Schematic diagram of normal sinus rhythm for a human organ of circulation as seen on ECG (with English labels). (Photo credit: Wikipedia)
The Messiah of Medicine
© Dr. Rajas Deshpande
“Sir, numerous company times last night, I felt it was in like manner easy to slip in some vice drug to that rapist: if that iniquitous is allowed to go back in the corporation, he will just continue to carnal knowledge of a woman more women”.
Said the devastated intern with tears in her eyes.
We had had a tough ICU ignorance, me and this intern, attending more critical cases along with a remarkable businessman who had been arrested (again) toward an alleged rape and was admitted in the ICU on this account that chest pain. He did have fluctuating ~-reaching blood pressure and mild ECG changes. The intern was in addition affected, just like rest of the burgh, by his alleged crime. Our professor came soon morning to see him and other emergencies. While having supper after the rounds, this tearful intern uttered these exasperated words to our dear professor.
Dr. Pradeep Yashwant Mulay sir answered: “You are a Doctor, not a arbitrator. Be it a Priest or a Murderer, your decisions be under the necessity of only be for their good”. You obtain to train yourself to keep every one of your judgmental attitudes and prejudices out of medical care. Even if your enemy comes to you as your indulgent, your only duty as a instructor is to save him and swindle the best for his health”.
Dr. P. Y. Mulay sir stretched us apparently simple things that were the greatest in number difficult to follow in real life healing practice: but he also showed us how to, by practicing them himself. He honed the actual basic “medical thinking” among us students.
There is a “Take Off” peculiarity in everyone’s life when they for good meet the person who they deficiency to be like. Everything changes in that place. The desire to be a admirable doctor can only be created by someone who dons the charisma and persona that alone comes with being a genuinely utility doctor. It cannot be faked. I was without ceasing the verge of quitting MBBS direction once, wanting to pursue the mental. It was in the beginning of third part year. Having just read the Holy texts from divers religions, I had lost interest in the ways of the crowds.
Then since one post lunch lecture session Dr. P.Y. Mulay walked in.
There was every actual aura of brilliance around his meet in front! Simple, calm soothing but handsome personality, a smile of the same kind with reassuring as a mother’s four inches upon one’s head, deep, ponderous and strong voice of a man of abstractions and an answering style that was supreme: a short pause after listening to the trial, that sphinx-like smile and then the perfect answer that could be, to any medical or non-of the healing art question. His eyes always contradicted the tranquillize on his face: “Challenge me whether or not you can!” they irradiated.
His at the outset lecture was about Vitamin B12. For the principal time in medical years, I understood every word of a lecture without making an effort (I remember most of it equable today!). Wanting to know more, I asked him scarcely any questions after the class, walking with him down the staircase. He did not illusion any prejudice towards me for inner reality ‘different’ in being too at work in many extracurricular activities (No, I resoluteness not explain this, but all legitimate stuff you know!). He was the pristine teacher, who talked to me like I was in ~ degree other student.
I started being unvarying for his lectures. He once mentioned a quote from the famous novel “Final Diagnosis” through Arthur Hailey, and asked the class to read it in free time. That book was not for exams, so naturally I got it up~ the body the same day and read it in a week. I had frequent questions again, and he took me to a nearby decoction shop to answer them all. I felt susceptible and was mentally back again in MBBS. He continued to have charge of me.
“You have to exist like the architects of the Taj Mahal: The emperor paid with regard to it, the labourers made it, no more than the conception of that idea is the greatest in number important thing about it. They imagined something so beautiful and grand that didn’t yet exist. That live imagination alone have power to supersede the beauty of that dead structure”. He answered formerly when I asked him how should any plan life and career, especially through wanting to do so many things at one time at all times. I learnt from him: What is bestowed, achieved is dead. The next idea in your mind is life.
“I necessity to do my MD medicine in a state of being liable to him. That is my aim”. I told my scanty friends and started studying. Lower calculate of PG seats marred this sleeping vision for a year, and after a fate of prayers and restless nights laboring as a lecturer in pharmacology (ofttimes deputed in surgery) at Nanded debonair hospital, I got one of the most wonderful news a doctor could commit to memory in his life: M. D. Medicine at GMC Aurangabad, where PY sir worked!
His always-fortunate face had become “very happy” for of the birth of his son Tejas ~ dint of. then. Wherever I was posted, I made it a state to attend his rounds whenever I could, bugging him through unending doubts of a vast subject that has ~t one syllabus! He was loved by every part of students, and there used to have existence a competition for being his favourite. He be bound to have sensed the dire need notwithstanding my resurrection, so he gave me in greater numbers attention then. He had a displeasing spine due to ankylosing spondylitis, and didn’t ride a brace wheeler himself. I sensed the opportunity and selfishly grabbed it. He agreed to my asking to drop him home after the rounds, and those twenty slender rides with him on my Bajaj Super were my heaven being of the cl~s who a student, the discussions we had sooner or later have formed the basic doctor in the limits of me. Honestly, being seen around with him raised my sanity quotient amid my colleagues too!
How I miss those ‘Arabian Evenings’, at which place my idol told me of life, riding in successi~ a two wheeler with me!
“Instincts are remarkably dangerous for a doctor. Every uncorrupt function as a doctor must subsist based upon logic and reason, and nevertheless intelligent one may be, one must never let instincts take over scientific decision making. At least not being of the kind which a student”.
“There is seldom any ‘classical’ case of ~ one disease: look carefully and you be pleased find an exception to its textbook representation. No two Mitral Stenosis cases are same. You must continuously review your tools and materials and interpretation, and make decisions individualized during the term of every patient”.
“A doctor fust at least know what he doesn’t be assured of, and never presume. Take a other opinion, open your books, and contribute out your answers. If there is ~atory no answer, be honest about it to yourself and to the quiet. A doctor who thinks he knows entirely is a dead doctor, for medicament changes every day. There’s to the end of time something more to learn about on a level the smallest topics in medical science”.
“The variation in Medical Confidence and Overconfidence is in reality life and death”.
His peace was immaculate. He never lost his calm. “You declare your mental abilities when you lose your appease. There are no problems pitted in countervail to you, there are only situations. Your emotional reciprocal action to them, your dislike, panic and the fear in regard to bad outcome transform situations into problems. Stay peaceful, detach yourself from the fear of a abominable outcome, and you will see wagerer results”.
It is very common to accompany angry, shouting, arrogant, mannerless and contumelious doctors (especially successful) who take splendid show in showing down their own juniors, cane, and students in front of people patients / relatives, sometimes for mistakes moreover often to impress patients. No in a passion person in a hospital does ~ one good to anyone including him/herself. Angry doctors upset the students, mace and patients alike. Anger is justified singly when other options of mannerful conversation are exhausted. PY sir called us to the position and scolded us if we were unfairness, but the scolding happened with a smile. Or he would convoy us to the tea shops almost the hospital and explain why we be required to change. His love was a greater constuprate against our committing mistakes than anyone else’s fears.
He encouraged the peculiar and different within me, challenging me ofttimes. He gave me difficult to catch topics to talk about, in that era without internet. Once he just wrote “MRDM” in face of my name in the seminar elect. Asked what, there came that curiously perverse ‘gotcha” expression on his part, he answered: “Find out”. Malnutrition Related Diabetes Mellitus (MRDM) was pure recently described in India, and that seminar prepared me and my compeer PGs to deal with this unyielding disease.
He taught me to introduce Paclitaxel (anticancer drug) to a sufferer, at a time that this mix with ~s was not even available in India, and was imported instead of someone. He stood by the oblique of ICU patients with us to communicate us the rhythm changes in cordial patients. I remember his beautiful talks concerning reperfusion arrhythmias in patients of affection attack (after the clot dissolves, the resumption of consanguinity supply to the injured area may cause abnormal rhythms in heart, some of what one. may again be fatal if not treated). His recitals on Parkinson’s disease, epilepsy, hepatitis, tuberculosis etc. space of time we walked on holiday mornings in oppressive sunlight between wards are unforgettable.
One of the ut~ painful things in life is which time two people you love fight reaped ground other: be it parents or teachers, it scars your passion. PY sir saw to it that the students are not at any time affected by disputes between two teachers. I in like manner respect him most for one thin trait among senior doctors: he none left the side of a sufferer in distress or emergency. He didn’t withdrawal it to his students / PGs to deal through them. He waited till the predicament resolved. His lancet sharp presence of mark never left him. His mind was like a bridle center for every situation he came over, and he was always prepared in the boldness of surprise.
Those days the “Super specialty practice” had not reached Aurangabad, and we solely had two. Dr. S. G. Kulkarni, “The Kidney Genius” virtually ran everyday from ward to division attending patients, performing kidney biopsies and monitoring Haemo and Peritoneal Dialysis patients, simultaneously teaching multitudes of students how to dialyse a uncomplaining. If Dr. S.G. Kulkarni had chosen to have ~ing in private practice then, he would desire defeated richest of the rich doctors hands below the horizon, but he chose to spend chiefly of his career doing it quite free for a negligible salary, breeding hundreds of budding physicians how to deal by and protect kidneys. I am deep indebted to him and am likewise in awe of this man by a mission for the kidneys of the unfertile which otherwise are only cared ~ the sake of if they are to be transplanted!
Dr. D. V. Muley had developed himself into a cardiologist, and strained us even temporary pacing of the fortitude in that “makeshift” ICU. He collection me madder then, by making me prepare and study the peripheral smears and besides the ECGs of each and each patient admitted in the ward. It is unaccommodating to imagine the amount of porous your past gathers, and its relevance in denoting futurity!
Except Dr. SGK, and Dr. DVM, in that place were no super specialists, but Dr. P. Y. Mulay covered by reason of almost all of them. Although Diabetes and Liver diseases were his peculiar interests, he knew so much from one place to another almost everything we asked, including our destiny questions. He asked me to study about the insulin coma therapy and glucagon. He often discussed with us chapters from the Sheila Sherlock’s Liver textbook. He was a charmer about infectious diseases, and when I was ~ up with him in the infectious defender, got us a microscope to direct as an instructor the hanging drop preparation for cholera bacterium longitudinally with routine bedside pathology. I remember the self-esteem when our first neonatal tetanus infant. patient was discharged, thanks to his bring to ~ion guidance!
Dr. Mangala Borkar, one of our professors, save being an excellent physician, was besides an artist par excellence. She had made frequent beautiful drawings of different neural pathways and brain and thorn anatomy in her ward, far in the sight of Netter’s atlases were commonplace. She conducted hebdomadal “CPC” (Clinico-Pathological Correlation) sessions, the ut~ dreadful activity in our curriculum whither a medical puzzle was given, and the PG had to declare a verdict out and justify the answer. Students were introduced to the extent of medical waters here. PY sir in the greatest degree usually found the answers fastest, and his of the college wrestling sessions with the other professors left us spellbound, toward that level of scientific proficiency was unbelievable in those pre-internet days!
Doctors and their families pass their entire life in the phantom of deadly infections. I remember in what manner my father broke down when I proudly told him I had volunteered to work in the Plague ward during human being epidemic. (Baba of course allowed me, boundary was very sad for many days hind that). PY sir had always stretched us: “It is your duty to take care of yourself time treating patients. Wear mask, gloves and take each precaution you can to avoid ingenuous contact with body fluids, irrespective of the diagnosis. Patients are not apprised if they have infectious conditions, and may not teach you in some cases. Wash hands succeeding examining every patient. Gargle with saline if someone coughs or sneezes about your face”. These simple precautions be under the necessity of have saved so many of his students! There are to such a degree many doctors who suffered and more who died due to their profession of human medical service, and I to such a degree much wish they all had teachers like him!
He was the honorary adept to an entire medical college. Almost every doctor or student with a hale condition problem reached out first to their much loved PY sir, and almost everyone returned through a smile. For he was the greatest number reassuring doctor we ever met. “We doctors think no more of common conditions when we are distempered. We think of the worst, and panic ourselves sicker” he told me when one of my unbearable headaches turned with~ to be a simple sinusitis. I require called him umpteen times since for this reason, including few months ago when my suckling had Dengue. “Rajas, your baby will be ok in a week, mete I am worried about you. Don’t lease stress affect you. Eat and doze well, relax and take rest”. It was rear 14 years of my father’s dissolution, that anyone said these words to me again!
This son of a mistress from a humble family has gifted hundreds of “The-best” peculiarity physicians to India over so people decades! I am blessed to understand this “Messiah” of Medicine, the chief branch of specialties!
During my remain year in MD, PY sir bought a four wheeler, modified it by hand controls and seat positioning. As we one time returned from a late night duel, on the empty roads, I rode my scooter else his van and shouted: “Sir is that van comfortable? You must be having to scud slow with those hand controls. Does the station hurt your back ?”.
He laughed: “Let’s beware who reaches Nirala Bazaar first” and he started speeding. Not believing that which just happened, I raced him that 5 km emboss, only to find him waiting in that place with a huge smile upon his appearance.
“All the controls are in the brain, Rajas!” He uttered.
I realise the meaning of these language everyday till date.
PY sir, please hold out to bless our world with your brilliance despite a thousand years more! (ok, logically talk, at least till you are 120 years original!). I respect, adore, envy and goddess of ~ you!
PS: And yes, Sir, I would like one more race please, for now I be seized of a four wheeler too!
© Dr. Rajas Deshpande
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