greatest award in my medical career

What is the best award you can achieve from patient? Definitely their satisfaction..!!! Their satisfaction makes us feel proud and always energizes to serve those needy patients whenever they need. No matter how much you earn money does not make sense if you can not satisfy the patients.

Today, Unknown number asked me whether I am Dr Uttam or not. I said, ‘yes I am’ with a bit hesitation.

he and his son and wife

‘Me Suresh’s father want to talk to you.’

‘Who Suresh?’

‘He is the one whose hernia was operated by you.’

‘Oh yeah. Got you, So…???’

‘Well sir, I have something to offer you?’

‘What?!! Why?! No no no…’
I got offended without thinking much.

‘Please accept our request.’

‘What do you want to do?’

‘Just simply to offer khaada and tika.’

‘Ok but after 3 pm. Is that ok?’

‘Sure sir.’

I was off the phone.

This guy is presented to ER one week back with his son Suresh. Suresh had painful swelling on left groin which is not reducible. It was inguinal obstructed hernia with impending strangulation on left groin. It was just for 2 hours that is encouraging part to operate immediately. We planned for ER herniotomy; he agreed in no time. We did it within one hour. Operation was successful but with some doubt whether bowel is viable or not after reducing it. We keep him NPO (nothing via mouth) for 48 hours. Bowel movement was fine and started on sipping on 3^rd day of operation. He was comfortable. On 4^th day we discharged him.

Regarding charge, we mentioned it would take twelve thousands. He with his wife collected money without any utterance.

I asked him, ‘how did you collect the money?’ He replied, ‘from neighbors.’

‘What do you do for living?’

‘Labor job on wage basis.’

‘How’s it about your wife?’

‘Same she does.’ I could see his eyes full of love for his son.

‘Ok, I am gonna discount fifty percentage of charge, is it ok for you?’

He smiled back, ‘that’s better but I can pay full charge sir.’

‘I know you can do it but please do it as per my offer.’

 ‘Aright sir thank you so much.’ he was so happy that I could feel it.

He came with his wife and son to offer khada and tika. We happily accepted. His gesture showed a lot there to thank us though he could not convert it into his words. A single gesture was enough for me that was his smile on his face and that is what I want in every single patient and their relatives.

Kranti: small but beautiful

I don’t say it is superb, fantastic or great but I simply say it’s a beautiful piece for medicos and those parents who are unaware of interests of their children.

After a long wait, I was able to catch up with the ‘Kranti’ written by Dr Sudip Aryal. This novel is based on young adolescent psychology. This is really tough theme to write about by a young doc like Sudip but he did it. It’s a highly appreciable job. I finished it in one sitting that means it’s interesting and simple though. He has the capacity to present this difficult task about teenage psychology in a simple way that is the strength of this author.

All the events are familiar to the medicos like me that is another interesting part of this novel. This piece is not high level literature.The write up is very simple presented in a very catch-able way.  Kranti is a product of inter-cast relation and showing her talent in study with extracurricular activities looks scientific. Saying and doing are two different things to execute. It tries to clarify about modern view of gender equity.

 
All parents will be aware of what their children wants to be after reading this small but beautiful piece

परीक्षिता

एक जना अधबैंसे आए मेरो सामु केहि कागजातका साथ अनि सोधे ,' के गर्ने होला डा' साब ?' म  छक्क परेको अनुहार देखाउदै भने, 'के गर्ने होला ?!'  
'मेरो परिवार ...मेरो परिवारको ...'
उनी  स्पष्ट थिएनन् आफ्नो भनाईमा/
'के भो के गर्नु पर्यो मैले ?' भन्दै उनले  दिएको डकुमेन्ट पल्टाए उनको पत्नीको दोश्रो गर्भ रहेछ /पहिलो बच्चा ४ बर्षको उमेरमा निधन भएको रहेछ ट्युमर को कारणले/ सबै कुरा खुल्ने डकुमेन्ट रहेनछ/

उनको पत्नी को दोश्रो गर्भमा  अलिक नर्भस थिए उनी/सायद पहिलो बच्चा गुमाउनु पर्दाको पीडा ताजै थियो होला उनको मनमा/ हेर्दा बडा शालीन थिए उनी/
यो गर्भको समय पनि ४१औ हप्ता पुग्दै थियो आज/ मैले सबै रिपोर्ट रिभ्यु गरे  र इन्डक्सन (प्रशव व्यथा को थालनी ) गर्ने प्लान गरे/
इन्डक्सन गरेको रातबाट ब्यथा शुरु भो/ भोलि साँझ मात्र डेलिवरी भो/ म  ब्याडमिन्टन खेल्दै थिए/ उनी आएर भने, 'बच्चा त चल्दैन, सर/' उनको अनुहार बडो मलीन थियो/

म  दौडेर डेलिवरी रुममा पुगे/ बच्चाले राम्ररी  सास फेरेको थिएन, धड्कन पनि ६०/मिनेट  भन्दा कम थियो/ बच्चाले दिसा खाइ सकेको र  फोक्सो तिर पनि पुगेको अनुमान लगाउन सके/ सक्सन गरी तुरुन्त ब्यागिंग  (कृतिम स्वासप्रस्वास ) शुरु गरे साथीहरुलाई खवर गर्न लगाए/  ब्यागिंगसंग चेस्ट कम्प्रेसन ( छाती च्यापेर मुटुको धडकनलाई सहयोग गर्नु ) शुरु गरें/  बच्चाको धडकन १००/मिनेट  भन्दा माथि पुर्याउने प्रयास  गर्यौ र आयो पनि बच्चाको रंग पनि पिङ्क (रातो ) भो र बिस्तारै क्राई (रुन) गर्यो तर बच्चाको तापमान ९६ फरेनहेइट मात्र थियो/ न्यानो को लागि तुरुन्त ग्यास हिटरको जोरजाम भो/ बच्चाको नसा खोलि ग्लुकोज चढायौ र संक्रमणको  मध्यनजर गरी एन्टीबायोटिक पनि शुरु गर्यौ र अक्सिजनलाई निरन्तरता दियौ/

बच्चाको स्थिति बारे बाबु आमालाई  बिस्तृत रुपमा जानकारी दियौ/ बिहान ६ बजेतिर बच्चाको धड्कन अनि स्वासप्रस्वास राम्रो थियो र म पनि अलिक ढुक्क भए अब बच्चा बाँच्छ भनेर/
तीन दिन पछि डिस्चार्ज गर्यौ/ ति दाई निक्कै खुशी देखिन्थे/ हामीलाई धन्यबाद दिंदै  आफुसंग फोटो खिच्न अनुरोध गरे/ हामीले पनि सहर्ष  स्वीकार गर्यौं/

मैले ती बच्चीको नाम राखिदिए : परीक्षिता...!!! महाभारत कालिन पात्र  परीक्षितको याद गर्दै यो नाम जुरेको हो/

झन्डै चिकित्सकको लापरबाही लेखेन छन्

आज म ताप्लेजुङ्गको फुन्ग्लिंगमा घोत्लिरहेछु :मान्छेको जीवन आज छ भोलि छैन / प्रसंग हो हिजोको : दुइ जना उत्साही जवान चिकित्सकको  बसको ठक्कर बाट मृत्यु / धेरै जसो पत्रपत्रिका मा पढियो दुइ जना डाक्टर को शिक्षण अस्पताल महाराजगंज को हातामा बसको ठक्कर बाट मृत्यु/  पत्रकारले चालकको चरम लापरबाहीले चिकित्सक को मृत्यु भन्ने चै लेखेनछन्/ आज त्यहि ठाउमा तिनै चिकित्सकहरुले बिरामीको सेवा गर्दागर्दै बिरामी को मृत्यु भएको भए डाक्टरको चरम लापरबाहीले बिरामी को मृत्यु भनी हेडलाइन बनाउथे/ समाचार पढ्दा यस्तो लाग्यो मलाई ति चिकित्सकको मृत्यु चिकित्सकको थिएन बल्की कुनै  बस्तुभाउ को मृत्यु भए जस्तो भान हुन्थ्यो/

हिजो  आफ्ना आफन्तको  करंग भाँचिदा रोइ कराइ बिर अस्पतालमा भौतारिदा को पीडा पोख्ने पत्रकार बन्धु आज खोइ? डाक्टरको बारे मा चरम लापरबाही भन्ने हरु कहाँ लुके खोइ कि यसमा पनि डाक्टरको लापरबाहीले गर्दा बसले ठक्कर दिएको भन्ने समाचार प्रेषण गर्दै छौ साथी हो ? जति पनि लेख पढे त्यसमा कुनै दु:ख प्रकट छैन राष्ट्र को होनहार अमुल्य जनशक्ति गुमेको मा कुनै खेद छैन/ लाग्छ डाक्टर भनेका सामान्य आयाराम गयाराम हुन् / यिनको कुनै मूल्य मान्यता नै छैन/

चिकित्सक कुनै मामुली बस्तु होइनन, यी त जनताको सेवा को लागि  आहोरात्र खट्ने देशका होनहार नागरिक हुन् /यिनको अहोरात्र खटाइले दमले आक्रान्त भएकी आमा सजिलै सास फेर्ने गरी खुशी हुदै घर फर्किन्छिन, निमोनियाले ग्रस्त बच्ची निको हुदै घर फर्किदै गर्दा आमाले  अनुहारमा मुस्कान छाउछिन्/ यिनले गर्दा हर्के बा को छोरा को फुटेको एपेन्डिक्स को उपचार हुन्छ र यिनले गर्दा नै सानी कान्छीले सुरक्षित प्रशुती सेवा लिन्छिन/

ति दुइ चिकित्सक जसले आफ्नो परिवार टाढा छोडेर आफ्नो जवानीलाई  बिरामीको सेवामा समर्पित  गरे  उनीहरु प्रति मेरो श्राद्ध सुमन/मेरो कामना छ उनीहरुको चिर शान्तिको/  

Pashupatiprasad

Well presentation of current lives of world: earthquake, son’s responsibility towards parents, chemistry between main character and a girl, relation between main character and hanuman ji. Candy crush gang and main character. The movie roams around Pashupatinath’s premises.

It is not easy to survive in this world as there are so many hurdles but we must move on till death. No one should bully, finally they have to leave this world at one time. A straight thought cannot work here.

After Talak jung vs Tulke, he created a character, Pashupati Prasad now. Wow, I found him more matured here.

It’s a simple drama presenting different verses of world well connected each other. He carries Pashupatiprasad as a naïve lad from village to a determined guy to earn money and pay back it to loaner of his parents who died in earthquake. His endeavor on the way to open heaven’s door for his parents is not easy task. He has to fight against all odds on his way.

His innocent love towards a beautiful girl cannot be undermined: it’s clean, beautiful and dedicated.

Keep it up Khagendra, more to see in you in the future.