Friday, June 3, 2011

Hospital and Hospitality

I used to associate the word Hospitality with Hospitals. [Oxford Dictionary - hospitality · n. the friendly and generous reception and entertainment of guests or strangers].


General Hospital is situated in the heart of Udaipur City. It's one of its only kind hospital of Rajasthan. It is well equipped with modern instruments and highly specialized doctors. Yeah, in appearance wise this old building can't compete with luxurious new private hospitals. But still I feel no other hospital can beat this old heritage of Udaipur.  Being government hospital treatment is cheap. It’s lifeline for poor people. Government does a lot for poor - Free treatment to medicines and meals for BPL people. If you have patience and can adjust in a bit un -clean environment, it’s were you gotta go. People here are not much corrupt like generally we hear in private hospitals. But still I feel hospital can go much better and I don't  hesitate to criticize its weak points. 



For some reason I got chance of spending two complete days in General Hospital of Udaipur. This hospital is sick. It needs some treatment. Hospital is sick not because of patients, but because of ego of people. Why these people have that much attitude. Why can't doctors and hospital staff be more humble and frank with patients and their relatives.It was my general perception to associate hospital with atmosphere of generosity.

Yeah, I agree doctors are busy and they have a lot of responsibilities, but things can be improved. The poor work managements results in a lot of waiting and impatient queues. They just make patients sit long for small issues. But yeah, problem is round robin, ultimately it boils down to over-population. Hospital management needs some attention. They have different set of unconnected staff for different jobs. For security, nursing, operations, cleaning etc and they are not much interconnected. This results in periodic fights among employees. Work of security people is not properly defined. Let me share one happening at the hospital. 

Hospital has two sections - Outdoor and Indoor. Indoor is for people who are admitted and Outdoor is for just for small issues and doctors appointment staff etc. Rules say - No one is allowed to enter Indoor without special pass, but this rule is followed in so arbit random fashion, that leaves everyone in confusion. Security people won't trouble white collar gentlemen, but will just throw out  if a villager tried to enter in. This is no way a fair policy. Sometimes security people try to be strict with everyone .. But this leads to chaos. I was just around and some doctor in informal (no apron, name-tag and other doctor feel stuff) was trying to enter a ward. New policemen on duty shouted in his normal routine language "tu bahar nikal"; this comment just sparked that doctor, who busted policemen "tum 3rd class log, saale mujhe bahar nikalta hai" etc. and so on. Soon doctor lost all his senses and filled the atmosphere with 100db noise.  No one keeps mobiles on silent mode. Be it patients or doctors. Actually atmosphere is already so  noisy that mobiles have negligible effect.

Doctors are like God-figure for patients. The impressions they make, will stick with patients, with fellow people, and as we go further with other members of the different communities in and around Udaipur. Well its okay if some small fight occurs and is compressed, but its more like everyday occurrence, newspapers often reflect the same. Forget about hospitality for patients Everyone seems like just doing his/her duty, they don't show any emotions and give respect to feelings of patients.  Work Culture is Sick !

Some doctors lack manners, kuch bhi bol dete hai. They have some rules to make wards less crowded. Sometimes relatives too visit their patients .. yeah I agree this makes place crowded, but doctors should decently explain people regarding the same. Coarse language kills people from inside. The feeling is even worse in the hearts of illiterate villagers who travel miles to just have a satisfactory look at their fellow beings. Rules are rules, but behavior is also behavior. Doesn't the batch of 15 junior learning doctors roaming with Boss doctor add to crowd. People (especially poor people) are just afraid of doctors - like kids in a school. But because they are not really kids sometimes frustration burst into harsh remarks. It makes atmosphere even more miserable.

Language treatment to educated people is normal/nice, but the staff sometimes too gets wrong here. Those people don't even mind asking people for official xerox and paper clips etc, may be I agree hospital might not have resources. I don't mind buying a handful of things for them, but a "Thank You" comment may have eased my impression on them.

Bhaiji Junta - One thing I liked in midst of so-so attitude. The Bhaiji's who clean floors etc. Their boldness and dedication to their job is impressive. 10 out of 10. These Bhajis will thunder the atmosphere with their loud voice and junta will just vacant the place in one go. Had these bhajis been soft, hospital would be a dirty-dirty place.

Also something for cleanliness - Actually its we people who are responsible for same. People like us go and dirty the place. Staff is doing their job perfectly, but nothing much can be done if people don't change this way of life.

Also, Hospital Canteen is awesome. If you are even hungry and had a night out and finding some place to eat - this place is where you gotta go. Cheap good food - 24*7. Few months back after a nite-out I had tea-coffe here early morning. 

Also, some doctors and staff people are really nice. Their dedication to work is impressive. Anyway whatz awesome part is everything happens perfectly well in these settings. This is so called adjusting nature of Indians. May be we don't have much resources to afford good infrastructure, but we still are doing best with limitations. Yeah, it can be case some dirty people may have make place sick, but their is always a way out. The problems can be best addressed by some internal experienced dedicated employee of hospital, they are only one who knows the true picture. 

I hope someday, someone with google and this blog and may be will contribute something for betterment. Here is some way to go about. 

Recommendations
  1. Hospital needs a separate department for hospitality. This department can guide and instruct people      well. They should be very frank people and make people realise hospital is friendly place too.
  2. Currently rules are half make and followed. There should be proper rules and regulations, job of everyone (especially security people)  should be concisely defined.  Rules should be followed by everyone with due regard.
  3. All departments should be well inter-connected. Frank atmosphere should be reflected on face of people. Hospital staff is doing their job well, but they should also reflect some love and affection in their attitude.
  4. Sign boards and proper conventions to help people find their respective destinations. Its really a big building and even educated new doctors may get lost there.
  5. If possible, more lifts can be installed for convenience of  patients.
  6. Doctors, they are highly educated people but they must not should too much attitude. They should properly listen to every small doubt of patients and there relatives.
  7. Computerization can be a big boon to lot of paper work inside 
  8. Hospital don't have proper lights and fans. Thatz creating a lot of inconvenience. Many fans and lights are dead. But the arrangements for patience is okay. Not much repair work is needed, a small addon will be a boon. Actually, public doesn't use things properly and these equipment go wrong before their lifetime. 
  9. Lack of proper sitting and waiting place, if government can invest to create so nice airports, why not for hospitals.

Whatz pointed are some general happenings in General Hospital of Udaipur. These are layman's educated observations. All whatz blogged may not be true in general but its also not much out of reality. 

The request is, to move 2 steps forward and change your attitude. Also comment your views and suggestions. The more we can learn from each other as to what is working, what not, and what we can do to improve, the better we can together build this initiative.

Disclaimer: The views expressed here are strictly personal. No representation is made that it is timely, accurate or complete.

Monday, May 30, 2011

Vertically Down


It was rare occurrence.

Some lonely time here in Udaipur, my hometown. I am currently spending some quality time home. Summers is worst this year. It feels really hot and unpleasant here.

When at home, my time and schedule goes quite different from normal college routine. At home I turn twice lazy and spends my time in least productive way.

Yesterday (Friday, May 27, 2011)   something strange happened.  We were in Mayur shopping complex,  sector -5. Me and my mom were window shopping around. Before the equilibrium between customer choice and shop's availability could match some random chaos happened, he felled down the terrace.

Gravity, a free fall, an impulsive sound, screening noises. Thundering atmosphere, crowded road. Ambulance rush.

That moment, those seconds !
May be it made me feel - How precious is life !
Ambulance and delay time: Formalities
Life and risk

Safety and India 
Perhaps many buildings and popular places in India are not safe as compared to other places around the globe. We sacrifice safety to make things cheaper. Problem is we don't value human life. To our government cost of one person is just around ~3 lakhs. What this means is -  if some death is caused due to some accident in some company/workplace, that respective firm is only liable to pay these 3 lakhs to family of sacrificed. So, all multinationals and big players can get away with safety measures. For companies, only concern is profit. Now, its better to pay 3 lakhs for one dead rather then invest a lot of money to work on safety standards.

It's not just companies, its general mentality of people to pay less for safe side. Don't you prefer a cheaper low standard helmet - just to show off that police wala and get away with traffic rules. Our buildings are not designed to take into account fire accidents. Typical buildings abroad have fire alarms and dozen more safety standards as compared to India.

Actually, even what we cook in our kitchens is that smoke-rich that Indian food easily trigger alarms and often is false positive. This is what used to happen, when I used to cook food last summers.

Also we have a lot of formalities.
As this post is in connection with accidents, let me inform and rephrase our basic rights.  Its just - if some of your relative met with an accident ..then how do you go about

Here it goes:
The Supreme Court has ruled that all injured persons especially in the case of road traffic accidents, assaults, etc., when brought to a hospital / medical centre, have to be offered first aid, stabilized and shifted to a higher centre / government centre if required. It is only after this that the hospital can demand payment or complete police formalities. In case you are a bystander and wish to help someone in an accident, please go ahead and do so. Your responsibility ends as soon as you leave the person at the hospital. The hospital bears the responsibility of informing the police, first aid, etc. 

With our complicated driving habbits and get away traffic rules, I wander cost of life on Indian roads ?

Abhi kai liye itna hi, may be will add later. 

Friday, March 25, 2011

East and West

I wanted to blog about this but never exercised my fingers before. After long, I can't stop writing that I may probably blog later. Your suggestions and comments are welcomed! 

American Culture

1. Negative Aspects
  • I very wasteful society: Malls and places are lighted 24*7. They are exploiting the earth
  • Culture of drinking. These people just drink and drink. Women are no exception too. Very restaurant is a bar.  
  • Non-Veg people: So, I personally hate, this is debatable. They cut animals live and sell in malls
  • Discrimination: I heard stories of Native Indians. Possibly government is not doing enough for them
  • Concept of unlimited petrol for cars, like unlimited talk time in India. Petrol and Milk cost same. 
  • Strip Clubs: I did never visit; reader may Google. 
  • Luxurious living - Contrasting the Indian poverty touches my heart. 
  • Drugs: Every metro has some underneath dirty illegal business, so was there in Canada. It’s not much different as Mumbai and other Indian cities have too such underlining sellers. Inside stories 
  • US - Anyone can carry any arm (AK47). This is however prohibited in Canada. 

2. Positive Aspects: 
  • Awesomely frank people they are, every morning you hear Good Morning at Coffee shop. Hi and hello are so on tongues! The underlined feeling is not too much. But it really feels so awesome listening Hi, Hello, Thank You, Sorry etc so often. 
  • Trust: You can have a tour of parliamentary building even without a security check. 
  • Welcoming nature: Cosmo-political nature
  • Adventurous nature: People travel from left to right of country on bikes. People just have passion in life
  • Rules are followed: No Dirty business, No garbage
  • You find no watchmen and traffic police people there. Things work fantastically automatically 
  • Traffic rules are followed, seriously this makes me feel bad for India 
  • Informality: Calling your professor by just first name is equally considered respectful – No Formalities
  • A very good work culture, you love working in labs or in some office, people respect you. There is no hierarchic system. Even a sweeper of company can right away talk with CEO of company with no hesitation. No Dirty corruption.  Even Sweepers are nicely paid and is not at all considered inferior job. 
  • Open minded people, but with not so open heart!! 
  • People work out of passion; people do what they wanna do. All fields of study are equally valuable
  • Marriages are so simple and fantastic. They just marry with ~50 guests in some open public garden and sing merry songs. Flowers and simplicity is appreciable. (Contrast: Indian system)

3. Neutral Aspects (These are all neutral to me, but reader may find +/- bases on personnel justification, what I write is just facts)
  • People work for 5 days and party for 2 days a week 
  • Clothing Sense: Girls and Women with mini-dresses, high hills and heavy makeup’s are so common. But people don't just glance. Normal behaviors of normal audience.
  • Non - Adjusting nature. Driver with license of 23 people can't drive bus with 24 people inside, even if it’s worst of emergency. They follow rules blindly. 
  • Punishments are too harsh. If you are found without tickets in local trains, you are finned heavily. 
  • Clothing Optional Beaches: But attitude is normal. They don’t have any shame.
  • Electronics are cheap: In a way they are not paying true value of resource of planet. 
  • TV News: It’s funny: They don't have anything major happening, one end up watching stuff like 1000 vehicles moved on highway 11 this morning. This way has more traffic. Also, they don't cook up news.  We're embarrassed, and we don't want to be, God forbid, hypocrites.
  • Also, not be forgetting the dominating exterior attitude of American Countries like US, this Libya stuff. Mostly all what I wrote was in a way only linked to Canada. One more thing I remember is *Public Display of affection: People end up kissing there loved once anywhere from local malls to local buses. They are crazy!
Thank you for reading, all I expressed was inside stories of some nation that can be seen and understood by traveling. Disclaimer: Reader is responsible for any wrong misinterpretation of data. Author doesn’t have any inclination to any point mentioned.

Few points from some friend of mine
  • Common Positive aspect:  Greeting Elders. Even we wish everyone by saying Namaste uncle aunty, hello didi bhaiya. Well am quite sure these days for uncle aunty too many of us use hello and hi.
  •  "Public Display of affection". Even in India too there are places like lover's street – Where you can see open smooches n kisses n hugs. That time is not far away when in India too we will have such culture of kissing loved ones in local malls and buses.
  • Guests and Hostels: Read this How stupid, such a small thing and they publish in Leading newspapers of India. How cheap!
  • Kissing Scene: The IITR Lipstick Competition is what all I can recall. Damn Shit - Watch this. Well very true is this reply too.

Indians don't celebrate Republic Day or Independence Day with passion. Over there on Canada Day, you can find entire Vancouver on streets with so much passion and energy. Seriously feeling was too much. 
Sick is way in which headlines title in newspapers like "India v Australia in QF, Revenge for 2003 final?" Just to make some news catchy people are using so harsh and thoughtless language. Being over the path of westernization, we are mostly catching up these negative aspects of West rather than many other worth positive qualities. Anyway, Culture is too complex a thing and neither of us can change and do anything. It takes years and then naturally evolution of culture takes place. Everything is not good everywhere. Neither I appreciate Indian culture, nor do I have faith with the west. 

Everything is not good everywhere. Neither I appreciate Indian culture, nor do I have faith with the west. One can even live in once own imagination of this beautiful planet and follow his/her own culture. Do what you like, Go where ever you want to go, do whatever suits you, wear whatever suits you best. Listen to your body and fantasies too. Sing Dance, Study, Sleep but whatever you do just listen to your heart and mind. Open your heart and mind. Do one thing every day that scares you. Win, race is long. Don't congratulate yourself too much. Sometime do crazy stuff too. Your choice is your half chance