National Doctor’s Day 2021

“People pay the doctors for his trouble; for his kindness, they still remain in his debt.”

– Seneca

Introduction

1st July is known as National Doctor’s Day in India and it is organized by the Indian Medical Association. The theme for this year is “Save the Saviours”. The profession of a doctor is full of responsibility to serve the public, and they play a huge role in everyone’s life. We enter the world because of the successful delivery by a doctor, we are safe from the viruses because we get vaccinated by doctors, we recover from our sickness by the consultation of a doctor, doctors perform surgeries on us to keep us alive, and the most important, it is because of the research of these doctors that we now have a vaccine for SARS-CoV-2.

History of the Day

This day was declared as Doctor’s Day in 1991 by the Government of India in honor of Dr. Bidhan Chandra Roy’s birth and death anniversary. Dr. B.C. Roy is famously known for making good health services available to common people. He played a huge role in the creation of two very important medical institutions of the country; the Indian Medical Association in 1928 and the Medical Council of India in 1933. He is also known for helping in the creation of the Indian Institute of Mental Health. He was awarded the Bharat Ratna on February 4, 1961, a year before his demise.

A few facts about his life; he had to take 30 meetings with the dean of St Bartholomew’s Hospital in London to gain admission because the dean was not too inclined to admit him. He graduated in 1911, after which he became a member of the Royal College of Physicians and a fellow of the Royal College of Surgeons. He entered politics after returning from London and took part in the Civil Disobedience Movement. He was a friend of Mahatma Gandhi and took care of him during the 21-day fast. After Independence, he became the Governor of Uttar Pradesh and a year later, he was the second Chief Minister of West Bengal and he served till his death on 1st July 1962. And the B.C. Roy National Award was instituted in 1976, it is the highest Indian award in the medical category.

Mental Health of Doctors

The theme of “Save the Saviours” should not just be to save the doctors from violence but also from the mental health issues they face. An IMA survey claims that 80% of doctors in India are stressed because of their profession. This is not a new problem that arose because of the pandemic, it has been an issue from a long time without getting much attention. A survey conducted by IMA in 2017 shows that 56% of doctors do not get comfortable 7-hour sleep most days. Other studies from 2019 show that 30% of Indian doctors go through depression and 80% face the risk of burnout. It was studied that India’s doctor-patient ratio is very high which brings stress to the doctors related to extended working hours, verbal/emotional abuse by the patients and frequent negative patient outcomes. This stress can then result in prescription errors, loss of temper, being unable to give sufficient time to patients and poor communication skills. But the doctors tend to refuse to seek professional help as it might affect their prospects as a doctor. The doctors are also trained to mask their pain and deal with it themselves which is not healthy. The overtime and overexertion are just normalized and expected that people forget how it affects our doctors. As we focus on saving our saviours, we should also normalize mental health issues and accept and promote doctors seeking professional health, these saviours deserve to save themselves too.

Violence Against Doctors

Violence against Doctors has been in existence from a long time but the pandemic has just brought more attention because of the role the doctors have been playing. The World Health Organization (WHO) guidelines of 2002 define workplace violence as incidents where the employees are abused, threatened, assaulted or subjected to offensive behaviour in circumstances related to their work. An IMA survey shows that 75% of doctors have faced some form of violence in their profession, which includes verbal, emotional, sexual, and cyber abuse. About 62.8% of doctors are unable to see patients without having a fear of violence, 13.7% of doctors fear criminal prosecution and 57.7% of the doctors have thought of hiring society. When the national lockdown was announced in March 2020, the common people were filled with panic and anxiety and they started acting out on the health care workers, they started discriminating against the doctors, not touching them, not letting them buy fruits from the stall, treating them as polluted, not just this but also physical abuse. Two female doctors were beaten by a fruit seller when he found out their profession. All this forced the Indian government to make an ordinance to protect the frontline workers, but even this could not protect them, in June 2020, a doctor at Hyderabad’s facility was assaulted by the relatives of the patient. Not just that, in June 2021, a doctor in Assam was punched, kicked and hit with metal trash cans by the relatives of a patient. This has become a common thing in India and a part of the reason is because of the lack of responsibility taken by the government in the health sector, so everything falls upon the doctors to deal with it. Till when do doctors have to suffer for protecting us? When will we realize that they are working for the public, they are trying to help us, they put themselves in danger every day to protect us and they get this treatment for it? This isn’t just an issue for existing doctors but also for the future doctors who keep worrying about being in situations where they are abused and the fear, in turn, changes the focus from saving the patient to saving themselves. Adding to that they start wondering if it is a country-based issue which then makes them consider further education abroad.

Conclusion

It is high time we start appreciating doctors for their service to the public and this Doctor’s Day is a good time to start if you haven’t already. Our saviours need to be saved.

References

National Doctors’ Day

National Doctors Day is celebrated nationwide, every year, on the 1st of July. But why? This is to express our gratitude towards doctors and physicians for their service towards our well-being. Legendary physician and the second Chief Minister of West Bengal, Dr Bidhan Chandra Roy was born on the 1st of July in Patna, Bihar in 1882 and coincidentally died on the very same date in the year 1962. In 1961, Dr Roy was conferred with the nation’s highest civilian award, Bharat Ratna. Doctors day in India was established in 1991 in honour of his birth and death anniversary.

Well, Doctors day is celebrated every year on the 1st of July but this year another day was observed, by the doctors of IMA (Indian Medical Association) on 18th of June, NATIONAL PROTEST DAY. Doctors came together against the assaults on doctors in COVID wards. IMA observed nationwide protests demanding central law to protect doctors against violence.

Doctors and healthcare workers held placards and raised slogans like doctors bachao desh bachao (save doctors, save nation) and save the saviour. Doctors and medical staff at the IMA office in Hyderabad protested wearing black badges. Doctors from AIIMS Delhi and IMA unit, Ludhiana also took part in the agitations. Various state-level protests were taking place for a long time.

Why are these protests taking place? 

 Let me brief you here

  • Bhopal: A local politician was seen screaming at a Bhopal doctor who couldn’t save the life of a patient who was bought to the hospital at an oxygen level of 30. This left the doctor in tears and he was demoralised to the extent that he wanted to resign.
  • Guwahati: A doctor at a coronavirus facility in Assam was punched, kicked, and pounded with metal trash cans and bricks, by the relatives of a Covid patient who had died, allegedly due to oxygen shortage. Locals also assaulted the doctor who was then hospitalised.
  • Kerala: A police official allegedly attacked a doctor in the Alappuzha district. The official is accused of slapping Dr Rahul Mathew, who was working the night shift at the Mavelikkara district hospital, after the former’s mother, a COVID-19 patient, was brought dead to the hospitals. Doctors protest for the non-arrest.

And many more such cases went viral on social media. Assaults on doctors might not make it to the news daily, but take place every day.

What exactly did they do to get such treatment?

Grinded in high school, cracked NEET, spent 7-8 years working hard and studying in college, paid a hefty amount of fees to medical colleges or even took loans for their studies.

Who does that? Their fault, right?

Image source: Google | Image by: BusinessToday.In

During COVID lockdown when most of us were busy making dalgona coffee and baking cakes, they were out there in scorching heat, wearing PPE kits dealing with patients. Burning the candle at both ends, forgetting they have a life of their own, forgetting they have a family waiting for them, isolating themselves from their own family members, in their own houses to protect their families from contracting the virus, more than 500 doctors died during COVID, trying to save our lives. But why, just to save us. Imagine how demoralising it is for them to get beaten up by the ones they’re working for.

What is the probable reason?

  • Lack of infrastructure
  • Manpower
  • Laws in place
  • Security arrangements

Lack of infrastructure

The shortfall of ICUs, no beds for patients, dearth of oxygen support, the inadequacy of medicines, caretakers bound to wait in long queues for medicines at dispensaries, patients gasping outside hospitals, black marketing of almost everything required for a person to recover, our health infrastructure was crippling.

 Manpower

Along with the tools used to help fight COVID, there is a paucity of our warriors too. There should be at least one doctor per 1000 patients according to WHO, whereas in India there is one doctor who attends more than 1445 patients. Not just doctors, the suggested number of nurses per 1000 patients is at least 3, there are just 1.7 in India (43% less than WHO standards). This leads to overworking of doctors and medical staff ignoring their basic requirements like sleep and a proper diet.

Laws in place

Medicare Service Persons and Medicare Service Institutions (Prevention of Violence and Damage to Property) Act, also known as the Medical protection act is there in at least 19 states, which when breached can lead to an imprisonment of up to 3 years and a fine of INR 50,000. Damage to any medical devices and equipment is a punishable offence and offenders are liable to pay twice the amount of the damaged equipment’s cost.

The Act, however, fails to really protect doctors because it features neither in the Indian Penal Code (IPC) nor in the Code of Criminal Procedure (CrPC). This makes it difficult for victims to approach the police for help or the latter to file a complaint against suspects.

Security arrangements

Doctors are not politicians with scores of gunmen and bouncers around them, who will assure their safety? Due to lack of security at hospitals and clinics, doctors and other staff are the soft targets for unhappy relatives and agitated patients.

Stepping into doctor’s shoes

Imagine yourself as a teacher who fears being beaten up to death by parents for their child’s poor performance at a test, will you even be willing to teach anymore with the same zest. I don’t think so. Hospitals are understaffed, doctors are overworked, patients are overwhelmed.

But this isn’t the fault of our doctors. They are going an extra mile in order to save as many patients as they can, making 3 patients share a bed or switching oxygen support among patients, they have our best interest at heart.

Doctors are not supposed to be accountable for the paralyzed infrastructure, that is where the leaders we vote for come into play. They’re made to work for 15+ hours at a stretch that too in a harsh environment, in a place they no longer feel safe or comfortable in. 

What do doctors want?

All they want is for the government to sit with them and consider their problems.

For a law to protect their lives so that they can continue with their duties towards the nation. The implementation of existing laws. 

They don’t demand banging of thalis from our balconies or something like that in order to pay our respect, they didn’t ask for showering of flowers upon them for their service, all they’re asking for is to be able to practice in a safe environment where they’re worried for patients’ life, not scared of getting beaten up by sticks.

We were always raised to believe doctors are God on land. Saving our life, giving us a new one at times, while risking their own. What they now want is not godly, but at least a humanly manner.

How can we help?

First and foremost, don’t be someone they need protection from. i.e. don’t be an assaulter.

Secondly, don’t ignore if you see someone being unfair toward them. Raise your voice, report if you see something like this. 

A simple realisation that we can trust our doctors can do wonders.

Lastly, don’t forget they’re humans too. Thank them, pay your respect, or at least, just don’t be a jerk.

This Doctors day, I bet Dr Bidhan Chandra wouldn’t be proud of our country treating its doctors and medical staff like this.

Let’s all come together and promise that we’ll make the world a better place to live for our selfless human beings. We owe them.

Ending here with a salute to any doctor or an aspiring doctor reading this, and a sincere tribute to the warriors that lost their lives.

Kudos, to all of you.