Monday, August 27, 2012

TDMC Reunion August 2012

Mail from Sheilamma:


Newsletter Alappuzha Batch 26 & 27
We had a most enjoyable 24 hours at the beautiful Varkala Beach on August 11 and 12 2012. Thanks for the hard work done by  the organizers! Thank you Longi and Thank you all who made the time and effort to get together and share memories and renew friendships!  see you all again in Ernakulam in September 2013.
I thought it will be useful to gather some data on the attendees and so I took some notes. It was hard to keep the focus amidst all that laughter! I never knew we had so much talent hidden among us!
Here  is a synopsis of  what I heard about our classmates *(even though Some of us preferred the term "Body Mates") The formalin in the dissection hall must have affected our memories.
Please excuse any errors that I have made and please send me sheila.maliekel@gmail.com any factual corrections or additional informations. Thank you!
1.Cecily Abraham 345 9450435 (H) 345 9163183 ( cell) 9645581848 kerala 9645581848. asha@candw.ky.Cecily lives in the beautiful Caribbean island of Grand Cayman very close to United States. She is a Pediatrician and hoped to treat only patients shorter than herself! Cecily was so excited about this reunion as she missed the previous one in Alleppey. We heard that she had been shopping for Shoes and Sarees for almost an year for this event. She looked fabulous! Her husband is a Certified Public Accountant. Both her children followed his footsteps. Cecily was the unofficial judge grading the foreign accents  for AKSHARASUDHI! Cecily and her husband Avarchan  made a special effort to come for the August reunion even though they are coming to Ernakulam again in November for the wedding reception of their daughter Asha. It will be at the Holiday Inn Ernakulam on November 10th 6-10 pm. Avrachan and cecily hopes that some of us will use that occasion to have an interim get together in November. If you can attend please let them know at asha@candw.ky
2.Abraham Philip mobile- 984 7453260 04712447453  drphilip56@hotmail.com Abraham Phillip works as a Physician in Trivandrum since 2005 after returning from Qatar. He came with Susan his wife who is an Ophthalmologist At TVM Medical college. Susan graduated from Kottayam. They have 2 sons. One graduated from NIT Trichy Engg and works in Hyderabad. I think he is getting married on November 12th in TVM. So any of you are free to attend a wedding Gala call Abraham Philip. His second son is a Final MBBS student at Kottayam.  Syamala NK was nostalgic about the stage dance he  performed with a few girls and he readily admitted his participation as a folly of “Chila Nerangalil Chila Manithar”
3.Alex Cyriac 944 6021697, Home- 484278 5577  -renee.alex11@gmail.com. Alex took the train from Ernakulam and arrived in Varkala fresh and unfatigued! He came with an armful of Wedding invitations! The reception for his daughter Anjana and Paul is on Wednesday 12th September 2012 4.00 pm to 8.00 pm At Center Hotel, Avenue Center, Panampilly Nagar Cochin.  Hope a few of you will make it to the reception and can meet Alex and Renee again. He is a General Medicine MD Physician at Devi Hospital Tripunithura.
4.Aleyamma Varghese drelsymathew@gmail.com ( Elsy Mathew) USA 909-626-9790,  9099647829 Came with her husband Mathew from sunny California.  She emigrated to USA in 1980s and did PG in Psychiatry. She is a Psychiatrist and lives near Los Angeles. Any visitors to Hollywood or nearby locations are cordially invited to stay with Aleyamma and undergo complementary Psychiatric evaluations.  When visiting Kerala they stay at their flat near Kakkanad. They have three daughters, Maureen  working full time in Youth Ministry, Maxine dentistry,  Merrill graduated from College this year. Look up Aleyamma in Facebook for Photos and more information. Her FB id is Elsy Mathew
5. Amin Sait. Amin sait arrived on the morning of Sunday while we were having breakfast and stayed for the rest of the day. Unfortunately I did not get a chance to get his phone number and information. Any one who has his contact info Please fill me in or write me a line so I can include it in the next e-letter. Thanks.
6.Antony C.L 9846158829 clantony57@gmail.com Clantony is retired professor Ophthalmology at Medical College Thrissur. They have two children, the older one is a BDS gra and the younger one is a Plus 2 student. Clantony arrived to the reunion with  Philosophical thoughts and a thumb drive full of nostalgic photographs from 1974-1979! He shared his memories of our friend the Late Nandakumar and Leon. He brought beautiful family portraits of Nandakumar and Leon. He also brought photos from Men's Hostel - A vivid example of Mens Fashions from the eighties... flared bell bottoms and wide belts...and most interesting hairstyles! What happened to all that Hair? ( It is alleged that the cause of Male pattern baldness is an abundance of testosterone- a comforting thought.)  and Thank you Clantony for the trip through memory lane! We had a blast identifying all the characters from the final MBBS portrait. After Clantony’s entertaining philosophical talk, I gained insight into the “ ARTHA-KAMA-DHARMA-MOKSHA” concepts and the indebtedness of our life to the supreme GOD.  Remember Clantony’s shoulder shaking laugh? Still the same!
7.Asoke Chakkalackal Mathew dr.asoke.mathew@gmail.com 8122609926. Asoke is based in Chennai at present. His  wife could not attend the reunion as she was caring for their  elderly mother who lives with them. Asoke trained as an ENT Surgeon and had worked in the middle east as well as in Maldives.  After a successful career in ENT,  Asoke had a life changing experience caring for the very sick and terminal patients and he trained himself as a Palliative Care Physician and has dedicated all his time and energy for that cause.  See Asoke on Facebook!
8. Ajith. N. drajith.n@gmail.com 9447657336 I was either so distracted and entertained by Raju’s conversation that I missed everything that Ajith said at the introduction, So somebody please fill in !!!
9. Balji- P.K. Balakrishnan 9447030053, carewellhos@gmail.com. Balji is the ever so dignified gentleman. He runs the Carewell hospital in Ramanattukara,. Balji was our Hindi linguist thanks to the time he spent in Bihar prior to Medical College. at the reunion he shared a very inspiring anecdote about his early struggles in getting to Medical college. Thanks Balji!
10.Chacko P.M chackopmdr@gmail.com 9400916390  or mobile 9746085144. Chackochan and his wife Rosamma holds the titles of The “Most fertile family “and  the Parents of the youngest Child at the oldest age. Haridas and Longi tried to get the secret out of Rosamma and Chackochan to no avail. They are the proud parents of 3 daughters and son who looks like the most handsome version of a very young Chacko. The older two girls are married, the youngest daughter is in Plus2 and the son in high school. Most of you will remember them all from our last reunion in Alappuzha. Rosamma is an accomplished vocalist and once again sang to our delight. Chackochan and family is settled near Vazhoor. Chacko is on Facebook.
11.Damodaran Nambiar Kochi  4842375833, 4842376623. ushadnambiar@gmail.com
Damu came with his wife Usha, daughter, grandchild and brother in Law. As many of you already know he owns a Scanning center in Ernakulam, Damu will take the lead along with Alex Cyriac to organize the 2013 reunion for our batch in Ernakulam, most likely date is September 14 2012.
12.Henry P.Y mobile- 9447309547 henrypy@live.in Henry had a very successful career in Pediatric surgery and foetal reconstructive surgery earning a name for himself. He too has retired and at present working as a consultant with Concentration in foetal surgery.
13.Hamza  M.K. 9847057124 .Despite the Ramzan Noyambu Hamza made the long trip to visit with old friends. His Address is Hamza M. K, EMKAYE Mansion, Nattika PO TCR Dist, 9847057124. He is not practising medicine, but is managing His Family Business in Garment Industry based in Tirupur.. His wife Dr. Suhrya was diagnosed with Pituitary Adenoma, which required multiple surgeries including Partial Adrenalectomy and is Debilitated and is on Hormone replacements. Between caring for his wife and managing the Export business Hamza is keeping very busy.They have three daughters, Shemina, Shefna and Shabna. All based in Dubai.
14.Haridas Kannath 9447062390. haridaskannath@yahoo.com Haridas arrived with wife Anitha and daughter Neeha. Haridas had been very active in the Kerala medical organisations in Leadership positions. He Co hosted the activities of the reunion along with Radhakrishna. Haridas sang a beautiful Malayalam film song . Haidas is also on Facebook , so please browse his profile site for photographs of his gorgeous family. Daughter Neeha Das and son Nihijith Das.
15.Jacob Chacko ( Jimmy )971 50 856 65 68 jckuttickal@hotmail.com  Jimmy works as a cardiologist in Al FAtima Medical center in Dubai and came to meet us all, even though his family could not attend. Jimmy too sang on stage for us. Jimmy’s son Jonathan graduated with an Engg degree from USA and a younger daughter in Medicine.
16.Leena & KR Thankappan 91-471-2524231, Cell 9447072171  kavumpurathu@yahoo.com  Leena and Syamala works in Anesthesia  at the same hospital. She retired from Service as a Directer and now in Private consults. Leena is a Grandmother and enjoys spending time with her children and grandchildren. Thankappan is the Professor and Head of Public health at Achutha Menon Centre for Health Science Studies
Sree Chitra Tirunal Institute for Medical Sciences and Technology. In that capacity Thankappan comes to USA several times to present papers and has visited Sheila, Valsamma, Mukkada etc in the past. Few years ago we met at Valsamma’s house for a mini reunion, I hope to see Leena in USA again soon.
17.Lizzy Varghese edanadu@yahoo.com   Kerala number(H) +91 4792454212 ,Australia  (H)+61 7 34230280      
(M) +61 431923343      (M)Cherian +61 439958494   Lizzy is married to Thampikutty ( Cheriyan from Kottayam Medical College) her high school sweetheart, She has been working in three continents, Asia, Africa and Australia over the past 33 years and at present settled in Brisbane Australia and is doing general practise. Lizzy has two daughters, both are married, Lizzy has one grandchild. Call her at home and you can hear the baby in the background! Lizzy and Thampikutty were so excited about this reunion and came from Australia exclusively for this event. ( Our own Annamma Eapen is her neighbour and relative in Brisbane. Annamma was unable to come for this reunion,because she had just returned from kerala recently after a prolonged leave to care for her mother who developed Pulmonary Embolism.)
18.Mathew M.P.9387610200. Mathew came from PALA where he practises ortho. You will remember Celin his wife from our junior batch. Mathew, Premachandran, Chackochan, Zacharia etc seems to get together often.  
19. Moorthy, Moorthy came from TVM whee he is a consultant in Physical medicine and at present works for the indian Military Services.  I did not recognise moorthy when he arrived in a brand new BMW and looked lean losing all that baby fat from his cheeks.  I Did not get his email or phone number, so friends who has it please e-mail me!
20.Murali Thylothu 9449523983 muralithyloth@gmail.com . Murali Lives in Bangalore and volunteers his time in Kerala. If I start to write all the titles Murali holds, I will need a few more pages. Murali perhaps has the most “Google search hits” for his name. I have searched for his name and got exhausted trying to read all the articles and publications. Here is a sample of his latest Titles, Dr. T. Murali, MD, DPM , NIMHANS) President WAPR , Congress President WAPR World Congress 2009 Bangalore Professor of Psychiatry Sree Siddhartha Medical College, Tumkur. Consultant in Psychiatry and Rehabilitation. After retirement from NIMHANS Murali is serving as President ( the first and only Non white, non caucasian, non european) of the World Association for Psychosocial rehabilitation. He volunteers at various institutions in Wayanad and PALA  to serve the underprivileged psychiatry patients. Hats off to Murali for his involvement with the mentally ill, I look forward to meeting him in USA on his next trip there. In spite of all the credentials he has accumulated, he still is our good old “Krimani”. Murali is married to Brunda - a Psychologist from Karnataka and they have two kids 24 year old daughter who is doing a project on Snow Leopards of Ladak, and a son who is doing BBA in Bangalore.
21.Padmanabhan 971506120379 or 97124450984 deepthi@eim.ae Pappu lives and works in Abudhabi. His lovely wife Radha came with him to Varkala. Pappu made this trip expressly for the reunion and returned to Abudhabi the next day. It also happened that Radha’s birthday was on sunday and so we all had the opportunity to celebrate with them with a cake and birthday wishes. Radha is a great singer and so she sang a beautiful song on stage. It was a wonderful event and thank you Pappu for coming all the way! Pappu somehow lost all that luxurious curls from his scalp- ( CLANTONy’s old photos reminded us that Pappy actually had hair!). You may want to remember the medical correlation between MAle pattern Baldness and Testosterone. Pappu keeps in touch with Philip K Issac  + 971559281006 who is also in Abu dhabi. ( remember his all white outfits?) I hope to stop by on Abu Dhabi on my next trip to Kerala ( I usually fly Etihad from Chicago-Abu Dhabi-Kochi and now that I met Radha and Pappu I know where to stay. ) PAppu has two daughters, one in Bangalore and the other in New York, USA
22.Premachandran 9447599959 Anikuttan or Ani. Contact him at Dr. G. Premachandran
Marian Medical Center Pala - 686 574 Tel: 04822 - 324576 Mob: 9447599959. Ani is also on Facebook.
E-mail: prem99959@gmail.com  Ani  did Ortho MS and worked at Kottayam Medical college for a while then went to Muscat for a while. Now he works at Marian Medical center Pala as a Orthopedician. had a lot of funny memories about several of our classmates and kept on grabbing the Mike to share those very funny memories. Ani’ has a daughter is a med student at Pushpagiri and his Son is an MBA doing business in Kottayam. Ani’s wife is a lecturer at NSS college.  
23.Radhamany-9745028373. radhamanyk@aims.amrita.edu Radhamany and her husband Remanan who were a constant presence and resource for the past reunions were unable to attend the second day. Both arrived at VArkala in the evening and we were happily socialising prior to our walk to the Varkala beach when radhamony got the sad news about her Sister’s premature demise. Both left the reunion immediately to reach her sister’s house in Quilon. We all share deeply in Radhamony’s great loss. We hope to See her and Remanan again soon.  Radhamony is a leading Gynecologist at Amrita, She retired from Alappuzha Medical College and was an examiner for several of our own children!
24.Radhakrishnan ( Longi) 9447162977  nairdrprk@yahoo.com Thank you Radhakrishnan for the lead that you took for this reunion. I was so afraid of him and never called him Longi in his presence during our college years! Now he has become  the most endearing host and friend and enthusiastically introduces himself as Longi. he was accompanied by his dear wife Jayasree and daughter in law Indu. Longi owns an operates a very successful hospital and infertility center in Attingal- Amar Hospital. Longi is well known in Local social and political circles. He even provided entertainment for our gathering by inviting a very young talented  teenage Artist whose birth he himself attended a few years ago. we Thank you, your family, and your Manager Rahul. Both Longi and his wife Jayasree are on Facebook. We hope that all the professional photographs that were taken by Radhakrishnan’s Studio artist will soon make its way to facebook.
25.Raju K.A: Professor Pathology Cochin Medical College 9446331278. Karathanathu,Kanakari PO, Kottayam. 686632 Raju shared a lot of hilarious memories about Ist MBBS ragging days, Never knew Raju has a funny bone in him! Se sang a few songs and even suggested a prescription for “sundhareemanikal” to become even more beautiful..
26. S.K Raveendranathan KalaNilayam,Nedunganda PO TVM 9846400060. Ravi came with his wife and daughter and son in law. Both are Masters ophthalmology and very accomplished. You may remember his younger son who was with him at our Alappuzha reunion. Ravi shared very  heartfelt experiences about raising a child with disabilities and how it had dictated every decision he makes in his life.  We hope that medicine and Science will soon find a way to provide adequate treatment for Autism and Autism spectrum disorders as well as find a means to prevent this illness in children.  Thank you Ravi for your inspiring words. We hope that you and your family find strength and courage in your journey with your son.
27.Sathyavathi-479 2449475 Lives in KAYAMKULAM, after retiring from health Service. She does not have any children. Her husband Mohan is unwell with early Parkinson's and diabetes. Inspite of that Sathyavathi came with her niece. She looks the same as from our dissection and unit postings. Syamala and I were her “Body mates and we were so very glad to see her. The three of us and Sheila Bhaskar 9495511145shared a limb in Anatomy and Sathyavathy was our Mature elder sister when the three of us always got into trouble. By the way Sheila Bhaskar is in Trivandrum- Ophthalmologist, she is a colleague of Abraham Philip’s wife Susan. Susan gave us Sheila Bhaskar's Cell phone and we called her on her mobile and the four of us “Limb mate had a pleasant chat.
28.Sheila Maliekel cell 847-207-7787 home 847-816-0741 USA. sheila.maliekel@gmail.com I came to USA in January 1980 and worked for 32 years. I did PG in General Medicine followed by Critical Care medicine worked as an Intensivist and  Academic Medicine teaching PG students. It was really fun and I had a great time. I retired to enjoy life and do better things. Now I am more free to follow the paths I choose. I am a ameteur Farmer/Gardener. I Volunteer at my church, teach catechism, Teach scripture and generally live a happy life. My Husband Kunjumon is still working  and our children are all employed, Son Joe is an MBA and Daughter Rose is a Lawyer. I come to Kerala quite regularly at least twice a year-Both Mothers are still alive and we have two brothers each on either side of the family living in PALA-Bharananganam. Visits to home in Pala is a greatly happy occasion for us, enjoying the hills and streams and birds and flowers and clean air.  We are in Nattumpuram...remote from the buzz of the big towns!! I have a sister who lives in Jawahar Nagar  (Gynecologist at PVS Kochi) so I may spend a few days there in the future. Hope to see Kochi and nearby friends next time I come home.
29.Sudheendran 9447749500 or  04872381495  tmsudheendran@gmail.com  with an alternate e-mailjaideepts@rediffmail.com . Sudheendran and the late Soman were my other limb mates! Sudhy came with his wife Meera. They live at “ Arunima” Thrikkumaramkudam, Ayyanthole, Thrissur 68003. They have three children, Balu, Jaideep, and Pinky.  Sudhy entertained us with tales from classrooms  with impeccable dry humor!
30. Syamala N.K 4712371800, 9633589678 drsyamalank@gmail.com  Syamala was my room mate and dissection mate. So it was particularly delightful to meet her again.  Syam and I had kept up our contacts in the past also. She and her husband Radhakrishnan ( Retired Engg) lives in Trivandrum. Like Leena, Syam also retired from Service and is now working as an Anesthesiologist at ananthapuri Hospital, Puthenpura, TVM. Her daughter is a pediatrician and son is an engg at ISRO. They have a grandson 10 months old. Syamala was my co-conspirator in a number of pranks in college and hostel!
31.Thomas Zacharia 0481-2494655- or 9447745400 Zacharia had the most number of doubts and questions for the group and we all enjoyed his flaming enthusiasm. He is an avid supporter of Annual get together and even suggested future venues. zacharia and his wife Jessy lives in Chingavanam
32.Vasudevan Karuvath V 9446878195 or 04924262363 vasudevankaruvath@gmail.com orushavasudevan@gmail.com Vasu made a lightning visit on Saturday afternoon and mingled with everyone, but disappeared to return to Palghat at night! His wife Usha was surprised to see him return so early in the morning! So I called Vasudevan to get some information on him and his family. VAsudevan and his wife Usha (Deputy Director of Agriculture) lives at his home “Panchami” Bheemanad PO, Palakkad Dist. They have three children. Ashwini Menon BDS is married to Sandeep-a cardiologist and gave them two grandchildren.  Anand K.V. MBBS is preparing for PG entrance exams in Thrissur. The youngest Arathy Menon is doing MBBS at Alappuzha. Vasudevan has contacts with UMAR, Mehroof 9747000353 and Velayudhan Pilla. I tried Velayudhan Pillai number 9495668184 several times but did not get connected.
Other Friends who could not make it to the reunion:
  1. Elizabeth Samuel( Usha) 479 2314314or 9495034619 or 9446118782
  2. Kamrudeen  9447719373. Taluk Hospital Vaikom, Lives with his wife in Cherthala, Has 3 sons, eldest is Doing DLO in Bangalore, second boy is a mechanical Engineer in Bahrain and the youngest is final MBBS in Periyaram Med college
  3. Kusumam Thomas ( Suma) +971557822185 Abudhabi
  4. Janet Joseph 9645867733 Haripad
  5. Jos Anto Nellisserry 9447419812 or  04802732540
  6. Joseph Muthalakodan Kottiyam  9633932447
  7. Mehroof 9747000253 medical director of a Medical college in Malabar
  8. Mohammed KT 91 9895010414 Moimmedka has been in Patambi for the past 30 years. He was in Govt service, retired and now in private practice. he has two Boys,  older one is married software engg and the younger one is an MBA working for a US based MNC in Bangalore. he was planning to copme for the reunion but there was a last minute cancellation. Even though we did not meet this time, I ws abe to talk to him for a while and hope to see next time.  he said Umar retired from ortho Surgery Calicut Medical college, But did not have a contact information
  9. Omana Jacob 9447013674 or  4792325874. Husband Joykutty
  10. Paul Antony 586 945 5012  USA General Practise Michigan
  11. Phillip K Issac  + 971559281006 Abudhabi
  12. Razack Abdul 440-933-7900 USA Gastro enterology, Cleveland USA
  13. Rekha Pillai Pillair27@gmail.com H 901-753-2797C 901-289-4078   USA Neurologist, Tennessee USA
  14. Romola Mary Remola. drromola@gmail.com  479 696 9692 Romola came to US a few years ago to visit her children and I made contact with her. She is on Facebook. 
  15. Sarada and George Tharayil 0487-2440671  or 9495227533 She is on Facebook, Saradha and George could not attend the reunion as George’s Mother passed away on Saturday. Our deepest sympathies on the family’s great loss. Hope to see you next time!
  1. Thankamma Jose- 0481-2576171 or mobile 09446066171
  2. Thomas Antony+967 2 375782 Mobile: +967 711 353661 ENT Yemen
  3. Thomas Mukkada641-682-2509 Anesthesia Iowa USA
  4. Valsamma George 440-646-9519 Infectious Disease Cleveland USA
  5. Vasantha Krishna Pai 4842511450 pediatrics Kochi
  6. Velayudhan Pillai drvelayudhan@gmail.com 0487 -2553411,   M-9495668184
  7. Vijayamma & Tom Ephrem 0484-2838322 vijayammathomas50@gmail.com I was able to meet up with Vijayamma a few days after the reunion and we went to stay in Munnar. Vijayam lives in “Krupa” Choondi Aluva. Both Vijayam (Pediatrics )and Tom ( ortho) retired from health Service. Both are consultants for ESI ernakulam and Works 20 hours a week near North Rlwy Station. It is a short commute from Aluva to their work. Daughter Thankam was married last year and now has a child Toby. Their younger son Jino and Tom’s elderly mother lives with them. recently Vijayam and Tom went on a pilgrimage to Holy Land. See them on Facebook.
  8. Vimala Isabel 9486633883 or 04652278363 lives in Nagercoil and works at Bensam Hospital, I was able to talk to her this week, she hopes to attend the next reunion in Ernakulam next year.
Our class mates who left us for Eternity:
  1. Babu C.C 2012 metastatic Brain CAncer, Presumed primary Lung. Chackochan and Radhakrishnan Shared memories.
  2. Nandakumar 2011 Septicemia, DIC Dengue Fever? Clantony shared memories and Photographs
  3. Leon 21 years ago
  4. Ravindran Pillai
  5. Soman
  6. Prasad
  7. Babuji
  8. Ammini Menon Ovarian Cancer
  9. Jose
  10. Ouseppachan
Finally: We have some information on 32+23+10 =65 of our old classmates. Our original class size was only 80, but we count transfers in and out of the batch there must be at least 25 others who are missing from this List. I can think of RadhikaRani, Parvathy, Aysha,Jameela, Remany, Devi, Santhakumari, Varghese ( Sunny). we heard about K.P Chandrasekharan who is very ill with hep C, but I do not have the contact address. I do not know who else I am missing. If anyone has any more contacts please let me know. please encourage all to come for the next reunion in Ernakulam  September second weekend 2013. Damu and Alex cyriac will be the contacts for thhat, however we hope all and everyone will call and contact each other and encourage a perfect get together.
Please respond to me with Comments and Corrections at sheila.maliekel@gmail.com 
All the best!

Tuesday, November 30, 2010

Non-MBBS doctors for rural areas in India !

If 75% medical doctors don't want to work in villages, one should look for the reason behind it. The answer is simple. Most often, a doctor in the village finds himself too lonely for his profession. If you want qualified doctors to work in the villages, build good hospitals in villages. There will be a beeline looking for vacancy, paid or unpaid.

Every qualified doctor knows that a seemingly simple abdominal pain or fever may worsen over a few hours to scare his sleep away for a couple of days. No doctor will like one-man show clinics where he will feel burdened with responsibilities he can't manage alone. He may also have to lead a ‘sarkari joint' through the un-greased and rusted government machinery wrapped in red tape, headed and looted at various levels by corrupt bureaucrats and politicians. The doctor finds himself too much alone facing an irate crowd at the front office bare-hand, for all the sins committed by self-serving 'leaders'. And remember; this is a period of ‘defensive medicine’ – as someone said, the doctor may have to think that every patient is a potential enemy. The stress is too much.

Don't be fooled by the idea that doctors will work if there is money. Of course, money is a factor but not the factor. A good hospital will mean a good academic platform to expand the doctor’s knowledge and experience. It will mean he/ she will be working with a team and the responsibility will be shared. It will also mean professional satisfaction. It can also mean the luxury of one-day-off in a week.

True, the government or NGOs should have taken care of the health of the villagers in a healthy way. Indian Medical Association or NGOs could have debated the issue and come out with some suggestions.

I understand that in some other countries, senior qualified nurses are given license to practice in some situations. (Nurse practitioner). 

While a full fledged hospital may not be possible in every village, one for every few villages with conveyance facility from every village, mobile dispensaries and camps could be thought of. Of course, the local terrain and culture may have to be taken into consideration. Work in such institutions can be linked to academic curriculum, as study material and thus exposure would be enormous. Existing medical colleges should be encouraged to build a ‘village extension’ with regular visits from its various departments. Role of private investment in village health care can be thought of, and if necessary, government should encourage such ventures as well.

With the ground realities too negative, a conscientious doctor will shy away from work in villages. After burning away five and a half stressful years (or more) of his youth in a medical college, the medical graduate realizes that a life-long learning has only begun. And that every few months something new is happening in every field of medicine which he has to keep abreast with. One is at a loss to imagine how serious minded planners can design a shorter course to fast-bake medical practitioners. News is that there is a shortage of airline pilots; why they are not considering crash courses for people willing to fly aircrafts! Many doctors may be too willing.

(In response to thoughts of considering short courses for creating 'doctors' to practice in villages in India.)

Thursday, October 30, 2008

Doctors and Patients

This was my response to one post in a discussion forum.

Can you pls give your response to this?
=========================================================================

A DATABASE of patients' symptoms is welcome; such databases exist, in various text books, and in the internet. To be accepted by qualified doctors, they should be prepared by recognized experts after adequate research. Modern medicine has evolved over the centuries, that symptoms alone can't bring out any conclusions. One has to look for various features (examination) and do the necessary investigations.

These databases may not survive the knowledge explosion we face now. It has to and will evolve, as knowledge is accrued. Sometimes a whole 'diagnosis' is replaced by new terminology and explanations. So 'symptoms' become superfluous. If a doctor of the 50s were to come back to practice, he would find himself quite out of place. The 'explanations' for many 'illnesses' have changed, new 'illnesses' have appeared and so are the investigations and treatment modalities.

We continue to acquire more knowledge after coming out of medical schools by various means. Old explanations or treatment modalities are changed, challenged, or dropped. Treatment has shifted from herbs through potions to tablets or injections given directly into blood stream.

Nobody understood 'sepsis' before we discovered bacteria. Before Leeuwenhoek invented microscope, nobody knew about micro-organisms. Now where are we? We have 'seen' the smallest (?) micro organisms called viruses and know they infect even bacteria. What I mean to say is science and technology is evolving and consequently modern medicine too is advancing.

If patients are not getting enough help, is it that doctors are not helping or their help is not reaching them? Can it be a communication failure between the doctors and patients? One must keep in mind a reality; that in some situations, no help exist. In certain situations getting back a normal life is ...

"Why must the patient do all the work?": Is it to say that enough work / research is not done by the doctor? It should be understood that the ANSWERS are evolving while, at the same time, new questions appear on the horizon.

You said > "Can you think of any other industry where you have a problem, request a professionals help, and have to pay though the exact condition still exists?"

Ans: Do you mean the pharmaceutical industry? Health-care as I understand is not an industry, though the 'industrious' survive better. True, technology has brought in various gadgets and hence there is an industry there. But imagine, where else a human being has to spend his prime years in universities burning the midnight oil, attending night calls and emergencies, facing people who, for being sick, are angry at the doctor.

There are a lot of things the doctor or specialist of now a days know more than his colleague 50 yr back, but there is a great lot he is yet to know. We have reached the moon, and are eying the Mars, but the large universe is far beyond. We know about the various organs of human body, and the cells that make it up, and the various chemicals which go into the structure of the same and how they function. But do we know enough? That is why medicine is more of an art than science, and we still don't have all the answers.


It is difficult to find a perfect doctor, and that is because doctors too are human beings.

If only we had angels to qualify as doctors ! :-)


Thomas Antony

Friday, October 03, 2008

Life is like that..

Today afternoon I had to attend a call from the hospital. As ambulance passed through the marine drive – we have a road alongside beach, can I not name it that way? - I saw the beach was crowded. It was expected, as they were all still enjoying Eid holidays, tomorrow they have to start work. Many of them are visitors from north. The driver stopped to collect a GP who had got down there while coming, to buy soda. It was then I noticed raised hands and fists, and shouts from the crowd. Now, that was something unusual. I have spent five years here and I found Yemenis a peace-loving docile people. You can’t see them without a disarming smile. They talk politely and with respect.

As he climbed in I asked the doctor what it was about. He told me there was some amount of wrestling or beating up between two. A local had photographed a Somali woman in his camera-phone. Her husband didn’t approve it, and fight started.

There are quite a few Somalis here, who have come to work. There are a few illegal immigrants. It is only about 25 km to cross by sea. Some of the women beggars one sees are said to be Somalis. You have to guess, as their faces are covered.

We don’t use our cameras if there are Arab women around. In shopping malls, we are careful that there is no Arab woman in the background. If she is a friend of yours, and she permits, you may photograph her. They walk about with their abaya (long black gown with full sleeves and reaching down to cover the ankles – as they don’t get exposed to sun, they are prone for hypocalcaemia and osteoporosis, laments our orthopaedic surgeon) and a cover for the head (to cover the hair) and sometimes a ‘makrama’ to cover the face below eyes. Some may wear a veil above this as well. We try to recognize a co-worker by her size and shape, and the way she walks. If she is too well-known to you, you can ‘read’ the eyes provided they are exposed. And if she greets you, there is help from the ‘voice-recognition-software’ you have in your brain. But many times we may have to ask “min?” (who). Sometimes they surprise you and the passers-by by lifting the veil to show her face.

When they come as patients into the clinic, it is another story. My nurse asks her to remove the veil, and she obeys (Some ask, is it necessary?). Again, if it is a male nurse, while she removes the veil, he moves to a place behind the patient, so that he doesn’t see her face. He is back in his chair near me only after she has covered her face. I am able to examine her nose and mouth. What about neck, and ears? (That curtain also has to be removed. This exercise takes away precious time in the outpatient, but one gets used to it.) Elsewhere you can get sued for missing a finding or sometimes not even completing the required exam. If it is earache, some of them lift that part of the ‘veil-system’ for me to get a peek; that means you never see who you are examining.

I stick to my strict routine of examining ‘whole head & neck’, otherwise I record “patient not co-operating for exam” in the patient’s card, and refuse treatment. The nurse tells her to meet some lady doctor; we have female GPs. During my first few days, once I wondered aloud angrily what if they had male gynaecologists.

And the two gynecologists in the hospital were male.