Indian Government has lately been trying its best to provide basic Medical Facilities to one & all... beyond caste, creed, color, status... the stress has certainly been on covering almost all of about 638365 villages ... the Government is offering subsidies on Medical Studies in some colleges... of course with a rider that pass-outs will initially be posted at some villages in interiors. There's a 'Lock-in'... the 'fresh' docs can't get a transfer for a period of two years... the aspirants plan variety of things to escape such postings... strangely though, almost all such postings are followed by recommendations from the very same MLAs, MLCs, MPs... Ministers... Leaders who have been instrumental in making this 'policy' of rural postings. These doctors are then required to submit their performance report on a monthly basis... and it should invariably reflect some improvement...
Dr. Jeevan Pyaare Gautam (JPG - as he was fondly called by his classmates of MBBS for his ability of creating great pictures, mostly out of his imagination), freshly out of the college, got posted at a village called Phanda in Sehore district in Madhya Pradesh. As is with any new responsibility, JPG enjoyed being addressed as 'Daaktar Saab' by the 650 odd villagers of Phanda and of the adjoining villages. The village chief 'Sarpanch' - Chaudhari Mitthu Singh deputed one of his men called Pungi Lal at JPG's service. Pungi was actually an all-rounder... Helper, Cook, Driver, Masseur... and even a Compounder. Pungi used to accompany JPG to everywhere, from Patients' residences to weekly bazaars at Phanda and neighbouring villages. He gradually started being recognized as 'Compounder saab'. More than Jeevan Pyaare, Pungi started discussing ailments and their cure at length at various forums- Panchayats, Vivah-Bhoj, Funerals, family gatherings.... etc etc. JPG was a born attention-seeker and he started relishing all this due & undue attention he was getting in the village. JPG was mostly busy being the Guest of Honour at all sorts of functions in Phanda and nearby villages... needless to say, most of this was courtesy Pungi Lal ji. Both the dignitaries used to travel these distances on JPG's second hand bike- Kawasaki Bajaj Caliber 112. Pungi used to be the Master of Ceremonies on almost all such programmes and more often than not used to test JPG's oratory skills... " राम आसरे भैय्या के तीसरे बेटे के मुंडन में आज हमारे बीच हैं डाक्टर साब, डाक्टर साब आप सब लोगों को बतायेंगे कि बच्चों का मुंडन कराने के क्या फायदे हैं और मुंडन करने की सही उम्र क्या होनी चाहिए..." or on rather further weird issues like "... बड़ी ख़ुशी की बात है कि गुल्लू की गैय्या गेरू को कल रात बड़ा खूबसूरत बछड़ा हुआ है - गजनी, डाक्टर साब माँ-बेटे कि सेहत बनाये रखने के उपाय आज आप सब को बतायेंगे..." all this went on for almost two and a half months ... JPG also kind of started enjoying this... he often thought why was there a need to study Medicine if he was doing (and enjoying) such kind of activities!... In the meantime, they were attending to local patients... which rarely turned up at the Government dispensary... since Doctor & Compounder were hardly available!
Suddenly... one fine morning, Dr Jeevan Pyaare Gautam, MBBS received a telegram from सहायक निदेशक, चिकित्सा सेवाएं, मध्य प्रदेश शासन (Assistant Director, Medical Services, Govt. of M.P.) with a message "... आपका मासिक प्रगति प्रतिवेदन पिछले दो माह से प्राप्त नहीं हुआ है, कृपया तुरंत प्रेषित करें और भविष्य में इसकी प्राप्ति अगले माह कि ७ तारीख तक सुनिश्चित करें ..." (We have not received your Monthly Progress Report for the last two months. Please forward it immediately and also ensure its receipt by the 7th of next month, in future)... There was no 'progress' as such, JPG had hardly treated any patients during the past two months... and was completely clueless on what to make-up in the 'Progress-Report' that too for the last two months...
He turned to Pungi Lal for a solution. After discussing all the technicalities, Pungi Lal opined that creating fake patients and submitting a false report might end up terminating his services, if proved even in future. This is how the previous Medical Officer- Dr Laxmi Prasad lost his job. He suggested that they should work overtime and Check each and every resident of the village as a patient, to make-up for the shortfall (in numbers) of the last two months. Pungi further suggested that he himself will go village to village urging people to get themselves checked up and 'cured' even for very ordinary& minor problems. People started flooding the Government Dispensary at Phanda in hoards... much beyond the expectations of both JPG and Pungi. Initially Pungi liked it and could generate the required data within a period of some 5-6 days... the people, however, continued to turn up day-after-day-after-day..... Daaktar saab had not much aptitude left for his real profession after an initial taste of 'Chief Guestship'. Pungi was also not enjoying this 'real' work-load, after all he always aspired for 'bigger' things in life. People continued to visit JPG & Pungi with all sorts of ailments... "डाक्टर साब, मेरी पिंडली में बहुत खुजली हो रही है दो दिनों से"... या फिर.... "... साब मेरी नाक के अन्दर छोटी फुंसी हो गयी है... आजकल नाक में ऊँगली करने में बहुत दर्द होता है"... or else..."..डाक्टर साब, आजकल कई दिनों से रोज़ रात में जोर जोर से आवाज़ के साथ खट्टी डकारें आती हैं..".... This was way too much for JPG... suddenly he was hating his profession, posting , village-life... Pungi...and everything.
... JPG was not the one to give up so easily.... or rather he was not in a financial position to leave the job for a city-job by paying the bond money of Rs. 2.5 Lacs... he contemplated various options to go back to his old 'job-profile' while adhering to official reports etc. The only way he could go back to his old relaxed ways was by reducing the number of patients who were still coming in loads... JPG thought this reduction can only be achieved if he started giving more time on individual patients BUT the ailments were so minor that somehow it was not possible to devote more time on each individual patient. ... Theoretically, he thought he would increase the time taken for diagnosis of a patient, this would not only keep the patients happy (that Daaktar saab was giving him so much time) but will also not reflect badly in his 'Monthly Progress Reports'... here was the solution, Dr. Jeevan Pyaare Gautam started asking all sorts of weird questions while diagnosing the diseases...A patient of constipation was bombarded with questions like - "क्या जब से तुम्हारी प्रेमिका की शादी हुई है, ये कब्ज की शिकायत बनी हुई है?"... या फिर.. "स्कूल में तुम्हें अंग्रेजी वाली मैडम पसंद थीं या विज्ञान वाली?"... या फिर "तुम साइकिल का पंचर गेंदालाल के यहाँ बनवाते हो या पूरनचंद के यहाँ ?"... almost at the end he used to face a relevant question like "कल रात तुमने क्या खाया था... दही-चावल?".... similarly a patient of Eczema had to answer questions like - "... तुम्हारे माँ-बाप ने भाग के शादी की थी या गाँव में?"... या फिर ...."तुम हनुमान जी की पूजा ज्यादा करते हो या शिव जी की?"... या ... "तुम्हें धनिया की चटनी पसंद है या पुदीना की?"... finally at the end only was he asked about any skin allergies he had.... a patient of common cold had to face questions like -.."तुम्हारे हिसाब से शोले में ज्यादा पावरफुल रोल किसका था - जय का या वीरू का?"... या... "तुम लाईफबॉय से नहाते हो या रेक्सोना से?"... या फिर ..."तुम्हारी भैंस 'भूरी' ज्यादा दूध देती है या 'दुलारी'?"... everyone initially thought that Daaktar saab was doing a detailed diagnosis... only to realise a few weeks later that its better to try home-remedies for such minor problems than answer all sorts of awkward questions at Dispensary...
The flood of patients finally started receding after a few days... credit to the long interrogatory sessions. After a few weeks there were virtually no patients... the time for next 'मासिक प्रगति प्रतिवेदन' was already there... Both JPG & Pungi submitted a detailed report on Patients treated during last month. The major difference being, this time they were stressing more on the Quality & Details of diagnosis than the number of patients treated. The next couple of months saw further more more 'Details' ... and then further more... after 4 months or so ... they were exactly back to their initial life and job-profile... The Monthly Progress Report mentioned... 'No Patients during last month'.... The inference derived - "Either There are no more patients or people have stopped falling ill and all diseases have been eradicated since our postings at Phanda"... As is mostly the case - Higher-ups are more impressed by the way content is 'presented' than the 'content' itself... Dr. Jeevan Pyaare Gautam, MBBS got promoted and posted at his home town at Harniya Khedi, Mhow and Shri Pungi Lal Choubey got 'permanent' as Compounder (now addressed as Daaktar Saab) at Phanda.
... JPG was not the one to give up so easily.... or rather he was not in a financial position to leave the job for a city-job by paying the bond money of Rs. 2.5 Lacs... he contemplated various options to go back to his old 'job-profile' while adhering to official reports etc. The only way he could go back to his old relaxed ways was by reducing the number of patients who were still coming in loads... JPG thought this reduction can only be achieved if he started giving more time on individual patients BUT the ailments were so minor that somehow it was not possible to devote more time on each individual patient. ... Theoretically, he thought he would increase the time taken for diagnosis of a patient, this would not only keep the patients happy (that Daaktar saab was giving him so much time) but will also not reflect badly in his 'Monthly Progress Reports'... here was the solution, Dr. Jeevan Pyaare Gautam started asking all sorts of weird questions while diagnosing the diseases...A patient of constipation was bombarded with questions like - "क्या जब से तुम्हारी प्रेमिका की शादी हुई है, ये कब्ज की शिकायत बनी हुई है?"... या फिर.. "स्कूल में तुम्हें अंग्रेजी वाली मैडम पसंद थीं या विज्ञान वाली?"... या फिर "तुम साइकिल का पंचर गेंदालाल के यहाँ बनवाते हो या पूरनचंद के यहाँ ?"... almost at the end he used to face a relevant question like "कल रात तुमने क्या खाया था... दही-चावल?".... similarly a patient of Eczema had to answer questions like - "... तुम्हारे माँ-बाप ने भाग के शादी की थी या गाँव में?"... या फिर ...."तुम हनुमान जी की पूजा ज्यादा करते हो या शिव जी की?"... या ... "तुम्हें धनिया की चटनी पसंद है या पुदीना की?"... finally at the end only was he asked about any skin allergies he had.... a patient of common cold had to face questions like -.."तुम्हारे हिसाब से शोले में ज्यादा पावरफुल रोल किसका था - जय का या वीरू का?"... या... "तुम लाईफबॉय से नहाते हो या रेक्सोना से?"... या फिर ..."तुम्हारी भैंस 'भूरी' ज्यादा दूध देती है या 'दुलारी'?"... everyone initially thought that Daaktar saab was doing a detailed diagnosis... only to realise a few weeks later that its better to try home-remedies for such minor problems than answer all sorts of awkward questions at Dispensary...
The flood of patients finally started receding after a few days... credit to the long interrogatory sessions. After a few weeks there were virtually no patients... the time for next 'मासिक प्रगति प्रतिवेदन' was already there... Both JPG & Pungi submitted a detailed report on Patients treated during last month. The major difference being, this time they were stressing more on the Quality & Details of diagnosis than the number of patients treated. The next couple of months saw further more more 'Details' ... and then further more... after 4 months or so ... they were exactly back to their initial life and job-profile... The Monthly Progress Report mentioned... 'No Patients during last month'.... The inference derived - "Either There are no more patients or people have stopped falling ill and all diseases have been eradicated since our postings at Phanda"... As is mostly the case - Higher-ups are more impressed by the way content is 'presented' than the 'content' itself... Dr. Jeevan Pyaare Gautam, MBBS got promoted and posted at his home town at Harniya Khedi, Mhow and Shri Pungi Lal Choubey got 'permanent' as Compounder (now addressed as Daaktar Saab) at Phanda.
