The curious case of Indian Doctors !

We are surrounded BS in what i call 'Bullshit Age'.Bull shit is most articulately spoken nowadays and educated people are spreading more myths for their personal gains than ever before. You don't need a con artist to swindle you and make you a fool these days! Educated con artists are everywhere !Thanks to MBAs, we even market and advertise myths and lies till they become 'truths' !
Gosh, it'll all come and bite our backsides one day ..........

Seeing that India is making strides economically , the doctors too have jumped in to spread bullshit ,get more lab tests done and generally scare and confuse patients to astronomical heights. These days i long for crisp, practical blunt doctors who will tell you to go home to die if need be !And not run costly tests or use you as scapegoats ! i long for responsible doctors who can examine you and not need hundred tests to find out what's wrong with you. I am sure they are there- those few dedicated brilliant ones !
I stay in quite a big city -Pune so i thought that gimmicky doctors usually ruled in rural  and semi urban areas where well educated population did not exist in high numbers. But recently i went for a routine gynaec exam which somersaulted into an expensive and emotionally draining exercise. I have internet and scientific education at my side so i could get through my doctor's scare mongering and complicated explanations for everything but i wondered how many can navigate the complex Indian doctors.

Not so long ago, doctors were next to God ! Period! The faith people had in doctors and the reverence was next to only GOD !Then why fate loving Indians are becoming more and more cynical about Indian doctors and their way of treating. Professionalism is supposed to be good then why medical profession commands less respect.
Look at my journey- i went to gynaec and told her my Mom's  breast cancer history and asked for routine exam since I am 35.She asked me to get sonography and mammography done. She scared the hell out of me and i spent next 5 days in pure hell. When my reports came normal except for a single cyst on ovary. , she told me we'll need to treat cyst and can't really do much about fibroids in breast and on uterus.
All the while she looks sombre and makes it look like a very big thing. I go to Internet and find many people have cysts in reproductive age and usually smaller ones are only monitored. So she gives 10 days of hormone pills and call me next during my periods. By now, I have already spent 500 on sonography and 1200 in digital mammography and her consultation fees.

I went again today where she prescribed me some pill for 21 days. She doesn't tell me directly that she is giving me OCP - oral contraceptive pill but makes it sound as if its a big, important course of medicine. I speak to her in English and most people can gauge my education through my flawless english so its not that i am a regular middle class woman who wouldn't know ' Oral contraceptive PILL'. Instead, in complicated way she explains how she is giving me tabs to suppress ovary function.Meanwhile, she keeps asking whether anyone has diabetes and blood pressure. Now come one, we are Indians - who doesn't have Diabetes and blood pressure after age 45 in India. What's family history has got to do with it?

I find family history a latest clutch to scare the shit out of patients- you need to be alert and i know few people who are insulin dependent at age 45 without family history of diabetes and people who have got cancer without any family history !By the way, its true certain diseases and disorders are strongly genetically linked- those are genetically transmitted diseases and they are usually the whole different ball game !Cancer in the family only marginally increases risks usually when it comes to breast and ovarian cancer along with other risk factors ! But there are many cancers which can happen to anyone without family histories too !So cancer is a bummer by and large !

On confirming that my Dad has diabetes she writes down a battery of blood tests- Like lipid profile ,TSh,Blood sugar and CA-125.Remember, this is after i have visited her thrice already.

Not only that, she tells me to do this tests at a particular pathology lab nearby. I have visited her in an hospital's OPD - and when i ask her if i can get it done somewhere else, she tells me- ' this is a lab,they do the tests here only while other places collect blood samples and send somewhere else to get the tests done. Now CA-125 is  a costly test- a marker which is elevated in ovarian  tumours but its also present in other indications. So she was asking me to go through a battery of blood tests without any reasons or symptoms but just for the heck of it.

Maybe she thought these tests are routine- people do them anyway in those fancy health checkups packages ...so i might else well make some money out of it !

The point Satyamev Jayate brought out was- what doctors are doing hand in glove with chemists and pathology labs to earn more money through commissions . So i guess , Indian doctors have begun to do away with any propriety and are openly practicing and forcing emotionally the patients to go through tests.These blood tests will cost me Rs1650. I have already spent Rs 2400 on just a regular ovarian cyst.

I have from childhood visited eye doctors because of my very high myopia and now because of Dad's Glaucoma history. There the same story repeats !

I have more than my share of doctors - Indian doctors think patients in india are dumb stupid people ! They don't think its important to 'explain ' or be ' appropriately truthful' to patients. Heck, they don't have time for it !

What i don't understand is why these 'uncaring ,dry and cut people become doctors. In India , its only because of family history- doctor father /mother begets doctors, prestige and to make money.

To make money there are so many professions- you can even eat commissions there and no one will say anything ! Why become a doctor ? Doctors are supposed to be- 'Next to GODs' . That means limited money,only patient's well being in mind and appropriate care and truthfulness. Medicine is the only profession where there is no room for dishonesty- i mean zero !

Its a cycle - Pharma makes drug at pennies ,markets it at thousands,advertises to doctors, chemists get their profits, pathology labs need their full profits plus an extra amount to pay the doctors.So, pharma cos greediness gets passed on !

Just like a toothpaste is made in pennies and sold for 50 times more price- established generic drugs can be provided at fraction of costs- same goes for laboratory tests.And do we even need fancy hospitals to go die or pick up a nosocomial infection - we just need scrupulously clean and well maintained huge hospitals !
I am writing this for 2 reasons- be alert and don't get scared when a doctor scares you- nowadays he is only after your money and in maintaining a corrupt system. I am going to change my doctor and will never recommend her. 

Don't become doctor, or nurse or even physiotherapist to make money especially if you have no empathy or any care giving abilities. Go become a banker/stockbroker or even lawyer for full on cut throat money making spree. Do jobs where you require very little conscience if you don't have any values!

If you are a patient :

Be frank, read on the Internet.I recommend Web MD and Mayo clinic website for appropriate information.Be cynical, doubtful and don't trust a doctor blindly unless of course he has earned your trust !

Ask questions- indian doctors don't answer clearly and frankly ,still do your homework and get second opinions.

Learn to read between the lines- and know your body.

Don't do any tests unless asked by the doctor- Its a waste of money, and unnecessary load. Those preventive health check ups are another money making rackets. And doctors are going to run the tests any way all over again !

 Its only human beings who can see death and disease as profit making business.Since greediness is uniquely human, i really don't see a way out ! Its a jungle out there and the worst animals are humans!!

Bathe in Milk ??

This is not for people who find milk's smell yucky and in general dislike milk.
My easiest skincare routine? Slather Milk as cleansing milk,as face mask/pack and over scorched sun burnt skin.
 I have been using milk as mixing agent for years now especially when i had no money to spend on rosewater in school and college !Now, when i am spending more freely I use rose water !   
 Decades ago when Afghan snow and Pond's cold cream ruled minds of indian women, there was no concept of using readymade cleansing milks to remove oily foundation bases.
   I still remember my Mom pouring cold milk in a vati,dipping cotton and wiping her face to remove makeup after a wedding function.
   Zoom to circa 2011, i now use cleansing milk as a face wash. I use face wash but its usually after sweaty ,dusty outing otherwise cleansing milk seems to do a fine job.My belief in cleansing milk as face wash confirmed when i found that i did not get acne or dry stretchy skin as a result.My favourite cleansing milks are Garnier, Butic lemon milk and Lakme Deep pore cleansing milk !Butic is the cheapest amongst the three and its very good.
  
But i use cow's milk curdled with lemon juice for a alternate pampering session.I don't like milk's smell but what to do ?I like how silky clear my skin feels after using it.
  Summers make my skin more dry and a day of sauntering in sun is enough to tan it.Shower gel and soaps dries it further.
  I am already using curdled milk as face pack/cleanser so i decided to go ahead and 'bathe in milk'.
  
 Take a 1/4th cup milk and add half lemon juice ,let it curdle add ambahalad and any other herbs of your choice 3/4th tsp riceflour to thicken it- just enough so that application becomes easy.
 I just add ambahalad and use it runny !Just apply this over your whole body,it dries up super quick and the wash off with water.Use it just like a ubtan.
  The cleansing effect of milk is superb- you would think only soaps and gels get you clean !In summers when most people bathe everyday, this is easiest way to moisturise and cleanse at the same time.I was shocked that curdled milk could actually give a clean feeling to the body.
  Like Cleopatra, you can actually bathe in milk without wastage or vanity and without breaking the bank !
  

The Girl revisited ....

Some articles are just well written. Do read this one...lets keep revisiting,let's keep talking about it till something solid and substantial comes out of it.

The Girl Who Fired an Outcry in India

Do you save water ?

Or are you one of the urban higher middle class who use and 'require' more water than the rest of us?
I don't belong to arrogant,impervious,bratty society who doesn't 'wish' to see what happening around the world and their neighbourhood and is busy maintaining her social standards?
   I consciously save as much water as i can. I use only that much that is required.No , i don't face any day to day water cuts or shortages.I stay in a 2 bedroom flat.But yes,i have seen and experienced first hand what 'no water' means.
My early childhood was spent in a South mumbai chawl.Those old buildings where people stay in 2 rooms or 1 room but are lower-middle class not poor !
  Yet ,when i think of water i see my parents climbing 2 floors with buckets in hand. Even after we shifted to Pune 2 decades ago, the first thing my parents did was to install Sintex ka taaki. We still have that taaki in the small bathroom installed on metal bars near the ceiling.Fortunately, we have not faced any water scarcity in so many years.
   I am very thankful for that. I thank God every day that i don't have to fill buckets of water because i don't think i am physically upto lifting weights on daily basis.
   I know 2-3 people like me whose primary concern is how to minimise daily usage of water.In contrast, over the years i have seen maids who throw buckets and buckets of water  to get balconies and bathrooms clean.
  The area where i live now, has become dusty and grimy due to increase in vehicular traffic , new construction - basically 'development' .To make the mall near my house, 1 sturdy very old Pipal tree whose branches came to my 4th floor balcony was cut down and another jungli badam tree and gulmohur[Cesalpinia] were also cut down.No new trees were planted by the builder !
  Maids who themselves wash with very less water [ and soap] because in their slums they have to carry water to their homes suddenly become arrogant and wasteful in memsahibs/ madams hflats and bungalows. They don't want to scrub so they use more soap and then to rinse that soap they run the taps louder.
  We had maids of all caste and creeds in so many years. Only 2 of them didn't waste water and used water judiciously. The last maid I had was like an arrogant cow. I implored her to use less soap and therefore less water and not throw water in the bathroom like a mad woman.But she never listened to me. She continued to keep the tap full on while washing utensils and threw buckets of water to clean the bathroom. My mom was very sick so i had to keep her and also in my past experiences i knew 80% maids waste more water and soaps.
    A week after my mom died, I threw her out ! I use a vacuum cleaner to clean and since the vacuum cleaner[ i have a dry vacuum cleaner] is inefficient in removing grime and stains, I mop the kitchen and doorway areas and balconies every time i vacuum but  i don't mop the entire house all the time.
   The ways in which i try to save water:
1. I don't keep the tap running while i brush my teeth or wash my face. I use a small mug most of the time to gargle or wash my face.
2. I use overhead showers only in hurry or when washing my hair. For day to day baths, i fill a bucket and use that.
3. I use a Gala /Scotch brite mop and use old cotton torn shirts/dresses as use and throw wipes. I usually make pieces of old rags to clean fans etc and don't rewash i just throw them.
4. I wash utensils cleverly- soak them ,clean the grimy bits with stainless scrubber and then wash with green scrub pads. I use liquid gel Vim only.It rinses clean at one go and is very good on hands too.
5. I use a semi automatic washing machine and reuse detergent soak water for atleast 2 load runs. I recommend semiautomatic machine which is the next best option to handwashing. It allows the reuse of detergent water- I run the whites and new clothes first and then put household linen and clothes jeans in second run. I use water in the machine only as required and since i use a good quality washing powder like Surf quick wash , it rinses clean in an single rinse cycle.That's the beauty of using enzymatic detergents.Here i would like to mention that the water quality i get is good so i don't need to use more detergent to get clean clothes. I also prescrub the stains with laundry soap- Foaran. Foaran is an excellent natural soap especially for hand scrubbing and wash.I use the old fashioned biolaundry soap[yellow] from Foaran not the newer syndets cakes !
6. I mop only grimy areas regularly and the kitchen.But i know if you have children at home, you may have to mop the whole flat. Still restrict your maids to mopping the balconies everyday and not throwing water to get the dusty balconies clean . My balcony which gets so dusty and with bird shit that i have to use water once a week with a broom.Still, i use only half a bucket -no more.
6. To clean basins and bath room, i use liquid soap - Cleanol.Its an excellent find. I think its a local liquid soap brand which I found in Dorabjee. It cuts grease which is especially useful for bathrooms and just scrub with the plastic broom and little water gets it clean.
7. For flush tank i have got it adjusted to half the tank of water. So that, it fills only upto half the tank so that not much water is used in a single flush just the bare minimum required.

 As i said, i try and work around to save as much water as possible .And i can do only this much at my end,since rain water harvesting etc is more of a community effort than an individual's.But i believe, if we truly use water as 'a precious' commodity just like our gold and money then i think we'll be much better off. In future, water like other things only higher middle class,rich and superrich and powerful people will own !For the rest of us,God help us !

Badtameez dil....

Have you seen the trailers of this song from Yeh Jawani hai Diwani? Well,I thought we will probably only hover around 'item girl' and so ...but ranbir kapoor is an 'item boy'.

I was blown away by Ranbir's performance in this song..and after a long long time there is this high energy song with fun,cheesy,bold 'streetsmarty' 'alecky' lyrics.

God, i was so sick of seeing close ups of Katrina Kaif's and her ilk's kamars,bosoms and butts [ Priyanka Chopra has jumped in too- suggestive and boring outpouring of overt sexuality moves in some Babli song] .In this song, they had to bring in the girls but thankfully their shots were less and only in supporting role !
 
I loved Ranbir in this song and love the song too. It compels one to hold and watch through the trailer and instead of changing the channel.
   But then, I am weird when it comes to what i like in Hindi cinema.I cannot tolerate most songs - especially their visuals. I don't mind 'listening' to some of them on radio or otherwise. You know ,just tracks ! Just the other day, X was telling me how I got the movies wrong for 7/10 newer tracks i really liked !
    Let me tell you , this is only for most movies post 1985's. Ask me about Hindi cinema's disco tracks,and anything really old 50s,60s,and 70s and I’ll probably get the answer right. I have grown up playing gramophone records well through 80's - my golden years when dancing came naturally and all i and my sister needed is a gramophone record!
    i still have a gramophone and those records !By the way, i still love Disco and rock and roll !