A little bit of empathy- Doctor diaries.

 

Monotony brings in boredom. I believe that this happens to the best of us, in whichever profession we happen to be involved in, and so medicine is no exception. Though we start of as idealistic, bright eyed, young doctors, over the years, we get jaded due to tiredness and the sheer numbers that we treat. There is hardly any time to think. Rather, we work more by force of habit, than the passion that we started of with.

Prof. B.M. Hegde, the former Vice Chancellor of MAHE University was often known to quote, that as doctors, we need to cure rarely, care often and comfort always.  But in the mad juggle of life, responsibilities and work, we sometimes lose out on the sensitivity which we need to show the patient, rather than just treating him.

As a mental health professional, the number of times that I have had to diagnose a life threatening illness is less as compared to many other branches of medicine. Rather, most of the illnesses in my bag, fall in the category of life altering. Nothing remains the same after the diagnosis is made. Both for the patient and the family. A lot of times, this causes morbidity in ways which are unseen, but cause a lot of suffering. Decisions that fall outside realm of medicine, like long term medications to be given to patients who are not so willing to swallow them, the crashing of dreams which the parents would have built for their children, the change in roles and responsibilities when the bread winner of the family falls sick, the insecurity of a relapse, the frustrations of the family which work adversely on patient outcome and the societal shaming – all of which are invisible to us, but very much a part and parcel of the illness. And as it is invisible, it often becomes easy to brush off conveniently under the carpet.

It was on one of such days when I diagnosed schizophrenia in a seventeen year old boy. The mother  broke down and started crying copiously. After customarily consoling her, I happened to remark that there were others who had worse forms of the disease, and so should consider herself lucky. To which she replied that maybe it was so, but she was crying not only for her son, but also for breakdown of her life which was painstakingly constructed for the past so many years. She told me that she had to cry so that she could grieve the loss, the burden and her son, and only then she could accept it. She asked for permission to cry, because she could not do it in front of her son or family. Once done, she walked away quietly, only to return for the next visit with a set of questions regarding how her son and family could cope better.

This small incident made me rethink my qualities as an effective counselor. As a doctor, I had thought it important to treat the disease, but forgot about the patient and his family. I could have consoled myself saying that the lack of time was the cause of this heartlessness, but it somehow seemed unforgivable. There are many instances that I have seen, where there are doctors with no super specialty degrees or  swanky clinics, but where the Que for visiting the doctor is serpentine. What they call “Kai guna” in kannada, must be the magic of sharp observation, unhurried questioning and a profound sense of empathy used together as treatment. This combination must be more potent than all the medications and hi fi equipment put together.

From then on, I resolved to spend a little more time with my patients than just enough to spot the diagnosis. And the results have been nothing short of remarkable. Now I have extended families in my patients. The caretakers know that they have a shoulder to cry on and are hence more comfortable. Each milestone they have achieved becomes partly mine. And when the seventeen year old passed his class twelve with a first class, I got home a huge box of yummy mysurpak. There seems to be no monotony anymore.

Advertisements

A walk down the lanes of history – Kolkata

I have always loved history. Somehow, it has the power to enthrall, excite and make me humble all at once. I think the interest developed because we had a teacher in school who had immense talent for making history interesting. It wasn’t only about battle dates and mugging. It was more like watching a“Troy” or “Gladiator” or “Jodha Akbar”every day in school. Hence, I have always loved places which have history entwined in their existence, much more than shiny new skyscrapers and state of the art technology.

I had been to Kolkata; then Calcutta, when in school. The only images that stayed in my mind out of that trip were ones of intense heat, grime, people washing themselves nonchalantly on the roadside in the middle of busy midday traffic and hordes of people trampling over my feet in the temples. Little wonder then, that I was not so keen on Kolkata as a holiday destination.

Summer holidays bring out the wanderlust in me. It’s a time when I can take off and wander with a legitimate excuse that I need to take my kids out for a holiday. So this year, when we decided to see Sikkim, our transit halt had to be Kolkata. This time though,I was blown away- both by the heat and the place;).

If there was Satyajit Ray’s house at one corner of the street, Mirza Ghalib stayed at the other when he came to seek his pension. We saw the first newspaper printing press of India, the place where Ronald Ross first discovered the life cycle of the malarial parasite, the first office of the East India Company, The first supreme Court of India, the town hall where J C Bose displayed his experiments to the world, Swami Vivekananda’s room ,the Eden gardens and much more in just one day!

It was as if I was taking a walking tour through India’s turbulent past, albeit in much more calmer circumstances! Every road, every lane and every building reeked history. It looked as if the youngest building was almost a hundred years old. And had some great name associated with it!

There is a laid back vibe to the place, which is endearing. No one seems much bothered by the fact that there is so much history lying around.They just go about doing their work. It’s all so matter of fact.Like our driver who says “ Oh, we’ll just take the turn on the road near Netaji bhavan” kind. Takes you a moment to realize that the Netaji is Subhash Chandra Bose!

There is no way I can capture what I saw and imbibed in Kolkata in one blog post. There is so much I want to share about the place, which is an amazing amalgamation of history, mythology,revolution,sport and culture. Hence, I thought I will share my best six experiences of Kolkata.

  1. Visiting the Mother House.

20160401_173515

This is a given, as I have idolized Mother Teresa ever since I was a kid. Her ideology of offering “Death with Dignity” was a major influence on me wanting to get into a profession which involved caring for the diseased. When in school, I was a huge fan of the Tinkle comic. The address of Mother house was mentioned in one of the issues. On a whim, I wrote a letter to Mother Teresa indicating my desire to become a nurse (well, that was my first ambition!). It was written in the spirit of the summer holidays when I had nothing better to do and there was no cable tv, and I completely forgot about it, till one day a letter arrived for me from the Mother herself, encouraging me to take up the profession of caring! I was over the moon, and a mini celebrity for a while at home.

When I saw her spartan room with a writing desk and a small neatly made bed, I imagined her writing that letter to me sitting in that room! It was a transcendental experience.

We got to meet Sister Prema, who is in charge of Mother house now, after Sister Nirmala’s death. A nun from Germany, she gamely obliged when we asked for photographs with her. Definitely, the highlight of my day!

20160409_150450

  1. The Netaji Bhavan

During our struggle for independence,one of , if not the most controversial freedom fighters was Netaji Subhash Chandra Bose. His death and the mystery surrounding it has always fascinated me. With the furore regarding the declassification of his files in  recent times, I was intrigued as to why he was so very important.

netajii-3-650_041015022752

Well, as an answer to my questions, and to add fuel my craving for the romantic, we saw the Netaji Bhavan, aka Subhash Chandra Bose’s home before he fled from India. The two floors of his house have been preserved intact. The bed chambers of the two brothers with their slippers, umbrellas and pristine white dhotis lying just so,give you goosebumps. The museum contains documents and photographs of his times. I was surprised to know that he was extremely widely traveled and hobnobbed with most dignitaries of those times. The British Government’s letter which gave permission for his assassination by two British officers and his escape route from the house in his car have been well depicted. With his speeches playing in the background, and seeing the house intact as it were in those days, would definitely bring out the patriot in any one of us!

20160402_160727

  1. A ride along the River Hoogly

Thanks to road repair work, we took the boat (called the Bhutbhuti)to ferry us from  Belur Math to the Dakshineshwar temple. This, in fact turned out to be one of the best experiences of the trip. I would go so far as to recommend it, even if the road was functioning well! It was a half hour ride, watching the people on the river bank go about their business of living, taking bath right in the open, praying, smoking beedies and swimming. Seeing the room in which Swami Vivekananda lived on one bank of the river and the small room in which Ramakrishna Paramahamsa stayed at the other is inspiring.With the Howrah bridge in the background, many temples dotting the shoreline, the wind in your hair and sudden splashes of the waters of Hoogly, it is a great experience!

20160402_133315

20160402_120251

20160402_113610 (2)

  1. The institute of Tropical medicine.

I had recently read The Calcutta Chromosome by Amitav Ghosh, and so this place came alive for me. In small letters , on the side walls are names of bigwigs including Ronald Ross. This was the place where the life cycle of the malarial parasite was discovered and where Robert Koch discovered that the bacteria causing cholera was comma shaped!

tropical medicine

  1. A stroll along Park Street

Any holiday of mine is incomplete without good food and books. Everyone from the hotel staff to our tour guide to the driver to a passerby recommended Park street for food.The street is a vision at night. There are hotels from one end to the other, starting with “Trincas”, a bar where the famous Usha Uthup started her career. The street is brightly lit, the atmosphere is festive,and  each time any door opens onto the street, heavenly aromas of food waft through and tempt you to go in. Huge long waiting lines outside each restaurant are the only hitch. But you will definitely not mind as each bylane has an amazing array of street foods like puchkas, kathi rolls and biryanis. There are famous places for savory deserts as well like Flurys, Mio Amore etc.

Park St

And the icing on the cake is the Oxford book house, which has a café on the second floor where you can browse and watch the world going by while sipping on a cuppa. Must do for all food and book lovers!

Oxford-Bookstore-Park-Street

There were many more things to do and see, but as I had not anticipated falling in love with Kolkata, I had kept very little time to spend. Back home, I’m repenting it and eagerly awaiting my next visit to the City Of Joy!