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Tuesday, 21 March 2017

Your Friendly Neighborhood GP


A continuous bout of minor illnesses in the family over the last few weeks, led to a number of trips to the good ol' GP and set me off thinking
How different is this dying breed of affable family doctors from the current crop of suave, detached 'medical consultants' attached to multi-specialty hospitals!


Almost all folk born in the pre-1980's era, yeah besides dinosaurs, would have encountered these now endangered species - Your Friendly Neighborhood General Practitioner.

The species was characterized by typical bald/white-haired, well-groomed, bespectacled gentlemen garbed either in pristine all-whites or well-coordinated, pressed half-sleeved shirt with a tie of course. Doctor aprons were seldom seen.


Not to forget the bulky valise or doctor's briefcase that made its entrance before the expert himself. No filmi doctor sahab was complete without it!

Let's not be gender-biased here as you did have a decent sprinkling of the fairer sex as GP's too. This breed most definitely went in for the no-nonsense, starched matronly look. 

The GP I visited in my childhood was a jolly old fella, Dr G. Dr G cracked silly jokes when you got on the weighing machine, complimented you on your increasing height, made your dad cringe when he narrated his childhood mishaps and made you lie on the examination table only if he deemed your responses to his jokes unfavorable. Then again, he decided to put you on the table, if your mommy didn't look too pleased about him being so frivolous! Once you were on the table, he half-heartedly poked around with a stethoscope that barely touched you, often forgetting to plug it into his ears and cursorily dismissed your near-fatal fever as just an extension of a common cold. From your granddad to your neighbor's uncle, he knew everyone! 
His biggest diagnostic tools, I believe were his tiny torch and his willing ear. His treatments were largely successful thanks to the faith we put in him and his fluke but bang-on prescriptions of in-house compounded mixtures, tinctures, pills, pastilles, ointments and salves. The combination of his dawa (medicine) and our dua (prayers) did the trick! Not one of us was spared a dab of the stinging iodine tincture for scrapes and cuts, sufficient deterrent to future accidents!
And then there was this Dr I who had this perpetually grave look. He never smiled, I actually thought it was a physical affliction that prevented him from even a polite smile to my father's lame jokes. He patiently listened to your symptoms without looking at you and took down copious notes in a large diary that had probably been passed down through generations. I was tremendously curious as to what he wrote in those notes in barely legible tiny scrawls, but he never left the diary idling within anyone's reach!
His lethal weapon befitted his foreboding demeanor - The one-shot-treatment for all ailments! Yes, his clinic was always filled with screams and wails of kids and sometimes the odd adult, trying to escape the needle. I was sure he gained some kind of perverse pleasure inflicting those pricks on all who came to disturb him in his sanctuary. But whatever the reason, the effect was absolutely instantaneous and infallible...practically miraculous! Most kids however feigned perfect health the minute they heard the parents discussing a visit to Dr I.
A special mention to the ubiquitous cubicle in the GP's clinic housing his man Friday a.k.a The Compounder. This gentleman had the unenviable task of deciphering the doctor's scrawls. 
Image source: Pixabay

All day long he dispensed through a tiny window in the cubicle, a complex combination of colorful pills and powders rigorously compounded with pestle and mortar, meticulously wrapped, filled up graduated bottles with a cherry red liquid that unvaryingly tasted vile and mumbled instructions that no one could hear. In fact this mysterious being never came out of his cubicle and we only saw his hands and heard his voice. I often wondered what the man did in there all day and how he actually looked. I had cooked up a male witch version, brewing potions in a cauldron and so I was terribly shocked and a trifle disappointed when I chanced upon a squat old man with twinkling eyes, pop in and out of the cubicle to assist the doctor with something.
Happy days were they, when you waited for hours sitting on the rickety benches staring at all the posters lining the walls detailing symptoms of every imaginable ailment, sniffing apprehensively the waft of spirit, listening to ladies catching up on gossip (almost everyone knew each other then), comparing notes on the doctors, there were distinct Dr G Vs Dr I loyalist camps followed by the strict hissing shhh...from the stern Sister on duty. The only thing common between the two doctors was the long queues at their clinics.

A vital part of the General Practitioner's reign was the Mrs GP, yes she was a virtual doctor herself or that's what her lady pals assumed. The ladies milked her for free tips and prescriptions whenever they met her for tea or at the market and the gracious lady never disappointed. Advising eager listeners on all their queries, this lady was a powerhouse of unlabeled expertise.

Coming back to present times, I don't really feel like discussing the niceties or the lack of them in the apathetic, business-mindedness of our current generation of medical consultants. Did you know, individual consultants affiliated to big hospitals need to bring in a target amount of business to the hospital each month? Yeah, that accounts for all those miscellaneous tests you went through on your last treatment at the fancy super-specialty hospital.

They say a Specialist is 'One who knows more and more about less and less.' Couldn't be truer!  If there is a pain in the head, will the heart specialist tend to it? The nephrologist dares not venture where the gastroenterologist rules. And Super-Specialists? They are beings we lesser mortals discuss not!
Where the old GP took care of all your physical ailments and freely counseled you on other matters, the new age medicos find it blasphemy to infringe on drawn limits of bare minimum interaction with the 'patient'.
You will always remain a 'patient' or a 'case' to them. Who wants the complication of associating aches and pains with names and faces? No, the patients do not expect their doctors to give them a 'jaadu ki jhappi' (magic hug) but just a bit of empathy and compassion could go a long way in aiding with the treatment.
With great power comes bigger responsibility said someone, but who has the time...time is money isn't it?!
The term, 'Family Doctor' then actually meant just that, the healer who was a part of the family, in sickness and health. They just don't make 'em like that any more!

Do you have memories of Your Friendly Neighborhood GP? Do share, would love to hear!
 
This post has been picked as a 
Spicy Saturday Pick @blogadda




­­Copyright © 2017 KALA RAVI

Comments (46)

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My family GP, treated me from the time I was about 2 years old, till my younger son who is now 11. But, he had magic in his medicines. We would recover magically after two doses. Bang opposite this GP, was another GP. There was good competition between the two. Of course, the opposite GP was younger and had the latest film magazines at his waiting room. So, I and friends would drop in, to 'wait' for some time and then leave. Good old days.
1 reply · active 416 weeks ago
You just revived my old days. Those where the days when the GP was easily approachable, dependable, trusted. However, I couldn't say the same for any GP now. In fact, I hardly know one coz we have a mutispeciality clinic or hospital in every nook here. So before understanding the trouble I am going through I have to figure out whom to approach. Thats a big headache.
1 reply · active 416 weeks ago
Well said. As these GP treat us for years, they get to know your medical history inside and out and the coming generations in our family too and offer a better health to our family.
1 reply · active 416 weeks ago
Yes, things just aren't the same anymore, with the "Family Doctor". It's more impersonal now and they just don't take as much time with you as they used to. I had a great one, from the age of 14 right up until he retired about 10 years ago. That's a span of almost 40 years and he was like a father to me! I was sad to learn he died of cancer in 2015. Didn't get much chance to enjoy his retirement.:(
1 reply · active 416 weeks ago
Reema Dsouza's avatar

Reema Dsouza · 416 weeks ago

Yes, I miss my family doc when I am sick. After moving to Bangalore I hate going to these hospitals with all their specialists treating me! I still call my GP back home. I loved this post Kala. It brought back so many memories.
1 reply · active 415 weeks ago
Oh yes, Kala. All my childhood visits were to the friendly neighborhood GP. That briefcase which held that prescription pad and did you notice the colourful golis that some of them dispensed in paper envelopes? They were more like family friends back then aware of every ailment of ours. It is now very impersonal. The doctor hardly has time to chat or any interest in your life.
1 reply · active 415 weeks ago
Oh, you're right. Our family doctor before is still our family doctor now. Somehow there's a huge difference to the new breed of physicians.
1 reply · active 415 weeks ago
Hi Kala, very well written article and V.true
1 reply · active 415 weeks ago
Oh, you're right! I vaguely remember my GP and the compounder! And that briefcase? Damn, I had completely forgotten! What a great article, Kala. :)
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1 reply · active 415 weeks ago
Shilpa Gupte's avatar

Shilpa Gupte · 416 weeks ago

Your post took me on the stroll down memory lane, Kala!
I instantly remembered a Dr. D, stern-faced, no-nonsense, no-gupghup kind. He spoke in almost-whispers and rarely did he look the patient in the eye. At times, I had to strain my ears to hear what he had to say! Then, there was (still is) a Dr. S. She resembles Nirupa Roy, what with the entire get-up and the clinic run in her residence. Her meds are what I will remember always. Pink, red, yellow, blue and white capsules and tablets, in every shape and size, placed together into tiny brown paper pouches in groups of three. How I fancied that art she had worked on of dispensing those meds...I hardly heard her instructions, for my eyes would be forever glued to how she grouped together those meds and deftly dropped them in those pouches! Ah, how I miss those family doctors of yore! I detest going to visit those specialists in those super-speciality hospitals, who charge a bomb only to tell you that you have a cough/cold and you are supposed to spend the next week guzzling cough syrups! Bah!
Hilarious, enjoyable, made me nostalgic....Superb post, girl!
I hope you are doing fine now! Hugs, sweetie!
I sure do have memories of our family doctor, Dr. Ziprin, who would make house calls through my constant bouts of tonsillitis (he didn't believe in taking tonsils out) and other childhood illnesses. And, the night he came because my Dad was, as it turned out, gravely ill with pneumonia (it did turn out OK after a long hospitalization). Don't remember a compounder, though. Than you for the memories.
1 reply · active 415 weeks ago
Hehe...well, my 'family doctor' was truly family --- my dad was my GP growing up. We would of course go to other doctors for some things but usual illnesses etc were always seen to by dad. Then I moved out of home to Australia and found a wonderful GP only 4 years after I moved here. Sadly, I've had to leave her behind with my move in October. Still looking for one in the new area. You do need GPs you trust!
1 reply · active 415 weeks ago
Yes, dead as the dodo - the entire breed of the family doctor. I remember my own saying I could drink Coke during some piffling ailment and winning me over for eternity :) mum was very disapproving of his methods...nowadays, healing is a business, hospitals run like corporations...heartless and soulless...

Sorry to read about the illnesses in the family, hope everyone is recovered now. Take care.
1 reply · active 415 weeks ago
Loved your account of the family GP...enjoyed it thoroughly! You're right, they don't make them like that anymore. Back in the days we used to have only these GPs who knew our family history unlike now when you have to try your luck when you see a doctor in one of the speciality hospitals. Having said that, after our move to Bangalore, we've stuck to one doctor attached to a specialty hospital whom we run to every now and then and thankfully, we get a similar feeling because she knows our family well enough as she has seen every member some time or the other. Lets just say we are happy with that.
1 reply · active 415 weeks ago
Sorry to learn about the illness in the family, hope everyone is feeling better now.
Loved your account of the family doctors of your growing up years. My current GP is quite like Mr. I who wears a mask like expression, that never changes irrespective of who visits him or what is said to him. Thankfully, he isn't too much into using the 'lethal weapon' and on most occasions, we manage with a script of bitter-sweet pills. Thankfully, he is pretty patient with patience unlike the other specialists in our area.
1 reply · active 415 weeks ago
One more thing taken by the corporate culture. I loved my family doctor. He was a serious man but he never gave shots. I was scared to death of syringes and he knew that. He always gave me tablets.
1 reply · active 415 weeks ago
Sajimol Prashant's avatar

Sajimol Prashant · 415 weeks ago

As I was reading about the gentle Dr.G...I couldn't help but remember our own Bachpan ka doctor....Dr.Chit is !.His remedy for EVERY ailment was the ubiquitous Dal Chawal and it worked...every single time:) Agree...it's a dying breed being rapidly replaced by Super Specialists..owing to which going to the doctor is not the same any more. And yea...the mysterious compounder...the dispenser of everything bitter :))
Thank you Kala...your imagination, narrative and sense of humour makes everything come to life.Enjoyed reading this!
Keep them coming!
1 reply · active 415 weeks ago
Such a beautifully written piece, Dee! Reminded me of the neighborhood Doc Uncle who used to give me chocolates before doing the check-ups. Maybe, because I was a healthy kid with chubby cheeks. :P Honestly, there was something special about those days when the relationship of a doctor and a patient had a strong bond and great trust over each other.
Nothing like from a fairy tale for me. We just have a young (married now) chap since ages for the family...he has been our go to since the time I remember.

Your story reminds of the typical Indian movies with doctors carrying the briefcase and just the stethoscope that they primarily used alongside.
A nice tale on Family Docs. We all had them, right? I remember going to the same Doc every time and there is something magical I must say. Medicines worked. Loved reading the post.
Rajlakshmi 's avatar

Rajlakshmi · 413 weeks ago

How did I even miss reading this one. This is hilarious 😀😀😀 I once ran away from clinic while my mom was waiting in the queue. She had to run after me and drag me from sports club back to the clinic. I was 10 then.
Ah Kala, this post brings back memories of the GP I had while growing up. He is the same one my entire extended family used (we used to live pretty close together) and we used to always joke about how is practically a part of the family heirloom. :D
Kala, great post. Sadly I don't have a single GP story to share but wherever we moved (every 3 years), we had a GP who was a "family doctor' to the entire community ! Someone who parents would know and believe in completely. They came with their own quirks and one compounder actually snitched on us for eating raw tamarind ....hmmm !
Those old time family docs were such darlings. The sense of security they gave us cannot beat the stiff professional approach of the doctors today. But I dare not say more coz I'm married to a doc. ;)
The family doctor concept is really 'almost gone' now, isn't it? But yes, we keep them alive with humour-filled and nostalgia-inducing ones like these.
Nice one, Kala.

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