06/12/2025
๐๐ก๐๐ง ๐๐ข๐จ๐ฅ๐จ๐ ๐ฒ ๐๐ซ๐๐๐ค๐ฌ ๐ญ๐ก๐ ๐๐ฎ๐ฅ๐๐ฌ
Most of us believe medicine is a science of certainty.
Take a tablet, the fever goes away.
Pop a pill, the headache disappears.
๐๐ ๐ญ๐ก๐ข๐ง๐ค ๐๐ข๐จ๐ฅ๐จ๐ ๐ฒ ๐ข๐ฌ ๐ฅ๐ข๐ค๐ ๐ฆ๐๐ญ๐ก๐๐ฆ๐๐ญ๐ข๐๐ฌ โ ๐ฌ๐๐ฆ๐ ๐ข๐ง๐ฉ๐ฎ๐ญ, ๐ฌ๐๐ฆ๐ ๐จ๐ฎ๐ญ๐ฉ๐ฎ๐ญ.
But medicine is not math.
It is probability.
And biology, unlike technology, does not always follow the rules.
Take something as simple as ๐ฉ๐๐ซ๐๐๐๐ญ๐๐ฆ๐จ๐ฅ.
Crocin, Calpol, Tylenol โ we have all taken it for fever or pain.
Itโs the most common over-the-counter medicine in the world.
For 999 people out of a thousand, it lowers the fever safely.
๐
๐จ๐ซ ๐ญ๐ก๐๐ญ ๐จ๐ง๐ ๐ซ๐๐ซ๐ ๐ฉ๐๐ซ๐ฌ๐จ๐ง, ๐ข๐ญ ๐๐๐ง ๐๐๐ฌ๐ญ๐ซ๐จ๐ฒ ๐ญ๐ก๐ ๐ฅ๐ข๐ฏ๐๐ซ ๐๐จ๐ฆ๐ฉ๐ฅ๐๐ญ๐๐ฅ๐ฒ.
The same tablet that helps almost everyone can, in rare cases, kill.
No one knows who that โone in a thousandโ might be.
That is called ๐๐๐ฒ๐โ๐ฌ ๐๐ฒ๐ง๐๐ซ๐จ๐ฆ๐ โ a rare reaction where the liver and brain swell up, and a completely healthy person can die within hours.
๐๐ก๐๐ญ ๐ข๐ฌ ๐ฐ๐ก๐๐ญ ๐ฆ๐๐ค๐๐ฌ ๐ฆ๐๐๐ข๐๐ข๐ง๐ ๐ฌ๐จ ๐ก๐ฎ๐ฆ๐๐ฅ๐ข๐ง๐ .
๐๐ญ ๐ซ๐๐ฆ๐ข๐ง๐๐ฌ ๐ฎ๐ฌ ๐ญ๐ก๐๐ญ ๐ง๐จ ๐ญ๐ฐ๐จ ๐๐จ๐๐ข๐๐ฌ ๐๐ซ๐ ๐ข๐๐๐ง๐ญ๐ข๐๐๐ฅ.
You can have the same fever, the same symptoms, the same treatment โ and two people will respond completely differently.
It is why a computer can never replace a doctor.
Computers are predictable.
Biology is not.
A line of code runs exactly the same way every time.
A human body never does.
๐๐ก๐๐ญโ๐ฌ ๐ฐ๐ก๐๐ญ ๐ค๐๐๐ฉ๐ฌ ๐ฆ๐๐๐ข๐๐ข๐ง๐ ๐๐จ๐ญ๐ก ๐ฆ๐๐ ๐ข๐๐๐ฅ ๐๐ง๐ ๐ฆ๐๐๐๐๐ง๐ข๐ง๐ .
Every doctor has seen these moments.
The child who recovers when everyone had given up.
The healthy man who collapses after a โroutineโ procedure.
The medicine that heals a thousand patients โ but harms one.
These are the nights we stay awake, asking ourselves,
โWhat did I miss?โ
โWhat could I have done differently?โ
But sometimes, the answer is โ nothing.
๐๐๐๐๐ฎ๐ฌ๐ ๐๐ข๐จ๐ฅ๐จ๐ ๐ฒ ๐ฃ๐ฎ๐ฌ๐ญโฆ ๐๐ซ๐จ๐ค๐ ๐ญ๐ก๐ ๐ซ๐ฎ๐ฅ๐.
So what can we learn from this?
1. ๐๐ ๐ก๐ฎ๐ฆ๐๐ฅ๐.
Even the safest treatment carries risk.
2. ๐๐ข๐ฌ๐ญ๐๐ง ๐ญ๐จ ๐ฒ๐จ๐ฎ๐ซ ๐๐จ๐๐ฒ.
Doctors treat, but your body heals.
3. ๐๐ญ๐จ๐ฉ ๐๐จ๐จ๐ ๐ฅ๐ข๐ง๐ โ๐ฉ๐๐ซ๐๐๐๐ญ ๐๐ฎ๐ซ๐๐ฌ.โ
There are none.
4. ๐๐๐ฆ๐๐ฆ๐๐๐ซ: ๐ฆ๐๐๐ข๐๐ข๐ง๐ ๐ข๐ฌ ๐ก๐ฎ๐ฆ๐๐ง.
We work with probabilities, not promises.
We live in a world that demands certainty.
โWill this work?โ
โHow many days?โ
โWhat guarantee do you give?โ
The truth is โ there are no guarantees.
Only the constant dance between biology and belief.
Every day in the clinic, I am reminded:
๐๐๐๐ก๐ง๐จ๐ฅ๐จ๐ ๐ฒ ๐๐จ๐ฅ๐ฅ๐จ๐ฐ๐ฌ ๐ซ๐ฎ๐ฅ๐๐ฌ.
๐๐ข๐จ๐ฅ๐จ๐ ๐ฒ ๐ฐ๐ซ๐ข๐ญ๐๐ฌ ๐ข๐ญ๐ฌ ๐จ๐ฐ๐ง.
Because when biology breaks the rules,
all we can do is stand beside it โ
in awe, in humility, and in hope.
Copyright @ Dr Debraj Shome
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๐
๐ซ๐จ๐ฆ ๐๐ก๐ ๐๐ฎ๐ญ๐ก๐จ๐ซ ๐จ๐ '๐๐จ๐๐ญ๐จ๐ซ๐ฌ ๐๐ซ๐ ๐๐จ๐ญ ๐๐ฎ๐ซ๐๐๐ซ๐๐ซ๐ฌ'.
This book isnโt just about medicine; itโs about humanity, ethics, and resilience โ about what happens when those who heal are misunderstood by the systems they serve. If you have ever wanted to understand the doctorโs side of the story โ the fatigue, the failures, the faith that keeps them going โ we hope you will find this book both moving and eye-opening.
Amazon India link: link in comments