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.

3 comments:

Dr. CHANDY JACOB said...

Thomas Anthony, we both trained at the TDMC Hospital, Alleppey. It is so ironic that you have brought up the topic of examining female patients. I still remember how difficult it was to examine something on a female patient's shin due to their modesty and shyness which is very common with all the women in India at that time(almost 35 years ago! I do not know how it is now!). I have been working in the Caribbean(West Indies) for the past 30 years.Most of them, especially in the childbearing age group come to the Doctor with most of their anatomy outside or visible with the slightest movement of the body. One day, after checking her BP, Pulse, ENT etc, I asked her to go and lie down on the examination table to check her abdomen. When I turned to examine her, she had already taken out all her clothes and was lying on the table even though I never asked her to do so!!So this is the difference between practicing in Aden and the Caribbean! "Life is like that.."

thomas antony said...

Thanks Chandy. That was an amusing anecdote. Times have changed and I don't know how the attitudes may have shifted.

(No wonder there's an influx of tourists into the Caribbean ;-)

Best rgds,
Thomas Antony

Dr Prema B Sejekan said...

Very good Thomas Antony.I remember you mentioned another incident in Aden practice, previously when you commented on my blog.You just have to write and do corrections .If you sit thinking you won't write.