Friday, 31 March 2017

Residents continued

1.Doctor: Patient ratio in India is one of the lowest in the entire world. To top it, the Government allots minuscule funds for the health. The one that reaches the actual field is still lesser due to enormous pilferage. As the health schemes by the government are malfunctioning because of these and a variety of other factors, patients have to seek help from the private sector. If we want these patients to come back to 'Sarkari' services, the system has to be overhauled drastically and must be freed from political interference.
2. Due to enormous development in the field, the outgoings have increased accordingly. Thus the investment amounts to millions. The Medical professional who already has spent 15 to 20 years for education/specialization/super-specialization and then investing in crores by taking loans, is not going to run his private enterprise on a charitable basis. By the time when a young Doctor has to go through these and other ordeals, he ceases to be naive principled self. To top it, when google trained self-educated half baked nuts wonder, 'How come you are not having 'X' machine or facilities for 'Y' investigation?' he is bound to lose his cool. Thus when not asked for, investigations are good but as soon they make a hole in the pocket, they become unnecessary, this double standard won't do.
3. If Doctor is God to you, you must have faith in him like you have, in the real [ to be frank, fictitious] one! Already he has been brought under the consumer act, so automatically you become the buyer, thus you can not eat cake and have it too. Either he is a God, so have faith or he sells the commodity so you get what you have asked for. You can not change the stance according to what suits you.
4. As said previously 'Health' is one's own responsibility. To neglect it and then put the onus on the Doctor for treatment is an injustice to the Doctors.
5. All the Medical Colleges run by the private trusts have political patronage. As they are run by the political bid-wigs, they are hardly under the control of the government. Society should rise against them, as these are money-making factories for politicians. 'I have money, so my son will be a Doctor' type of attitude of society must also be abhorred. These guys and gals are going to deal with human lives so the selection to the course must be purely on the basis of merit and not on caste and on 'How much money his guardian can shell out'.
6. Is there any instance, when the resident was being beaten, he was rescued by the bystanders or did any channel at least spell this out? Does not it amount to callous behaviour on the part of media?
7. Rather than discussing these crucial aspects of the problem, to keep on harping on the other aspects of medical profession amounts to backing these goons in their unruly deeds. So-called 4th pillar of the democracy must keep this in mind. In today's paid media this seems improbable.
8. What is happening with the middle class society is, It has the freshest knowledge from West about the diseases, courtesy Google/Internet but it conveniently wants to forget that it costs money. Today's Doctors have Ultra-modern Knowledge from West to be practised in society with African facilities and people with the tribal mindset. If one can afford a cinema viewing in an ultra-modern air-conditioned mall, when single screen cheap entertainment is available, he must also make the provisions for his 'would' be ailments well in advance. And if you can't afford private treatment, you must have faith and patience for the governmental treatment for the reasons cited above.
9. If the common man on the street is going to get affected so badly when these doctors make themselves unavailable, then it is society's responsibility to take care of them. Unsympathetic utterances by the courts are not the news to rejoice.
10. Doctors are part of the same society which itself is not blame-proof. He too is looted by the other factors of the society [ more so, Doctor hai, maal wala hai]. Political pressures at the district levels are absolutely killing. All these political social workers who threaten the doctor of dire consequences if 'their' patient is not cured, run away when it comes to the payment of the bill.
11. In fact, society, in general, requires introspection and a lot of education, to understand what one means by democracy. That every disease can not be cured and every person can not be saved. There are limitations to human en-devour and medical sciences. Man still does not know the human body and the diseases fully.  And whose job it is to educate the common man? In Lok. Tilak and Agarkar's times it was done by socio-political leaders. I don't see anybody of that calibre in today's times. Instead of making the common man erudite, today's leader is more interested in keeping him illiterate and uninformed so that he can get away with his loot.
In spite of having the clear in-discriminatory picture, if some experts still feel that the Patients should not be held at ransom by going on strike, they should come out with an amicable solution. 'To tell them to leave the job,' is not the answer because from where are you going to get doctors to fill up these vacancies. To be frank, everybody knows that without these doctors and Doctors in general, health care and society, in general, will collapse! Even then .....

Thursday, 30 March 2017

Residents again

And the cat is out of the bag. CM has cheated poor doctors by giving white lies. Yet another resident doctor gets attacked in Thane. No security provided!
After spending 47 years in the profession, having 2 other doctors in the home, going through the same rigmarole I definitely feel, the malaise is not with the doctors but with the society and the heartless, emotionless government it elects who does not have empathy, not alone for the doctors but for any other segment of the society. They are busy only in saving their own seats.
The recently concluded mass leave[strike] of the doctors was not a win for the government but victory snatched away at the gunpoint. Right from the society to press to judiciary nobody was caring for the just demand of the doctors.
Always the point discussed was the hardships being faced by the patients. But the demand put by the residents,' We want safe working conditions' was totally ignored. Was it really a that big deal?
The entire discussion by all the media strayed away from this basic point and every time what was discussed was, "How the Doctor has estranged from the society in general, and how has he become more money minded and is harassing the ones who consider him no less than a god".Somewhere along the line implying that " Aren't these assaults, the culmination of these factors?" The entire discussion kept going on, on the same lines not allowing the rational one to put his point forward, absolutely one-sided game.
We have to look at this from two different angles because they are different. 
The resident doctors who work in these institutions are young girls and guys hardly in their mid-twenties. After finishing M.B.B.S., a 5 and 1/2 years long course which they get in, after really toiling for years and getting qualifying in the toughest entrance exam securing more than 90% of marks. After going through the ordeals of like another entrance and society made ones, like reservations, they are in the position with most difficulty. It's pertinent to understand that these youths, who have sacrificed their flowery days in junior college for studies, who are mostly from cultured, educated families are not callous or negligent. They face so many hurdles even carrying their mundane activities that it's not surprising that they are exasperated for lack of safety at their working place. A tremendous amount of workload in government hospitals, inadequate hostel facilities, substandard food, lack of sleep, lack of mandatory cleanliness, understaffed departments, they themselves having fewer colleagues to share the responsibilities, but they are/did not fighting/fight for these issues, they are on the roads for their own safety. I feel this must be discussed and dealt with on the war footing.
The patients who visit government hospitals are definitely underprivileged on many accounts along with the curse of illiteracy, ignorance and undernourishment and poverty. The people belonging to this stratum of society are totally unaware of the intricacies of Medical/ Health juggernaut. The paucity of equipment, staff, medicines and the sheer number of beneficiaries, it's just beyond them. After coming to a passe when medical treatment too won't work they rush to the hospital wanting everything" Now, immediately" including results. Unfortunately, class 4 officers being permanent, are not bothered about the urgency of the situation and in many instances, the resident doctor runs from pillar to post to get the things done because he is the "Face" of the hospital and he is genuinely bothered about the patient! And naturally, he is the first one to take the brunt of the ire.
Those who advise them," To leave the job if can't work in the prevailing situation" never go for the treatment to these hospitals but rush to either Hinduja or Breach Candy. And other so-called leaders cum Social workers and ministers too!
"My health is my concern" This basic concept is just miles away from Indians. Now, Immediately, ASAP and FREE is the call of the day. A mob mostly rowdy at the word go enters the casualty/hospital with a single patient and beats up a lone doctor mercilessly and rather than raising the voice for this young doctor who might lose his eye, diverting the topic to how much Doctors earn, is plain dirty politics! To earn the goodwill of masses and just to SELL!

To be continued. 
Many points are taken from article by Dr. Mohan Joshi President IMA branch Pune

Wednesday, 29 March 2017

sacred thread and much more

 जानवे ह्या प्रकाराविषयी काही वाचण्यात आलं म्हणून हा प्रपंच. 
Gypsium ह्या वनस्पतीचा तन्तुजन्य भाग जो  पूर्णपणे cellulose असतॊ त्याला विणून बनविलेल्या धाग्यांपासून बनवलेली एक वस्तू . एक धार्मिक वस्तू. एक हिंदू धार्मिक वस्तू. म्हणजे जानवे. पण त्याविषयी जे वाचलेले आणि त्याला मिळालेल्या likes पाहून हसावो का रडावे तो कळेना. 
 जानव्याला ९ तंतू असतात 
१. पहिला तंतू  ओंकार . ओंकार हा स्वर  आहे . स्वरयंत्राचा विविक्षित वापर करून हा उच्चारता येतो. ह्यात जीभेबरोबर छातीचे गालाचे स्नायूही वापरावे लागतात.  कुठल्याही स्वराला अर्थ भाषा किंवा परंपरा देते. हि परंपरा नसल्यामुळे शांघाईच्या याँग टॉन्गला वा ब्राझीलच्या पेड्रोला ह्या  ओंकाराचे काहीही सोयरे  वा सुतक नाही. आम्हाला आहे कारण संस्कार .थोडक्यात ब्रेन वॉशिंग त्याच प्रमाणे स्वर यंत्राची हालचाल जरी सारखी असली तरी आणि त्यामुळे येणारे उच्चारण जरी सारखे असले तरी भाषापरत्वे दोघांचाही अर्थ अतिशय भिन्न असतो, असू शकतो. 'जून ' ह्या उच्चारणात इंग्लिश कंठ आणि मराठी कंठ सारखेच स्नायू वापरतो पण इंग्लिश मधला अर्थ हॊतॊ ६ वा  महिना तर मराठीतला अर्थ हॊतॊ निबर. त्यामुळे फक्त विविक्षित स्वरामुळे ईश्वरी शक्ती चेतावते असं मानणं म्हणजेच अज्ञान आहे. 
२. दुसरा तंतू अग्नी बाळगतो. आता अग्नि आणि कापूस एकत्र आल्यावर राखेशिवाय काय उरणार आहे. 
३. नवनाग . आता रानावनात राहणाऱ्या नागासापांचे कापसाशी काय काम, काय संबंध? पण तो आहे त्या जानव्यात . 
४. सोम म्हणजे चंद्र. पृथ्वीच्या ह्या उपग्रहाची जानव्यातील उपस्थिती अनाकलनीय आहे. 
५. पितर . हा जन्म जगताना  समजता समजत नाही  तिथे शेकडो वर्षांपूर्वी वर गेलेले पितर जानव्यात कशाला येतील. एक तर पुनर्जन्म आहेकी नाही ह्यावर एक मोठे प्रश्नचिन्ह, शिवाय  असलेल्या जन्माची शाश्वती नाही पितरांचे कुणी पाहिलेय  
६. प्रजापती: ब्रह्मदेव ४ तोंड असलेला हा देव 'काल्पनिक 'मानण्याशिवाय काही पर्याय आहे. siamese  twins जन्माला येतात पण ती फार काळ जगू शकत नाहीत. 
७. वायू म्हणजे वारा . वाऱ्याची निर्मिती भौगोलिक परिस्थितील बदलांनी होते इथे जानव्याचा काय संबंध 
८.. सूर्यनारायण एक अतिशय  तप्त वायूंचा काहीही ठराविक आकार नसलेला तारा . तो जवळ आला तर जानवेच काय परिधान करणाराही भस्मीभूत होऊन जाईल 
९. विश्वदेव आता हा आणखी कोणता नवीन concept 
सगळाच मानण्या ना मानण्याचा व्यवहार . कुठलाही असंदिग्ध पुरावा नाही. 
हे इथेच थांबलेले नाही. 
४ वेद ६ शास्त्र [ म्हणजे काय]१८ पुराणे १५ कला १२ मास ७ वार २७ नक्षत्रे 
वेद पुराणे हि मानव निर्मित आहेत आणि आधुनिक मान्यतेप्रमाणे त्यांचा काळही  फारसा प्राचीन नाही  . कोणतेही मानव निर्मित काम सत्याच्या, चिरंतन सत्याच्या कसोटीवर उतरूच शकत नाही. कारण त्यात  लिहिणार्याचे चैयक्तिक बायस  येणारच आहेत. वेद अपौरुषेय मानतात. हि संकल्पनाच अनाकलनीय आहे. लिपी नसल्यामुळे ते लिखित स्वरूपात उपलब्ध  नसतीलही पण मौखिक स्वरूपात तर हॊतेंच होते.आजही कोकणी भाषेची वेगळी परिस्थिती नाहीये. भाषा आहेच आहे पण मान्य लिपी नसल्यामुळे देवनागरी आणि रोमन अश्या दोन्ही लिप्यात लिहिली जाते.  जिथे जिथे मानव टोळ्यांनी वसाहती केलेल्या तिथे  तिथे त्यानीं स्वतःची स्वर योजना तयार केलेली जीन हळूहळू कालपरत्वे भाषेचं रूप घेतलेलं . त्यामुळे आफ्रिकेत वेद आढळत नाहीत. किंवा भारतात बनलेले वेद cantonese मध्ये नाही रचले गेले. जिथं स्वरांच्या स्थिरतेचा पत्ता नाही तिथे कुठल्याही  हिंदू रचनेला अंतिम सत्य मानणं नक्कीच चूक ठरेल  
अजून काही गमती. गंमतीच म्हणायला पाहिजेत. 
२७ नक्षत्रे ताऱ्यांच्या ठराविक रचना . त्या आपल्यालाच पृथ्वीवरूनच अश्या दिसतात कारण अर्था अर्थी एकमेकांशी त्यांचा काहीही संबंध नाही. चंद्रावरून वा मंगळावरून त्या   totally वेगळ्या दिसतील . 
१५ कला : बाजारात चौकशी करा आता किती आहेत म्हणून. plumbing ची कला होती का त्यात, आज plumbing शिवाय पान  हालणार नाही. 
पंचमहाभुते : एकदम tribal . पृथ्वी आप तेज वायू आकाश 
एकेकाळी ह्या नैसर्गिक गोष्टी अश्या का वागतात ह्याचा बोध नसल्यामुळे आदी मानवाने केलेले हे वर्गीकरण त्या काळात [कदाचित] योग्य होते, [कारण न्यूटन आमच्या देशात नाही पैदा झाला] पण आता ? ४००० वर likes मिळण्यासारखं ह्यात काय आहे. कि आम्हीही अजून त्या tribal  mind सेट मधून बाहेरच  पडलेलो नाही आहोत  आप म्हणजे पाणी दोन  भाग हायड्रोजन एक भाग प्राणवायू . अंतराळाच्या कुठल्याही कोपऱ्यात गेलात तरी. चिरंतन सत्य ते हे. आता पाणी आले कि त्याचे गुणधर्म येणारच. त्याची शास्त्रीय मीमांसा न करता त्याला डायरेक्ट महाभूत मानायचं आणि तेही आजच्या युगात. हे like करणाऱ्या समस्त बांधवांनो जरा तरी विचार करा
प्रकृती पुरुष पंच विषय ज्ञानेंद्रिये वेगळी कर्मेंद्रियर वेगळी
सर्व डोलारा कंसेप्ट्स वर उभारलेला. आजच्या काळातील वैज्ञानिक निकशांवर एकही तत्व खरं  ठरणार नाही.
शिवाय ह्याला जातीवाचक tone आहेच. कोणी म्हटलंय, काही ब्राह्मणेतर जाती वापरतात, पण सर्वाना अधिकार आहे ?SC /ST वापरतात ? एक मराठा लाख मराठा म्हणून समाज फोडण्याचे काम चालूच त्यात आणखी भर
हे सर्व सोडा आजच्या विज्ञानाने जे सिद्ध केली त्याची कास धरा कारण त्यामागे अभ्यास आहे संयुक्तिक विचार आहे. आणि ह्या बळावर पाश्चिमात्य देशांनी केलेली प्रगती आपल्यासमोर आहे.
पुराणातली वांगी पुराणातच बरीं असं आपणच म्हटलंय


Tuesday, 14 March 2017

My paintings

























Here are my few paintings I would like to exhibit them. Any body having 'Know how' how to go about it.