Dr. Patel a typical Indian by default.
He was one of my consultants.
I would come to him later.
Other was Dr. Mubarak. Dr. Mubarak was a sweet guy and a father figure. I used to drink a lot of coffee and work non stop covering three hospitals.
I forget the names of two of the three. Joyce Green is the third where I was based. One of the units had a Reigional Neonatal Care Unit. This is the time Neonatal Care was getting established in UK with Baby Belin units were brought in from USA. I had even done a locum in Neonatal Unit of Hammersmith Hospotal in London.
I had a firm grasp of the Ventilator Units with my super underdtsning of Physics and partial pressure of Oxyen in air and in the Ventilator.
I had to manage 6 babies there for several weeks all alone as a "Medi Locum" and I blacklisted the Unit on my own volition and left with a note that never call me for another locum in this unit which was understsffed by all accounts.
IPPV (Intermittent Positive Pressure Ventilation to preven atelectasis and cortical blindness in premature babies) was the only methods available in most of the units but proper standard ventilation was hard to come by.
Both of these guys did not have an inderstanding on Neonatal Care but that is not a point to bark or brag about.
Coming back to my coffee story I dropped my coffee cup twice on one day and after the morning round, I told Mr. Mubarak that unwelcome episode. He immediately called the consultant in Medicine and requested that I have a full Medical Check Up and 10 day Mandatory Leave.
He was man with s Golden Heart.
All the cases under him with no medical diagnostic label, I sorted out for him as a token of gratitude.
One of thise cases was a Temporal Lobe Epilepsy. I used to take vase notes to my room and do a Problem Oriented Medical Record (POMR) Annex and then make a most likely diagnosis in a priority list.
The Indian guy Patel was a man interested in money. He had a Private Clinic in London and he tells me when he goes there for consultation. That means I was in charge of his patients until he returns.
This I took it as a bonus for future reference. But that did not work all right due to a single incident.
All his unsolved cases are put to my Clinic List and I sort them out in 6 to 12 weeks.
It was Sunday 31st of January, 1988.
My General Meidical Council Registration ends on that day but I had to cover part of January 1st as a coincidence which is a holiday in England.
I had a very bad night.
One of the cases was a two and a half year old child sexually abused by her police father. The mother brought in her with a false alarm and I could not believe her clinical story. I told her the child needs full clinical examination without telling that her story is inconsistent. I wanted her consent for full examination in writing. After some persuation with her maternal sense prevailing, she consented. My worse case scenario was proven right. She was sexually abused recently and on long term basis. I found sevetal human pubic hair in her perineum. When they were shown to her, she said they were dog's hair and I said I could give a her a sample for her own private verification. She declined accepting it but I made a point to label 3 samples one for immediate testing, one for the court (Hospital has to save it) and one for the mum/dad for her/his own verification. This was my last case and I did an almost perfect clinical examination. I wanted to admit the case but being considerate I gave a call to Dr. Patel and said you need to come and see the case immediately. He said I would see this case in 6 weeks in the clinic. I told him by that time "the tell tale signs would disappear Isn't it" He mumbled and put the phone down.
The mistake I did was asking permission to admit. I should have admitted her in the first instsnce.
I accurately recorded everything so that he may be incriminated and not me in my absence in CEYLON.
Next day he called me to continue work in the same capacity. I refused saying I have no registration and it is not legal. At least he could have said I would call the Medical Council for approval for further extension but he did not. I new he had a personal grudge with me and any work under him going to be precarious.
I stayed in my room for another 10 days to finalize my total departure from England and never to return, again.
But I had made an appointment with a consultant in Pathology to discuss the prospects of me changing to Pathology. So after short holiday in CEYLON I visited England to see this guy in Pathology.
He gave a cold shoulder to me and no proper interview was held. I barged into his room and said what has happened to English Etiquette. He went numb and I said I would never step into UK again.
He was a white guy and I did not know whether Dr. Patel had any connection to the cold shoulder I received from this white man. In any case, I did not have any inclination to know it either way with Good Bye, impending.
Of course, I left some good CEYLON Tea for Dr. Patel.
I did not explore what happened to the child abuse case. It would have gone higher with human hair sample confirmed and a proper legal determination on this police officer. With a police officer charged on my evidence, I did not believe I would get any formal protection in UK even at that time.
I believe Dr. Patel had a seriois formal warning by the judge who may have presided on this case.
List of Indian Mishaps.
1. Indian Woman at the Post Office who cheated me on the exchange rate of my American Travellers Cheques.
2. Indian vendor added things which I did not purchase. I told him I would proceed to police. He took back the receipt and gave me the correct receipt.
3. Anothet guy refused to give a receipt in "open market" to avoid paying of taxes to UK government.
4. I used to do shopping at Totanam Court Road in London for my mother and my mother in law for Indian Saries.
5. I used to do lot of purchasing in London including Medical Books.
6. Indian doctors who tear pages from medical books and magazines in Hospital Libraries. I ended up subscribing to those magazines which were very expensive. This is how Indians doctors save money to send home.
I stopped going to Indian Shops, altogether.
There are many more Indian stories that include RAW wanted to kill me and I was 3rd or 4th in their list in 1988/89. I had two kindergarten kids then.
I had VIP police protection, since it was a job that entailed diplomatic immunity. Killing one with diplomatic protection is violation of International Law and Indian are known for it.
Creating LTTE by Indira Gandhi is such an astrocity.
That was the grand finale.
I met a few of my friends and said this is the last time you may see me in UK.
In any case, I did have only a few friends in UK.
My wife being a British Council guy did go there until 1994 when our Indefinite VISA expired.
She never worked in UK.
I am glad I left UK.
I have no intention of Visiting UK in this life and any future life.
