Thursday, December 13, 2018

CHAPTER XVIII GLIMPSES OF A GREAT PHYSICIAN: MY GURU DR. B.N. DAS GUPTA


Chapter XVIII

Glimpses of a Great Physician:
My Guru Dr. B.N. Das Gupta

            We were expecting Dr. B. N. Das Gupta (9.12.1919-4.2.1992) at Patna during May 8-9,1982 in the third conference of the NMO. He could not come due to acute left ventricular failure while he was on his way to Calcutta and was admitted to a nursing home. I, on return from Patna, wrote to him that I would be assisting him in his clinic when he returned, and would help him in compiling his vast treasure of knowledge by writing some books, especially; I had thought to produce a text book on Clinical Methods in Paediatrics. Dr. Shanti Prakash and I had also collected a large number of books and other materials from the DMC Library, richest in the Bihar* State even compared to the PMC, Patna.
            When Dr. Das Gupta returned, I closed my suburban clinic and joined his private clinic in his home, more with a notion to serve him than to learn. I did not know at that time that this guruseva was going to be more important to me than the coveted degrees.
            In this brief resume, I will mention mainly some human aspects of that grand clinician, the medical aspects of which are already reverberating through the batches of teachers (many even retired) and their students and so aptly, he was called a ‘teacher of teachers’ during the tenth anniversary celebrations of the NMO at Ranchi on 24th December 1987.
            It was my proud privilege that I as his clinical assistant served more number of hours than any of his residents during his long service tenure.
            Dr. Das Gupta was a man of grand will power. When he returned from Calcutta, after his treatment, he bade good-bye to his chain-smoking. Some younger doctors had requested him and he had left smoking the same moment. I had learnt from a teacher that once a president of the Royal College of Physicians at London had left smoking for good during a T. V. interview but I saw it in the form of Dr. Das Gupta at Darbhanga.
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* Including Jharkhand

            Next time, when he was taken ill, I remained in his home for his care. He used to get up around 4 a.m. and after daily rituals, he used to study before I could wake up. Submissive as he was, even in respect of his ailment and its treatment, he himself knew much more than the eminent physicians attending on him, who happened to be his students themselves.
            His art of teaching was excellent. My teachers used to say that he was showing them the effects of hypoglycaemia by injecting insulin to the patient. I did not see it but many times I was asked to find out mistakes in his just written prescriptions and then he would point them out to me. As an examiner too, he was said to be a wrong prompter but after a while he would make you understand that you had been proceeding nonsensically.
            He had a wide range of normalcy and on seeing the ECG reports mentioning ischaemia; he used to tell me, “If you ask for an ECG, the patient is bound to be labelled as an ischaemic.” So, “In the X-rays of chest, mentioning tuberculosis on a few glands is wrong.” He used to say, “These are common in tropics.”
            His prescriptions would sometimes evoke laughter. I remember a case; the patient had pain in ankle joint. The patient was literate, but he pronounced ‘uncle’ joint repeatedly. Prof. Das Gupta wrote the same as ‘uncle’ on the prescription and in the afternoon sitting while suggesting massaging, he also pronounced ‘uncle’ joint.


Fig. 27 _ Felicitation to a great teacher Dr. B. N. Das Gupta at the IV National Conference of the NMO, Jamshedpur on 7.12.1986 (L._ R.) Mrs. B. N. Das Gupta, Dr. B. N. Das Gupta, Dr. S. Das Gupta (Director, Medical Research Centre, TMH, Jamshedpur), Prof. S. J. Kale, National President, NMO.

             He was dead against ‘daddy-mummy culture’ and used to say that on dais you would plead for removing English and in home ‘daddy-mummy’! I remember a boy came to him and showed him for long an album of his marriage elaborating in (poor) English but all the while Dr. Das Gupta spoke in Hindi.
            He pleaded for Hindi and the Aayurvigyan Pragati in the First Medical Editors Meet of the country in Calcutta, during 22-23 August 1985, not only because English medium served as a passport to English speaking countries for brain drain but also as his students had not been able to take notes properly in English for previous 15 years. He was the president of the Bihar Bangla Association and was pleading for Hindi in Calcutta, in the city where a Hindi speaker was called a Hindustani, as if Bengali speakers were something else.
            I had listened to fluent orations of Dr. Das Gupta in Bangla in literary meets, in the presence of an elite citizen of the town, Bibhuti Bhushan Mukhopadhyaya, a noted writer of Bangla. He used to come to Dr. Das Gupta’s home. I had heard a few highly cultural talks among them. Dr. Das Gupta used to say that the knowledge of humanities was a must for the medicos.
            Some young workers had initially objections to the famous quotes of the Indian nationalists in the Aayurvigyan Pragati, a medical journal. He told them that a medico was a social person first, and if he/she in a meeting was asked to say something on Buddha, he/she should be able to say. He also said that the new generation was fast forgetting Vivekananda, Tilak, Aurobindo, Bankim, etc. which was very sad.
            On the issue of the selection of the insignia for the Aayurvigyan Pragati, he had said that if we did not remember Dhanwantari, Charak, Sushruta, etc. who would?
            Seeing the reverence of poor patients in his clinic, he used to tell me,” Only poor people pay you both money and honour.”
            Many orphans of the nursery of the Paediatrics Department of the DMC used the name of Dr. Das Gupta as their father, who took care of them Once, the NMO had also organised a function for their welfare*.
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* On 28.11.1999, on my initiative an orphanage Nivedita Ashram had been started by the NMO, which was looked after by Mahesh Badhvani. Address: Arogya Bhavan No.1, Ranchi 834009. Tel.: 0651-2547130.
    
            Listening to the nonsensical names of babies like famous ‘Appu’ (who were born in the days of Asiad) he used to ask parents whether their language had dearth of names that they had named their off spring after the name of a baby elephant? On 15th August 1947, one of our RMO in Surgery was born, so was named Azad Hind and one girl in my maternal grand-parent’s village, Koilakh, was named Swaraji which might have some significance, but people have amazingly accepted English names like Pummy, Dolly, etc. Dolly, who became my wife, should excuse me.
            If a baby was brought by someone, mother being at home he used to refuse examining the child. If servant were sent to collect the prescription, he would not hand it over and would also return the fee, already taken.
            He never criticized any doctor’s prescription, even if it had gross errors. Once, I remember, a lady doctor of Muzaffarpur had asked, a mother not to feed the baby for minor ailments. He asked thrice whether she had told so but without comments. Usually he was an admirer of the prescriptions of the peripheral doctors and would say that he had already taught everything to his students and so they were as good as he himself was. He never used to take up patients, referred to any other doctor. Darbhanga was a town notorious for touts and usually his patients were trapped elsewhere and he used to say with a smile, “Now, there are so many Das Guptas.”
            A good organiser he had been. Even a very young worker was offered sweets in his home. Equally revered was his wife, caring for the workers. She was also preserving well the letters of the Aayurvigyan Pragati. For me his home was a home, clinic, library, office and what not!
            Dr. Das Gupta used to tell me that knowledge could be gained from two sources either from a rich library or an experienced person, and in him I found both.
            “Learn to see, learn to hear, learn to feel, learn to smell and know that by practice alone you can become expert. Medicine is learnt by the bedside and not in the classroom. Let not your conceptions of the manifestations of disease come from words heard in the lecture room or read from book. See, and then reason and compare and contrast. But see first.
                Do not waste the hours of daylight in listening to that which you may read by night. But when you have seen, read. And when you read, read the original descriptions of the masters who, with crude methods of study, saw so clearly.
                To study Medicine without books is to sail an unchartered sea, while to study medicine only from books is not to go to sea at all.”  - Sir William Osler



1 comment:

Anonymous said...

I heard from my father the name of Late Dr.B.N.Dasgupta ,he was realy second God with a simple dressup & highly and highly knowledgeable with vast experience.