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Non compliant patients do not form a majority of the lot, but I do feel that the numbers have increased of late, thanks to Dr Google and Social Media (which highlights the flaws of doctors boldly every other day, hence giving patients the confidence to believe that whatever doctors say is akin to nonsense and they can modify the treatment regime, themselves).Presently, in the ENT ward at Aiims Bhubaneswar, there's an interesting event going on. A 4 year baby posted for elective surgery has come covid positive before the surgery. Naturally the department has refused to conduct the surgery immediately for obvious reasons.The patient's family is of the opinion that their child had come healthy to the department and AIIMS is responsible for infecting their child with covid. The child had come 2–3 days back, so it is highly unlikely he acquired it from the department, especially since the hospital ensures maximum safety.The child was already infected and by virtue of the incubation period, the infection was detected now. He is asymptomatic.The family refused to budge from the general ward to the covid ward.The ENT residents tried their level best to convince the family to shift to covid ward till the child gets a negative report but the family refused to move.An entire Saturday evening spent trying to explain a patient's family about the incubation period of covid and why it was necessary to delay the surgery and shift the child to covid ward for symptomatic management.(This is relevant because we Residents had Saturday plans😝. Doctors are humans, too).The family still refused to move an inch.Finally, the Aiims security was involved and today morning, they're supposed to deal with the family who have glued themselves to the general ward despite a positive diagnosis.How do doctors deal with patients like this -?They initially try their level best (till just before the point of utter frustration) to inculcate some sense into the patient's family. A lot of times, that is enough.But at times like this, it is essential to get the security involved.And, if the patient is non-compliant with treatment plans, after an initial attempt, one needs to let it go ( nobody can pursue a patient forever).However, this will not hold good for infectious diseases that are a potential threat to society eg: Tuberculosis. In those cases, by any means, it has to be made sure that the patient complies.Update : The patient went away - Leave against medical advice.

See this dog? She’s a little thick and weighs 115 pounds. She’s not real good with strangers in the house. I had a guy in to clean the carpet—real nice guy, but Mollie was having none of it. That’s why I took her and her two doggie sisters for a walk in a light rain that day.I planned a short walk, but soon we found ourselves on the other side of the small lake next to my neighbor’s house. Of course, the rain intensified.“No problem.” I said to myself. Perhaps to the dogs, as well. “We will take the short-cut across the dam and get back before we are all soaked.”Well, it turns out that since I had last been in this area, a neighbor had fenced his property, and easy access to the dam was gone. I walked back and forth, thinking I would have to take the long way around, but then I noticed that the recent drought had caused the lake to be dry at the base of the dam.I happily walked across the relatively dry, crusted lake bottom for about 30 seconds. Then, my foot sank into thick, goopy black mud. I suddenly noticed that all three dogs had avoided the area and were pulling on their leashes. One slipped her collar and was gone for home. The other little dog was whining plaintively. Only Mollie was stoic.I cursed the disgusting mud and took another step, sinking up to my ankles. “Damn,” I cursed, “now I am getting my shoes messy!”.I stopped for a moment to consider my predicament. I looked around at the houses surrounding the lake, and was so thankful that no one was witnessing my folly. What an idiot!“Oh, no”, I muttered, “I think I am losing a shoe!” Angrily, I struggled to begin walking with a purpose toward the shoreline. Angrily, the mud sucked on my feet and legs. Nothing budged, I was stuck.Reluctantly I looked up at all the homes. I could even see my own home, across the way. Maybe having some help would be a good thing. Unfortunately, there were no lookie-loos on this chilly, rainy day.I took a few more tentative steps, and sank with each one. A chill ran through me as the gravity of the situation began to sink into my head. I. Couldn’t. Get. Out.Then I chuckled. This was ludicrous. No one drowns in quicksand like mud in a lake with only 4 feet of water. I wasn’t even in the water. I was in the suburbs, within sight of my home. Crazy. I frantically searched the coastline but there was still not a soul. I looked at my dogs. Little Taco was still whimpering as she uneasily glanced my way. Mollie, well, she looked preternaturally calm. I swiped at the tears that had somehow formed on my cheeks. I was actually going to drown in this horrible gooey black mud.I had been perfectly still for the last five or ten minutes. Yet, oh my God. Oh my God! It was past my crotch, now. Oh yuk, what a disgusting way to go! That awful, infectious goo was on my crotch now! I looked at Mollie and, defeated, I whispered, “Mollie, what am I going to do, now?”She looked deeply and long into my eyes, nodded twice, and turned around. She was directly beside the steep dam wall, which was covered with thick tree roots. She moved one paw to the left, and hooked into the roots as I watched, mesmerized. The right paw followed on the other side, again wrapping around the tree roots and then she leaned forward until she was flat on her belly. She clumsily clambered upward with her back legs digging deeply. She repeated the motions, and I felt the leash go tight. I wrapped it around my wrist twice as she continued.Reaching, pulling, crawling again and again. I let her drag me flat on my stomach, across and through the mud—-saturated from head to toe with thick, black, goopy mud. Suddenly it was my turn to grab the roots, and I did so, pulling myself up the dam and onto firm soil. At the top of the dam, she turned toward me as if to tell me to get up, she was done pulling. In a daze, I got up and we returned to our home, this time by the long way around.I had heard that a dog’s strength is roughly similar to that of a man weighing triple the dog’s weight. I have to say that I can certainly believe it. Otherwise, how could she have had the strength to pull me out of the muck, which had finally reached my waist? More to the point however, how on earth had she known what to do? She had used the roots as tools to pull herself upward —that just wasn’t possible.Now when I look deeply into her beautiful amber eyes, I see another being in there. An incredibly intelligent creature who actually loves me so much that she saved my life.

Despite not planning to come at first, life had other ideas and I was free yesterday.I came just in time for the first session which was a tour of the exhibitions at the National Gallery of Indonesia. There were two exhibitions. We had an official tour of the fixed exhibition that showcases Indonesia’s visual art history which was actually more interesting than I had expected. But Goenawan Mohamad and Hanafi’s 57 x 76 Exhibition was what I was really forward too. The abstract Erotika pieces and Picasso remakes snatched my attention.A few pics of my favourite artworksPicasso #?Pengemis - AffandiErotika 01Diskusi di Sanggar Bumi Tarung - Sanggar Bumi TarungYang Berusaha Tumbuh - Dede Eri SupriaAfter having fun gazing at art, the meat of the meetup took place in the second session. First everybody introduced themselves. Next, was a presentation about a range of posting issues and BNBR policy of Quora Indonesia adressed by kak Alanda K.Then there was an interesting talk by kak Jonathan Sadikin on “freedom of speech” in Indonesian law, legal boundaries of criticizing the government, and an insight to some controversial laws. Later on, he also gave me some ground on IP law and his opinion on where to be an IP Attorney (many thanks kak). Throughout the session he was always willing to give his thoughts on Indonesian politics in a manner pretty much non existent here.After those two presentations, groups formed and discussions took place on literally everything on the casual to serious spectrum. Chatting away with fellow quorans made me get a feel on other’s interests, opinions, stories. I was learning left, right and centre. Everyone was being fun and light-hearted even when heavy topics were brought up.I was so engaged that I forgot I had to tutor a student at 5pm (sorry) and was their till the session was finally over. Even though the official meetup had ended, I was still rattling on with Bayu Cipta Pramudya, E. Bonita, Sandya Kusuma, Tika Aulia Putri, and event coordinator/session moderator/bill dealer Rana Aulia.There was also pak Renan Prasta Jenie’s carpool ride (thanks for driving) which I’ll save for another time.A big round of applause to Rana Aulia for taking on so many roles before and during the meetup. You did well, back chairmate!Thank you also for everybody who also helped with the event. And for fellow Indonesian quorans who made it such a great occasion.I hope to see you all and others soon!Before ending:Rana Aulia is still persuading me to post this pic somewhere on the web. This is my way of saying thank you for budging me to come since May, as I really needed this. Credit goes to pak Yulian Ardiansyah for this nice shot.