Here comes the Boss.”
Everybody becomes alert.
Boss examined the Bed no-17
And said,” Dr. Jha, your opinion is correct
But your confidence is really praiseworthy.
Always use your own discretion
Whether it is wrong or right
Never be shy, that your superiors
Have diagnosed it otherwise
Diagnosis is everything
One should try to learn the diagnosis.
It is diagnosis which matters in doctors’ life
Do continue on the same line,
Add 300 ml blood only
And wait and watch
As he is improving
But if he deteriorates
No option other than a laprotomy.
Dr. Jha, what is the basis of your diagnosis,
When he is having all other features
Of acute myocardial infarction.”
Dr. Jha- “Sir,
It happens very rarely
After cholecystectomy
Due to leakage of
Bile and Blood,
If the drainage is inadequate
Or presence of an accessory cystic artery,
Or an accessory cloleccysto-hepatic duct
Which couldn’t be recognized,
And was not properly dealt
With, at the time of operation.
Leading to complication,which is known
As the Waltman and Walters syndrome.
And are often misdiagnosed
As acute myocardial infarction
Because the patient goes
In profound shock,
Profuse perspiration,
Cold and calmy skin,
Chest pain, tachycardia
And on the top E.C.G
Recordings are usually found to be abnormal.
Sir, in many a Patient
Of gall Bladder diseases,
There is angina pectoris, arrythmia,
And other features
Of ischaemic heart disease
As gall bladder is linked
With heart
It is all due to vagal reflex
From diseased gall bladder
Which brings about
Decreased coronary flow,
Many times,
These type of patients are refused operation
Even form operation-table
Due to their cholecystic heart
And abnormal E.C.G findings
But these patients should not be refused
Operation, due to two reasons
First, after cholecystectomy
Cardiac complaints are gone automatically
The second is
On later dates,
If operation is not done on time
The condition of the heart may be worsened so much so
That the operation may not be
Possible anymore
And the patient is left
To fend on his fate
Sir, if you don’t mind
I want to tell you my
Personal opinion.”
Boss,”Yes, do tell me,
Never Mind
And never be shy.
Let’s come on.”
Dr. Jha,”If you diagnose
Acute myocardial infarction
In very recently operated
Cholecystectomy cases,
Or diagnosed cases
Of gall bladder diseases,
Revise your diagnosis as it may be
A case of waltman and walters syndrome”
Boss ,” I will call it as
Jha’s rule”
Asked Dr. Jha,” Why-Sir?”
Boss ,” Only because
I have known this
For the first time and from you only,
And you have given me the
Actual clue to diagnose,
Otherwise it is tough and tedious to diagnose
Even for bald-headed-Surgeons like me.”
“Sir, it is nothing
But your greatness,
I will take it
As your blessings.”
Said Dr. Jha with his
Hat off and Head down,
Boss ,”Where have you read this?”
Dr. Jha ,”Sir, I have read this
In the journal,”The Lancet,”
In our college library.
There was a beautiful
Case-report of this syndrome.”
Boss,”Look here, Dr. Jha,
I want to establish
A journal club
Which will run on every Sunday
In my chamber.
We will discuss only the recent advances
In modern surgery published
In the leading journals.
I think you are the fittest person
To help me in this regard.”
Dr. Jha,”As you wish, Sir.”
Boss,” Take the guidelines
From me tomorrow”
Dr. Jha was sandwitched
In between Boss and Dr. Prerna
And he was the poor fellow
Who could deny to none,
And was the worst sufferer.
Truthfulness, honesty and
Shyness hurt more than
The pleasures they give
300 ml of blood was transfused.
Patient improved and recouped a lot.
The Boss left the ward
Dr. Jha ,” Sister, I am coming
Within half an hour
After meeting Dr. Prerna
She is in her emergency duty
In the labour-room
When he reached labour-room
He didn’t find Dr. Prerna
He asked one A-grade nurse
About Dr. Prerna
She told him that she was awaiting him
But has just left
For O.T to Operate Upon
A case of ruptured Uterus
Dr. Jha – “Sister, when she becomes free from O.T.
Please tell her that
I had come to see her.
I have a very serious case in my ward,”
And he returned to his ward.
Ward sister,”You are before time,sir”
Dr. Jha ,”She was in O.T.
Busy doing emergency surgery,
I did not think it proper
To disturb her in O.T.
I want her to prosper in her life,
And earn a name for herself
And this will be the height of my pleasure.”
Sister,”Let me say one thing sir,
What a decent pair will be
If you marry Dr. Prerna”
Dr. Jha ,”Sister, You don’t know Prerna,
She is a Brilliant lady,
Really speaking,
I stand nowhere
Before her in any respect.
She was extolled as a genius.
She is endowed with all
The qualities of
A good girl-friend.
She is an open book
For her friends.
But she is very sober,
Simple and innocent.
This is the only cause for my anxiety.
And the only cause of my
Mental trouble.
That she may not be cheated
By someone.
I pray to see her
Cheerful and smiling.
A few months ago.
She was ill with fever and chest pain
And she was admitted
In special cabin,
After investigation & X ray
There was Tuberculous infiltrations
on the right upper zones of her lung.
It came to me as a big surprise and shock
I had never thought like this.
Although for a last few months
She lost weight
And looked rather exhausted.
But to my biased eyes,
It didn’t make any difference
After a few months of
Treatment she came round
Perfectly alright
And looked rather more beautiful
Than before.
During the period of treatment
My position was changed & descended
From her eyes to her heart
You will not believe
I had forgotten about
My hunger and thirst.
Let’s not tell her
What we talked
And how long we talked
In privacy about her
All these things
I have told you
Just out of emotion.
She takes it otherwise.
Please forget it.
She is very conservative
In this regard.
Once it so happened
That all the boys and girls of my class
Went for a training
To Itky sanitorium, Namkum
And Ranchi Mental Hospital.
We all enjoyed ourselves the training,
And visited
All the worth-seeing-places
One of the girls
Of my class
Was miss Reema,
A Kashmiri girl,
She was very extrovert,
And expert in
Cracking jokes and creating humour.
She came to me and told
I have a work
Which no one
Other than you
Can do.
Well! Should I expect that
You will help me?
Dr. Jha,”Why not certainly yes!
I will try my level best,
Tell me , what I can do
For you.”
Reema,”I cannot tell you
Before so many boys and girls,
Please keep this as
A top secret.”
“I became very much inquisitive
But I couldn’t know
That she had planned
To expose Prerna’s
Secret love for me.
Had I known it earlier,
I would have refused her
straightaway.
Reema laid her hand
On my shoulder,and
Brought me under a tree
So that Prerna should
See all these things clearly.
She came very closer
To me and
More played with me than
she whispered
Into my ears
I caught a whiff of her
Body fragrance
She pressed the front of her body
To the outer side of my right arm
By keeping her both hands on my
Left shoulders.
Just to irritate Prerna.
Dr. Jha,”Have you gone mad,
Leave me,
All eyes are riveting on us.”
It was really an awkward situation
For me
I was afraid only of Prerna,
Who might just
Take it otherwise
And heckle me
For months to come.
It is shame and shyness
Which keeps every pleasure
Of life away.
I could not understand
What she whispered into my ears,but
Only to get rid of her,
And to save my own skin,
I told in a rather loud voice,
“Your work will be done.”
So that,
Prerna should understand
That Reema is whispering
For a work,
And Nothing else.
Even tolerance and
Patience has a limit
Prerna came and
Lost her temper, and
Started to rebuke Reema.
Prerna did not speak to me for
A pretty long time,
And always pulled a long face.
As she had not expected this from me
Even in her dreams.
Whenever I wanted to talk to her
She always twisted her lips
And turned her eyes
Against me in childish but fabulous manners,
As if she didn’t care
For me at all
For which, I had nothing
But to curse bloody Reema,
Who turned the table in a fraction of a second
Like a brilliant witch.
After a month or so,
It suddenly dawned upon her
That she was mistaken.
She came and told
‘I am extremely sorry.’
To which I asked
Her not to worry,
It happens.
When she sees me talking to a beautiful girl
Even of my class
Even with some urgent work
A peculiar chain of reactions
Takes place
And she becomes a different lady.
Though her face resembles
That very lotus on which the first beam of rays
Of the red sun of the dawn
Falls.
But she tries hard
To disfigure and distort
Her face only to vex me
She puffs up her cheeks
Thrills her nose
Reddens her fawn’s eyes
And bites her rosy lips
By her silvery teeth,
Strikes the leg of the desk
With her stubby feet
Reddens her chubby cheeks
And tip of her nose,
As if she were
A classical case
Of mitral strenosis
Or a chronic beer-addict
And when she catches my sight
She does not coo like a cuckoo or a dove
But hums like bees
Frowns at
And curses me
Often she hides her eyes with her dishevelled
Hair which she throws at her face,
It seems to me
As if ,
The moon have been
Partially shadowed
By dark clouds
But still to me
She is all grace, all charms,
All singing, all dancing,
So much so I fear
I may be washed away
With the current of charms
Of her youth and innocence.
She divulges
A beam of blue rays
Like a blue diamond.
When She is caught unawares
Then I usually ask very politely
What has happened to you
She always replies
In a weeping tone
I haven’t to talk to you
Please leave me alone.
My heart sinks, and sobs
I feel guilty
Of the blunder,
I have never committed.
At times I realize and feel
Lovers are, really,
Helpless creatures,
And nothing else,
Come off the class of beggars.
But luckiest are those,
Like my other friends
Who only laugh and smile
& never
Find their eyes full of tears.
Sister, please never mind.
Good Night”
Another day in the morning,
Dr. Jha was late by half an hour
Dr. Jha,” Good Morning Sister,
How are you?”
Sister,”Good Morning, Sir,
I am fine.
Sir, Dr. Prerna had been awaiting
You here since 8 a.m.
For more than half an hour”
Dr. Jha,”Then you must have talked about me”
Sister,” No Sir, Please relax,
I am not your enemy,
She told me,”When Dr. Jha becomes
Free, tell him,
To see me in my ward,
I will be waiting.”
But Sir, She seems a little
Off-colour today.”
Dr. Jha,”She is not doing
Well these days
And passing through
Critical moments due to family trouble.”
Sister told,”would you mind
telling me, sir,
What kind of family trouble she is having?”
Dr. Jha told in a rather angry mood
“You always vex me
By asking unnecessary questions.
I have no time to waste
Over Useless things.
Mind your own business.
Anyway,
Let us start
The works of the ward
I want to finish
All of my ward-works
Before my boss comes.
Oh! Yes,
Today is my O.T. day
I will not be spared before 4 in the evening
I will see Dr. Prerna later on.”
Dr. Jha became much faster
As he had to see
Dr. Prerna in her ward.
Dr. Jha,”Hurry up sisters,
Let me see the list
Of patients to be operated today”
Sister,”Here it is.”
Dr. Jha,”Please prepare the list
Of all the patients and send
Them to O.T.
Sister please co-operate
So that the work is done fast.
Sister, please never mind,
I will tell you everything in detail.
When we get loose hours.
You are the only person
To whom I have disclosed my heart.”
Sister,”You need not worry sir,
For these trivial things,
Please relax.”
Dr. Jha became free from O.T.
At 3.15 p.m. and came
To his ward, advised
Injection and infusion
For the operated cases in haste
As he had to see Dr. Prerna,
Otherwise, she would go very angry.
He thanked the sister,
As the O.T. work was finished
Much before time
“Sister, Please call the ward-boy
And send him to the college canteen
For refreshment of your choice and coffee
For both of us.Here is the slip.
I am relaxing in the chamber
Of Boss for a while”
Prerna came and asked,
Has he left?”
Sister told,”No Madame,
He is exhausted,
And relaxing in the chamber of boss.”
Dr. Prerna,”Did you convey him my message,”
Sister ,”Yes Madame, But
He couldn’t find time
As today was his O.T. day.
He was just to leave for you.”
Dr. Jha was filled with
Longing only to hear her voice
And jumped off the chair
To see her
As if his fatigued muscles
Got an electric stimulus
And he suddenly became
Exuberant, cheerful and all fresh.
He exclaimed with joy
“Oh! Yes
Do come in
I am very happy to see you alone”
But she was none-too-pleased
At his behaviour
As he kept her waiting.
For the whole day,
And he couldn’t manage
To see her,
Even after her personal request,
Dr. Prerna Said in a rather rude manner,
“I have yet to see a
Cunning fellow
Like you.
When I am found with my friends
You become so innocent
And behave so nicely
Like Mr. Nice guy,
So much so that
All my friends say
That you are Mr. Right
For me,
But I don’t find you
Exactly perfect, only because
When you find me all alone
You have romantic longings
And behave otherwise.
Tell me, what you find in me
Which intoxicates you
So much.”
Dr. Jha spoke
In a husky voice with longings,
But in a very mild tone,
“You are pretty hot stuff.
Curves and projection
Of your body are sizzling.
It is your intoxicating & Inviting eyes
Which compels me too much ,
And invariably invokes me
To leave my boundries
The more I drink,
The more thirsty I go.
Truly speaking,
I have never found
Anyone
So charming and exciting
Like you as yet.
I am not at all
To be blamed for
Why I do get the blame
For everything
Which goes wrong with you.
She pulled him
By his nose,
Dabbed her eyes,
Gnashed her teeth,
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