Sunday, October 24, 2010

Abuse of Power

We, the modern Indian upper middle and upper classes, have been by and large supposedly taught to reject blind faith and to think rationally thanks to the boost that «scientific temper» received ever since our beloved Uncle, Chacha Nehru, ensured that it was made one of the Fundamental Duties of every citizen of India to develop a «scientific temper». Without elaborating much on this subject as that can take the space of 10 blogs or more, I directly arrive upon the problem of the blind faith that is conferred upon doctors. Since physicians are perceived as men and women of science who work with the sole and single-minded objective of curing a malady or alleviating the troubles caused by a disease based on their medical studies, there is apparently no need felt to question the remedies they prescribe (including medicines and surgeries), their training (good marks ≠ good doctors always) or even whether they are psychologically sound enough to be in the close proximity of their patient.

The recent rape of a Vashi lady patient under anaesthesia by Vishal Vanne (I refuse to prefix his name with Dr.) did not come as a shock to me. It definitely did shock and anger my parents, especially my father who is an orthopaedic surgeon himself. He is of the opinion that Vishal Vanne should be bobbitised as that is the only punishment fit for him. I, for one, was only stoic, only wondering whether more such things could have come to light earlier, had patients not been under complete anaesthesia. A late-night conversation at my hostel with a roommate 5 years ago had shocked, outraged and numbed me enough to not feel anything this time around. My former roommate has an elder sister who is a doctor. Let us call her Dr. V. Dr. V. did her M.B.B.S. at a reputed medical college in Bombay when she experienced stuff straight out of movies based on psychopaths. Dr. V’s parents had started hunting for a single, young, eligible doctor for her when she consented to have an arranged marriage as she did not have a boyfriend. The very first proposal they managed to fish was from a cardiac surgeon. The girl refused him without meeting him. The parents were taken aback. Furthermore, she instructed her parents not to allow a surgeon even in the veranda of the house! This left her folks flabbergasted. She explained her reaction. She had participated in several surgeries where she had witnessed surgeons (young and old) abuse patients under anaesthesia (not penetrative assault of course) and make such debauched and deplorable comments as to be unimaginable to someone with even an iota of decency. On those occasions she had wanted to escape from the operation theatre as she was unable to concentrate on the task at hand and was unwilling to tolerate indecency aimed at the patient and herself. I was left stunned and speechless. Given my paternity, I also felt betrayed. I was extremely embarrassed too (as if the guilt were my own) as the other two girls present at that time made a quick glance in my direction (possibly to gauge my reaction) and looked away. At that moment, I would have given up anything to be told definitively that my father was not a surgeon or a doctor at all! However, that would have made him a quack given that he tells the world that he is a surgeon. Nonetheless, he was and he is a qualified surgeon with verifiable credentials and I had to make my peace with that. Dr. V has now completed her M.D. and she is now married to a M.D. She stuck to her decision of not having a surgeon for a husband.

That exchange had remained in my mind ever since and it continued to torment my soul. I once casually brought up that conversation during a tête-à-tête with my parents and asked my father if surgeons have a reputation for being perverts in the medical community. Their reactions were remarkable. My mother, who was convinced that nobody from her husband’s profession was capable of such a thing, declared Dr. V. to be crazy. My father however was perturbed and disconcerted. He did not say a word and he avoided eye contact for quite some time with his 19 year old daughter. A year or two later, I mentioned the same conversation to a lady doctor in my French class. She admitted that such things are commonplace and it disturbs her that any and every kind of a person, irrespective of character, can become a doctor as long as they score high marks in the medical entrance test and class 12 exams. The doctors who abhor perverse and anti-social behaviour in hospitals and medical colleges often don’t speak up for the lack of conclusive evidence and since student doctors have the additional burden of obtaining their degrees before starting a revolt. My father may not be guilty or even capable of such a crime but he along with this lady doctor friend of mine and Dr. V., is guilty of not protesting on the spot against errant doctors or at least reporting such things to competent authorities. What compounds the gravity of the Louts Hospital rape case in Vashi is the fact that Vishal Vanne is not even a surgeon! He is an ayurvedic doctor and yet had access to an operation theatre where these guys have no business! The Lotus Hospital has rightly been served the show cause notice.

The school and college system does not very actively seek to inculcate correct principles amongst students. Most teachers very conveniently and erringly label high scorers as ‘good and sincere children’ and those who are distracted, average or low scorers as ‘failures’ or ‘wasted’. Such sweeping generalizations have multiple faults of their own but the worst being that we, as a society often fail to acknowledge the fact that even criminals are very sharp, intelligent and clever. Combine this with knowledge, professional and/or social position and the nerve to act out depraved desires and then the likes of Vishal Vanne ruin lives. The same reasoning also applies to our notoriously corrupt bureaucracy, fouled by a large number of unscrupulous IAS, IPS and IRS officers who were all high scoring students during the years they were being ‘educated’. Seemingly trustworthy, unethical people in positions of power (even seemingly insignificant such as that of a surgeon) are precisely those who we refer to when we say in Marathi and Hindi that the monkey has a burning torch i.e. माकडाच्या हातात कुलीत or बंदर के हाथ में जलती मशाल

Saturday, October 23, 2010

Elevator = Alleviation of troubles

It is either not allowed or it is not obligatory in India for building with 4 storeys or less to have an elevator. I do not know the reason for this. If anyone does, you are requested to enlighten me about the same. I am still very young and disease/disability-free (thankfully) to be bothered by non-elevator buildings but unfortunately certain family members are not. This has got my blood boiling.

The last Ganesh festival took us to my aunt’s place. She lives on the 3rd floor of a 4 storied building in Thane. Here is what happened.

1. My mother, whose one knee has recently decided to be troublesome, took more than 6 minutes (with a nearly 2 minute halt at the 2nd floor) to get to the 3rd floor. She had only a slightly-less harrowing time coming downstairs.

2. Upstairs, my aunt looked much more portly than she was last year. I was taken aback by the change. My aunt and her husband are diabetics in need of regular exercise. My dad, an orthopaedic surgeon, gave his cousin a sermon on the benefits of walking. She just had one dry reply. “I have not left the house in months. I am old now. The legs don’t permit that. It’s easy to go downstairs, but it’s an uphill task getting back home. Her husband had the same complaint.

The conversation between my parents, my aunt and my uncle got me thinking and brought to mind troubles of people facing the same predicament due to varied reasons. Consider the cases below.

1. A friend’s mom recently underwent a hip replacement surgery and needs the assistance of a walking stick to get around the house. She stays in a 4 storied South Bombay building without a lift. This lady is largely confined to her house as using the staircase gives her leg aches.

2. Imagine the agonies of expectant mothers in such buildings. Movements become much slower and demand more efforts during this period. The woman will have to trek up and down the building during the 2nd and the especially strenuous 3rd trimester if there is no lift. A working lady might even consider going on leave earlier for this reason. It will also be a tough task to help a lady in labour out of the building. It can be suggested that she move out to a more convenient location as the due date approaches but why should such a need arise?Just because lifts aren’t considered important for all buildings?

3. Heart patients who live in these buildings must also find it taxing to go downstairs and come upstairs every time the need arises. This kind of exertion may not even be advisable for many amongst them. Someone may not have a cardiac problem today but it’s hard to tell who may suffer from a degenerative heart disease. Somebody who is fine today may not be so next year.

4. Consider the cases of temporary disabilities. Say I sprain an ankle or fracture my leg. I will not be handicapped for life but that period of convalescence will also mean of a period of confinement to my home if it is in a 4 storied building.

I spoke to a co-worker about this problem as he is committed to civic engagement. I asked him if he knew what could be done to resolve the same, maybe a PIL or something. This is what he said. If the 4 or less storied building has space, an elevator can be installed, provided all residents agree and are will to pay for it. But there is a catch. People living on the ground floor often refuse to pay stating that they will hardly ever use the facility. This argument is fallacious as irrespective of the floor people live on, they have to contribute to the maintenance charges of the society and those include the money for maintaining the lift. People living on the ground floor do pay for these things in buildings that have more than 4 floors everywhere.

This problem won’t be resolved anytime soon but something has to be done. At least people have to be made aware of the fact that this problem exists before they face it themselves. Till them, I guess my mom, my aunt and uncle and other acquaintances will just have to put up with the uphill task of getting home.

About Me

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An infectiously enthusiastic incorrigible optimist, insanely in love with and morbidly curious about life, death and everything in between.