Tag Archive: pediatrics


Sieving My Thoughts


Just another day, I was standing by my terrace room door. There’s a construction going on the opposite side of the road. There’s this man. He’s sitting with a 1m by 2m sieve and a garden spade.. The sieve is inclined against the outer wall of the building. There’s a heap of sand just half a meter away from where the man was working.

Using a bigger spade he throws some sand on the sieve. He sits down on one side of the sieve and uses the garden spade to sift the sand. The coarse particle remains on his side of the sieve and the finer particles of sand form a small heap on the other side of the sieve.

On the other side of the sieve, mimicking his dad, is a 3-4 year old boy, around 2 feet tall, looking all cute and adorable. On his countenance is the expression of a man who’s doing the most important thing the world could offer. I watch them work diligently sieving sand.

After sometime, the man got up, strolled away from their work area, took out a packet of guthka (chewing tobacco) and swallowed it down. His son, meanwhile still sieving sand, looked back at his role model just at that precise moment, but got back to sieving quicker than he had turned to look at his dad..

The man picked up the spade picked up some sand on the spade and asked his son, who was having the time of his life STANDING on the sieve and sieving the sand, to move from the sieve, as he was about to throw the next packet for sieving. The kid shows his hand to his father, asking him to stop, removes the coarse particles of the sand with his garden spade from the sieve, and then motions with his hand to his dad as if giving a green signal..!! The man waits patiently for his son to move. He’s too tired even to scold him it looks from where I stand. Or, perhaps, he was different from other dads. His son moves, and he gets back to his work.

Within few minutes, the man stands up and strolls inside the building being constructed. His obedient 3yr old diligently sieving the sand.

The kid stands up and looks around to see his dad missing.. He gets apprehensive for a while. That’s the first time I see a “child” on the countenance of this 3yr old. He looks as if he’s about to cry. But that countenance disappears quicker than it appeared. He goes to the heap of sand, throws his spade (like his dad had done just a while ago) on the sand. He looks around and sees a spent guthka packet lying on the ground. He picks it up. I cross my fingers. “Don’t!”, I want to shout. My voice stifled by the cold northwesterlies that hit me. He looks inside the packet, turn it over in his other palm and gulps the contents. He throws the packet with the attitude of self-importance; picks up the spade he had thrown into the sand; goes back to the sieve and starts sieving again…….

I close the door, the wind still in my veins chilling down my spine. I sit on my bed and close my eyes……

How do you think this child will grow?

How do you think Raja’s 2G scam gonna affect him?

How do u think 20% off for burgers at McDonald’s gonna help him?

How do u think home loans and education loans will help him?

What will his psychology be like?

How do you think he’ll perceive this world to be like?

I had so many questions in my head.. I felt so lost inside.. Am I the only one feeling so?

I, Doctor


I had since my childhood days, as far as I can remember, always wanted to be a
doctor.. And I very much loved kids, and I still do.. So I always wanted to be
a “child specialist”–that’s what I knew it was called.. 😛 As I got
older, I came to know that there was something called MBBS and then there was
an MD Pediatrics and that’s when u become a “child specialist”..

Becoming a doctor has always been an exciting thing for me.. Knowing the human body,
meant knowing  oneself.. Even the idea of
treating and helping others seemed such a noble job!  Moreover I amused myself with the fact that I
was born on 8th May!! World Red Cross Day!! 😛 Doesn’t get better does it! 😀 I
was good in mathematics, physics and computer science! Every reason to become
an engineer!! A software engineer (I still like programming if I get the tools
though) perhaps.. But I chose medical!

As I learnt biology, my interest in medical science grew.. I got into MBBS and my
life changed! I realized something that I am gonna share with my readers (you).
The question that hammered me: Are doctors disrupting/changing the natural
course of evolution? Is treating and intervening in every possible medical
situation ethical? Ethical in what sense you might ask.. Read on..

People fall sick every time in their lifetime.. In ancient times, it was thought to be
a punishment by God.. But as science developed, the medical fraternity came
into being.. Healing and taking cure of the sick.. Not a very major thing.. But
as it developed, and in today’s corporate world, doctor is also a profession
that is trying to reap profits.. Profits?? Yeah.. Not in a major way, but a
subtle inevitable way…

One thing I always heard from my parents as a child.. Mom used to wonder, “how many
number of diseases has increased in the recent years..!??” and Dad would
give the most logical reply I believed, “Actually new knowledge of many
unknown diseases has increased which couldn’t be diagnosed earlier..” I
marveled at the science as I believed in knowledge. Always had a hunger for new
knowledge.. And then I read this research on “why the incidence of
Cesarean Section has increased in the recent years?”

My first reaction to the question was, “Ah! The ladies these days.. They can’t
tolerate pain! They want it the easy way.. Who wants to suffer the pain of a
normal labor!! I mean if u were to know that NL(normal labor) will cause pain,
u would happily prefer anesthesia and undergo CS(cesarean section).. So while
you are sleeping, you get yourself a baby.. Nice and easy!” ALAS! I was
wrong.. One of the researchers had actually suggested this, but had been
rejected by a new more relevant reason.. According to the newer reason, babies
born to CS done in the past, directly or indirectly increased the incidence of
CS in the future.. For doing a CS there are some indications.. A group of these
indications are called ABSOLUTE INDICATIONS.. These are considered important..
As in, if these mothers are given a trial of normal labor, the baby could die….
Think of it this way.. If natural selection was considered, these babies were
NOT MEANT TO BE BORN!!!  So?? Doctors
help in giving birth to babies that were not meant to be born! For example, a
thing called “contracted pelvis”.. A mother with contracted pelvis
will have a child, who, if female, in turn will have a contracted pelvis
herself, further being a future candidate of CS herself!! When considered the
population and other indications, such determined “future
indications” of CS increase manifold.. Well I donno what YOUR reaction is,
I was pretty much shaken!! Since, I applied this to other diseases as well!

And this applies mainly to the branches related to Obstetrics and Pediatrics, I think..
Take for example a congenital disease that is treated so that the child lives
up to reproductive age and gives offspring.. His/her children will have the
same disease maybe or maybe a carrier.. And future candidates for another
congenital anomaly.. But this is just a “what if?”.. I am yet to come
across any research related to this.. But I’ve seen infants going hypoxic and
doctors trying in vain to keep the kid alive.. And, of course, they do manage
to keep the kids alive.. But what about the long duration hypoxia? It could
have destroyed some part of the brain.. This baby could grow up to become
mentally retarded or have epilepsy! Future candidates.. So what do u do? Let
’em die!!! That’s not ethical!! But keeping alive a child with a hereditary
disease, who might have a miserable life ahead, or may give birth to abnormal
children in the future, is that ethical?

I think, doctors have “artificially” manipulated the whole path of
“natural” evolution… I was so conflicted!! I hated for becoming a
doctor.. I was always curious about learning things, mostly nature and its
beauty.. But manipulating, and increasing diseases, well I felt awful!

But then I matured.. Call it maturity, or call it “accepting the status quo”..
I thought, well, we are humans, right? We are a part of Nature too, right? So
even if we manipulate, it’s not strictly speaking “artificial”, now
is it? So it’s a “natural” thing.. 😉 Maybe it was MEANT TO BE this
way.. 😀 I don’t hate myself for being a doctor now..:)

Well this was a journey for me.. Thought of sharing, so that even you could think on it
and wonder and wander.. 😀

Ciao! 🙂

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