more than what I had consented for. To my dismay, I was shocked when I realized that ‘Robodoc’ ⟨™⟩ did my complete surgery, while the surgeon was busy playing some video game on his hi-tech gaming console. What should I pay the surgeon for, for playing on his joystick while ‘Robodoc’ dangerously played with mine? ”

Furthermore, rubbing salt on the surgeon’s wound, the patient gave 5 star rating on Google reviews to ‘Robodoc’ instead, with a special mention about the elderly assistant nurse who let him see the excised foreskin after surgery and politely asking him, “Sir-come-see-son.”

Unconfirmed sources have claimed that after knowing that the patient only paid for the consumables, OT charges and for the anesthesiologist’s coffee, the disgruntled surgeon has refused to do the patient’s follow up dressings.

Sunday, January 8, 2023

Professional Rules for happy life


More than 70 % of my colleagues / juniors from Emergency Medicine are working in UK, and the others too who chose to work in India seem to be making frequent job changes where they're prioritising 'Career Growth over loyalty'. 

Employee attretion has over the years also become an issue in the country, especially in the healthcare sector. This can also to attributed to the fact that there has been a change in the way the current generation wants to lead there life. The generation of our grandparents worked for 'Survival', the generation of our parents worked for 'Standard of Living', and the current generation works for 'Quality of life & work-life balance'.

Over the last few days, I have often wondered if based on my experience in various organisations, if there were any pearls of wisdom I'd like to share with youngsters / freshers / budding doctors of tomorrow / working professionals. 

Today, I decided to jot down my PERSONAL PERSPECTIVE on what should be the professional rules for a happy life.

Note: No offence to anyone. You're free to have your own perspective.

1. Work with Honesty – Dedication – Devotion – Discipline - Sincerity. Always do the right thing, even if no one is watching. Remember, there are no shortcuts to success.

2. Avoid gossiping about work or any colleague with anyone – not at work, nor at home. Come – do your Job – Get Paid - Leave. (This includes any informal chats on Whatsapp with colleagues; screenshots are often being used as evidence these days).

3. Be Punctual – Come on time, leave on time. Don't get into the habit of working overtime. It will only increase your work, not your salary package.

4. Do not take work back home. Learn to disengage & disconnect as soon as you step out of your workplace.

5. Do not work to please an individual or for appreciation. Let your results talk for themselves.

6. Do not get involved or affected by workplace politics. It exists, it will always exist. But always stand up for what is right and against your core values & principles.

7. Do not always be a ‘YES’ man. Sometimes, you have to say ‘No’ also to maintain discipline, dignity & self-respect.

8. Never get involved in relationships at workplace. It will always backfire one day.

9. Do not trust everyone at work. Not everyone is your friend, or wants good for you.

10. Do not share personal problems with colleagues at workplace. Half of them will want to know only because they’re curious, rest will be glad you have them.

11. Subordinates / acquaintances should be considered a Team – Not family. Correcting people or taking difficult decisions can often become difficult then.

12. Unless urgent, do not call or message your colleagues for work related queries, out of official working hours.

13. Never stop involvement in training & academics. Pass on your knowledge and skills to youngsters, you’ll grow with them.

14. No matter how busy you get, take out 1 hour of your every day, for your health, hobbies and personal space.

15. Plan and utilise your paid leaves – travel – go on vacations. It is extremely important to unwind and energise yourself.

16. Never be afraid to take the risk - go where you are appreciated and valued. There are brilliantly talented people everywhere who aren’t receiving the recognition and reward they deserve. But once they feel confident, start valuing themselves and leave from an environment that isn’t serving them, they thrive and grow. 

17. Never end on a sour note with your previous organisation / boss / Colleagues. You never know when you might need them for guidance or future references.

In the end, nothing matters except family, friends, home, health, work life balance and peace of mind.

I’ve found my inner peace, are you searching for yours?

Sunday, January 1, 2023

Patient Safety in India


We all know that 'To err is human', but did you know that a recent study by the Harvard University showed that more than 50 lakh patients die in India every year due to medical errors triggered by lack of practical knowledge among the doctors and nurses to handle patients when brought to the hospital.

India is an economy where government spends less than 2% of its GDP on health (with government hospitals characterised by chronic overcrowding, under-funding, and facilities perpetually stretched to the limit), lack of access to hospitals, lack of awareness, there is poor doctor-patient ratio (less than one doctor per 1,000 people), ill-equipped hospitals, insufficient number of labs and diagnostic facilities, absence of medical records of patients, etc. The picture of other healthcare workers, including nurses, is equally appalling.

Though most of us are well aware of these ills plaguing the healthcare sector in India, what is not often talked about are adverse events in ‘patient safety’.

Patient Safety is defined as a freedom for a patient from unnecessary harm or potential harm associated with provision of health care, including hand hygiene, surgery, injection, medication, blood transfusion, infection control and hospital waste management.

Not only in India, it is increasingly being recognized as an issue of global importance. 100s of incidents compromising patient care occur daily in hospitals across the country, but I personally believe that less than 1% of such potential harm actually get reported.

Let us look at few examples (which are just few of the incidents from the best of hospitals across the country I’ve worked with / know about), which I’m sure you’d have read nothing about, in any newspapers or on social media.

  • A young patient operated for an abdominal surgery comes back to emergency after 5 days with pain in abdomen. Patient is sent for X-ray abdomen to rule out intestinal obstruction or perforation. X ray technician sees a scissor in the abdomen – informs emergency doctor – informs surgeon – patient is counseled for emergency surgery, without counseling for the diagnosis – No X-ray abdomen showing the scissor is handed over at time of discharge.
  • An overzealous emergency physician thrombolysed a patient with an acute infarct, without waiting for the full MRI scan which shows a ‘hemorrhagic transformation’ & patient dies after a massive bleed in the brain – MRI cuts showing the hemorrhage on the initial MRI are not handed over the relatives.
  • 2 patients die after ‘colorless’ Chlorhexidine is given as flush, instead of normal saline after inserting a central line.
  • Patient becomes hypoxic and dies due to wrongful intubation in the esophagus, instead of the trachea.
  • A young patient gets his arm amputated as a result of wrongful ‘direct’ injection in the ‘artery’ instead of a vein without the use of IV cannula.
  • A patient has a urethral rupture after a young resident inflates the bulb of the catheter without inserting the catheter till the ‘Y’.
  • An elderly patient’s gangrenous hand is amputated under local anesthesia (instead of general anesthesia) since the anesthesiologist on call will take some time to come and the surgery resident does not want to miss out on the 'cutting'.
  • A senior doctor’s son, freshly graduated, is allowed to insert a central line. He inserts the guide wire all the way inside the jugular vein. CVTS Surgeon is then called to troubleshoot.
Such cases where patient safety is compromised hardly get reported by ANY hospital, unless patient files a medical negligence case against them. Things are only retrospectively discussed in internal hospital disciplinary or morbidity / mortality committees but never acknowledged, to avoid any dent in hospital's reputation and medico-legal litigation.

Hospital staff also voluntarily do not report errors or adverse events (with doctors themselves being reluctant participants), because when things go wrong news spreads fast like wild fire, and the search to find who is at fault is on. This can all too easily develop into a witch hunt, with the blame game shifting culpability from one person to another, who might then feel threatened in reporting such events.

Most of the Quality Accreditation bodies in the country also have their primary focus on checking only for policies, systems and documentation in the hospitals, with ignorance towards patient safety, and are slowly losing their credibility. In the private sector, attention to promotion of quality of care has been mainly driven by the business interest.

Also, external committees incorporated to investigate ‘medical negligence’ cases can usually be manipulated, and are often unfair & biased in their report due to the ‘contacts’ of hospitals & doctors.

Over the last few weeks, I’ve been thinking a lot about focusing on some of the PRACTICAL SOLUTIONS rather than the problem, and decided to jot them down.
  • Delineation of patient safety and Quality, as they are both empirically different from each other.
  • Once a problem is recognised, it needs to be talked and openly discussed amongst all the stakeholders - doctors, nurses, technicians, internal committee as well as the staff at all levels in a health facility up. The solutions are likely to emerge from sustained communications and dialogues.
  • Every facility should develop a plan for training of staff, with regular workshops and training on Infection Control, hand hygiene and Patient Safety.
  • A culture of reporting, discussion and learning from mistake needs to be developed at hospitals. We need a system for reporting errors and lapses of discipline even when no adverse event has occurred.
  • Ensuring that patient safety processes are clearly communicated to patients and caregivers prior, during and after the medical intervention using different communication means such as videos, mobile apps, etc.
  • Introduction of anonymous reporting system in healthcare facilities to be used by healthcare facility staff, students, residents, patients and families, or with the use of a ‘Ballot box’.
  • Integration of web-based grievance system and toll-free helpline for Patient Safety.
  • Implementation of standard treatment guidelines and treatment flows.
  • The training need on patient safety for graduate curriculum for various cadres of health staff including doctors, nurses, laboratory technicians and pharmacists.
  • Accreditation of healthcare facilities and strengthening quality assurance mechanisms.
  • There is a shortage of trained medical personnel in rural areas. The only way to address this is to greatly increase the number of government medical colleges, increase government financial allocation and spending.
  • Establishment of a safety culture and improving communication, patient identification and handing over transfer protocols in healthcare facilities. Mistakes are common and can be devastating when they occur.
  • Robust analysis of the data and feedback mechanism on what is happening after implementing accreditation / quality improvement activities in relation to care and safety.
  • In India, the Consumer Protection Act serves as a check / incentive to modern medical practitioners to provide high quality health care. Unfortunately, even this legal mechanism is not accessible to the poor.
  • The ill-advised move of the government of India to allow graduates in Ayurveda to practice surgery must be stopped. It is impossible for Ayurveda to incorporate surgical techniques while ignoring the other domains of modern medicine. An epidemic of catastrophic complications, disproportionately affecting the poor can be expected if surgical procedures are performed by the poorly trained.
  • Also, today’s medicine is increasingly becoming technology driven. New technologies create new methods for producing errors and constant vigilance is required to track these.
In the last 10 to 15 years, many initiatives have been taken by the Government of India and hospitals to improve quality of healthcare services and strengthen patient safety, yet, a lot still needs to be done.

By and large, patient safety errors occur because of bad systems and not bad people.

When the above measures are part of daily practice in an organisation, we can say the seed for a culture of patient safety in an institution is sown.

We must not forget that, patient safety is knowledge, it’s intentional, it’s a habit, it’s a way of life, and when it influences a group behaviour, it becomes a culture.

Tuesday, December 6, 2022

Child Within...



SONG VERSION :

Adulthood comes quickly,
That we don’t realise,
Inner child gets lost on the way,
As the years go by.

When we’re young, we wanna grow up fast,
Our innocence fades away, and won’t forever last.

The time that is gone,
Will not be back again...

Looking down the memory lanes,
Those joyful days and fights on games,
We never value, what they meant
And miss them later to repent.

Time slips through our hands, like grains of sand,
Why don’t we grow up, like we had always planned?

The time that is gone,
Will not be back again... 

How I wish, I could go back in time,
Live this life again, that childhood which was mine
Why am I so helpless, I wonder in pain,
When the Child Within craves, to grow up again…

The time that is gone,
Will not be back again...

ORIGINAL POEM VERSION:

Adulthood came so quickly, I didn’t realise,
Now,with my while coat and stethoscope,I look very wise,
But the child in me didn’t grow up,as time went by,
I searched within,now I know the reasons why…

How I wish I could go back in time,
Live this life again,that childhood,which was mine
Wish it had more colours,I wonder in pain,
So helpless I’m to that child, which craves to grow up again…

This is the irony of life…When we’re kids , we yearn to grow up quickly…run behind success, money, materialistic things, etc….and when we finally step into that phase of our lives and look back in time, how we wish we had never grown up…. :-(

Wednesday, November 23, 2022

Doctor uses ‘Corporate Hospital Lingo’ with wife, strategy backfires.


Mumbai:
In an incident which has sent shock waves in the medical community, a doctor regretted his decision to use ‘corporate hospital lingo’ with his wife, when she asked him to take her out for shopping.

It is a well-known fact that in most corporate hospitals, for any demand by doctors to the management for any new equipment or a new process, justification has to be given if the demand is ‘desirable or essential’. Also, an explanation has to be given for any faults in the current equipment or ongoing process. On most occasions, the management comes out on top and is then able to smartly push the requirement for the next financial year, and the vicious cycle continues.

In an exclusive interview with the Quackdoses, Dr. Pati Parmeshwar said, “For the past few months, every time the salary got credited in my account, my wife would ‘unrealistically’ demand that I take her out on a shopping spree or a movie, hand over my credit card to her, buy her a new I-phone, etc. Initially I could pacify her with my boss’s standard strategy on me by telling her that there were budgetary constraints, or we could plan expenses in the next quarter, etc. Things really got out of hand the day I innocently asked her to justify if her demands were ‘desirable or essential’, and explain if there was anything wrong with the clothes in her wardrobe or her current phone."

Unconfirmed sources have claimed that Dr. Parmeshwar has been sleeping on the floor of his bedroom and ordering his food online for the past 3 days.

Monday, October 17, 2022

Emergency Trauma Management - Life In The Fast Lane.


A 17 year old boy is wheeled in to the Accident & Emergency Department after being run over by a truck. The patient is rapidly assessed, given essential life saving emergency care including blood transfusions and is immediately rushed in to the operation theater for a suspected pelvic (hip bone) fracture. Two weeks later, the patient is sent back home, alive and hearty - one of the many success stories where prompt emergency management saved a life.

So what does a person involved in a motor vehicle collision or a fall, a child who breaks a bone, and a physical assault victim should do? They all must seek emergency treatment for their trauma-related injuries.

Trauma refers to a bodily injury resulting from the application of an external physical force. It is the leading cause of death under the age of 45 years all over the world, with majority of victims being young males. Motor vehicle accidents are the major culprit of these types of fatalities; in children too under the age of 18, trauma is the leading cause of death above all other diseased conditions combined. Surprisingly, the number of years of life lost before the age of 65 due to trauma exceeds those lost from heart disease and cancer put together. There is a massive additional social burden from disability affecting survivors as well.

While the word may have a fairly simple and standard definition, when it comes to treatment of trauma patients, there is nothing uniform or standard about it. Traumatic injuries can range from minor isolated wounds to complex injuries involving multiple organ systems. The trauma can be blunt or penetrating - like a stab or a gun shot wound.

Majority of deaths occur either at the scene or within the first four hours after the patient reaches a trauma center. Relatively, fewer patients die after the first 24 hours have passed following the injury. Most preventable deaths are due to excessive blood loss.

Regardless of the cause or type of trauma, the ultimate goal of treatment is to minimize the disability and deaths associated with the injury. It involves reducing the deaths associated with the 2nd peak period which occurs in the hours shortly after the injury.

A systematic approach toward the trauma patient allows for rapid assessment and stabilization of the victim. This maximizes outcomes and reduces the risk of undiscovered injuries. Established protocols within an organization allow physicians to evaluate the patient in a logical, algorithmic (ATLS) manner and treat injuries in the order that has the greatest chance to prolong life and also minimizes long term consequences from the injury.

Global Hospital, Mumbai is a Level 1 trauma centre providing a multidisciplinary, extensive emergency medical service to trauma patients with the highest level of care, and is capable of offering definitive treatment for any type of injury.

Apart from an Accident & Emergency department which is manned by emergency physicians who specialise in this field of practice, it also boasts of availability of all surgical sub-specialties and advanced imaging capabilities. The hospital operates on a “team approach” whose staff includes emergency physicians, general surgeons, orthopedic surgeons, neurosurgeons, reconstructive surgeons and anesthesiologists who are experts in treating trauma victims.

We also have a 24 hour functioning blood bank and a NABL accredited laboratory, apart from a 24X7 Radiology department for carrying out emergency X-rays, Ultrasound, CT scans and MRI. The hospital also has 24x7 operation theatres equipped to carry out all life and limb saving emergency surgeries.

With our comprehensive trauma care and emergency medical services, we are able to care for the most life threatening emergencies at a moment’s notice.

Wednesday, October 5, 2022

A Prayer



Dedicated to God - My strength, my teacher, everything that means to me in life.

It was written in September 2009, when I was going through a very rough patch during my MBBS. Through these few lines, I just wanted to thank HIM from the bottom of my heart for adding some colours back again to my life (then)…I had really forgotten to smile, fighting.

When I was helpless, you went to hide
There was no one, by my side
Was there a reason, I needed that help
Fighting the odds, all by myself.

Down my cheeks, the tears rolled
As time went by, I was growing old
But faith remained in my heart,
You’d come back...

I say a prayer, for you,
Show me a way, what to do,
I say a prayer for you,
You're all I need, that's true.

I was so numb, lonely inside,
With shattered dreams, no one to guide,
I kept pretending, in a false mask
Where would life lead, is all I asked.

To prove again, that I was right,
You held my hand, in this fight,
By my side, always you stay
Don’t let go ever….

I say a prayer, for you,
Show me a way, what to do,
I say a prayer for you,
You're all I need, that's true, that's true.

21.09.09

Wednesday, September 14, 2022

Medical Student picks biscuit from plate, examiner left stunned.



Mumbai:
In an incident which has captured the imagination of medical students across the country, an anatomy external examiner was left stunned when a 1st year MBBS student during the viva exam picked a biscuit from his plate, instead of a bone.

Medical viva exams have a long history of being surrounded in controversy every year, with male students often accusing male external examiners of being partial towards females. The most famous & controversial viva incident was with a 1st year female student recently who was shown a uterus specimen and asked to identify it. When she was unable to do so, the male examiner gave her a hint that neither he, not her boyfriend had it. In spite of answering ‘brain’, she still surprisingly managed to top the university exam, for which she credited the prayers she performed the night before the exam.

In an exclusive interview with the Quackdoses, Dr. Kabhi Matbann ⟨™⟩, who is now being hailed as a future surgeon said, “On the 1st viva table, the examiner asked me to identify someone’s balls hanging from a forceps. When I answered that it was a ‘male testicle’, he annoyingly shouted back asking if I had ever seen ‘female testicle’. It made me so nervous and scared that I became Anand bhai of Munnabhai MBBS for the rest of the viva. On the 2nd exam table, when the external examiner asked me to ‘pick anything’, how was I supposed to guess that he meant a bone. Surprisingly, he did not ask me anything after I picked the Parle-G biscuit from his plate. Unfortunately, I had nothing to tell to my batch mates when I emerged from the exam room and they surrounded me to ask ‘Kya Pucha, Kya Pucha’.”

Taking cue from this incident and avoid a similar embarrassment, the Pathology Examiner’s Association has summoned its members to not offer students to ‘pick anything’ from the table during the viva exams, but instead personally hand over the formalin filled organ specimen jar to describe.

Monday, September 12, 2022

The Miracle


“You have to come back…. Where will I go with the 2 kids?” urged the sobbing wife clenching hard to her husband’s chest as he was being rushed in to the Cath lab, and I was still pushing some lifesaving drugs in him. Dramatic scenes which I don’t think I will ever forget in my life.

The 37 year old was brought to my department last month with history of sudden onset chest pain 30 minutes prior to arrival, followed by unconsciousness en route to hospital. On arrival, he was gasping, there was no pulse, spontaneous breathing, or recordable blood pressure with pupils which were non-reactive to light – no signs of life.

We immediately started CPR, initial rhythm was a ventricular fibrillation and he was shocked immediately, intubated and all life-saving drugs were given as we frantically tried to revive him.

After a gruesome 22 minutes, his heart started again and we immediately rushed him for an angioplasty as his ECG and bedside 2D Echo were suggestive of a massive heart attack.

His elder brother, sister in law, wife were all in tears and disbelief with lots of questions – we were also in a situation where we only could do our best and leave it to God, pray that the brain survives those precious minutes of CPR and that the heart does not go into sudden arrhythmias again.

I followed up with our critical care team that night and I was elated to know that he asked for his mother, he asked for water – signs that he was well protected neurologically - news which fills us with joy and satisfaction of saving that young life.

Against all odds, this patient WALKED BACK home from the hospital after a few days, with no neuro-deficit. He was clinically dead for 22 minutes, but miraculously, doctors brought him back to life, a tale nothing short of a medical miracle.

Today, the patient and his brother came to meet me and say thank you - a very emotional and heart touching experience which I will never forget in my life.

During our conversation, I also showed them my blog posts & Facebook posts, how even we at the hospital wished and prayed for his recovery.

When I told them that they should be thankful to God, I was left tear eyed when his brother said, "The only God we knew that day was you." I was left speechless.

"Can we have a photo of you with him? Please add his photo to your articles", he added.

Not a day goes by that I don’t thank God for all the miracles he does every day, and we’re happy to play a small role in them.

Note: Due to lack of awareness about bystander CPR in India, less than 5-7 % of patients suffering from out of hospital cardiac arrest actually survive. Not everyone is lucky like that patient. Hence, bystander and first responder resuscitation become extremely crucial. CPR effectively keeps blood flowing and provides oxygen to the brain and other vital organs, giving the victim a better chance for a full recovery.

CPR saves lives! Get trained – You have the power to save a life.

Thursday, September 1, 2022

Patient’s relatives address female intern as ‘shister’, doctor goes berserk.


Mumbai:
In a never before incident in the history of medicine, a patient had to face the wrath of a female medical intern’s anger after her relatives continuously addressed her as ‘shister’. In retaliation, the irate intern refused to catheterize the patient and to deliver the blood samples to the laboratory, for the patient who was posed for an emergency C-Section.

The unfortunate incident happened in the obstetric ward at the Quackdoses Multispeciality Hospital. It was only when the panicked houseman and registrar assured the intern that they will pay the arrears for all the tea-breakfast she had bought for the unit during her internship posting, did the young doctor calm down and agreed to not put her phone on flight mode the next day.

In an exclusive interview with us, the intern Dr. K’abhi Matbann (™) said, “I have lost count of how many times I was referred to as the ‘Khoon nikalne wali doctor’ by patient’s relatives while I was posted in medicine ward. The tone in which the relative said, “Ae shister, injection khatam ho gaya hai”, activated the fight-fright-flight mechanism of my sympathetic system, since it felt similar to stingingly being called ‘Auntie’ by people who are older than me. Why are the male co-interns wearing aprons not called by patients as mamas or technicians? Till when can we be immune to this inequality?”

Unconfirmed sources have claimed that after getting inspired by the courage of Dr. Matbann, the Obg-Gyn society of India has now launched a social media campaign to spread awareness for people to address them as Obstetricians or Gynecologists, and not ‘lady doctors’.

Saturday, August 20, 2022

Be a Life Saver !

 


Sudden cardiac death from cardiac arrest is the most common cause of death worldwide. Cardiac arrest is defined as the cessation of cardiac activity as confirmed by the absence of signs of circulation.

Cardiac Arrest occurs suddenly, disrupting the blood flow to the brain and other parts of the body. With a cardiac arrest which is left untreated, irreversible brain damage occurs within 3-8 minutes and death rapidly follows. About 90 percent of people who experience an out-of-hospital cardiac arrest die.

Even in patients who are resuscitated (revived) from cardiac arrest, post-cardiac arrest brain injury is the main cause of death, and the main cause of long-term disability in those who survive the acute phase. This is attributed to the fact that even though the brain constitutes only 2% of body weight, it receives 15–20% of total blood volume pumped by the heart for its normal functioning.

Brain tissue viability strongly depends on consistent supply of oxygen and glucose, and cessation of blood flow to the brain results in an immediate interruption of brain activity, causing a hypoxic brain injury – similar to that of comedian Raju Shrivastava after suffering a heart attack.

A young 37 year old male was brought to Global Hospital Emergency last week with a history of sudden onset of chest pain 30 minutes prior to arrival, followed by unconsciousness. On arrival, the patient was gasping, there was no pulse, spontaneous breathing, or recordable blood pressure with pupils which were non-reactive to light – no signs of life – in cardiac arrest.

The team of experts immediately started cardio-pulmonary resuscitation (CPR), his initial rhythm was a ventricular fibrillation and he was shocked immediately, intubated and all life-saving drugs were given as the medical team frantically tried to revive him.

After a gruesome 22 minutes, his heart started again, he was immediately rushed for an angioplasty as his ECG and bedside 2D Echo were suggestive of a massive heart attack.

Against all odds, this patient walked back home with no neuro-deficit. He was clinically dead for 22 minutes, but miraculously, doctors brought him back to life, a tale nothing short of a medical miracle.

Not everyone is lucky like that patient. Hence, bystander and first responder resuscitation become extremely crucial. CPR effectively keeps blood flowing and provides oxygen to the brain and other vital organs, giving the victim a better chance for a full recovery.

CPR saves lives! Get trained – You have the power to save a life.

Wednesday, August 17, 2022

Need of the hour !


‘0 percentile can get super speciality medical seat’ – A shocking but real truth which shows the mirror to the wrong policies in medical education in the country.

With close to 750 super-speciality course seats going vacant this year, and 100s of seats going vacant every year even in premier institutes, the government and authorities surely need to relook at the current prevailing policies.

Even after 4 rounds of admission this year including 2 regular rounds, mop up round and a special mop up round, 100s of seats out of the 4500 super-speciality course seats lie vacant, causing a loss of close to 800 crore to taxpayer money.

The government must understand that post graduate doctors can’t be treated like bonded labour. Asking doctors to serve a compulsory 3 -10 year service bond in rural areas or pay 2-5 crore to the government for opting out of the bond service, after a 3 year super speciality training is the main reason behind doctors not wanting to opt for a super-speciality course, and that too at around 30 years of age (after post-graduation) when everyone would like to professionally settle down and start earning like their peers.

At the same time, practising broad specialisation gives a better career and money compared to extra years spent pursuing the super speciality course. Other reasons include inadequate seats in popular courses, in-service reservation, introduction of NEET-Super Speciality Exam and problems in transfer or choice of service location, to name a few.

The Supreme Court too declined to consider a plea recently to limit service bond period for super speciality course uniformly in all states to maximum of 2 years and a discontinuation penalty of Rs. 20 lakhs.

We are already going through tough times when more than 70 % of the doctors I know not wanting their children to pursue medicine now, and the remaining wanting their child to go abroad after their medical graduation in India.

The far fetched effects of such faulty government policy might not be palpable immediately, but it will surely be detrimental to the Indian Healthcare system in the years to come with lack of adequate number of good doctors & super specialists in the country.

Friday, August 12, 2022

Shocking! Study shows 30% Indian doctors suffer from ‘VIP syndrome Headaches’.



Mumbai: In a first-of-its-kind ground breaking study in India, it has been found by researchers at the Quackdoses Multispeciality Hospital (QMH) that more doctors are now suffering from headaches owing to the increase in the incidence of ‘VIP Syndrome’ among the general population.

‘VIP syndrome’ is described as a cycle of patients expecting doctors and healthcare workers to meet their unrealistic expectations, kiss their ass and also provide special privileges, including 24x7 Whatsapp availability for their chronic non-emergent queries or zero waiting time for the stool pan. Earlier it was commonly seen in arrogant and abusive patients, especially in Emergency Departments, who created difficulty by dazzling or intimidating the care team like certain employers maltreat their domestic helpers, but now many patients feel that they own the hospital immediately after paying the OPD Consultation charges.

In an exclusive interview with us, the CEO of QMH Dr. Kabhi Mat’bann said, “Thanks to an endless parade of health care startups that have turned medical treatments into direct-to-consumer goods, more people than ever before have access to nurses, doctors, and more, available to act on their medical whims. Even we had allowed patients to Vlog their OPD visit and their brain tumor surgeries (guaranteed zero scar & zero blood loss ™) to make their hospital visits more impactful on their Instagram story & other social media feeds, but the other day we had a patient who wanted a Facebook live while undergoing a rectal examination saying that he wanted to show his butt like Ranveer Singh and become famous. How ridiculous can patients get?”

Unconfirmed sources have claimed that Harrison’s Principles of Internal Medicine will include the detailed classification and pathophysiology of the ‘VIP syndrome Headaches’ in its next edition as the 1st chapter.

Monday, August 1, 2022

Orthopedic Surgeon prescribes new antibiotic, shock waves felt in OTs around the country.


Mumbai – In a surprising incident which has sent shock waves in Operation Theaters (OT) across the country, the pharmacist at Quackdoses Multispeciality Hospital has claimed that he received an indent for an antibiotic never heard of – for a patient admitted under an orthopedic surgeon.

It is a well-known fact that Orthopedic Surgeons in India are aware of, and are taught about only 2 antibiotics during their residency, ‘Supacef’ before surgery and ‘Ceftum’ at the time of discharge of a patient. Arguably, a famous cliché that has been passed down in generations of medical practice is that, ‘the only difference between an orthopedic surgeon and a carpenter is that the carpenter knows at least 3 antibiotics’, a claim not rebutted by any surgeon so far.

In an exclusive interview, the pharmacist Dis’Kount Dey said, “When I received the prescription indent, initially I found it ‘humerus’ thinking that it was a joke by the nursing team. But I was left in utter disbelief and panic when they confirmed that it was in fact a prescription for ‘Cefakind’ from the orthopedic surgeon. Only when I realised that both ‘Ceftum’ and ‘Cefakind’ had ‘Cefuroxine Axetil’ in it, did my hyperventilation stop and I had a sigh of relief.”

The Orthopedic Surgeon Society of India has meanwhile downplayed the incident, claiming that the norm of sticking to only 2 antibiotics throughout is to contribute in reducing the crisis of antibiotic resistance in the world.

Unconfirmed sources have claimed that Aamir Khan, who is now the brand ambassador for PharmEasy, has been often seen roaming around with MRs to meet doctors, for pitching prescription of newer drug brands, in exchange for the useless healthcare awards (with zero credibility and can be easily ‘purchased’ like the Bollywood awards these days).

Thursday, July 14, 2022

The Hope Within

                                       


They said - Don’t aim too high
It hurts when your dreams are broken
I said - I want to fly the sky
And spread my wings out wide.

Life is too short to worry about what others think,
In the end, it doesn’t even matter,
Never give up on hope is all I say,
Coz miracles happen every day.

They said - Don’t go deep in the ocean
You might also drown like many others
I said - I wanna to be the guiding light
And leave my footprints on the shore.

Life is too short to worry about what others think,
In the end, it doesn’t even matter,
Never give up on hope is all I say,
Coz miracles happen every day.

Not concerned about what they said
I walked alone and found my path
Now they follow me behind and shout
We always said this boy would win.

Life is too short to worry about what others think,
In the end, it doesn’t even matter,
Never give up on hope is all I say,
Coz miracles happen every day.

21/12/08

Friday, July 1, 2022

I want to Break Free





Standing… in the path of adversities,
I am sick to bear, all this
The rebel in me is telling me,
I don’t give a damn now,
I am a free spirit,
I wanna break free…

From the clutches of money,
From the punches of time,
From these winding roads,
And life’s thunderbolts

This shower is pouring hard on me
Trying to burn me to ashes
I have seen it all before
And gone through all the clashes

I wanna break free, wanna break free
I wanna break free, wanna break free

From the rat race,
From being out of place,
From my broken desires,
Help me, my hearts is on fire,

Why worry about the future,
Why weep for the past,
Why ignore the present,
And lose on time which runs so fast…

I wanna break free, wanna break free
I wanna break free, wanna break free

Aug 2007

Friday, June 3, 2022

The Last Wish - Please Come Back




It has been more than 11 years now that I have been working in the Accident & Emergency (A&E) Department. 

Time and again I see instances where an equally old husband/wife comes all alone with their old ailing spouse, a patient who requires an ICU admission, a quick decision to be put on a ventilator, get thrombolysed for a stroke, be immediately taken to Cath Lab for a heart attack or to the OT for emergency surgery. On further inquiry, the picture becomes clear that their children are well settled abroad, leaving the old couple back home to fend for themselves, only sending them money for their existence.

Many times I have myself spoken on phone to the son/daughter of the patient, staying thousands of miles away, briefing them of their parent’s condition and receiving the same reply, “Please go ahead do your best, whatever it takes. Don’t worry about the cost of the treatment & the investigations.” Seldom have I heard anyone say, “Doctor, you proceed, we will be there soon.” It really hurts me to the core…. At the end of the day, I feel that the only people who can leave everything behind (for want of money/better quality of life) and never look back at their own parents, are those who are selfish and self-centred.

With the following few lines, I have only tried to bring out the pain, the feeling and the thought process of such a patient lying on the bed, right before my eyes in my A&E.

I’m weak now, I can’t even walk,
You became all busy, with no time to talk,
Education gave you wings, I showed you the way,
Our life is difficult now, alone we stay,
Please come back… Please come back

The money you sent, few phone calls you made,
Never made us happy, wish together we stayed,
Not playing with your kids, not meeting your wife,
What wrong did we do, to deserve such a life?
Please come back… Please come back

I fight to breathe now, with pain in my chest,
Remembering old times, I did my best,
I might die soon, do you really bother?
After I’m gone, who' ll look after your mother,
Please come back… Please come back

These tubes and pipes on me, really make me think,
Wish I could see you all, and not even blink,
In my dying moments, by my bedside you stand,
Consider it’s my last wish, come hold my hand,
Please come back... Please come back

(06/12/12)

Wednesday, June 1, 2022

Seize the golden moments after a heart attack.



The sudden death of singer KK today was a shocking news for music lovers and his fans across the world. What was even more shocking was that he showed the typical symptoms of a heart attack including sudden onset chest uneasiness and profuse sweating, which was not recognised in time. Off course he could have survived if the all important ' PAL - In the Golden Hours' would not have been wasted. Read on to find out more.

Heart Diseases are the number one killer in India. A Heart attack is caused when a clot completely blocks a blood vessel in the heart.

Worldwide, people fail to identify heart attack symptoms on time or seek appropriate medical help.

Post a heart attack, the heart muscle starts to die within 60-90 minutes after it stops getting blood, and within six hours, almost all the affected parts of the heart could be irreversibly damaged.

As a consequence of damaged heart muscles, either the heart can go into a sudden complete standstill, or into abnormal heart rhythms called “ventricular tachycardia” and “ventricular fibrillation” where the heart muscles contract at a rapid rate, without any active pumping of blood from the heart – called as a cardiac arrest. A person with a cardiac arrest will be unresponsive, will not be breathing and will not have a pulse.

Cardiac arrest occurs suddenly, disrupting the blood flow to the brain and other parts of the body. Lack of oxygen causes irreversible damage to vital organs, and within minutes, patients die.

Most patients don’t get another chance if heart attack is not treated in time.

The first hour of definitive medical care is called the “golden hour”. Nearly 47 % of deaths occur due to cardiac arrests during this period, even before an individual reaches the hospital. It is a window of opportunity to the patients, their families, and doctors to take appropriate and quick actions, thereby impacting a patient’s survival and quality of life following a heart attack.

Reaching a hospital, which has an in-house cardiac cath lab, within this Golden Hour period, provides emergency physicians and cardiologists ample time to perform ECGs, appropriate diagnostic tests and scans on the patient to ascertain the occurrence of heart attack and the extent of damage, and take necessary steps to reinstate proper blood flow to the heart immediately.

A person who reaches the hospital and gets treated within this period can expect near-complete recovery.

Hence, “Golden Hour” becomes “the game-changing event” in saving the life of the patient.

Note: Global Hospital, Mumbai provides multidisciplinary, extensive emergency medical services to all patients, with the highest level of care, and is capable of offering definitive treatment for any type of cardiac emergencies. We have a 24 hour functioning Cath lab, Operation theatres, blood bank, NABL accredited laboratory and Radiology department.

With our comprehensive emergency medical services, we are able to care for the most life threatening emergencies at a moment’s notice.

Wednesday, May 18, 2022

Count your Blessings - My COVID Story

 


It was exactly a year back on 19th May when I was rushed to the hospital with complaints of breathlessness due to COVID, and oxygen saturation of 84% at home.
 
I had just landed in Mumbai on 12th May after 1.5 -2 months in Delhi, when my brother who came to receive me at the airport told me that my voice was a bit hoarse. There was no fever, no cough, but surprisingly I developed a 102’F fever the next day. Though I knew at the back of my mind that after treating more than 10,000 patients (over the past 14 months in my last organisation), I too would have contracted the virus. Akhir bakra kab tak khair manayega !!

On the 14th of May, my test came back positive and I started myself on the same treatment regime that I had started all my patients on, and who had done extremely well to recover on home isolation. 

When my oxygen saturation started dropping, I knew that it was getting serious! I was in the second week of the illness, probably in cytokine storm and suffering from severe pneumonia – a stage which I knew not many people were recovering from. Unlike the 1st wave where most of the casualties were the elderly, in the 2nd wave of COVID, it was common to see people in their 30s and 40s dying. The trend seen all over the country then was that patients who mandated admission to the ICUs, especially on high flow oxygen or ventilator, were not coming out of the ICU alive.

While I was being taken to the hospital, there were only negative thoughts racing in my mind - if I would even survive, if I would ever get to see my family again, or if they would get to ever see me again (dead bodies were packed in body bags then, and families were not allowed to even have a last glimpse of their patient), would I even come back home, or be directly taken to the crematorium from the hospital, etc.

I felt like crying but still held onto my tears. My brother was my biggest strength then. My initial workup showed a Chest CT severity score of 16/25 (staged as severe bilateral pneumonia, with dense consolidation), WBC counts of 25,000 plus and Lactate of 7, to mention a few reports – all pointing to a poor prognosis. I was then moved to the ICU. Those 5.5 days spent in the ICU were something I would really not want to remember ever again.

There were 23 other COVID patients in the unit, and it was easy for me to make out if there was a CPR happening on one of the beds, if someone had deteriorated enough to need invasive ventilation, I could even hear the doctors discuss the case next to me, etc.

It was the time when I realised that the ability to even be able to take a breath, eat your own meal, drink water, able to pass urine or stools on your own can be such a blessing.

As days progressed, my oxygen saturation held up and I was recovering, I knew it was probably all the prayers and blessings of my family, friends and those the patients I had successfully treated over the years, because which I made it out alive. While I was being wheeled out to the ward from the ICU, my bedside nurse told me, “Sir, you’re the first patient who has been SHIFTED OUT of the ICU in many weeks and months!”

I finally spoke to my parents once I was in the ward. Fearing for the worst, they hadn’t slept for days while I was in the ICU, hardly eating anything, too dumbstruck to even talk to anyone and continuously praying. All I did on video calls from the ICU was show my hand that I’m alright, and would smile from behind the oxygen mask, asking them to take care of themselves at home.

After spending another 2.5 days in the wards, and a total of 8 days in the hospital, I was finally set to be discharged home on 26th May. The nurses, doctors and all those involved in my treatment, because of whom I’m still alive (and writing this story of mine), are all in my prayers every single day.

Mohit, bahut hua Delhi… ab Mumbai mein hi job karo. Humein nai pata ki aage COVID kaisa hoga, hum bhi bachenge ki nai”, was my emotional mother’s ultimatum.

I had applied for a job in my current organisation a day after landing in Mumbai, and my interview was scheduled for 22nd May, which was subsequently rescheduled for 29th May. I remember being breathless even during my interview, not able to talk in long sentences. Against the wishes of my parents (since I had not recovered completely), on 1st June, I flew back to Delhi to continue our fight against COVID.

With the clear intent to come back home to Mumbai, on 3rd June, I decided to put down my papers there. On 16th June I received my offer letter from here at Global Hospital, and the rest has been my best professional and personal decision to be back in Mumbai, and be associated with this organisation that I’m so proud to be a part of.

Though it was the toughest time of my life then, COVID completely changed my perception and priorities in life. I’ve realised that we all keep running behind money, professional success, fame, etc – but that truly IS NOT THE ANSWER.

Wednesday, May 11, 2022

Private hospital launches package for scam accused convicts.


Mumbai
– In a major marketing feat which could soon become the industry trend setter for other healthcare players, the Quack Multispeciality Hospital (QMH) today announced the launch of their highly anticipated ‘Jailed Scamster & Fraudster Package’.

It is a well-established fact that the health of most jailed accused (of high value frauds) and corrupt politicians suddenly deteriorates during interrogation while in custody. Citing existing medical comorbidities & loopholes in the Indian judicial system, they are then admitted to private hospitals with five-star facilities for months and years, with ‘illnesses of unknown origin or treatment’.

In an exclusive interview with the Quackdoses, the hospital’s CEO, Dr. Ghoos Dey said, “We are proud to announce that we’re the first hospital in the world to officially come up with this visionary and unique idea. Addressing the huge demand of such hospital packages amid the rising corruption, our aim is to be ‘the preferred choice for healing and good health, for jailed accused’, like Wadhwans of DHFL scam, Anil Deshmukh, Nawab Malik, and all politicians who will become victims of ED and CBI in future. Our package includes a minimum of 6 months stay for un-indicated medical and surgical admissions, blood and other investigations which take weeks and months to be reported, surgical fitness which takes months, and other time consuming services, to mention a few gimmicks for keeping such patients out of jail. Our secret tests for fitness are difficult to perform and interpret, easily fakeable, and have been successfully used abroad by criminals and fakers before being adapted to the Indian market. We will be happy to provide them our expensive medical services, using the proceeds of their crime.”

Unconfirmed sources have claimed that QMH is also looking for direct corporate tie ups with jails in future, to make this business model a runaway success.

Monday, April 25, 2022

Learn CPR - Save a Life - Be a Hero

 


A young 44 year old female was brought to our Accident & Emergency 8 days back, in a drowsy state with no recordable blood pressure. She had been having pain in abdomen since 2 days prior to arrival, and was diagnosed to have a ureteric calculus causing hydroureter and hydronephrosis (a kidney stone stuck in the tube / ureter connecting the kidneys to the urinary bladder, causing swelling in the tube and in the kidney).

Looking at her poor neurological status, her family was counselled regarding the need for immediately putting her on a ventilator, to which they reluctantly agreed to after a gruelling 20 minutes.

By the time patient was brought to us, she had already been drowsy in the government hospital for more than 4.5 hours, and was in full blown sepsis with pulmonary edema (fluid collection in her lungs) and early ARDS (Acute Respiratory Distress Syndrome). Within few minutes of securing her airway (after intubating her - putting her on a ventilator) and starting all resuscitative measures (with intravenous fluids and drugs to support pumping of her heart), her heart slowed down and suddenly stopped beating.

Immediate lifesaving CPR (cardiopulmonary resuscitation) was started, lifesaving drugs given, and we were able to revive her heart within few minutes.

There are always chances of brain getting permanently damaged if it doesn’t get blood supply for 3 - 5 minutes, in her case it was too early to predict if there was any.

Her husband and sister were distraught as they saw her getting wheeled out to the ICU with all the tubes in her body, IV lines, monitor, ventilator, drug infusion pumps, etc. Only thing they could do now was pray and hope.

Over the next few days, the husband would spend a lot of time in our Emergency waiting area, waiting to just talk to me regarding his wife – I knew that the clinical updates were given by our team of doctors upstairs in the ICU, but he wanted to share his grief too. I would also daily visit the ICU to check on her.

5 days after she was brought to us in that state, she was well on her path to recovery.

3 days back, she was off the ventilator, was given food orally the next day, and today she will most likely be moved to the wards.

This news itself gives such a sense of satisfaction and calm, feelings which can be felt only the heart, and I just thought that stories like this need to be told.

There can be no better reward for we doctors, nurses, and the entire team involved in patient care to see our patients doing well, and come out on top. It always is a great feeling to see the smile on the faces of patients & their relatives as they are being wheeled out from the ICU to the ward, and from the hospital to their homes.

What makes such patient recovery stories special for me is that for a country like India, the survival to discharge percentage for patients suffering an In-Hospital cardiac arrest (heart stopping) will ‘practically’ be less than 15 – 20 %, and I’m glad she will be one of them.

It really has been satisfying to train thousands of healthcare providers and lay persons over the last decade in CPR, as part of ‘Be a Life Saver’ campaign, an initiative I wish to continue in my healthcare journey with the sole objective being – TO SAVE LIVES.