Sunday, February 26, 2012

I Question the Medical Judgement

When my cousin brother was diagnosed with tuberculosis about twenty years ago, his parents didn't give a second thought and started the long treatment. About five months into the treatment they discovered that the little boy wasn't suffering from tuberculosis. His parents were only thankful that it wasn't TB. Five months of heavy dose didn't matter to them. As years went by the ill effect of heavy doses of wrong drugs showed on his physical features and his mental efficiency.
That was a long time ago and everything was forgiven and forgotten even though my brother is still paying the price each day for error in medical judgement some people made. Over the time everything changed and technology came into hospitals to reduce human errors. But machines are just tools and its the human at the end who has to pass the judgement.
Over the years I was shocked at the number of rumors I heard of people being wrongly diagnosed with TB, and some paying the price with their lives. Advancement of human resources and technology seemed to have made no difference to Bhutan. May be all the rumors I heard are wrong, therefore I may be wrong too if not for what happened early this month.
Photo from  fabulousnurses.com, edited by author   
My nine year old sister was diagnosed with TB from Jigme Dorji Wangchuk National Referral Hospital. She had some swelling below her chin after a long toothache and after series of checkup it was confirmed that it's lymph node tuberculosis called Scrofula. My mother was asking me if they could begin her treatment. I am not a doctor, I am but a loving brother, I don't want to risk my sister. I rushed to Thimphu and found out that all the test reports were negative including the biopsy, which I found from Google as a crucial test. Wikipedia tells me that she should have symptoms such as feverchillsmalaise and weight loss. As the lesion progresses, skin becomes adhered to the mass and may rupture, forming a sinus and an open wound." but she has none of these except the medical judgement of doctor. I trust the big hospital, I trust the big doctor, but on what basis should I trust this judgement?
I brought my little sister with me and took her to Wangdue Hospital, where I explained my fear and showed the reports to the renowned medical specialist. He checked her neck thoroughly, studied all the reports, took a fresh x-ray and declared that it's NOT tuberculosis. He prescribed her antibiotic for five days after which the swelling subsided.
Now I question the Judgement of that doctor who wanted to fill my sister's stomach with loads of drugs. I even fear that all the rumors I ever heard are true but they all landed nowhere because we Bhutanese are so forgiving. No doctor was ever taken to court for their mistake because we forgive, and because we forgive they take for granted.

Thursday, February 23, 2012

Festive Week

This week is full of celebration and I hardly know how to deal with them, therefore just like nothing is happening around I spend my time watching whatever comes on TV and dose off eventually. I have strange weakness you see, I can't take too much of anything. But as the glare of celebration dims I wish to wake up;
I humbly wish my king a very happy birthday, and take this moment to thank him for his vision, concern, and sacrifices.
The Bhutanese, the tenth news paper enters the market with a difference, with long term dreams and as a leader in good journalism. The mover and shaker Tenzin Lamzang already raised our expectations while his stay with Business Bhutan and with his own paper now we don't expect anything less. With each new paper we are seeing truer journalism.
Tshering Dorji, the boy I saw on YouTube received the blessing of trailblazer Mila Tobgay and today he showed the magic of his voice to the Bhutanese people. Wherever Mila Tobgay set his hands on that thing turns into gold. He is the extraordinary Bhutanese that makes me wonder. Congratulations Tshering Dorji for winning National Talent Hunt!
And Finally, Happy Losar to all my readers. Let the Dragon year bring you strength to live your life the way you want. May the Dragon year bring you opportunities to rise higher and live happier. May the newly married couples give birth to healthy dragon babies.
(c) Pema Gyamtsho

Tuesday, February 21, 2012

I Quit!

No, it's not about me, don't worry. I saw "I Quit" scribbled on the wall in Joy Lobo's room in 3 Idiots. Call me crazy for watching the movie over thirty times and still wanting to watch it, but I have learned so much from it that if I had the power I would honour 3 Idiots with  the Nobel Prize for Literature.
Joy Lobo's song became my favorite and his part in movie portrays how weak students respond to challenges. He throws his great invention in the rubbish bin and hangs himself. Imagine if he completed his project and flew his spy-chopper into Virus' office, wouldn't it justify the delay? Of course it's just a movie, and if that happened in the movie the whole charm would die away. But what Rancho does with Lobo's rubbish is something we should applaud at.
From 3 Idiots 
On the contrary, I was shocked at what I saw on the hostel wall where I went to drop my son last week. "I Quit" was written in bold right at the entrance of his hostel, and I could only hope that whoever wrote it might have written it in good humor. Otherwise, look what our kids are picking on! Of the thousand good lessons in the movie, just that thing which was meant not to play with was picked on.

Seen on Hostel Wall


Monday, February 13, 2012

Who Will Help Her?

About six years ago my wife helped a girl get a job. She was very innocent, beautiful and young but life didn't let her live her youth in peace. She was the eldest sibling and had a young brother in her hand. She had to leave her school and start earning. She was very happy that my wife helped her.
A year later my wife got a call from her family. They wanted to know where their daughter was. She went missing. We didn't know that by help the girl we bought ourselves the trouble of taking all the risk. But because she went missing my wife involved herself fully in the search. By the end of the week long search their only faith was in astrology, and that was the righteous decision they took. The astrologer said the girl was safe and hiding in the place they least expected, and that her captivator will confess it the next morning.
Yes, the next morning they visited her employer and as soon as he saw them he confessed that the girl was at his place. Her already married employer had lured the little girl and now she was talking his words. Despite all the warnings from her family the girl didn't want to leave the man. That was her fault.
In the last five years she was disowned by her family and her husband left his first wife. She still worked for him, only that she is no more paid. We often heard her story of paying the huge price for her mistake from her sister but she never complained. As long as she works fine in the office and works fine at home without questioning anything she was spared. But every time she makes a mistake, every time she was seen going out of office, and every time she asked a question, she was beaten blue and black. Last winter when we met her she wouldn't tell us much but pitifully told was that she wouldn't mind the beating if it weren't in public places, but it happened wherever he gets upset. I was very disheartened and wanted to help her but she didn't seem to need help, god knows why.
But suddenly, last week my wife received a call from her. She wanted to know the RENEW's contact number. She was scared after what happened that morning- her husband threw stone at her in a restaurant and when he missed his shot he booted her. I immediately rushed to my computer and looked for what she asked. I got it but I wasn't sure if she would dare to ask for help, so I made my wife ask her if it was ok for me to get her the help. She quickly yesed it. I went to RENEW website and since it was in the evening I knew there won't be people at office and therefore I wrote an email (to enquiry@renewbhutan.org ) just like I wrote it here with her phone number.
It's over four days now and I have checked my inbox umpteen times. When I finally called the office (02332159) a coughing girl on the other end told me that they don't take complains from email. I was asked to send the girl to their office. I explained how it's not possible. The girl on the phone then asked me to hold on, and then I heard intercom ringing. It went on ringing until I finally hung up. Who will help her?

Update 14 Feb 2012: My apologies to RENEW if my article affected anybody, It was my fault not to have tried different ways. But I am very happy that they took this seriously and reached out to me. They even said that they are going to put up the concerned Mobile Numbers on their website. For now if you have any complains get in touch with Dr. Meenakshi, Community Outreach Director at Mobile no. 17666955. And Thanks Kesang C Dorjee.

Monday, February 06, 2012

Teacher: The Restricted Species

This vacation I have had the privileged of travelling different places and sharing my winter with variety of teachers at the expense of government. I had written program for what was to happen in the classroom and I have even written the report on what happen in last fifty days and how I used up nearly a million ngultrum that spent some nights in my bank account.
However the best part of the show wasn't these rigid official stuffs, they were but the joy of reunion of long lost friends, excitement of meeting new people whom I wish I had met ages ago, the jokes we crack over tea and lunch and the hope and promise of meeting again.
Today I said good bye and received generous acknowledgement from the last batch of teachers. And as I shut down the last computer in Punakha I stopped to reflect on the winter vacation that I didn't have, and from among infinite memories something stood out quite firmly which made me laugh. It's something about the change in human behavior after one becomes teacher, of course it's just my personal theory based on my crazy observations this cold season, that most teachers are fond of tobacco and alcohol.
These two intoxicating substances are the plots of all stories that teachers talk about. It's amazing how many hands come forward at the sight Baba khaini or cigeratte, and how promptly everybody joins you in a bar late in the evening. It's not even surprising to smell strong alcoholic breath from teachers' early in the morning. If you don't drink, and if you don't even smoke or chew tobacco then you are considered a saint or an abnormal teacher.
While I enjoyed the same bloodline I couldn't help wondering why we became so even after knowing all the ill effects in the world. I curiously asked a few of them, some say it's because of the huge population of teachers while I found more substance in the second reason we found- that these stuffs are forbidden fruits for teachers and the human inside us overtook the teacher in us. We are the restricted species among the humankind and therefore we are rampaging into our freedom.

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