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Wednesday, July 13, 2016

Patient’s Progress

Doctors are considered to be highly knowledgeable but there are some doctors who prove this wrong. My analysis is that a false sense of pride is instilled in the mind of a student right from the time he/she gets admission for an MBBS course. The parents begin to call the person as doctor sahib. Right from the first day in the medical college, the student begins to feel that he has achieved everything in life and there is no need to try for further improvement. This incident is related to such mindset.

In many big hospitals, a junior doctor always accompanies the senior doctor. Such junior doctors usually come from nearby medical colleges and are serving as house surgeons. This is like apprenticeship for the junior doctor in which he learns to understand the manifestations of different diseases by observing live patients.

Once I was calling a general physician in a government hospital. There was a junior doctor sitting beside him. Two x-ray plates were suspended from the backlit rectangular boxes which doctors use to see the x-ray plates. Both the x-rays were of chest of a patient who had been suffering from tuberculosis. Pointing to those x-rays, the senior doctor asked the junior doctor, “Do you know doctor sahib that this patient has been completely cured of tuberculosis? In fact one of the x-rays is from the time when the patient came to us for the first time. Another x-ray shows the situation after the treatment was complete and the patient was cured of his disease. Looking at these x-rays, can you tell me which one shows the condition before treatment and which one shows the condition after treatment?”

The junior doctor was looking dapper in his pin-striped shirt. The white apron, stethoscope and non-rimmed glasses further added to his intelligent looks. Normally, most of the doctors appear neatly dressed and appear to be highly knowledgeable. The junior doctor wanted to impress his senior with his quick thinking mind. Prompt came the answer, “Yes sir. The one on the left side shows the pre-treatment x-ray while the one on the right side shows the post-treatment x-ray.”

The senior doctor was highly experienced and must have groomed many such junior doctors in the past. He further asked, “Great! This is the right answer. Can you give a suitable explanation for your answer?”

The junior doctor chirpily said, “Yes sir. It is very easy to find. The x-ray on the left side shows the serial number followed by 1998. You will also notice that the x-ray on the right side shows the serial number followed by 1999. It is clear that the x-ray on the right side was taken at a later date and hence it must be a post-treatment x-ray.”


Hoping to get a nice pat on the back, the junior doctor was expectantly looking at the senior doctor. The senior doctor fumed in anger and shot back, “This type of clue can be easily given by even a medical representative from any XYZ company. It appears that you were never serious about your studies. You need to go back to the classroom instead of wasting your time and my time.”