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A year as a doctor’s apprentice

I have completed my internship, which was just for one year but felt as if it is an end of an era. This year was the best so far in terms of learning medicine but it was also worst ethically and has left a deep impact somewhere deep down in my conscience. I have been shown a glimpse of reality which I used to feel was only a part of books and newspapers. From abandoning an unknown patient to slapping a pregnant woman in labour, I have seen the worst possible scenarios which I would like to share here. This is what you go through when you work as a doctor’s apprentice.

Dr Varun Patel
Dr Varun Patel

You wake up at dawn, iron your clothes and apron, open up your newly bought stethoscope and are ready, totally pumped up to serve patients on the very first day. But the whole excitement crashes as soon as you enter the hospital chaos and the hospital staffs leave no room at all to humiliate you in worst possible way. ‘Aye Intern!’, ‘Aye Intern!’ and you turn back, that’s an instinct, because it takes a while for a mind to adjust to the reality, and you see a Mausi (ward maid) shouting at you to get off the recently mopped floor. On the first day itself they make you regret your decision to join this profession. You are startled at the trailer itself and you don’t feel like watching the movie anymore.

A month passes by and you get acquainted to the routine insults and are compelled to treat the patients in an unhygienic way, yes, you heard it right, unhygienic is the right way. You spend few hours in the casualty and you will see the resident doctors fighting over a patient. Nobody wants the patient admitted in his own ward. They call it ‘Batting’, you would see them proudly blabbering around – ‘Hey! Aaj Maine 6 Bat Kiye’, meaning he got rid of six patients that day. Where do these patients go! You wonder. They get admitted to the wrong department where they don’t get a proper treatment or else they are encouraged to go home, in spite of their vulnerable health.

You are just getting yourself accustomed to batting, when your eyes suddenly catch the sight of a patient sitting outside the casualty (shown in the picture below), inside the hospital campus. You inspect him to find out a ‘diabetic foot’ totally necrotized till an extent which requires an amputation. You want to help him; so you talk to the person in charge and try to take the patient inside, when you hear a roar… the CMO (casualty medical officer) is shouting at top of his voice; he is shouting so loudly that you tend to focus on the loudness rather than listening to what he is trying to say. Then over a period of time you start understanding his rhythmic squawks; you are shocked to learn that you are not supposed to help patients like this. Bringing patients in will increase the workload!

Instead the CMO asks you to shoo the patient away. Now, it is unethical for you and you refuse. But his smell becomes so unbearable that the guard shoos him away with a stick. That’s the moment when you feel helpless for the first time in your career. It makes you think, “Are you really treating a patient in need?” A government hospital is not expected to show such a behaviour towards the poor; wasn’t it bloody built for the poor?

A patient waiting outside the casualty department of Sassoon General Hospital, Pune. Photo: Dr Varun Patel
A patient waiting outside the casualty department of Sassoon General Hospital, Pune. Photo: Dr Varun Patel

You feel like you have seen everything when you land up in the worst possible departments one by one. You are trying to insert an intravenous catheter into a patient’s vein, when your ears fall on something which pops up a memory of Aamir Khan (from Satyamev Jayate) in your mind.

Aamir Khan in Satyamev Jayate
Aamir Khan in Satyamev Jayate

“I have sent the patient with Code Blue.” And the resident puts down the receiver. You then find out that he was talking to the chemist regarding his own ‘cut’ (the per cent income he gets for a referral of a patient to that chemist’s shop). If you have read carefully, the first question that baffles you is: What is Code Blue? Codes are implemented for secret communication:
• Code Blue: Make a Bill of Rs 4,000
• Code Black: Make a Bill of Rs 7,500
• Code Red: Make a Bill of Rs 10,000

The chemist gets this code from the resident and accordingly he formulates a bill, 35 per cent of which goes to the resident doctor. Aamir Khan was opposed by so many doctors for his proclaiming episode on doctors. You now realize the essence of it and understand the reason for the opposition.

A pregnant woman in a government hospital.
A pregnant woman in a government hospital.

“Giving birth should be your greatest achievement not your greatest fear,” said Jane Weideman since a woman needs a lot of support during pregnancy. But in an Indian government hospital giving birth to a child is not a unit less than suffering the third degree torture in jails.

Pregnant women are beaten like anything and, worst of all, the doctors feel it as justified. Before delivery it’s obligatory for an obstetrician to do a Per Vaginal (PV) examination, which according to norms is to be done with rubber gloves on and with the use of a lubricant. You will not even once see a government hospital using a lubricant over rubber gloves during a PVE. It’s discernible that the woman will be in pain without a lubricant and would shout out of pain but the thing you find implausible is when the doctor hits her and asks her to keep her mouth shut.

Unreasonable usage of Buscopan and Drotaverine to speed up the labour and unwanted episiotomies with accompanying fundal pressure manoeuvres (which are contraindicated) leave you baffled. You decide at that very moment that none of your loved ones will ever deliver in a government hospital hereafter. It’s better to be childless than making a woman go through such crucifixion.

You meet malpractices at each and every step. You discover that the true sense of ‘noble’ (profession) is lost somewhere. For one whole year you have to suffer both physically and mentally. You try to fight your inner conscience. You try to make changes, bring reforms. But after myriads of attempts when nothing works, you realize that ‘ignorance is bliss’ and learn to live with it and instead write an article about it.

Dr Varun Patel
Junior Resident (Emergency Department)
Lok Nayak Hospital, New Delhi


  1. kumar B R S kumar B R S Monday, February 2, 2015

    Combination of ‘greed’ and ‘ignorance through illiteracy’ are the root causes.

    Man by nature is greedy, so that’s not possible to change.

    What can change is illiteracy, the ‘modern day evil’.

  2. dr sangamitra dr sangamitra Thursday, December 12, 2013

    @ varun,siddharth, om, vanya, vik, bhatt ,jitendra, mehta,rajkumar,vimal,avani,kalpana,ayesha,bidyut,aditya,harry,laveena,soumil,xyz you all are probably younger than my kids and i am so proud of you are taking this one step further.i practiced medicine long ago and it was different.there was ambition and compassion at the same time.there is a ray of hope,catch it and never let it go.

  3. dr xyz dr xyz Thursday, December 12, 2013

    @ proud maulanian : r u really that dumb n blind…i know for the fact that maulana azad is a top notch college in medical world…but how did u get admission here???….Dr varun did not say a single word about MAMC … n u went ahead n wrote whole lot crap even bigger than his blog…psssst…u really crack me up lol…
    and FYI: Sure MAMC is a great teaching institute but that doesn’t make it any less corrupt!!! these r two different things!…i know of a senior doctor taking bribe n selling hospital supplies outside
    (although he does help poor people too, may be to equalise his karma but overall he earns more than his salary) come out of ur false
    prestige n rozy its not ur fault i was an idiot jst like u before i got to know all this..if u r working u probably know the drug adrenaline (and many others) are not available NA at da moment in hospital…why do u think that is da case, in the capital, in such a huge hospital where most of the funds should be directed????? dear friend its the prestigious corrupt system!!
    i know u will ask me why i didnt stop all this ….well i have a different strategy to end this n it does not include proving my point to idiots like u!!

  4. dr ayesha dr ayesha Thursday, December 12, 2013

    @ all the people who commented: when Britishers left India after independence they said now India will
    be ruled by pigs n chickens…we are indeed proving them right. we alwayz fight amongst ourselves …we dont need any external enemy u see….we discriminate at every possible level…this was a blog(it ws dr patels own experience) ..some journalist made it into an article ..most of the good doctors took it further n made it a revolution so the system can improve. we should stop judging the writer n journalist n make most of this opportunity. medicos non medicos why does it matter we are here to change the system…we have same aim…everybody loved da movie slumdog millionaire …now is india exactly like he showed in da movie..absolutely not…there r so many aspects in terms of development n progress…bt is da director wrong ??? not at all …he chose an aspect which was true n highlited it…n we all clapped….now when our guy does da same thing we slap n criticise him….coz that is our best trait – fighting amongst ourselves… this is high time people wake up

  5. Vik Vik Monday, December 9, 2013

    At a time when young men in their twenties and thirties living in an environment where money is all. Politics is no more about policy-making or about governance. Politics is commerce. One might think that morality would restrain people from corruption. One can go on and on to nail every single segment of society. One can summon innumerable examples not only from India but also from the most advanced nations of the world to prove that institutions have crumbled and systems are collapsing because of human greed and corruption. Socialism, capitalism, democracy and communism have all collapsed at the altar of corruption. Technology has led to the growth of wealth. The lure of wealth has made mankind greedy. Greed has destroyed all sense of honour. All this has made the world flat.

    The revolution to rescue mankind from the doom towards which it unthinkingly hurtles can erupt from any corner. The crisis is moral. It has to be demonstrated to people that happiness does not depend on the acquisition of increasing wealth. It has to be demonstrated that wealth cannot be measured by the quantum of money. It can only be measured by the quantum of satisfied needs.

    India awaits a moral revolution. Will it come? If so, from where? For a moral revolution Dr Varuns Patels experiences has become a level playing field not just for Doctors but also the patients.

    Calling his story foolish, laymen, inexperienced is an Irony and utter ignorance.

  6. Sanjeev Sanjeev Monday, December 9, 2013

    He and people supporting him are layman.

  7. Rajiv Rajiv Sunday, December 8, 2013

    Ever since the advent of modern medicine in India, the doctors in public funded or charitable hospitals, small private clinics and to some extent even in private hospitals have toiled hard. As a class they have done the best under the circumstances to provide an acceptable level of health care within a resource constrained environment. When the demand supply gap crosses a threshold – a not so uncommon occurrence in busy public hospitals, keeping one’s head above the water may seem like a perpetual struggle. We are all familiar with the ingenuity applied by the residents and consultants at times of crisis due to erratic supplies of essential items and drugs, equipment failure, unanticipated staff shortage or unexpected mini-epidemics. But the legendary abilities of Indian doctors sometimes fall woefully short and they (or the health care system) fails the hapless patient. And the hapless patient may not necessarily be poor – anyone could be at the receiving end of the health care inadequacies. While at the macro level the health planners and funders are supposed to have their own monitoring mechanisms which should trigger corrective actions and infusion of as much resources as available, at the micro level the residents, consultants and hospital administrators are supposed to find ways to keep systems streamlined and working.
    An average Indian doctor still works very hard, struggles to find time for self and family, is not super rich and still commands genuine respect by the society at large. However there have been rotten apples – and keeping with the general trends of morality and ethics in the society, they have been increasing with each passing decade. Though unfair, people at the bottom rung of any profession such as medical interns have always been at the receiving end from all quarters including their seniors, paramedical staff and sometimes even the patients. But their zeal to learn, become competent and to do good helps them to keep their morale even when others think they are nobody. It will be hard to miss a devoted and enthusiastic intern. More often than not they will make great doctors whether they get a post graduation of their choice or even if they do not get a PG. Medicine is one of the toughest as well as the most satisfying profession. A degree of despondency among the young medical interns in the harsh realities of the developing countries is understandable but not acceptable as they have made a conscious and voluntary decision to study and practice medicine in India. They have to be the engine of change to bring about improvements within the existing resources and leverage greater resource allocation to health care. But anyone who has joined medicine without knowing the reality of the country or expecting it to magically change while they are doing their MBBS will certainly come in for a rude shock.

  8. dr komal dr komal Sunday, December 8, 2013

    I have gone through the whole article and some questions came in my mind that why did not he bring it to notice to hospital authority at that time? Why didn’t he atleast give primary care to that diabetic foot patient ? wasn’t he sufficiently trained or educated to do so? Or he just likes to point fingers .
    He pasted a photo of that lady (surely without her consent) and this is an offence whether it is done for good or bad thing one cant justify it
    Batting is serious issue and what I think from his comment on it is he is so shallow thinker. One must learn abt the things b4 commenting on the same.
    Everybody is talking abt his courage , but I would rather say that if same courage he would have shown at the time of his internship , something better could have happened ( as it is well said that to change the system you have to be in the system ). But he didn’t bother to do it at that time.
    He defamed the most prestigious college of india without having full reasoning and knowledge of the issue. I have done my UG and internship from same college but none of the patients found complaining about doctors there.

  9. he who would rather not be named he who would rather not be named Sunday, December 8, 2013

    I am an ENT surgeon and have worked in government medical colleges all through my training period(have done my pg in lok nayak,in fact). I am sure there are good parts and bad parts about every 3 years in lok nayak brought me in contact with a lot of good doctors.even if 10% of my experiences were bad ,the remaining 90% were good. If dr.Varun means to say that he has not learnt anything good from his experiences,then he has not tried hard enough.frankly,he sounds a little like a layman .We dont have fixed working hours or rest or regular food even, during our pg days.And ,despite all the negative publicity that comes our way(lets face it,how many positive reviews do we get?) and despite the fact that the general public tends to forget that we too have lives and families ,a lot of us still give it our best. dr.varun, were all the residents the way you described? were elementary measures like proper hygene ignored deliberately or because there were no gloves or proper instruments and equipment available?If you were to put it down in figures ,what percentage of your senior doctors behave the way you have described.

  10. Dr karan Dr karan Sunday, December 8, 2013

    I have gone through whole article and just one question arised out of my mind why did he not bring it to notice to hospital authority? Why didnt he try to give at least a primary care to that diabetic foot pt? Isnt he educated or trained enough to do the same? He pasted a photo of that lady(of whom he surely didnt taken the consent) and this is surely an offence whether he did it for good or bad thing, you cannt justify it.
    Batting is realy a serious issue. And what i think from his comment on it, is he is so shallow thinker. He must(at least) learn abt the reasons behind it and then comment on it.
    Everybody is talking abt the courage he has shown, but i would rather say that if same courage he would have shown at the time of his internship, something could have been happened(as its well said that to change the system u have to be in the system). But he didnt bother to do it at that time.
    He defamed the most prestigeous medical college of India without having full reasoning and knowledge of issue. I have done my UG and internship in the same college and hospital from feb 2012 to mar 2013

  11. vik vik Sunday, December 8, 2013

    @Dr Sunil

    The story of Varun is widely acclaimed and appreciated by the netizens acrosss the various channels of media with many doctors themselves coming out and admitting to it. Apparently, A few from the medical fraternity in panic went berserk after seeing the truth and wailing in their usual high-pitched tones in frustration like you, naming and shaming Dr Varun patel with unequal vigour of his ingeniuity as a medical practioner vowed to avenge the insult meted out to the fraternity profiling his work and his education which you can witness here. Ofcourse I am aware of the rich experience the people bring on board while they put their perspective but not on this case, I object and I do with passion because we have proof now.

    Dr Sunil Intellectuals are sophisticated particularly greatly appreciated within their work and i have no doubt on you growing up unless fidgeting and sending some incoherent statements which lack ingenuity literally lambasting Dr Patel publicly 9″hallucinating rabid canines going on a biting spree” “You better don’t bother your little head” “few nasty birds ” “Such elements and their uncouth supporters must be brought to book fast enough”, which i would dismiss promptly and suggest you take Anger management sessions ASAP.

    I feel like the life experience of Dr Varun Patel was long due considering his views exposing some of the grim realities of Indian Public Hospitals and i am committed to supporting such gentlemen till the end, calling it self certified pseudo-activism wont stop me.

    Hope my post is sober enough for you to concentrate on the actual problem and stop focusing on me.

  12. Dr Sunil Dr Sunil Sunday, December 8, 2013

    You could do away with inane expressions starting from the first line ‘ramblings whatever come to your mouth’ to last line ’radiate to other planet’. Certainly you need to take few lessons for improvement there, if you want to learn to thrash it out more energetically. Lousy communication skills give unnecessary advantage to others. However, I can see building up of an effort, keep it up.

    Freedom of speech does not mean a free ticket to mudslinging. Muddleheaded ones must understand that it is cannot be interpreted to be an unconditional, unqualified, absolute right to sully others. Nor it means passing derisive and offensive personal remarks about respectable doctors as you did in case of Indian Resident Doctor, Dr Pradeep Arora, Dr chandrakumar , Rahul and many more. Old fox, fat and corrupt, two bit doctor are some of your barbed epithets used on respectable doctors sans provocation. A blabbermouth, a self certified pseudo-activist as you are, u got to be treated to taste of your own medicine. You have exploited the meekness and forgiveness of these large hearted doctors whose submissions in this forum have been reflective of an enduring pride in their own profession.

    You better don’t bother your little head with the imperatives and dynamics of medical world. You have already shown your utter disregard for basic rights of privacy of a patient. There is slim chance that you can understand finer subjects, It may only kick start you into delivering a salvo of filthy hyperboles.

    Private or public hospitals, the docs manning these hospitals are similarly trained in prestigious public hospitals attached to one or the other medical college. These public hospitals are temples of learning for us, and sacrosanct to our psyche. Millions get fresh lease of life and many more are redeemed of their suffering in these public hospitals every day.If there is one demented destitute sitting outside the hospital as shown in a photograph there are countless inside the hospital partaking the fruits of efforts of dedicated doctors. For occasional misadventures, the fraternity certainly does not need advice from a mindlessly vituperating upstart, given to canonizing a greenhorn who chose to resort to unfair means to hog instant limelight.

  13. priyanka priyanka Sunday, December 8, 2013

    This is the reality of life.People are left with no morals.

  14. vik vik Sunday, December 8, 2013

    @Dr Sunil,
    There you go again trying to gag freedom of speech calling it hallucination and rambling whatever comes to your mouth.

    STICK TO THE SUBJECT, I know you are very good at your deranged banter and your eloquence on grammatical disposition which would ofcourse come handy when you write a book on your life. But what is your point?

    Lets get back to the point shall we? We are discussing the medical service provided by doctors in PUBLIC HOSPITALS, and the mistreatment and mismanagement over there. We have a doctor coming out and stating the facts and a few others supporting him that this sort of treatment is true. got it? Stick to the subject don’t radiate to another planet now.

  15. Anil Prasad Bhatt Anil Prasad Bhatt Sunday, December 8, 2013

    This article highlights the insensitivity and corruption in medical profession. These things are in fact widely prevelent in every sector of indian civilisation, just think of any one. I suggest Dr. Varun not to loose focus if he really loves medicine just because some wrongdoings are there. If you really want a improved medical system, enter into the system and contribute positively. India needs sensetive doctors like you but efficient as well. You just finished you basic training, a long and extremely hard training is ahead.
    Best wishes.
    Dr. Anil Prasad Bhatt
    Consultant Nephrologist
    Holy Family Hospital, New Delhi.

  16. Prashant sharma Prashant sharma Saturday, December 7, 2013

    100 crore janta hai….bhagwan to hai nai ki chhadi ghoomayi aur saara maamla fit baith gaya….paharganj jaisi jagah me hajar smack addicts raaste me pade rahte hain….to sabko hosp me admit to kar nai sakte…PRIORITIZE toh karna hi padega …baki ki bhi janta hai….middle class ke liye bhi yahi hosp hai we hav to MAXIMISE OUTPUT WITH LIMITED INPUT…aur yr itna bura laga diabetic foot ke liye to khud hi saaf safai kar dete Mr Varun Patel it would hav helped him ofcourse…kahne ki baat alaga hai karne ki alag…..
    tamshebeen bane raho aur bolte raho ki koi kuchh kar kyu nai raha…are tum bhi toh haath laga sakteho…Be a MAN.

  17. Dr Sunil Dr Sunil Saturday, December 7, 2013

    I am very much in India, working and serving my people, and countering those who are out to slander the great medical profession. I am as much in UK as you are in China, the social environment of which you have alluded to. I am very good at containing the hallucinating rabid canines going on a biting spree.

    Indian docs are best and that is the reason that medical tourism in India is booming, inspite of efforts of certain mischief mongers to project the facts otherwise. Patients from all over the world are flocking to India as they get best deal and best care here. However there are few nasty birds who take a special pleasure in fouling their own nest. Such elements and their uncouth supporters must be brought to book fast enough.

  18. vik vik Saturday, December 7, 2013

    @Dr Sunil

    Dr Sunil Or should i call you bhagoda? Freedom fighters bought Independence to our country so that you can fly off and seek comforts while we activists keep fighting endlessly for common justice on various social injustice done to our citizens.

    You seem confident that no mismanagement, mistreatment is happening in public hospitals over here without even working here i presume? Heck you don’t even live and work here neither are you a tax payer Instead your just trying to support your fraternity and cover up the faults by hijacking the issue on to a new plane.

    UK LAW? Indian constitution is not a blue print of colonial law stop quoting it to us, its based on Kautilyas Artashastra and takes into consideration Sanatan Dharma and manava dharma, India is largest democracy in the world and it has its own code of conduct and soft polity on every issue and we do it our own way the Indian way.

    your arguments about womens picture and condition is the weakest attempt to hijack the core issue to another plain and divert the entire discussion over here. Weak very Weak!

  19. man mohan trikha man mohan trikha Saturday, December 7, 2013

    if this is the position in the one of the prestigious hospital in the national capital, what can be expected from hospitals at remote villages.
    no doubt that there are many medical professionals adopting unethical means (both in Govt hospitals and private hospitals) but still few are there who are sacrificing and doing there job honestly and helping the need fulls (even paying from their own pockets)

  20. Dr Sunil Dr Sunil Saturday, December 7, 2013

    You are not a doctor so you do not understand the seriousness of taking photograph of a patient in unseemly position and publishing it for yellow journalism to cater to taste of a reader of your kind. So you better keep your trap shut. In UK SUCH AN OFFENCE WOULD HAVE MEANT A JAIL TERM. A boor will never understand the fine things such as patient’s privacy even if he asked to imagine his mother or sister in place of this poor patient. It shall be expecting too much from such people to appreciate the difference between a sting operation of a criminal , and photograph of an innocent female patient ( delivering) being used for sensationalism.

  21. Vik Vik Saturday, December 7, 2013

    @Rahul –

    Good ole trick of bad profiling and backbiting works eh?

    The more you guys retaliate the more you give us the statistics the actual number of corrupt, misbehaving doctors in our country we can predict.

    Remember there are thousands of Viks out there who are reading your nautanki and justification supporting the wrong!

    Keep writing don’t stop. I want to read your pain, anger and frustration in support to the filth, I want to profile you now and you have scored minus 2 points.


  22. RAHUL RAHUL Saturday, December 7, 2013

    I m a doctor and have completed my MBBS from B J MEDICAL COLLEGE and at present working in same college. Dr Varun Patel was there in prestigious BJMC as an extern from russia. I have gone through his records and asked to his collaegues about his sincerity and i was told by doctors under whom he was working that he was not at all sincere in doing work during internship. he was here just to complete internship which is required for medical graduate from Russia. He used to blame doctors and system but was not doing any work. He even don’t know how to put intracath to patient and what to do if any patient come to you in casualty.
    Also to mention that this is unethical and even worst thing that u r publishing photographs of a female in labour without her consent and without permission of legal authorities of particular institute.
    If Dr Varun have sympathy for patients in government hospitals or if he was so disappointed due to patient’s care in government hospital then he should have brought the things in light during that period so that some action could have taken place . But no…… he was part of same system for 1 year and now as he is not part of it , he is just blaming doctors and institute.
    One can’t make comments on prestigious college like BJMC which is among top 10 medical institute of India without knowing the facts. Just taking photographs doesn’t make institute bad.
    Dr Varun u shamelessly publishing poor lady in labour room. this tells how unethical and irresponsible doctor u r.
    Our resident doctors and all medical staff works so hard to treat patients. why don’t u put photographs of poor patients who was cured by efforts of our doctors. have u ever visited our wards? Why don’t you write about the things u learnt from residents or institute?
    Many poor and unknown patients are treated by us and they while going discharge bless us.
    You have highlighted dark side but not brighter part which is so bright that small dark shadow cant be seen.
    Dr Varun you have no right to defame a prestigious institute.
    I M PROUD OF BJMC ….. and i always will be…….because we work here sincerely …..

  23. Vik Vik Saturday, December 7, 2013

    @Sid –

    To bring the truth out and the seriousness of the issue many times we have had witnessed society coming out with proof from Asharam bapu to Swami Parmanand. From 2G to CAG. Swiss bank to HSBC and From Mistreating the citizens in public hospitals to corruption and misbehavior of doctors. This is no surprise or shock to us we just needed someone from your fraternity to come out and speak out and we have a champion now, Stop justifying, Stop Judging and most Importantly stop supporting the WRONG! We are all trying to earn some good karma here by establishing Dharma and Its okay to have such articles, pictures, stories for a greater good, I don’t see nothing wrong in that! If the world thinks as the way you docs think then this world would be perfect nothing new just a silent picture. If we don’t communicate we wont evolve from current situation to a better one. I’m surprised that I should remind you of this..

  24. Siddharth Siddharth Saturday, December 7, 2013

    @Vik –
    So you mean to say that wrongdoings should be exposed by choosing wrong path? For example – publishing the photographs of the people without taking their consents?

  25. Vik Vik Saturday, December 7, 2013

    @Dr Pradeep Arora,

    What is your point? This is India not China, Freedom of speech shall prevail! Stop trying to blame your fellow doctor as unprofessional for bringing light the filth, the greed and the dirt some of your fellow doctors are involved in. Shame on you for trying to divert the subject to something else trying to justify the wrongdoings of your fellow medicos. If everyone thought like the way you did then today India like china would of never came out as a corrupt, scam, roach filled nationn.

    We are against this malpractice and misgovernance and corruption our country is deeply rooted in and we are fighting on every end. If you cant be part of it at least stop being a roadblock. I already see you as one of those lousy fat corrupt doctors who would do all wrong doing and cry foul when others bring the truth out.

    @DR Chandra kumar, So you mean to say that we are not stressed in the other sectors? So should we start to mistreat you? Should the police start to mistreat you? the traffic? the CBI? the Army? You make no sense trying to justify the filth, the greed the fault. Sorry but your not a good person either. Just a two bit doctor who want to show the world a picture that you guys are noble and rest of the world is corrupt.

    God save India from the idiocy!

  26. Vikas Vikas Friday, December 6, 2013

    Brilliant Varun,
    An important aspect brought out with such simplicity.
    All i would add to this discussion is that we can’t change the world. we can only change ourselves. unfortunately in this world by trying to change others, we change and loose focus..

  27. Dr Pradeep Arora Dr Pradeep Arora Friday, December 6, 2013

    It is abject lack of professionalism, that a photograph of a female lying in disheveled state on delivery table has been used by a doctor just to spike a write up. We docs are sworn to utter confidentiality with regard to medical condition of the patient, right from tenets enshrined in HIppocratic oath to modern day Indian Medical Council Regulations 2002, unless contrary is ordained by court in interest of justice.

    The patient lies in hospital in off guard state with full faith that she is surrounded by prudent professionals who are preoccupied by thoughts of alleviating her suffering. She would least suspect that someone out of them is furtively snapping her pictures, so that he can evoke pseudo-moralistic cliches by cheaply aggrandizing an unfortunate scenario. She is entitled to a right of privacy and absolute secrecy in her status as patient .

    I beseech all those, who have effusively ( perhaps unwittingly with no malice) supported the above write up, to imagine for a while their close female relative in place of this patient , and think about it more sensitively, It is a repulsive thought , to say the least. Such a bravado deserves immediate rebuke by one and all. An indigent female also does have an inviolable right to be treated with dignity and not be reduced to an object of pity for sake of moral high standing. Professional ethics categorically forbid it, and patient’s right in this regard has been protected in chapter 2 section 2 of Indian Medical Council ( Professional Conduct , Ethics and Etiquette) Regulations, 2002. The violation of same can lead to cancellation of registration if matter is reported to MCI.

    Let me re-emphasize that any photograph of patient taken in hospital premises in capacity and role of a physician , must be with her written informed consent, should be used only for furthering the academic cause with her due express permission , and her identity must be fudged by appropriate methods. It has been a heartless travesty of patient’s trust to use her photograph when she is in a state that definitely no woman would have liked to be peered at, and that too at forum which is visited by non medicos as well.

  28. Dr Vanya Dr Vanya Friday, December 6, 2013

    Dear Dr Varun,

    What you have written is quite true. It is the grim reality of Indian govt hospitals. All of us who did graduation from govt hospitals know this. It must have come as a shock to you. But to say that doctors are at fault would be wrong. It is the faulty policies of our government. They expect you to work seven days a week, 24 hours a day on minimal wages and bad working conditions. The patient bears the brunt of all this. There is a dearth of doctors but they wont increase pg seats, jobs etc. Result is more burden on docs, bad patient care and more docs preferring foreign lands. Only if our govt could spend more on healthcare!

  29. Om Om Friday, December 6, 2013

    Hello Dr. Varun,

    I am glad that you have risen to the occasion and spoken the rude truth of the medical system in our country. I appreciate and thank you that you have chosen such a noble profession. Please do not lose patience and continue to deliver and serve the best way possible. I am sure you will make an impact on your peers by your dutiful nature and they will be compelled to follow your footsteps.

    Any profession we choose, there are goods and bads and we have to decide for ourselves what path we wish to choose. The first one will be tough but trust me, very satisfying. At the end of the day, when you will introspect you will be happy about your achievements. The fact that these things make you uncomfortable shows that you are a conscientious person and it is people like you who are needed in the profession. Continue to serve the society – we need dedicated doctors like you.

  30. Siddharth Siddharth Friday, December 6, 2013

    The basic problem lies with the absurd MCI rule that residency should be for 24×7 which means there is no free time for a resident doctor which exhausts him/her completely. As a human being, everyone is entitled to have free time. MCI rules are clear cut violation of the labour laws.
    Had there been work hour limit for PG residents (say for 8 hours or 10 hours a day) this rampant problem wouldn’t have existed on the first place. Doctors would have got ample of time to study, sleep and freshen up their minds so that they would have admitted the patients willingly!
    We must struggle against the shackles of these ancient MCI rules.

  31. Deep Deep Friday, December 6, 2013

    Dear Mr Sundar,

    Its so sad that rural services is considered as an imposition. Believe you will be more happy to go directly in practicing medicine without giving anything in back in spite of such a hugely subsidized education system in India.

    Please come over to US where you will be paying at least $ 60,000 annually just as the tuition fees (~3,600,000 Rs; to make it audible 36 Lakhs per Year)…

    I’ve seen best of both the worlds… But like teaching somewhere medicine has also lost it’s humility and large proportions of goodness. God save the less proportions which still exists.

    Bless you,

  32. Jeetendra Singroul Jeetendra Singroul Friday, December 6, 2013

    I salute Dr.Patel.

    Jeetendra Singroul,
    National Youth Awardee-2007-08,GOI

  33. Manish Manish Friday, December 6, 2013

    Who so ever this gentleman here is writing in ‘Proud Maulanian’ is.

    I have nothing to say about this person’s mental issues. I will simply say I AM SHOCKED to read such language and so much hatred.
    They are worth ignoring and worth condemning.

    Dr Patel, Thank you for writing this. May god give you the love, care and healing touch you deserve with empathy.

  34. Gaurav Mehta MD Gaurav Mehta MD Friday, December 6, 2013

    I was moved to read an excellent article by Dr. Patel. 10 yrs ago when I did my JRship I had simlar experiences. The surprising callousness and inhuman behavior these hospitals give to their patients is heart wrenching. I guess even animals are treated well in animal hospitals in India. I guess one of the biggest reasons for this behavior stems from the fact that these people are poor and are helpless. This article sheds light on the problem but I wonder what could be the solution. Change the scenario make these people rich and such maltreatment, I can guarentee will not happen. I think young doctors like Dr. Patel can change the system. They can if they take initiative and leadership.
    The problem is that there are not enough leaders in our country and we need leaders like Dr. Patel to guide us, to be an advocate of those who were sick and vulnerable. I also think that this is not impossible in today’s world which is hyper connected, that media as active, that politicians have started to listen. The politicians know that they cannot just ignore and move on, this is a great time. This just beginning and it spreads like wildfire. I wish and Dr.Patel’s team all athe very best in their endeavors.

  35. Soumil Soumil Friday, December 6, 2013

    FYI Vimal K. That was an honest comment and not a character assassination. Both my parents have done their MBBS and PG from BJMC attached to Sassoon hospital.
    Though it was decades back, after reading the article I did ask them, “were things really bad at your college?” and they said, “no”. So I guess the conditions must have changed now. Dr.Varun has simply highlighted the present conditions.

  36. Vivek Thakur Vivek Thakur Thursday, December 5, 2013

    Mr. Dewan, let me start by calling you MORON, for the reasons below;

    1. He did his internship not in Lok Nayak hospital but a government hospital in Pune.
    2. Since you did your internship in 1884, the year Mrs. Gandhi was killed and you must be affected in some MAGNIFICENT way that your have become completely apathetic to the conditions if patients in government hospital. So much so that you describe what government hospital has given you but not what you have done for the patients. May be more of “Code Red”?
    3. What kind of “discerning eye” cannot see the women and that you should not slap her AND MORE SO WHEN SHE IS PREGNANT?

  37. Rajkumar Rajkumar Thursday, December 5, 2013

    I entirely agree with you. Faulty system, poor infrastructure, numbing work pressure. While an Intern runs away from as soon as he is finished with few hours of work it is these residents who carry the burden of masses. He is yet to come into life of 36 hours of work to be completed in 24 hours of a day. Yes there are black sheep in the system and they needed to be weeded out. But overall this system is functioning robustly otherwise we would not have been where we are in healthcare today.

  38. Vimal K Vimal K Thursday, December 5, 2013

    Instead of replying to what he has brought in the article, you went on to character assassination and thus do a damage to his credibility. This is a well known tactics people like you employ who has nothing to say. Not only Varun but there are many Doctors who have seconded his experience in the comments section. In fact there are more of them saying that they have similar experiences.

    Doesn;t matter from where he did his MBBS, he has better ethics and values then those corrupt doctors who may have earned MDs from best of the best medical schools.

    I commend him to share his experience through this blog and start a debate. Though for general public there is nothing new in this and everybody know what happens in most of the govt hospitals.

  39. Soumil Soumil Thursday, December 5, 2013

    You’re absolutely right Varun! Ignorance is in fact bliss.
    Rather than being viewed as a noble profession, medicine nowadays is seen more as a safe and profitable business. And why not? If now it’s all about minting money out of people’s miseries by treating them as objects or milch cows.
    Batting, shooing away the sick and destitute, beating a woman in labor to keep her mouth shut….This is India. Anything goes!
    Talking about the ‘unreasonable usage…’ it’s not just the government hospitals Varun, it happens in most private hospitals too.
    I come from a family of doctors and I’ve often seen my folks and their colleagues mock a patient’s suffering behind his/her back. Now, I don’t know if it’s legal or illegal but it certainly IS NOT the right thing for a doctor to do. What if you were in his/her place? How would you feel? Grow up people!
    My only request to the medical fraternity is that if nothing else then at least show some sensitivity. You are doctors.

    Congrats to Dr. Varun for highlighting the harsh realities!
    The world needs more Dr.Varuns.

  40. dr chandrakumar dr chandrakumar Thursday, December 5, 2013

    What we have read………………is only one side of the coin.
    I’m not here to support this……….
    Just think for a while why the situation is like this……………….
    The same diabetic patient with foul smelling ulcer waiting outside the casualty is a routine scene in every government hospital.
    Every doctor, every nurse, every ward boy, every human being who passes buy look at him and pass off. But no one does anything for him. Some give him a penny and say….so sorry for him……..
    This is a hot news item for the media person who clicks a few photos of the patient and then simply leaves. Perhaps his responsibility ends with taking photos.
    Some activist when he/ she feels the need to project themselves, take the issue to the superintendent of the hospital and shout and create a furore over the issue. The helpless superintendent just admits his mistake and scribbles on the op ticket….. Admit……….
    Once the patient gets admission into the ward, the media person, the activist, the superintendent, all disappear from the field…..the person’s photo will be seen in the newspaper or the news channel and the credit goes to the media person or the channel which telecast this as a daily serial.
    Now with the patient admitted in the ward, the battle begins…………………………….
    The doctor in-charge of the ward, and other staff members of the ward feel pity for the patient. They really want to help him. But is this possible……………….. Can they do it……………….? Watch on………… No…. I am not making a TV news item……let us start from the beginning………….

    What the patient wants……………… cure…
    How………………….. Investigate, treat by means of surgery and medications and then discharge…..
    In a government hospital, there is a protocol. The intern withdraws the blood sample from the patient, labels it for required investigations. The ward boy takes it to the lab. The lab reports. The intern collects it back. Lack of man power, there is no ward boy. So most often the patient attendants carry the samples to the lab, enquiring its location, often going to wrong locations and ah! Finally reach the lab. By that time, the lab time closes, the lab shifts to emergency location. The delay causes the blood sample to be useless. Again the intern repeats his job of drawing blood. The attendant again takes this to the lab. After hours of waiting, the report arrives. Oh! NO…… some essential reports are missing. The lab is running out of chemicals/ kits. There is no information to anybody regarding this incident. Now what…. Again the intern draws some more blood. This time, the attendant should carry the sample to some private lab. Some more hours of time is wasted. At last the reports are available.
    Now the surgeon orders the staff nurse in-charge of the ward to arrange for shifting of the patient to the operation theatre. Problems for the patient again, there is no ward boy. The staff nurse hurries to another ward, still another ward, finally to the sergeant for help. Finally one comes for shifting the patient, drunk and stuporose. He again orders the patient’s attendants to shift the patient from the bed on to the trolley. With a great difficulty the patient lands near the operation theatre.

    The operation theatre is a single theatre with two tables, one for obstetric emergencies and the other for rest of emergencies, including neurosurgery, paediatric surgery, trauma, orthopaedic and general surgical emergencies. There is a continuous flow of patients into and out of the theatre with nearly twenty to thirty surgeries overnight. And this will be done by one anaesthetist and two of his trainees. The operation theatre itself needs some mention here. This is a closed room with one or two air conditioners…………. (Themselves not in condition). The surgeons who are wrapped in their operating gown, cap and mask will be drenched in sweat, suffocating. And in peak summer, one gets a chance to see some surgeons and their trainees fainting in the middle of the surgery.
    Now comes the anaesthesia resident. He/ she examines the patient. His general condition is bad. His pulse rate is high, blood pressure too low. His ECG is not healthy. The anaesthetist shouts at the surgical resident. He will die in the operation theatre. I can’t give him anaesthesia. Now go and get fitness from physician and get ECHO from a cardiologist. Here this may look as if the anaesthetist is trying to buy some time to relax. But if the patient dies on the operating table, this becomes a criminal case. The theatre should be locked, its last scene left undisturbed and a magisterial enquiry should be conducted before things restart again. So why to take risk. “Get all the investigations done and then knock the door” is the final call from the anaesthetist.
    A small war, exchange of words between the surgeon and anaesthetist. Finally the surgeon loses. Things move on to next day. Cardiologist says this is “high risk for surgery” and because this is an emergency proceed anyway. Scene changes again to operation theatre. Everything is ready. There’s is something missing…………….hmmmmm… yeah… BLOOD. Without blood “no-entry” for the patient into operating theatre.
    Again the internee runs for it.
    At the blood bank…………………the medical officer shouts at the poor intern………… where are the donors. The intern looks back at the attendants of the patient. They refuse to donate. Kindly arrange sir, this boy is the only hard working member of the family. He cannot donate blood. Now without donor, blood bank will not issue blood. Without blood, surgery cannot be performed. After all humans should donate blood to one another. After a long thinking, they get some third person to donate blood. And the medical officer at the blood bank bluntly refuses just looking at him, saying he is a “professional donor”. After a lot of persuasion, blood is arranged and the surgeon completes the operation.
    For conducting an emergency operation so many hurdles are there for the surgical team to face, for a patient who has many attendants and ready to serve him. Just think the fate of a destitute. There are many instances where the surgical residents themselves run after the labs to get the investigations done. They shell out money from their pocket to help the poor patient.
    A diabetic foot patient requires surgeries not once, but many times to save the limb. If this the situation for once, just imagine the struggle for repeated surgeries the surgeon has to face. This leaves him with the reluctant attitude. Over a period of time, they learn to avoid patients.
    In a private setup, things are not so complicated. Theatres not that busy, administration in a small unit is neatly organised and things pass off smoothly unless the patient is exhausted of his resources. For the treatment of a diabetic ulcer, the patient may have to shell off lakhs of rupees. Only then one can save the patient and his limb. Sometimes, in spite of all these measure, the patient loses his limb.

    Whenever you get time, just go to casualty of any government hospital and see the miserable conditions the doctors and the medical team are working in. in a private hospital or in any corporate hospital, the patient’s attendants are not allowed to enter the casualty and the team takes contrast, in a government hospital, dozens of attendants with a patient is common place to see. The team is confused as to who is a patient and who is not. Most often these attendants are drunken and abusing the team. Because this is general hospital and the public feel this is their right to do whatever they like, the working conditions are worst and highly unsafe. Overcrowded casualties, labour rooms, add further to the frustration of the staff and the result is straight forward. Rude behaviour. For a first time visitor to the casualty and for an inexperience intern who see things superficially, the reason behind the rude behaviour cannot be understood. They blame the noble profession for this.
    Many of you, if not all know, how a10+2 student becomes a doctor. How many hardships he faces. What his aspirations are when he joins MBBS. All of a sudden why does he become a villain for the patient? Poor infrastructure, poor working conditions, too much expectations from the attendants all add to their misfortune of working in general hospital.
    Most often the patient’s first choice is not the general hospital. He either intentionally goes in search of a private hospital or he is misled towards one by a quack (RMP), for quid pro-quo. When his resources are exhausted and his treatment is still in the middle, demanding more funds, frustrated and helpless patient unacceptably lands in the general hospital. Most private hospitals and medical brokers frighten the patient and take them away from the general hospital to the private or the corporate ones. In the private setup, everything goes on well till funds are adequate. Once he appreciates the difference in rich corporate hospital and the poor over crowded, general hospital, with the doctor taking a long time to reach for his help adds further to his frustration and most often the patient or his attendants behave rudely to the doctor who approach him. This most often goes unnoticed and once the doctor or the nurse reciprocate, this becomes a scene and gets high lightened in media.
    And one has to pity with the state of Government hospitals for not having funds to buy lubricants which is the most common cause for the obstetrician not lubricating the gloved finger before doing a per vaginal examination and frustration with being overburdened that too with helplessness being the cause for the rude behaviour with patients. This being the real cause, becomes a habit to the team and even when they are not that busy, the same attitude continues………
    I tried to work it out why private hospitals are better than general hospitals. When overburdened, even private setups are similar to general hospitals.
    Just an in-experienced intern’s blog is creating a furore among the non-medical community and distancing the general hospital from the needy public. We need to change this bitter situation. But for this one has to understand the miseries of a general hospital and overcome all of them.

    Dr. chandrakumar sistla
    Government general hospital, Guntur

    The miseries of a general hospital can be summarised as follows…………….
    (Some of the many)
    • Funds are available for rebuilding/ repairing the buildings, but not for buying disposables….
    • Superintendent has no or meagre powers to adjust funds from one head to another. Even if he has, he will not execute for fear of getting booked under misappropriation of funds.
    • Lack of man power from the lowest to the highest rank………………..
    • Lack of disposables and emergency infrastructure…………..
    • Attitude of avoiding being responsible among the authorities and officials……..
    • Even if they are responsible and try to do something, lack of encouragement from their higher officials…………..
    • Lack of funds….
    • Mismanagement of funds…………..
    • Inefficacy of administrators…..

    Lack of helping nature among the public…. Most criticise and do nothing……….

    Yeah…………….. We can change the system if the administration is determined and pays off enough budget. We can even change the attitude of going for cuts… codes by the doctors by hiking their pays above the mean level.

  41. Bidyut Mallick Bidyut Mallick Thursday, December 5, 2013


    Things have always changed for good when people unite.

    For uniting people we all have to believe in the strength of righteousness and unity. Its the first step that is the difficult one. The CMO or Senior docs behave in such manner because they find that they can do so. Not questioning them back gives them the power to do so.

    I agree with some of the people above that as young Doctors ( or any profession in that matter) can be instruments of change. It feels good when students at IIT or IIM refuse top salary placements to do what they feel right. The Doctors by profession are considered as God who can make a difference to ones life. It is a different profession and more humane. Its unfortunate that greed has overtaken the noble profession that it is. They get easily swayed by these Pharma companies and other such things.

    The young doctors should remember Chanakaya’s theory and recent Edward Snowden’s courageous steps. If you believe in truth and fairness, you may not be in a position to refuse upfront but be cunning enough to play along and bring the truth in blogs or media or something like wikipedia… Its a different matter that in India even that may not do anything but who knows it may give voice and strength to many who are helpless and weak to raise their point..

    Great work Dr.Varun Patel. Don’t be disheartened if you find yourself alone. Its just that you have not connected with others like you. Its only a matter or time.

  42. Avani Avani Thursday, December 5, 2013

    You sound like an idiot, and i didnt ene have to read you whole blabber!

  43. Sreenivas Sreenivas Thursday, December 5, 2013

    If a country like Cuba could be counted for best healthcare why not India. As long as education was a cause, we had no issues. I have had the best of experience and empathy in Government hospitals and named my daughter after one of the doctors in a govt hospital who treated my mother. After education is traded as a commodity, medicine has lost ethics, morals and values and manifest as the experience narrated by Dr Varun. This malaise needs a political and societal awareness and attention.


  44. Aditya Aditya Thursday, December 5, 2013

    A perspective from Western world

    Sad but true state but i do not think Doctors alone are to blame for this. As a country Indian health care spending is less and can never cover ever expanding population. IN reality there is no near term solution.
    On the article itself —
    1. Even if the issue is reported by somebody who studied in Russia, if the issue has merit it needs attention and should not be ridiculed.
    2. We should not be too shocked, the state of med care in western world is no better. You can wait weeks to get x-rayed and months or years to be operated upon. It takes sometimes 8-10 hours to get some treatment in A&E in some western countries.
    3. The skill and negligence aspects I would say are equally good / bad where i live compared to India or i may say skill level is better in India that in most parts of Western world.
    4. Private health care everywhere including where i live, is profit oriented and results in more expensive and un-needed treatment and medicines being administered. India is no exception

  45. Dr Avinash T Dr Avinash T Thursday, December 5, 2013

    Dr Varun, Did you stop atleast one doctor/health personnel being rude to patients and tell them politely to be kind?

  46. harry harry Thursday, December 5, 2013

    Dr Varun, i am a doctor, who did his internship in Gandhi Hospital,Hyderabad, which is one of the teaching hospitals in hyderabad. I have to agree that similar situations happen here also. The system is such that everyday, one unit has to bear the brunt of all the cases and admissions for the specific day. Beds are limited, so is the manpower(doctors, nurses, ward boys etc). Everyone in the ward is advised to admit as less as possible on their intake day as it is already overcrowded, automatically patients suffer. I always used to hate labour postings as the area was very unhygenic, gloves were recycled( washed by ayamma, dried and powdered), invariably they used to break while doing PV examination. The labour trolleys were plain simple cold metal trolleys on which a mother had to give birth. These were sometimes not washed for the next patient when it was too busy. Corruption is so rife, that you can directly offer a bribe to get things done. Wards , ICUS are totally unhygenic. There is always short supply of everything right from basic gloves, disposable syringes, The system has become so established, its not liable to change. People who complain, get their lives miserable, as the entire staff gang up against you. People working here get frustrated, and slowly come to accept the system, what else can you do. Government does not consider health as a priority. Hence so much underfunding. You are most unfortunate, if you cannot afford private medicare, nothing will ever change in our country

  47. Nilesh Nilesh Thursday, December 5, 2013

    My sister is currently doing an MD in one of the top government colleges and previously did her MBBS from another one. From what she tells me, what is described here is not only true but things are much much worse.

    In the US where people go into medical school after their undergrad. This ensures that most of the people is medical school are actually very motivated to become doctors.

    However, in India parents make kids study and more than half the people entering MBBS courses could not be less interested in medicine or their patients. This shows in their attitude towards patients.

    This attitude carries is also carried over into their professional careers. Here in the US, doctors will sit down and talk to you about even the most complicated medical problems and ask you if you have any questions or doubts. In India, they behave like they are gods dealing with mere mortals and snap at you if you ask any questions.

  48. Proud maulanian ! Proud maulanian ! Thursday, December 5, 2013

    Dr. Vodka Patel (honours)
    Whatever the shitty medical MD physician course you have done from some part of russia.
    We welcome you to MAMC & LNH.
    We, the medical graduates of MAMC know what kind of people end up in medical schools in russia (60% waale MBBS karein n stuff.. but u would know that.. thats how you got your admission)
    The lok nayak hospital that u have defamed is attached to one of the most prestigious medical colleges in india, Maulana azad medical college which u probably cant even dream of getting into because it is not offered in newspaper advertisements like the one where u studied (if at all)…
    The whole reason you come looking for a job in delhi is because mumbai does not offer you higher pay..
    I have worked in the same emergency department for over six months which you just defamed in your ‘attention seeking’ article..
    Maybe the people there in russia did not teach about the concept of ‘triage’ probably they were too busy tasting vodkas..
    You do need to learn which patient deserves your attention..
    That drug addict beggar on the street will more often than not end up again on the street even if u spend a couple of hours deriding his maggot infected foot but in that very time you can save a young man who’s had an accident/has been stabbed or had an MI and has been brought to the casualty.
    It takes endless hours of duty as an intern to graduate from MAMC n the associated LN hospital..
    There is no denying that u have to be tough with some relatives.. But maybe u dont know that because you will be the one running away for cover when the situations go out of hand…
    Learn to do the best with your professional rather than pointing fingers.
    A Proud Maulanian !!

  49. dr kulddep sharma dr kulddep sharma Thursday, December 5, 2013

    I have done my internship from the Lok Nayak Hospital and I never witnessed such a situation. Dr Varun seems like a munna bhai rather than a practical doctor and all these narrations seems so dramatic as if taken from a hindi masala movie to put some emotions unnecessarly.
    Please dont defame the whole profession to get a footage in media.
    peaple now understand the mentality of attention seekers like u.

  50. Laveena Iyer Laveena Iyer Thursday, December 5, 2013

    I was left disgusted and my face cringed at every incident you revealed. The sad part is, whatever you perceived to be part of books and movies is the reality. The good part of this catharsis is that unlike a lot many interns who simply wish to add the prefix “Dr.’ to their name, you intend to earn it the right way. In a way I feel proud to be part of a generation where the youth don’t hush-hush matters but talk about them. Your seniors at Sasoon should be smacked and imprisoned! May you always have the strength to live by the harsh reality of the profession and one day earn enough fame and money to construct your own health care facility built on integrity to your profession. All the best 🙂

    Laveena Iyer

  51. Dr. Dheeraj V. Mulchandani Dr. Dheeraj V. Mulchandani Thursday, December 5, 2013

    Dr. Varun

    Congratulations on completing your internship!

    Take heart from the fact that those who know what you say is true will never stand up and support you and rather would be the ones vehemently criticizing your written work!

    To the non believers out there, the situation is similar in MOST government and municipal hospitals. For proof of the same read here

    I worked at a government hospital as an intern and did my post graduate studies in General Surgery from a Municipal Hospital in Mumbai. As my blog will confirm, there are a severe lack of supplies and also a lack of will to remedy the situation. There is however not a lack of Doctors who want to do good. There are also docs who indulge in kickbacks, there always will be.

    The crux of the matter is the remuneration we receive or should receive to be able to lead a respectable life as compared to our peers of the same age and social standing.

    Please do go through the blog and read about my early experiences as a post graduate resident and now as a private practice consultant.

    Good luck for your future Dr. Varun

  52. Prady Prady Thursday, December 5, 2013

    Dear An Indian resident doctor,
    1. I’ve been to Sasoon many times. And I as a patient can assure that it works like as Dr. Varun mentioned.

    2. I think you should also give your identity while writing comments. By not providing name you stand doubted.

    3. If everything is well in your hospital doesn’t mean it’s well in every hospital & other way too.

    4. Don’t you think CODE BLUE practice is wrong?

  53. vivek vivek Thursday, December 5, 2013

    I sincerely hope that these views expressed by Dr. Varun are his and his alone, sans any malificious or political motivation. BTW in todays world , media makes a celebrity out of anyone and everyone.

  54. Dr.B.Ravi Kumar Dr.B.Ravi Kumar Thursday, December 5, 2013

    What about giving Injection Diazepam for the allergic reaction of Injection Ampicillin. The antibiotic was given without any reason and the patient died on 14/12/2004. The consumer forum awarded 15 lakhs on 24/12/2012. The criminal(I.P.C. 304 A) case no 2964/2013 will start on 12/3/2014. I hope you have noticed the UNDUE DELAY. for details contact or 9349312325

  55. Hemant Hemant Thursday, December 5, 2013

    Dr Varun,

    Thanks for enlightening us with the daily mess happening in Government Hospitals.After Reading your blog, i feel that whatever happened to me was good, as i initially wanted to become a doctor, but ended up as a software professional. Atleast I will have a satisfaction that i won’t be living in a guilt of doing something wrong.

    Although there is other side of the story as well, but whatever it may be, the system needs to change.

  56. An Indian resident doctor An Indian resident doctor Thursday, December 5, 2013

    Dear Miss Vaishnavi B,

    1. I am for real. I work in India.

    2. I have not experienced any doctor taking a bribe in a Government Medical Hospital. The day I see such a thing, I’ll approach the anti corruption bureau with his name and proof instead of ranting on the internet without taking his name.

    3. I would say these days i public hospitals it the patients who mistreat the doctor and beat them time and again.


    An Indian resident doctor

  57. An Indian resident doctor An Indian resident doctor Thursday, December 5, 2013

    Dear Mr. Rejith,

    1. The Times of India news article proves that Dr. Varun Patel is a Russia educated doctor without a postgraduate degree.

    2. Dr. Varun Patel has publicly defamed BJ Medical College, Pune and Loknayak Hospital, New Delhi, which is mentioned in his India medical times article.

    I think this is enough concrete evidence.


    An Indian resident doctor


  58. Rejith Rejith Thursday, December 5, 2013

    Dear “Indian resident doctor”

    You have been accusing a doctor, who had the guts to write his experience, using his own name and photograph. Whereas, you have preferred to remain anonymous and speculate on his intentions without any concrete evidence.

    And the point about taking names of the guilty, why should he do that? He has no right to defame anyone on a public forum. If the concerned authorities wish to take action, they are free to investigate Dr. Varun as he as openly given out his details.

    The blog may be his perspective of looking at things. It’s totally his wish what he would like to share to the world. If you don’t agree, that is perfectly fine. But taking things to a personal level and having baseless allegations against anyone is unacceptable, especially anonymously.

    Again, these are my views. You may chose to disagree.

    Peace !!!

  59. Vaishnavi B Vaishnavi B Thursday, December 5, 2013

    Ha ha ha..dude..are you for real??Can you seriously tell me you don’t know/ haven’t experienced any doctor taking a bribe or mistreating patients?? Are you really working in India??

  60. Vaishnavi B Vaishnavi B Thursday, December 5, 2013

    An exact depiction of what we experience in hospital in India. For those who want to change the system there is always an idiot on top of the system, scrapping coins from the begging bowls of the patients, using it as toilet paper, trying to get the better people ejected or trampled down. I tried to fight the mindless rudeness and dacoitry that the patients in Govt hospitals are subjected to but realised that the buck actually reaches the very top of the food chain. But still, if each doctor can make that little change of valuing the patient as a human being, then perhaps change is not all that far away. Maybe I will not see it happen in my lifetime, but then hope is something that dies hard..

  61. dr kalpana dr kalpana Thursday, December 5, 2013

    @ an indian resident doctor..r u fake or real…asking for proof…if had in fact done ur mbbs from govt college u would exactly know da scenario cz its da same in all govt hosps and wouldnt ask for proof. may be u should go n check ur degree..

  62. Wanting to 'be da change', I wana see in da world Wanting to 'be da change', I wana see in da world Wednesday, December 4, 2013

    Dr.Varun ….good work…m sure u wanted to add many points but it was an article n not a book..i am very happy to see so many people wanting to change da system…its a new dawn for our country…n we all residents r in this together wanting to be da change we want to see in da world…i am trying to be a better doctor a better person every day n tht will change da syatem cz i am da syatem ..we all are….i am very positive abt everything…all these mature n intelligent people who commented n got da point n motive of this article will change da face of this nation….i share da same dream as all of u..making this world a better place 🙂

  63. Wanting to 'be da change', I wana see in da world Wanting to 'be da change', I wana see in da world Wednesday, December 4, 2013

    hello friends, i read da article n i dont think this guy varun means to go against da doctors…its da system that makes da doctors behave this way…n we as doctors n humans should be against da corrupt system n strive to change it….so diverting da isuue to whr he did his mbbs from n hw indian medicos r superior is an act of a low IQ n shallow,narrow minded person…for once..for once think u r a poor patient or ur mom/dad r poor or ur wife/sister is delivering in a govt hosp…think of this scenario n then respond to da article…

    (@ an indian resident doctor and to all da frogs living in a well n thinking there is no world outside da well…god forbid,if ur mom/dad get sick wud u suggest them to go to govt hosp to all da bright doctors u mentioned without ur supervision????) i dont know why we alwayz differentiate against russian or chinese mbbs..bright n dumb people r equally distributed it wud be wrong to generalize ..i hv seen my indian mbbs colleague not knowing basics in which these so called outsiders r quite good since they have to clear some sort of screening test..Russian local people probably see us as a third wold country…n its because of black crabs like u pulling everyone down in all fields…. our culture teaches us to give respect n receive respect…go out of our country n see)……wake up n join ths revolution or stay da crab u alwayz were – ur choice

  64. An Indian resident doctor An Indian resident doctor Wednesday, December 4, 2013

    Dear Mr. Ashish,

    I take that as a compliment,


    An Indian resident doctor

  65. Sanjeev Sanjeev Wednesday, December 4, 2013

    @Vik….And for your kind information graduating from Russia is not big thing. People having money go from here . buy a package of graduation .. have seen few graduates from Russia working here who don’t have basic knowledge of medicine..

  66. Sanjeev Sanjeev Wednesday, December 4, 2013

    @Ashish or vik. . The comments by one of the resident doctor was against the manner of presentations of the problems. The problem is lack of infrastructure but this guy has presented as lack of professionalism and lack of ethics. He doesn’t know how hard interns work in govt setup to make best of what the have to give proper care to patients. It’s not justified to just blurp up what comes in mind without knowing the root cause .

  67. An Indian resident doctor An Indian resident doctor Wednesday, December 4, 2013

    Dear Mr. Vik,

    1. I never said anything against the IT professionals. I respect the IT industry and admire the IT professionals of our country. Cant understand why u felt I am against them.

    2. I am against people like Dr. Varun Patel who create a false impression of resident doctors and influence public opinion against them.

    3. If he really had seen such instances why is he not taking any names or giving any proof so that instead of criticizing the whole community, the concerned doctors could be held accountable.
    ( If S. Sreesanth is guilty of match fixing, are you going to criticize Rahul Dravid as well. By the way, there is proof against Sreesanth.)

    4. Lets face it, Dr. Varun Patel is probably jealous seeing his specialist colleagues earning lots more money than him ( which they deserve by the way ), while he is just a plain graduate without any postgraduation. Also the tag of a Russia educated doctor seems to be hurting him.


    An Indian resident doctor.

  68. Ashish Ashish Wednesday, December 4, 2013

    “An Indian resident doctor.” , really ?? you look like Internet Keyboard fighting Champion

  69. Ashish Ashish Wednesday, December 4, 2013

    he objected something that has been taken as “normal” by his colleagues , he came from a much better environment and could not bear the filth in our system so he expressed his feelings , whats wrong in it ?
    and you are questioning the platform he used to express his views ,
    if he had complained to the so called concerned authorities , his complaint would have been ignored , but now thousands of people reading and agreeing to him , you see ? you seems kind of jealous to him , don’t you ?

  70. Dr Pat on the back Dr Pat on the back Wednesday, December 4, 2013

    Kudos to Patel for being man enough to publicly vent his repressed anger. It’s quite common to find Chinese and Russian imports like him now a days in India. They always have an inferiority complex and bear a grouse against made in India docs. Kudos to him for expressing that.

    May I ask, if he really was bothered, why didn’t he complain or go to the media? Some courage. More like jealousy. Jumping on the bad-mouth-the-doctor bandwagon is always so gratifying isn’t it Dr. Patel (MD Russia)?

  71. Aditya Aditya Wednesday, December 4, 2013

    Well said!

  72. Ashish Ashish Wednesday, December 4, 2013

    lack of medicines , machines , funds , proper equipments ,overcrowding of patients and corruption , these all things make the government doctors inhumane , the root of every problem is money , the government does not have sufficient funds to build hospitals that can serve our huge population of 120 crore people , Dr. patel came from Russia where population is just 14 crore so the Russian government can serve their citizens easily , so its natural that he feels awkward about the situation here in India . our country needs more government hospitals and more doctors so that they can meet up to the demand of millions of patients . we have to make 100 anar for 100 bimar.

  73. Vinod Vinod Wednesday, December 4, 2013

    Excellent post Dr Varun! I am a doctor working in a public hospital like the one you described. Over the past decade, there has been a perceptible improvement in the quality of care in my hospital, although it is still not something to be proud of. Perhaps the most important requirement for having a wonderful public hospital in India is proper management.

    If you were the owner of a supermarket with a hundred employees, whom would you hire as the manager? Would it be your best salesman, or would it rather be the guy who can get the best out of the sales force, and look after the inventory, and oversee the accounts, and look after the maintenance, and can ensure that the customers are satisfied? Our public hospitals are larger than any supermarket and deserve better management. But doctors don’t always make good administrators because the skills required are different.

    Lack of systems, lack of audits, dissatisfied employees – all these are issues which can be solved, and don’t even require massive amount of money. I have seen that some of our public hospitals now have patient counsellors (to guide the patient in the hospital maze) , integrated IT systems (results in faster reports with less errors), outsourced their sanitary work (more machines used for faster cleaning, better supervision), and each of these things have a big impact on patient care.

    India is still young, and these issues have occurred everywhere. Read any book on life in an American inner city hospital in the 1970s, and the similarities with our system are striking. Poverty is the root cause of inhuman conditions, and mobilising resources expertly can alleviate a lot of suffering.

  74. Vinay Vinay Wednesday, December 4, 2013

    Get Ready to be stripped out of your medical degree. How dare you raise FACTS about condition of govt. hospitals. You were just shy of naming people but gave away vital clues against people in charge (CMO) who should be fired right away but will be showered with Garlands everyday.

    I won’t be surprised if the Chemist shops send goons to kill you or may have already given a Supari in your name.

    On another note, I salute your guts and keep up the good work brother. The country needs thousands of Varun Patels to stand up against this corrupt government.

    Note: BTW do you know that the donation that is brandishly asked for medical seats goes to the local MLA’s pocket. Damn feels like am preaching to the choir..

  75. Vik Vik Wednesday, December 4, 2013

    @An Indian resident doctor.

    WoW so someone who is tech-savvy in a digital era is not supposed to practice medicine? So u stop watching tv, play video games or use computer or facebook or mobile or….. Man which era are you living in? India has sent rover to mars we are living in a digital world. for the past two decades the growth and progress you see in India is due to Telecom and IT revolution so be cautious of what you lament here pointing your arrogant fingers at the IT folk you owe a lot to us for bringing up the nation, its not just you folk who work hard for nations wellbeing we do our might plus a bit more. Wherever I go in the world I make sure I sell Brand India as a quality product without feeling that my medico brothers are arrogant, egoist, unkind, inhuman etc. Infact I suggested so many of my colleagues to come over to India for their medical issues and helped so many establish links for pharmaceutical biotech research initiatives. while you were busy treating our brothers and sisters, we bring in the MONEY.

    I’ve been to Russia, Many of my cousins did their Medicine in Russia. I’ve seen the quality of education there is much better than a pseudo educated MBBS graduate in India most of the Institutes in India don’t even offer proper Infrastructure for these kids to practice their medicine. So don’t blame his badluck for being born as Patel and for being a victim of reservation.

    Lastly Mr. wannabe Resident Old Fox we need doctors in hundreds and thousands in India, I don’t know if you ever get out of your box but we do, we try to see how India is performing on a global scale and today our doctors are doing well because they get first hand experience dealing with 100’s of cases. So eventually Dr Patel is going to turn out to be better than an average Indian grad as he has International exposure. So discriminating him as foreign educated blablabla is non sense. We all know how hard Medicos work day in and day out…and inspite of his busy schedule if he is able to write blogs and maintain a website then he is giving his ‘Private’ FREE TIME to do this out of his personal interest and greater good of the profession.

    You’ve got to be some old arrogant uncle who hates young generation from coming out and speaking loud and clear. Remember you wont have a history if you keep ranting like this cos the future generations would eventually know about your idiocy and hate you to the core. So i suggest you go back to box and do your job, world is not black and white and people are all not the same.

    Nuf said,

    PS: My Appologies to others, this was pure frustration coming out when I read such comments.

  76. Sanjeev Sanjeev Wednesday, December 4, 2013

    On our personal experience working in similar environment am damn sure the article written may reflect overall picture for a layman looking from outside but it’s not dealing the right prospective.. if you Work properly as an intern anybody would definitely not come up with such an article. Being an intern from this profession from a good government college it would have been better spending some time focussing on work rather then utilising important time rather wasting, writing such articles.

  77. An Indian resident doctor An Indian resident doctor Wednesday, December 4, 2013

    I am a resident doctor in a clinical branch in a busy Government medical college in India, which qualifies me to reply to Dr. Varun Patel’s comments.

    Few important points:

    1. Dr. Varun Patel has done his undergraduate medical studies from Russia which means he was not good enough to get admitted in an Indian College, so basically he is inferior to each and every doctor who has studied in India and is now working hard as a resident doctor.

    2. Dr. Vaun Patel himself is not a postgraduate resident doctor ( reason being he could not crack the entrance test for it ) and is criticizing those doctors saying they dont do their job well.

    3. Dr. Varun Patel has publicly defamed prestigious institutes like BJ Medical College, Pune and Lok Nayak Hospital, New Delhi, which is none of his business.

    4. While making serious allegations ( like that of cut pracitce, slapping or batting a patient etc. ) against doctors working in these institutes, he has not provided a single proof against them.

    5. Instead of focussing on his job, Dr. Varun Patel wastes his time creating useless websites which do not help a “poor patient” of this country in any way. Kindly refer Really, I dont understand why a person like him is criticizing the pool of hard working resident doctors of the country of which he is not even a part of !

    6. I suggest Dr. Varun Patel to leave medicine as he is not contributing in any way to the field. He can do any computer related jobs which suit him. He can spend his free time on the internet ( this time he can try criticizing other professions ).

    7. I request the Government of India to send him back to Russia as our country is better off without one more person who keeps ranting on the internet without doing anything worthwhile.


    An Indian resident doctor.

  78. zootin zootin Wednesday, December 4, 2013

    thanks a lot Dr. Varun for voicing what we already knew.. I trained in the extreme east of the country and condition here is no different from what you expericiend .

  79. Shivakumar Shivakumar Wednesday, December 4, 2013

    I don’t think, this is limited to medical profession. We as a society have little value for human life. We have become immune to other people’s suffering. Absolutely no moral values and hygiene. When ever I read in foreign blogs, our country as a big toilet, I feel ashamed. ‘Chaltha hai’ attitude. Appreciate you for making a difference. We need many Varun patels in our society to make a right beginning. Unless and until people feel it ashamed in doing things, it is not going to change. There should more protests in which ever way possible.

  80. Prabhat Prabhat Wednesday, December 4, 2013

    My respect Dr Patel for bringing such brutal reality to the fore.. Indeed the ‘noble’ profession is not so noble any more.. But the real culprit is system’s apathy.. Govt does not provide good facilities or salaries to staff.. Unmanageable work load prevents the doctors from doing their job diligently.. and an individual Indian today learns fast to brush aside the conscience and to accept the ‘status-quo’. We are all responsible for what is happening all around us..

    Moreover, everybody here is talking about Govt hospitals.. I have hardly ever been to one, mostly due to this bad impression in my mind.. But I have seen almost similar things happening in private hospitals also. The only difference I see is the private hospitals ‘sugar-coat’ this humiliation.. while in a Govt hospital you get it ‘raw’.. Innumerable cases of negligence in private hospitals are there.. so many times money-extraction seems to be their primary motive.. not patients’ well being..

    People like you have to come forward and raise a voice.. and try to repair the system from within.. then only we can expect a better India..

  81. Vik Vik Wednesday, December 4, 2013

    My dear Patel. First of all I need your autograph on my scrapbook on Indians who want to change India. Hats off for the brave and selfless revelations you’ve made. Hope this helps some of us to realize the malpractices in public hospitals and curb such inhuman activities from happening any further. Apparently the selflessness and high sense of social equality which is burning inside you is within all of us and we from other areas are also trying to bring social justice to citizens of India through our minuscule ways..Keep up the spirit Patel India needs people like you. I wish to meet you in person and congratulate you be brave and keep going India should be made up of people like you.

  82. Aditya Aditya Wednesday, December 4, 2013

    What do you want to make people understand Mr. Varun Patel? Your blog will do nothing, just make the gap between doctors and patients a bit higher than before. It is because you people patients think doctors as their enemies when some bogus man claiming a bogus doctor’s degree from Russia comes and comments. If you feel you are a true doctor, then write something productive which will actually help. These ‘Batting’ things are true, but did you realize why doctors have to bat? You will not question the system because of which this is happening because these things do not get into your ‘paid’ MBBS degree brain.

  83. Dharmesh Shukla Dharmesh Shukla Wednesday, December 4, 2013

    I am a physician too, and have seen the things which Varun describes.

    However, Santam Chakraborty puts this into perspective.

    Having been through medical college and residency, I am confident in saying that the road to medical college (rote learning and rat race in entrance exams) and then the medical training itself, DE-HUMANIZES the students to the extent that many of us are dysfunctional as human beings, let alone as doctors.

  84. Amit Thadhani Amit Thadhani Wednesday, December 4, 2013

    Dear Varun,
    “Batting” was and I believe continues to be a major problem in government and municipal hospitals. But the institution isn’t to blame, it’s the callousness and laziness of individuals that is responsible. I remember the so called pride an orthopedic department team had in making a quadriplegic patient “abscond” from the wards, something that all of them got away with and just a “memo” as punishment. What is in our hands is to Put our heads down and work to the best of our ability, never feeling odd to stop “Batting” and “absconding” wherever possible. Another side to this is the refusal of doctors to share information about the patient to the relatives. It’s as if since they are not paying, they aren’t eligible to get any updates regarding their patients health either. The possibilities to clean up the system are immense. Are we up to it?

  85. Dr. Khan Dr. Khan Wednesday, December 4, 2013

    Very good article.when I was working as a intern in a private medical college,we had an interest and enthusiasm to treat patients n take cases.but our seniors would make us refer cases sayin we don’t ve facilities or simply bcoz they did not wish to over burfen themselves.what once used to be a noble proffesion is a web of deciet n lies now.even now working as a post graduate when my seniors r leaving for the day their last words to me are ‘don’t take bad cases’.this is the standard of medical care,where we admit and treat patients according to their diseaes.its a worse bias than the caste system.

  86. Aditya Aditya Wednesday, December 4, 2013

    Your perception would be different if you had your MBBS from India. You, while studying in utmost comfort, will be natural to feel like this, but think of your colleagues who lived the whole thing in India, passed competitive examination and had to deal with these things eveyday.

  87. imran imran Wednesday, December 4, 2013

    Absolutely correct, This is the ugly truth of our society .This kind of negligence and irresponsibility hapens everyday every where.Personally i have seen worse than the doc has mentioned in his blog . But salute goes to Dr Varun Patel who dared to write about his profession.And dont forget in this country no profession is without stigma whole society is sailing in the same boat……..

  88. Jitu Jitu Wednesday, December 4, 2013

    Grt to see Doctor writing the realty which is known to us. Hope the medical community work to remove these atrocities.

    Dr Varun Patel should be commended for this.

  89. Dr.Sampath Dr.Sampath Tuesday, December 3, 2013

    Dr.Varun Patel has vent out his feelings after looking at the situation in a and after completing his internship.

    But a few things have to be remembered.

    All govt.hospitals in all cities of India are not similar. Dr.Neeraj Nagpal has mentioned that the situation is not the same in PGIMER,Chandigarh.

    Sandeep Jha has rightly pointed out that the system is such that the doctors will get blamed for no fault of theirs

    Moreover things have changed over the past few years.The dedication and commitment among the staff and doctors in the govt.hospitals has changed because of comparing everything with the situation in private and corporate hospitals.

    A sincere and honest doctor will always command respect.The period of internship is meant to learn many things practically.Many interns are not interested in serving the patients, but will take the excuse of preparing for the PG Entrance exams.Many students of private medical colleges are doing their internship in govt.hospitals and are not interested in working in these hospitals,but only want to get the requisite attendance,

    Lot of things have to change in our society.And Dr.Varun has to be commended for requesting every doctor to contribute something to change the system

  90. Dr Varun Patel Dr Varun Patel Tuesday, December 3, 2013

    Hi Dr Ravindra,
    I have done internship from Sassoon Hospital, Pune. This article is about my experience in Internship. Many of these things do happen in Lok Nayak Hospital too.

  91. Ravindra Dewan Ravindra Dewan Tuesday, December 3, 2013

    Dr. Varun has left me astounded. I worked as an intern in Lok Nayak Hospital in 1984 and the did residency in Surgery from 85 to 88. I did Mch Cardiac Surgery from GB Pant from 1989 to 1991 and have been workin as Thoracic Surgeon for the last 21 years in Government Service. I can easily say that whatever these hospitals have given me as an opportunity to serve and polish myself as a human being has been wonderful. Even as an intern, I was amazed at the work being done in LNJP hospital. Dr. Varun has to develop the discerning eye to appreciate and try to improve things wherever he can.

  92. gautam salunkhe gautam salunkhe Tuesday, December 3, 2013

    well, i think that internship is a practical opportunity….to learn what to do, and to learn what not to do. the things this graduate has seen, he should docket and learn not to do them himself. take the stepping stones, go ahead and then prosper. this code business is for people who want to prosper all the way. you cant be a better person if you think like that. once he is out of that system, he should start his own hospital, where he can implement all the good things, and do away with the bad. [i’m not saying this is easy, but satisfying once you achieve it.] . unfortunately, nowadays practicing medicine is may prefer to join some sector[govt/pvt] where all this may be experienced again in different forms. that is why there is a need to revive/promote individual practitioners again, in preference to business models. and the patients and amir khan need to realize that too.

  93. Dr Beating Dr Beating Tuesday, December 3, 2013

    Wish you had highlighted the other side too. Few days ago a female intern was “molested” here in Calcutta for no fault of her’s. It’s a regular occurring in these parts (worse in the north east, I hear). Some take the cuts and some bear the brunt.

    Service mentality earns you molestation and thrashings for no fault of your’s. It’s a good old-fashioned class struggle going on in India now – doctors vs patients. The ones that are powerful (mobs) in number always dominate the powerless (doctors). No matter how much we try sugar-coating it, the fact of the matter is, that patients consider doctors as enemies and enemies alone. All that respect is a sham.

    There must be equal retribution from our side too, lest we lose everything in this class struggle. But we can’t stoop to their level. So we keep suffering. Guess some doctors give it back to the other side without any moral considerations. I don’t support them, but I don’t bother either.

  94. DR.M.Madhusudhana Babu DR.M.Madhusudhana Babu Monday, December 2, 2013

    Dear Varun,
    I am a neurophysician graduated from a reputed govt college in Andhrapradesh.Before you blame the govt hospitals what is the infrastructure provided by govt?No man power .low nurse patient ratio,The pt with diabetic foot u described can only be attended in govt hospital not in corporate money no treatment in corporates.Look at govt hospitals,wards full of poor patients getting free treatment.No attached bathrooms.meager water facilities yet treatment goes on.Pl appreciate it.

    Regarding black sheep they are in every field. They must be taken care of.But you have service motto,pl chage some and get glory to our poor hospitals .thank you.

  95. DR. YATIN KHER DR. YATIN KHER Monday, December 2, 2013

    dear varun,
    i am a neurosurgeon and have graduated from a very reputed government hospital in mumbai. as i was reading your article i was taken back to my days as an intern and then as a surgical resident. all of what you have said is absolutely true. when you come into the outside world as a practicing doctor , then you will realise how the doctors have degraded the system. there are cuts for the doctor at each and every step, for all investigations you ask, for referring the patien to a hospital and many more. the patient will never get a clue as to how he is being looted!
    inspite of all this we should not loose heart, you can change only yourself and no one else, so do a good job , everytime . most of the people will think that you are a fool , but it is better to be a fool and keep your conscience clear!
    wish you all the very best for all you do in future and dont let this spark blow out.
    dr. yatin kher

  96. Dr Varun Patel Dr Varun Patel Monday, December 2, 2013

    Thank you everyone for your precious time. My motto behind this article was just to put a flash on what goes on inspite of our maximum efforts to decrease it in the society. Poor patients are really helpless and they have no say in a Govt hospital. This needs to be changed. I have a request to all Junior and Senior Doctors to please contribute a small part in changing this system, even a smallest step towards it could help a lot.

  97. Dr Varun Patel Dr Varun Patel Monday, December 2, 2013

    Hello Sir,

    Yeah its true. Many Doctors have played a major role in helping the poor. I am not saying its the Doctor’s fault that these things happen. The point you yourself mentioned that doctors in these hospitals are overloaded, which makes it very difficult for them to concentrate on each and every patient. Most of the patients get neglected, and over time a doctor learns to try and get rid of the patient before admitting him under his ward. This is true for govt hospitals.

  98. Mani Sundar Mani Sundar Monday, December 2, 2013

    Government has imposed rural posting on us…..getting pg is not so easy….in what why Government supports us??Ur experience is right…and it cant be much better…

  99. DR. BHARAT DR. BHARAT Monday, December 2, 2013

    NICE ARTICLE but everything u wrote down is not true,,, then it depends on doctor too….still..good job

  100. Vinaykumar Vinaykumar Monday, December 2, 2013

    Agree with you, it was these things that made me regret my decision too, that is why I took a noon clinical MD, however the reasons for these things I feel totally lies in several factors:
    1. Lack of things like gloves, syringes and needles at the user end i.e. intern or Jr, usually in govt. hospitals they are with the ward in charge who do not provide these to a Jr or intern, which might be because of no supply or hording for self use….
    2. Corruption: diversion of funds allotted…
    3. Lack of proper administration: doctors and nurses are not trained in subjects like budgeting, inventory management etc .. Which contributes to mismanagement.(if you remember sisters saying gloves indent kiya the mile nahin)
    4. Institutionalization: had heard this word in the movie Shawshank redemption: after getting used to such faulty administration and getting frustrated by failed attempts to change the system the junior doctor gets institutionalized and indifferent to the maltreatment of pts.
    5. Has nothing to do with quota system

  101. K.N Sridhar K.N Sridhar Monday, December 2, 2013

    Dr Varun this is true to a large extent and you are feeling so because you are sensitive to the ethical and social issues.One way to move forward is to look for role models and network with them.Eventually if one role model can influence 3 or 4 juniors that itself would snow ball to a significant movement.

    May God give you enough strength to get grounded in these values and move forward.

  102. Dr Neeraj Nagpal Dr Neeraj Nagpal Monday, December 2, 2013

    Dear Dr Varun
    Your experiences and narration sadden me but let me assure you not all hospitals are alike. I have had the oppurtunity to work in institutions like CMC ludhiana and PGIMER Chandigarh. What you describe was unimaginable in our times in both these hospitals. Private practice by consultants was heard of in other places but we never witnessed this in either of these institutes. Work ethics, treatment meted out to women in labour in CMC ludhiana was an eye opener but only when I compare it with what you say. Do you know the reason why these institutes were and to a large extent are the way they were. The consultants were provided accomadation, paid decent salaries, their needs were looked after and hence the need for unethical practices was less. We could call any team head at 11 o clock at night to hospital for an emergency because they lived on campus and did not indulge in private practice.
    Recently Dr Rajeev Wadhera took over as adhoc DHS at Govt Hospital Sector 16. He had lived and participated in Doctor chemist nexus. Once DHS he put a total stop to it.Many consultants left the hospital. When confronted that why does he oppose it when he used to do it as a consultant himself, his reply was ” My Boss was weak, I am not” Moral of the story is as Adolf Hitler once said; If you want to change the system, join the system, reach the top and then change the system.

  103. Bhavani Rao Reddi Bhavani Rao Reddi Monday, December 2, 2013

    I have gone through that learning experience.All that is true. Lot of those things have to be changed.
    We are living in a society. I believe doctors are not paid correctly for their work.Instead of convincing the government that they deserve more pay for saving lives, some of them are taking short cuts to earn money . May be the society does not listen to them. Which other profession puts that much effort towards the society.The ministers and administrators get huge amount as cuts in the irrigation and infrastructure projects. The health gets a meagre amount in the budget allocation.It is surprising that so many sick people are served with that trickle.
    Compare your work with Amir khan. His dialogues were written by somebody.The makeup man makes him presentable. His dance was choreographed. His action was directed.The producer take the risk.And lot of other people’s efforts are there to show him. He was paid in crores for that.
    Now yourself. At least few people owe their life and wellbeing because of your services. How much you were paid? How much recognition did you get ?

  104. Prof.Dr.Alexander John Prof.Dr.Alexander John Monday, December 2, 2013

    Dr.Varun,this is just the beginning. You are in for many many more rude shocks. That is how ‘Noble’ our profession has become now.
    However please don’t get dejected and disheartened.
    There is ‘good’ and ‘bad’ in this world and wisdom is being able to differentiate between the two and to choose the right path yourself.
    Like the ‘movement’ relating to rural service , you youngsters can initiate a movement to cleanse out the system – being fully aware though that it is going to take quite some time and effort. But someone has to make the beginning.
    May God help you to keep these values as long as you are a doctor.

    Dr.Alexander John
    Professor, AIMS, Kochi.

  105. Santam Chakraborty Santam Chakraborty Monday, December 2, 2013

    Well written and completely true. There is nothing to be proud of in treating patients cattle class. However this is just a small part of what we are as a society. After all a country which places such less importance on personal safety (people without helmets and seatbelts driving so recklessly despite being a nation with one of the highest burden of RTAs), hygiene ( spitting, urinating and defecatimg in public), respect to women ( routine harrasement of women in public in the name of eve teasing) and acquiring knowledge ( education system designed to churn out parrots and mimics) can only expect this. Nonetheless this is going to remain the case for the foreseeable future as the so called govt medical college are not visited by any of the peoples servants for their treatment ( even if they come they do ensure they are not treated cattle class).

  106. Sandeep Kumar Jha Sandeep Kumar Jha Monday, December 2, 2013

    Despite of what a amir khan has to say or dr varun Patel has to say, my experience as an intern was humbling. The “mausi” inspire of the huge patient load and difficult working conditions do try to keep the wards clean. Doctors in these hospitals are overloaded but still do their utmost to save patients even in most crunching financial situations by pooling in all the resources at their disposal.
    At an age when a amir khan was busy making a career out of his family’ legacy or when students in other streams are busy partying, the residents in these hospitals are dealing with matters of life and death and are mostly treating patients discarded by “sophisticated” hospitals with the miniscule amount of resources at their disposal.
    There may be faults but kindly don’t blame doctors for everything wrong in medical system.
    You get faulty policies, useless students(thanks to quota system and exam frauds year in and year out) and then you put the blame on the hapless doctor who inspire all of this saves innumerable lives which would otherwise have been lost.

  107. Suresh Bijjahalli Suresh Bijjahalli Monday, December 2, 2013

    One feels helpless & humiliated plus to fight against such a well lubricated mechanisam is for certain a Herculean task.
    All the best & perhaps you may feel satisfied by doing one little help everyday

  108. jayadatt jayadatt Monday, December 2, 2013

    it was stunnin
    same time saddening too..hv experincd quite d same!!

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