By Pradeep Kumar
Beyond the Horizon
Doctors occupy a special position in the society hence have multifaceted social responsibilities much beyond the call of their noble professional duty, TRIMHS director Dr Moji Jini told the second batch medical students in their 2nd day of induction class lecture.
The lecture class was almost a psychological treatment administered to the would-be doctors to enable them mentally to face the challenges as successful professionals with multiple roles in the society. Doctors as physicians have mainly two responsibilities – Physician’s Professional Responsibility (PPR) and Physician’s Social Responsibility ( PSR), he said, adding without getting mentally ready to accept medical science, just obtaining a degree for qualification’s sake will be meaningless as every lesson could be life saving one day that need total attention in the classes, he cautioned.
Removing superstitions, possessing knowledge and skills on 3Hs (Head- means knowledge/wisdom, Hand- means skill & Heart- means sensitivity/compassion) and power of observation with effective communication skills are essentials of good doctors for proper diagnosis of any patient, he said, adding none could be good doctor without a good heart.
Pointing out about ego, he advised them to refrain from developing negative ego being a professional which could be harmful for them.
While speaking on the importance of power of observation necessary for a doctor, he cited the example Mary Mallon, known as Typhoid Mary, for being first person in United States identified as an asymptomatic carrier of pathogen associated with typhoid fever who was presumed to have infected 51 people, three of whom died, over the course of her career as a cook in the homes of the unsuspecting victims. The mystery was finally solved by deduction after interrogating the affected families that Mary was the source of the outbreak of typhoid and she was later quarantined twice to ultimately die after nearly three decades in isolation.
As students could not define health clearly, he said “complete physical, mental, and social well being, not merely the absence of disease or infirmity. To his question on the common life style diseases linked to the way people live commonly caused by alcohol, drug, smoking abuse, unhealthy eating and lack of physical exercises. As few partially replied, he named diabetics, blood pressure, obesity, heart disorder, depression etc. as life style diseases.
Dr Jini is right as India is known as the diabetes capital of the world with estimated 50 million people suffering from type-2 diabetes and the number may rise to 80 million by 2030 while nearly 26 people die of diabetes per 100,000 population as per IndiaSpend data.
“You will be taught how to control stress and how to communicate with the patients in due course. However, when asked how many were forced to become doctors by families most of them including Subham Singh, whose father is serving with Army at Aalo, said that they decided of their own. However, Liagi Nimi of Ziro said that it was her childhood dream and she will be first doctor of her clan Liagi. She is the 4th offspring of her parents Legi Miri and Rinia.
Dr Jini’s teaching reminded me of mass communication introduced in RGU at the joint initiative of myself and then famous documentary producer Moji Riba besides my poem ‘You’ composed on 23.05.87 on a local bus while travelling from Banderdewa to Laluk.
You exist in ‘Id’
You feel in ‘Ego’
Immortal spirit conceived
You in a mortal body
Accept the ‘Passage’…
from…‘life’ to ‘death’
from ‘knowledge ‘ to ‘cognition’
from ‘appreciate’ to ‘affective’
from ‘impulse’ to ‘cognitive’
and to evaporate into
the ether of spirit and
at the end leaving behind
a trail of your what you were!
Dr Jini’s turn came after classes of Dr Marinda Panggeng, a product of Donyi-Polo Vidya Bahwan and library in-charge Julie Kombo.
Young Julie was instrumental in developing the new library assisted by Shillong-based North Eastern Indira Gandhi Regional Institute of Health & Medical Science librarian Wanda Dkhar and assistant librarian Sudhansh Rai in April last year. Julie said the library now is enriched with 2,799 books.