Tips On Choosing a Doctor

Choosing an appropriate doctor can be a ticklish exercise, particularly if you are new to the place and do not have reliable contacts to help you out. Every nook and corner of our vast nation is lavishly populated with practitioners of all conceivable kinds of ‘pathies’ – allopathy, homeopathy, unani, kaviraji, ayurvedic, naturopathy (fyi, it’s actually different from and lot less exciting than naturalism – see pic for further enlightenment), magnetic therapy, spiritual therapy, yoga, reiki, acupuncture, gem therapy, touch therapy, laughter therapy, hydrotherapy, herbal therapy, urine therapy (both own and the holy cow’s), naadi therapy, magic, mantras, jhaad phook, Jholi Baba’s holy bhasmas, home made potions, aunty’s cures, and geeky remedies of all shades and hues! Interestingly enough, each therapist is full of beans when it comes to claiming a cure for anything and everything from itching armpits to Chinese Restaurant Syndrome.  In such a knotty situation, the following general guidelines may be of help in choosing an appropriate doctor. I have chosen to focus only on the allopathic form of therapy as I consider my understanding of all other ‘pathies’ to be rather cursive!

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A GP or a General Practitioner (can either be an experienced MBBS or MD doctor) is the veritable ‘Jack of all trades’ in the medical profession. He is supposed to possess a very good ‘general’ idea about the general signs, symptoms and cures of a fairly large number of general disorders. So if you have any of the common doughs like fever, diarrhoea, nausea, aches & pains, cold, cough, allergy, acidity, sore throat, ticks and the like, just land on the neighbourhood GP’s clinic (make sure of the above qualifications to ensure that a quack is not masquerading as a GP). If you are visiting a sarkaari hospital, look out for the MD (General Medicine) OPD. Having had you in his grasp once, the GP will happily go about with his routine general check up. He will endeavour to size you and your pocket up first, and then have a measure of your  BP and the number of your heartthrobs…I mean….the rate at which your heart ‘throbs’ in a minute….or in other words, your pulse rate.  He’ll then do the following in rapid succession – tickle your guts to see if you have an enlarged spleen, dive into your throat with a torch to tinker with your tonsils, poke your ribcage with his stethoscope to hear the melodies maladies emanating from your lungs, and so on. He will intersperse his evaluation with a  sprinkling of seemingly inane enquiries like when was the last time your left shoulder ached, what was the colour of your shit like,  when you burp, do you fart too, what happened first – the toothache or the headache etc. etc. Answer all his questions truthfully; he is only trying to sort out the jigsaw puzzle of your troubles. He may either write you a prescription straightaway, or ask you to get some tests done. Suffice it to say that a good GP should be able to take care of all your routine health problems.

6960D-quackNow the question arises – if the GP is good enough, what are the specialists and super-specialists for? Generally speaking, the specialists are those lettered pedants of the medical profession who have an MD or MS qualification in addition to the bachelor’s degree in medi-sin. Most surgical specialities are outside the purview of the GP. Surgical specialists include

General Surgeons (cap-mask weilding sawbones who gleefully draw their scalpels at the drop of a hat)

Gynaecologists (guy-nakko-logists; those who…well…need I add any ornate descriptions in their sublime honour?)

Orthopaedicians (specialists of bone disorders and fractures who literally go hammer and tongs at their job, or in other words, who make a living out of making a bonsai of your bones)

Otorhinolaryngologists (auto-rhino-larrinjo-logists) –  i.e. ENT (Ear Nose Throat) specialists (proficient in the art of tweaking your tunes therapeutically) and

Ophthalmologists (of-thal-mo-logists) – or the Eye specialists (those pretty docs who insist upon revising your knowledge of the alphabet).

The medical (MD) specialists include -

Physicians – typical sombre looking bespectacled whitecoated blackbooted stethoscope dangling bookwormish gentleman seen roaming the corridors of infirmaries.

Paediatricians (child specialists – who always seem quite eager to explain even the tiniest of things in vivid detail to all those pretty moms with gaping mouths and ‘Oh! Is that so? I didn’t know’ look in their eyes)

Psychiatrists (sigh-kia-trists) or mental docs (the kind you see in movies giving electric shocks to hapless heroines – in actuality, it is a refined science on which psychotherapy and counselling is based)

Dermatologists (skin specialists who keep on writing creams, tubes and lotions by the dozens for those obstinate pimples adorning your faces)

Pulmonologists (lung fung specialists)

Anaesthetists (as opposed to aesthetics – those who knock the patients out before any surgery and kickstart them afterwards), and

Radiologists (docs with X rays vision – beware, they’d know if you are wearing an old yellow-stained underwear with air-conditioning vents at strategic spots ).

Pathologists and Microbiologists play (all work and no play, rather) an important role in arriving at a diagnosis; they may not however, see patients directly. Then there are Anatomists, Biochemics, Pharmacologists, Physiologists, Community Medicine docs – all are MD specialists but they do not treat patients. Their work is more of refined meshugaas teaching and research oriented.

Finally, the superspecialists. These are the blokes who renounce all worldly pleasures in the pursuit of clinical excellance and end up on the wrong side of forty with nothing in hand (no birds, no nest, no moolah…no nothing)except another frightfully specialised qualification (DM or M.Ch) in a specific subject. They are, from the medical side –

Cardiologists (heart specialists, dil ka daktar, who spend one week in the Alps every month – this, unfortunately, compensates for only half of the losses incurred in earlier life)

Nephrologists (kidney specialists, who frequently tour Europe and America)play-doctor-costume

Endocrinologists (diabetes/thyroid/obesity specialists who look forward to touring Thigh Thailand and Bangkok)

Gastroenterologists (liver & abdominal disease specialists, who find solace among the grapevines in Germany and France)

Oncologists (cancer specialists, South African safari lovers)

Neurologists (paralysis specialists – who never find the time to tour anywhere) and

Neonatologists (who take care of critically ill newborns between sojourns to the Middle East and Asia pacific regions).

From the surgical side, there are the Cardiac (heart) surgeons

Urologists (who deal with kidney operations, urinary stone removal etc.)

Gastrointestinal surgeons (who sort out screwed abdomens)

Paediatric surgeons (who operate on newborns)

Neurosurgeons (who open up the brain, shout much upon finding a hell lot of burnt out wirings, and then zip up the skull as if nothing has happened)

Plastic Surgeons (surgeons dealing with buttocks botox, liposuction, nose jobs, breast implants, thigh shaping, etc), and

Onco (cancer) surgeons.

Most surgeons go only as far upto Tirupati or Shirdi in their vacations (I hope you see the association). Only the plastic japanese-doctorssurgeons travel abroad.

Take your pick.

 

 

 

Rofl Indian’s Law: An apple a day, keeps the doctor away. But only if you aim it well enough.

The Financial Crisis, Explained From ‘Behind’

Seated_WinoDr. Frank Lee Noegood is a piles doctor at an apothecary in Britain.  The region where Dr. Noegood practices is inhabited by a large number of alcoholics who are do not have a regular source of income. These alcoholics, being heady by nature, often indulge in reckless drinking binges and outrageous gastronomic exertions and expectedly end up suffering from a variety of  extremely painful disorders involving the unmentionables (which, hitherto, shall be mentioned in the most colourful of apellations, readers’ sensitibilities notwithstanding).

In order to increase his practice, Dr. Noegood decides to allow his loyal patients – the unemployed alcoholics – to have their butts examined but he allows them to pay later.  He keeps track of the medicines he dispenses and the number of times he inserts his lubricated finger into the sore tooshies of his patients on a ledger, thereby practically granting his patients health loans. As you may see, his methods sometimes appear to be cruel, but his intentions are undoubtedly philanthrophic in nature. In a token exchange, however, Dr. Noegood keeps the empty beer bottles brought in by his patients in large numbers as guarantees against defaults of payment.

pinocchioWord soon gets around and as a result increasing numbers of patients flood into Dr. Noegood’s clinic. Taking unscrupulous advantage of his patients’ freedom from immediate payment constraints, Dr. Noegood increases his prices for sigmoidoscopy, the most-commonly done diagnostic drill on the inflammed arse. His diagnostics volume increases massively. His lubricant supplier borrows a huge loan and sets up a warehouse of lubricants. At this point, his sister, Rhea Lee Noegood, who happens to be a dynamic customer service consultant at the local bank recognises these patients’ debts as valuable future assets and increases Dr. Noegood’s borrowing limit.  She sees no reason for undue concern since Dr. Noegood assures her that he has the empty beer bottles of the alcoholic patients as security. As cheap credit is abundant, the loans get easily funded by a host of pension funds, hedge funds, soverign funds, mutual funds and insurance companies which are promised returns in excess of 100%. Flush with oodles of borrowed money, Dr. Noegood embarks on an exuberant lifestyle, has botox all over his face and begins vacationing at exotic destinations like British Virgin Islands with his gorgeous girlfriend.

At the bank’s corporate headquarters at Balls Street (across the Atlantic in US), expert investment bankers huddle together and find a way out to wring out an extra few ounces of dough (moolah, boodle) from the money market. They somehow leverage these greedy-mancustomer assets into collateralised debt obligations called Painbonds, Poopiebonds and Fartbonds and manage to fob off these CDOs to greedy and gullible investors.  These securities are then traded on markets worldwide.  Credit rating agencies like Fudge and May-Rules-Be-Lynched are then invited to stamp their approval on the deal. They rate Fartbond, Poopiebond and Painbond with CCC, BBB and AAA ratings respectively, in return for a fat fee. However, no one really understands what these collateral debt obligations mean and how the securities are guaranteed.  Nevertheless, as their prices continuously climb, the securities become top-selling items. Bankers in Ball Street become tremendously rich.

Lone_Drunk_IOne day, although the prices are still climbing, a risk manager of the bank, alarmed by the falling prices of empty beer bottles, decides that slowly the time has come to demand payment of the debts incurred by the patients at Dr. Noegood’s clinic. He knocks at Dr. Noegood’s doorstep, who then approaches his patients for repayment of the debts. The patients – unemployed alcoholics - however, cannot pay back the debts because they have no money.  Cornered, and under severe financial crunch, Dr. Noegood then offers the empty beer bottles to the bank, which refuses to accept them and asks for the debts to be settled by cash. By now the clinic has transformed into a huge warehouse of empty beer bottles and discarded smelly handgloves smeared with poopie, but they are of no use as Dr. Noegood is in no position to fulfil his loan obligations and claims bankruptcy.  

As the news of Dr. Noegood’s bankruptcy spreads, Painbond and Poopiebond drop in price by 95%.  Fartbond performs slightly better, stabilizing in price after dropping by 82%.  The suppliers of Dr. Noegood’s clinic, having granted him hockeybuntergenerous payment due dates and having invested heavily in the sigmoidoscopy tools are faced with a new and dangerous situation. His antibiotic supplier goes belly up, his lubricant supplier is taken over by a competitor from India. The bank, nearly insolvent by now from the effects of credit freeze, and burdened by millions of empty beer bottles having absolutely no value, is saved by the Government following dramatic and desperate consultations by leaders from the governing political parties, most of whom have itchy bottoms.  The funds required for this purpose are obtained by a tax (impots) levied on those who do not have piles.

The Financial Crisis, finally, stands explained.