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Tuesday 24 November 2015

On the Other Side of the Fence

There is a very fine line between two sides of this fence.
I stay on my side; I become a patient. A typical patient who trusts and doubts doctors with the same fervour, who imagines the doctor will be able to cure me, who wants to practically hug the doctor when something terrible has been fixed, and who wants to find another, ‘more reliable’ doctor when there is no relief, and who even tells other friends who is a ‘good’ doctor to consult and why.
I jump across and I come to belong to the side of doctors. I see their viewpoint, their tensions, their joys and their sorrows.

My father is visiting us, and yesterday, when he went for his walk, a child fell down in the park and started crying. He could not see the child in pain and offered to look at his presumably hurt leg. He did not know the parents or the child, or anyone for that matter, and he could have ignored and continued walking like the rest of us do, but no- he could not walk away. Being a doctor is what he is, has been, for the last 50 years! When he came home, he was very happy because the child had gone home running!
My brother would have done the same, or even my brother-in-law, or even my sister, or my sister-in-law. I guess, once you are a doctor, you can’t help being one when you see someone who you think you can help.

I have seen this side of the fence all my life. When we were small kids, we would hear the door-bell ring all times of the day and night, and our father would never turn away a patient even though it was a clinic, not a 24-hour hospital with ER or A&E facilities. I see the same now- with rest of my family- who all are, shall I say, unfortunately, in the business of saving lives?

I say unfortunately because saving lives is no longer just a noble thing- it is a complex equation of money, facilities, accessibility, ability and destiny.  My brother and brother-in-law are both neonatologists- very sensitive area because it has a lot of emotional investment, both for them and for the patients’ families. They are based in small cities where such level or quality of healthcare had been unheard of before, and for everything bordering on ‘serious’ or life threatening, you had to run to the metro cities like Delhi, and wait to get treated in the maze of super-speciality hospitals, where even trying to get doctor’s attention needs effort; or die on the way because there was nothing else that could be done! But it is not just making such a facility available in a small city- it is what comes with it!  They give up their mental peace and pleasures, and in return, sometimes they smile when they win love of a child and his family, and at other times, they go through intense mental agony because in spite of their best efforts, they are unable to save a child, and feel responsible for it even when we all know that not only our body but God also works in mysterious ways. They understand the pain of his family, but there is nothing they can do except feeling solidarity with the family.

I have seen both of them spending entire nights in the NICU to treat a serious patient, discussing cases at the dining table, missing their own kids’ birthdays and school performances only because there was a patient admitted who could not be left alone even for a minute, being up and back in NICU at the slightest ring of the phone, being available 24x7 even over the phone, and what not. They impress me, and I love them not because they are family but because there is a passion involved there. They give me faith, and confidence that there will always be some doctors who are not in for the money, or quick gains…there are some who really want us to get well, and who are happy when we do feel better.


On the other side of the fence, this means that I give benefit of doubt to the doctor when his treatment does not meet my expectations, change doctors when I am unhappy with the way I am being treated, even not recommend him when someone asks, may be even complain to the authorities if I feel serious damage has been done due to the doctor’s negligence, but….remember, doctor is just another human being who has worked really hard to be in a position to save lives, but he is not God, and like rest of us, doctors also do not have all the answers, or any magical powers or potions.