Ameen Qudir

Published:
2019-03-05 22:50:35 BdST

A good physician treats the disease and a great physician treats the patient with the disease


 

Professor Dr. Subhagata Choudhury

____________________________________

Once I asked the students : Did you read the book ?
probably in AIIMS New Delhi India or University college London where I was a lecturer (st Thomas's School London, In AIIMS I was to take three or four classes in clinical biochemistry
I also worked in A British Hospital for a year.
the students there were very knowledgeable 
But nobody could answer 
It is very different not in the book
I was talking about lipid metabolism that I was working on lipids turnover studies in G B
I was a discoverer with others to devise a multifactorial diet for lowering lipid levels'.in International Journal and quoted by many researchers
I presented my work
in an International seminar in West Berlin through a grant from Abardeen Medical Council though I represented UK I presented myself as as doctor from bangladesh As research persuits are least known in the world that time all participants and scholars were so curious to know the status in Bangladesh MY paper from bangladesh e=was the first paper on Blood cholesterol in different socioeconomic groups
then it was 1981 and at home i was associate professor in the then IPGMR I went there on commonwealth Fellowship and later After I became a research scholar The secretary Health as a prize sent me to an undergraduate i life takes and I was stubborn not to leave my roots.med college. so that I start a very high level research in MBBS course where research is not a priority That was the medical edn then
But it was a blessing in disguise I enjoyed the colleagues and the students of That college MMc so young so noble so human I liked them but I became a practitioner from a researcher. this is how life takes an about turn.and that is why brain drain occurs.
Any way I come back to the topic
'anybody of you ?
no/
any guess?
the students in London were perplexed they thought what this Asian teacher say 
they were curious 
what Mr ? (they say professor unless you are a Professor. or Mr if you are not a teacher in class they never say Sir to any body except the king or who has received the knighthood 
we read it in the book and consulted the journals
I asked Really?
In Britain the curriculum was being made integrated and there is no such basic science there 
I asked which book 
yes
no 
what you say Mr? 
yes have you seen the patient?
no
no?
then you have not seen the living body as patient is the book you are to read the patient. The class was silent may be spell bound.
they are looking at each other
well the class breaks I give you time to talk for 15 minutes
talk and then come back
The class said well we have understood what you have said.
thanks mr.
You read Osler ?
the disease always do not follow the book as 
now the medicine is so personalised...treatment is now more patient oriented rather than disease oriented as education now is more student centered
manifestations may not follow in each case that is yes or no
what is my advice to my younger colleagues of the future in Bangladesh?
never admit yourself to a medical college if there is no sufficient number of patients and a Hospital and logistics and experienced teachers
the building is not important 
If you like to choose for comfort go to Soanrgaon Hotel or any 5 star
and rest there
but you shall not learn medicine there
Medical college is not a 5 star Hotel or a clinic may be 5 star for corporate business not for you to learn
that's for today
Osler the founder of Medicine a canadian doctor first wrote the Principles and Practice of Medicine.
Osler said in 1868 " A good physician treats the disease and a great physician treats the patient with the disease,"
The personalised Medicine was born since that time.
remember my students The class was silent they all walked away so silently a pin drop silence in the small room holding only 25 students (that was the size of class then)
Osler rightly said 1856
Medicine is a science of uncertaintainity and an art of probability" Have you under stood my young clinical students?

_________________________________

Professor Dr. Subhagata Choudhury

Prominent Writer, physician of the subcontinent

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