Wednesday 24 December 2014

A cute poem for a tiny girl


You changed my world with a blink of an eye
That is something that I can not deny
You put my soul from worst to best
That is why I treasure you my dearest Marites
You just don't know what you have done for me
You even pushed me to the best that I can be
You really are an angel sent from above
To take care of me and shower with love
When I'm with you I will not cry even a single a tear
And your touch have chased away all of my fear
You have given me a life that I could live worthwhile
It is even better everytime you smile
It so magical those things you've made
To bring back my faith that almost fade
Now my life is a dream come true
It all began when I was loved by you
Now I have found what I am looking for
It's you and your love and nothing more
Co'z you have given me this feeling of contentment
In my life something I've never felt
I wish I could talk 'til the end of day
But now I'm running out of things to say
So I'll end by the line you already know
"I LOVE YOU" more than what I could show.
[Burrowed -anonymous ]

Sunday 21 December 2014

THE BOILING FROG SYNDROME

Put a frog in a vessel of water and start heating the water.

As the temperature of the water rises, the frog is able to adjust its body temperature accordingly.


The frog keeps on adjusting with increase in temperature...

Just when the water is about to reach boiling point, the frog is not able to adjust any more...

At that point the frog decides to jump out...

The frog tries to jump but is unable to do so, because it has lost all its strength in adjusting with the rising water temperature...

Very soon the frog dies.

What killed the frog?

Many of us would say the boiling water...

But the truth is what killed the frog was its own inability to decide when it had to jump out.

We all need to adjust with people and situations, but we need to be sure when we need to adjust and when we need to confront/face.

There are times when we need to face the situation and take the appropriate action...

If we allow people to exploit us physically, mentally, emotionally or financially, they will continue to do so...

We have to decide when to jump.

Let us jump while we still have the strength.

Friday 19 December 2014

Trespasser’ stretch


                                Trespasser’ stretch

“Kamala, the Lady Beggar? She is strong, young and hard working. A familiar face. It is 10
years now. She has grown in her age but not the baby on her chest, is still only 7 months. She
changes baby on her chest like seat number in bus .Her hand stretches to next stranger before
its fills or not. She walks on two legs, one is poverty and other is a dead moral. Absolutely no
attachment .Just like bus conductors move from one to another passenger, she moves.
Begging is a profession! Hopes, rehabilitation or rescue home for many like tent house for
refugee. Neither law has ban nor public heartily oppose. Time and tide do not wait. They are
having today. Who does know they would in shoe of beggar shoe? Religion do believe in
lives are alike. But constitution and its order stratify life into rich and poor. Poor is sometime
assured but frequently not assured right to life.It is sacred in some religion. So much so, they believe donate till you have nothing .Hindu
epic Ramayana amuses .The king of Lanka eluded and stole Sita, wife Lord Rama , in the
costume of beggar .Therefore so many hate beggar .Neither you nor I would really identify
who is beggar and who is in its shoe. Some true in heart. They return to home earlier. Cannot
hide emotion. Who offer to the right one, are liberated .If not, drop in hell in this life and
later. It’s a double edged sword. It is religious way to beg but certain parts of world. All that
glitter is not gold. Many are sick of mind. They disguise in beggar’s apron to live. It
disfigure a sovereign. It fills stomach and kills brain.
Always you cannot escape .Reciprocate either with empathy or sympathy then move.
It is mere maladjustment need and mind. Issue is complex .Nobody gauge dignity in good
time. Crisis destabilises human value to eccentricity of beggary and outrage of moral. Whom
to blame? Have and have not have different openion.Defination changes across line of
control. Behaviour is ancient but not earlier to homo sapience. Some animal do steal in
crisis but none stretches hand .All animals do have right and left hand.
Professional beggars have organizations .Thrives on cuts.Everybody born as beggar .We lean on others quite often before birth to funeral and beyond
to maintain statue if any installed. That’s ok.Thats not wrong? But many do not grow out of
it.Sometime everything is the darkest of dark. All the door are closure but the door beg and
escape. Imagine you lost your purse or vanity! It happens to all.
It is war of emotion between donor and recipient. Donate and fill happy. We feel. We teach
our children in generation to next. Beggar also add to our emotion .Brilliant smile, eludes and
amuse donor shortly. People who do not drop coin, cannot see uneasiness on the face of
beggar because beggars’ discomfort dissipates before reaching to the muscles of facial and
social expression. It is also not legible to all who passed by. A few do look back and a few
have time. There is no time to bargain .Why to waste time? Why after all? So many people
and so many lanes. Globalization disperses me but do not exhausts. Either beggar’s stretched
hand, its melancholic songs or both peeps through windows of the car like trespasser’s
stretch, haunts and hurts passengers at traffic nodes. These perfectionists snuggly fits and
squeeze in between crawling motors .The gate and stance is stereotyped, traditional and well
acquired and innovated. True one really bursts into tear in no time. Go on imagining, you
would feel.
Constitution and civilisation puts the problem in tortoise shoe. No territory is immune
because poverty and moral outrage are contributory. It is there to office public place.
Begging does not need costumes. We are all born as beggar. Some by birth, some in crisis
and some in disguise to deceive. Sadam Hussain’s 40 years stretch in Iraq or Congress
government’s 3 decade In India at stretch India could not short cut in the size. Political
parties came in two third majority or multiple parties in combo, reigned, and celebrated
hatrick but not ruined poverty or its immediate effect, begging.NGOs are awarded. The
endurance of arm muscle connected to stretch hand stood the test. Tribal to civilization. A
natural instinct .A blue print in Homo sapience gene. Knock down incorrigible.You walked
away, so also me.Some dropped one, some dropped two coins. Some stood. Some asked a
few funny queries but no follow up. Sympathy and empathy were not longitudinal. Those
who dared, succumbed to quantity and complexity.
The problem is not a duplicated graft or clone. It is from seed .The seed is religious, crisis.
Human resource is counted in number not in quality, especially not moral is not built up in
school .So often, there is no school.
Jail gate opens. War ends .Door to hell opens. None bothers about relived because she or he
already relieved. No rehabilitation. What glory attached leaving jail or living outside jail.
Who counts pregnancy of sexual violence in war? The hero of the art movie in Hindi “Do
ankhe bar hath” was an ideal jailer, succumbed to social resistance but left a legendary
message forever “rehabilitated before relieve”. Alas! That message remain locked in
entertainment magnetic tape.
Tax is universal and for everything, on income and every expenditure. Money from alcohol
and cigars! Is money that matter always? I don’t feel. Ubiquitous to naked eye in developing
nation. What happened to them who left the school for one or other reasons? We do have
census but who keeps dropout within school campus. How does slum habitants eat? Supine or
pronated hand!
Government efforts and accounts its shape to zero! Population control. Strict immigration
rule. Rehabilitation after of natural calamity. Some remuneration to victims or their relation
.There is a mismatch. The efforts try to shape to zero but the inherent nature of the problems
sleeps in web of the salaried authorities.
Inputs are numerous. Outside the marriage custody and social torture, they come from?
Where do they live? In slums, under tree or foot path? I searched .I found them diffuse in the
dark of night same building and houses. I could not clearly distinguished .Then I got mesh up
in dictionary of poor, poverty, beggar and begging. True and malingers.
It is dawn.Globilisation is embraced poor and rich. No more people are restricted by cast and
creed. We do not find a person to work as a servant but we do see some beggars. Why? What
is the cause? Does all the efforts of constitution implemented but failed.
Disease is same is decease in species other than human. Nature immediately opens the death
gate for injured animals .There is no living under mercy in animals in morbid condition
.Human escapes this tragedy. The outlets are few but there are. Constitutional efforts is
measured meagure.That challenged one cannot but beg.
Spiritualism is love ever and hurt never. Corruption is the path of least resistance to hell. But
immediate gratification is ensured. Law and corruption always opposite but that does not
stamped begging as an offence. Does it mean there is a secrete understanding between Justice
and constitution. Politicians makes law but enforcement is not there role.
Nuclear family does support grandparents .Wife gets husbands property and son gets from
father. But does in any law children pay parents. Of course, no.
Literatures suffers most in modern syllabus. Mother tongue suffers most. Morals is the very
content of literature.Heritage suffers transition to next generation Study is about science and
math.
Retirement blesses pension .What about common when becomes old, thrown out family.
Pre family planning family era is still worse. Short of food. No education. The stomach and
other organs grow as children grow. Migrate or run over LOC .No relation and no shelters. A
size of finger count thrives but rest of them follow the exit of disease, decease or begging.
Many children never seen mother like pulps do not recognize father. Many examples! Some
NGOS rescue but problems spill to street.
Raped but not killed, discovered in foot path with half mind or school of prostitution.
Everyone busy for family, none for society. Its duty of government.
Of course with rise of female literacy, the number of female servant has reduced to the extent
of naked eye vision. Female gender and proverty.I when mixed, a vulnerable situation stems,
that spoil the female .The remnant of the issue is mental and physical rehearsal for begging .It
is bit a complex scenario.
Seasonal beggar? Harvesting is over. No works. Hunger does not compromise?
Nobody is really satisfied, rich or poor. To beg, it is not necessary to go foot path .Vigilance
is eluded.
“Cut jungle, make city” .Give job to some, give begging costumes to others. Natural
resource is not inexhaustible .Industry switches of .unskilled or semiskilled suffers .Some of
them rescued in local begging association.
The plots are not at reach because builders always win in auctions. Corporation impose strict
rule in public place. Where do then beggars hide him and luggage. Answer is beggar has
home ,he walks to death.The paradox is a criminal relieved from jail called beggar. Nobody accept him. Its haunts me.Remuneration for funeral not for rehabilitation of family. The decease goes to burial, children re left in road.Law is everywhere, so also beggars. What a positive correlation!
Competitions innovates and should be restricted there. Every constitution should believe in
right to life. Prime minister should not shoot at poor .Low cast and poor colour are curse.
Binary effect of nuclear family. Love child and hate parents. The president of your country
won’t care because his parents cannot live in parliament.
It is comedy show! Yes. Legless have leg! Blind has 6/6 vision both eyes! Popular joke – do
not drop coin, it disturbs”. “Plus 10 rupees, I am graduate”.
“Rape in war: how a US law prevents aid for safe abortions” is a big concern. Because
children burn out of sexual violence are fuel for begging or brothel house.
Dignity talks in full stomach, difficult to practice in poverty. Life flows as a leaf in water
.The swirls of do not keep with science or conscience. The dream and reality are fused.
Reality and result are far away from acceptability. Mind hunts for escalator. The responded
doors are to migration, prostitution, dropout and sexual violence. So on .Comfort is never is
free. It is very much either species, homo sapience or other.
Night spreads. Hunger does slip from bed or have no bed. Time to bargain .Time to earn.
Antisocial are satisfied .Some injecting blood and others bath in blood. It is 5 A.M but not
dawn for all. Some are crushed to death others cursed for life. A teen is pregnant .A new
beggar statue is installed. It happens to poor and its begging child.
Politicians and public both have feels it would wither itself. It is complex .it would take time.
Planning commission is in work .The ban may improve in feigning .Truth would commit
suicide.
Between 2014 and 2050 the world population will increase from about 7·2 to 9·6 billion
inhabitants, so also would be the size of poor and its begging children.
It is a true story of my part of land. I would love to hear more about yours.I feel your country
must have beggars! Because beggar does not always mean financially challenged but a
collapse in character. The story of beggar who strides across the globe as cosmopolitan, on
two legs, one poverty and other is sick mentality. The exact response to stretched hand is
universal handshake .Fiddling of fingers in own purse does not solve. Before you sort out the
coin, beggar slips to next stranger. The problem of beggar and begging continue. In beggar’
uniform we would not enjoy. The hybrid effort. Constitution would improve economy
.People could oath for building character .

Sunday 14 December 2014

Cleverness vs. Physique


One day the tortoise met the elephant, who trumpeted, “Out of my way, you weakling – I might step on you!”. The tortoise was not afraid and stayed where he was, so the elephant stepped on him, but could not crush him.

“Do not boast Mr. Elephant, I am as strong as you are!” said the tortoise, but the elephant just laughed. So the tortoise asked him to come to his hill the next morning.

The next day, before sunrise, the tortoise ran down the hill to the river where he met the hippopotamus, who was just on his way back to the water after his nocturnal feeding.


“Mr Hippo! Shall we have a tug-of-war? I bet I’m as strong as you are!” said the tortoise.

The Hippo laughed at this ridiculous idea, but agreed. The tortoise produced a long rope and told the hippo to hold it in his mouth until the tortoise shouted “Hey!”.

Then the tortoise ran back up the hill where he found the elephant, who was getting impatient. He gave the elephant the other end of the rope and said, “When I say ‘hey!’ pull, and you’ll see which of us is the strongest.”

Then he ran halfway back down the hill, to a place where he couldn’t be seen, and shouted “HEY!”. The elephant and the hippopotamus pulled and pulled, but neither could budge the other – they were of equal strength.

They both agreed that the tortoise was as strong as they were.

Be aware of clever people, they would steal/utilize your powers/efforts by giving you the impression of being week. Learn to demonstrate your skills and power in the right way by not getting deceived by clever people.

Tuesday 18 November 2014

Work is paid


Work is paid

A minister dies and is waiting in line at the Pearly Gates. Ahead of him is a guy who's dressed in sunglasses, a loud shirt, leather jacket, and jeans.

 Saint Peter addresses this guy, "Who are you, so that I may know whether or not to admit you to the Kingdom of Heaven?" The guy replies, "I'm Joe Cohen, taxi-driver, of New York City." Saint Peter consults his list. He smiles and says to the taxi-driver, "Take this silken robe and golden staff and enter the Kingdom of Heaven."

 The taxi-driver goes into Heaven with his robe and staff, and it's the minister's turn.

 He stands erect and booms out, "I am Joseph Snow, pastor of Saint Mary's for the last forty-three years." Saint Peter consults his list. He says to the minister, "Take this cotton robe and wooden staff and enter the Kingdom of Heaven." "Just a minute," says the minister. "That man was a taxi-driver and he gets a silken robe and golden staff. How can this be?"

 "Up here, we work by results," says Saint Peter. "While you preached, people became tired, could not but slept; while he drove, people enjoyed happy journey, could not but prayed."

Monday 17 November 2014

See and belief

                                                      
                                    See and belief



The Policeman had stopped the man for obvious drunken driving, but since the guy had a clean record, he made him park the car and took him home in the patrol car. "Are you sure this is your house?" the cop asked as they drove into a rather fashionable neighborhood.
"Shertainly!" said the drunk, "and if you'll just open the door f'me, I can prove it to ya." Entering the living room, he said, "You shee that piano? Thash mine. You shee that giant television set? Thash mine too. ...Now follow me."
The police officer followed the man as he shakily negotiated the stairs to the second floor. The drunk pushed open the first door they came to. "Thish ish my bedroom," he announced. "Shee the bed there? Thash mine! Shee that woman lying in the bed? Thash my wife. An' see that GUY ! lying next to her?
"Yeah?" the cop replied suspiciously. Beginning at this point to seriously doubt the man's story.
"Well, thash me!"
  
With best wishes
DRUNKARD



Tuesday 11 November 2014

That's why Giving is important..!!!

There is a legend of a man who was lost in the desert, dying of thirst. He stumbled on until he came to an abandoned house. Outside the dilapidated, windowless, weather–beaten, deserted shack was a pump. He stumbled forward and began pumping furiously, but no water came from the well. Then he noticed a small jug with a cork at the top and a note written on the side: "You have to prime the pump with water, my friend. P.S. And fill the jug again before you leave." He pulled out a cork and saw that the jug was full of water.

Should he pour it down the pump? What if it didn’t work? All of the water would be gone. If he drank the water from the jug, he could be sure he would not die of thirst. But to pour it down the rusty pump on the flimsy instruction written on the outside of the jug?

Something from inside told him to follow the advice and choose the risky decision. He proceeded to pour the whole jug of water down the rusty old pump and furiously pumped up and down. Sure enough, the water gushed out! He had all he needed to drink. He filled the jug again, corked it and added his own words beneath the instructions on the jug: "Believe me, it really works. You have to give it all away before you can get anything back."

That's why Giving is important..!!!

Saturday 1 November 2014

Prevent ASD device prolapse and future aortic erosion

Short axis view during TEE-look for  line of alignment for ASD device
Transesophagial echocardiograghic short axis view to assess malalignment of Amplatzer septal occluder to prevent ASD device prolapse and future aortic erosion

Counterclockwise loop in the 12 ECG of tricuspid atresia

 
 
Observation:1.NSR,2.BAE,LVH,Conterclock loop and left axis deviation  are seen Tricuspid atresia
 
    

Friday 31 October 2014

THE EMPEROR AND THE SEED


THE EMPEROR AND THE SEED
 

An emperor in the Far East was growing old and knew it was time to choose his successor. Instead of choosing one of his assistants or his children, he decided something different. He called young people in the kingdom together one day. He said, "It is time for me to step down and choose the next emperor. I have decided to choose one of you."
The kids were shocked! But the emperor continued. "I am going to give each one of you a seed today. One very special seed. I want you to plant the seed, water it and come back here one year from today with what you have grown from this one seed. I will then judge the plants that you bring, and the one I choose will be the next emperor!"
One boy named Ling was there that day and he, like the others, received a seed. He went home and excitedly told his mother the story. She helped him get a pot and planting soil, and he planted the seed and watered it carefully. Every day he would water it and watch to see if it had grown. After about three weeks, some of the other youths began to talk about their seeds and the plants that were beginning to grow.
Ling kept checking his seed, but nothing ever grew. Three weeks, 4 weeks, 5 weeks went by. Still nothing. By now, others were talking about their plants but Ling didn't have a plant, and he felt like a failure. Six months went by-still nothing in Ling's pot. He just knew he had killed his seed.
Everyone else had trees and tall plants, but he had nothing. Ling didn't say anything to his friends, however. He just kept waiting for his seed to grow.
A year finally went by and all the youths of the kingdom brought their plants to the emperor for inspection. Ling told his mother that he wasn't going to take an empty pot. But honest about what happened, Ling felt sick to his stomach, but he knew his mother was right. He took his empty pot to the palace. When Ling arrived, he was amazed at the variety of plants grown by the other youths. They were beautiful-in all shapes and sizes. Ling put his empty pot on the floor and many of the other kinds laughed at him. A few felt sorry for him and just said, "Hey nice try."

When the emperor arrived, he surveyed the room and greeted the young people. Ling just tried to hide in the back. "My, what great plants, trees and flowers you have grown," said the emperor. "Today, one of you will be appointed the next emperor!" All of a sudden, the emperor spotted Ling at the back of the room with his empty pot. He ordered his guards to bring him to the front. Ling was terrified. "The emperor knows I'm a failure! Maybe he will have me killed!"

When Ling got to the front, the Emperor asked his name. "My name is Ling," he replied. All the kids were laughing and making fun of him. The emperor asked everyone to quiet down. He looked at Ling, and then announced to the crowd, "Behold your new emperor! His name is Ling!" Ling couldn't believe it. Ling couldn't even grow his seed. How could he be the new emperor? Then the emperor said, "One year ago today, I gave everyone here a seed. I told you to take the seed, plant it, water it, and bring it back to me today. But I gave you all boiled seeds which would not grow. All of you, except Ling, have brought me trees and plants and flowers. When you found that the seed would not grow, you substituted another seed for the one I gave you. Ling was the only one with the courage and honesty to bring me a pot with my seed in it. Therefore, he is the one who will be the new emperor!"
The Prophet taught, "Truthfulness leads to righteousness, and righteousness leads to Paradise. And a man keeps on telling the truth until he becomes a truthful person. Falsehood leads to Al-Fajur (i.e. wickedness, evil-doing), and Al-Fajur (wickedness) leads to the (Hell) Fire, and a man may keep on telling lies till he is written before Allah, a liar." [Sahih al-Bukhari, Vol. 8:116]


Thursday 16 October 2014

Melbuorne shunt disfiguring right pulmonary artery in DTGA,VSD,PS

Melbourne shunt is shunt between Innominate artery and right pulmonary as a palliative shunt in cyanotic congenital heart disease with reduced pulmonary blood flow,But it disfigure right pulmonary artery and makes the patient unsuitable for future definitive repair

Sunday 28 September 2014

WorldHeartDay -29 Sept 2014

m% salty


Question
A Chemist has m gm of salt water that is m% salty.How many grams of salt must be add to make a solution that is 2m % salty?

Answer
At m% salty
m gm of salt water has m2 /100 gm salt

At 2m% salty water
 the amount of  salt to be added is derived from the equation as bellow
 
2m/100=m2+x/x+m
 
Solve and get x=m2/100-2m

Monday 18 August 2014

Try somewhere else

Try somewhere else
A flash of memory alived about an uneventful incident in recent past that leaked busy my practice. Of late, the meaning of word “doctor” has undergone extreme metamorphosis. In my time a doctor mean a physician, teacher, a scientist, a lawyer, social worker and so what not. Patient is more aware of it than a doctor. Patient knows doctor is a super hero in their life “full of miracles” either as a part of duty or payment under table. In medicine, malingering or factitious is fabricating or exaggerating the symptoms of mental or physical disorders for a variety of secondary gain motives, which may include financial compensation, often tied to fraud; avoiding school, work or military service; obtaining drugs and job; getting lighter criminal sentences; or simply to attract attention or sympathy. A classic example is Munchausen syndrome. In Pseudologia fantastica the victim is unaware of this subconscious display. But I am just talking neither. The hero of this script is intelligent and aware but with a particular unresolved issue for which he was trying again and again to gain it. Everybody does love life .Execution needs a mean to meet the minimum need of life “food, shelter and dress”. I, you and so also my patient need it. “Lying to be healthy” is better than euthanasia is sometimes better, if it does no harm either employer or employee. Some live with dignity, some with indignity and some for life with neither like a mental on footpath. Life goes on, with winning a prize, in jail or neither. Choice is yours and mine. It was middle of September 2012. A big sunny day forced me to document a funny page “Try somewhere else”. Something was written for ever in my grey cells, a budding cardiologist. It was 32nd of spring of my life .Thirty patients were to be attended in outpatient department but last one “the hero of script, disease in health”. Well built. Height is five feet and 5 inch, 32 years old, black complexion, bright eyes and charming face, full sleeve, white shirt and large bail welcomed me with greatest devotion for that eventful day, the warmth of which filled and spilled into my end of tiring session   He was perfectly mimicking a gentle guy in simple dress; you would rate a little later. The last appointment for the day that leaked my statute. His abridged rehearsal of chief complaint was rare one .The documented medical record revealed he is a case of physiology of Tetralogies of Fallot, but a   real Google”. But, my patient was not believing he is sick, so also I without examining him and looking into his medical record. His  pink TOF phenotype was smacking and eluding his disease. He reminded again and again, sir, I am really fine but the preceding doctors who examined, certified I am not fit for underground mining job ,in shoe of my late father who died of accident . I add, he was the only son of a coal worker. He is married and had a girl child. His father died on duty. It was an accident out of underground fire flare up in 2008.He is trying hard to enter into the shoes of his father, the only bread earner of family and only hope of the family. He is still not in job. For him, it may be last chance, for me the first of its kind. He visited earlier this hospital five years back for a fitness certificate with freshly sprouting hope amalgamated with ecstasy of owning the front line .Aha! It is pity .Hope continued in hope with longer hypes. After an in depth evaluation of his health ,I verdict like a judge though he looks apparently looks healthy but his congenital heart disease does allow him for  light job on surface but not in the underground of mining though it would give him better salary . By that time, I was involved in him and his struggle in situ but could not meet his expectation. I tried of my science, finishing art acumen to help him out to the most privileged quartile. The heart defect was something like this: corrected transposition of great arteries with ventricular septal defect and pulmonary stenosis .A perfect matched synonym is physiology of "pink tet”. He had already revised his mind but I was revising mine. No more consultation with the before, after me I do not know. I think some of hospital staff has informed him, you may win here .It is like beautiful joke “The strangest ways to get pregnant, will hot pricks, needles and blueberry jam really help me conceive? My friends and relatives seem to think so, tiny girl asked mother after listening to television add”. He had an official letter, handwritten, doubtful legibility from the  colliery office, requesting a fitness for coal mining worker post. I used my bifocals.  The diagnosis was matching with previous one, even after cardiac magnetic resonance imaging with contrast enhancement. My verdict was orthodox; no improvement in my decision in his favor. The prescription did not sooth .I advised, Mr. you still can continue with light work on surface less than five metabolic equivalents. He smiled a constipated one. He left my chamber with a confusing look but some hope with certificate “fit for surface job”, something is better than nothing.  Thanks to his patience. “A hungry cannot sleep but thought in brain”. Exactly after three calendar months he returned to visit hospital campus and his hired monozygotic duplication visited me to get work done .The loyal and faithful twin visited me in his place .I did not know it. The conversion went on under cover. I heard  him, went through his outpatient book and examined him .He appeared apparently normal. The outpatient card of this ally had a mentioned same name, address, age, gender, physical profile of the real patient but the actor had no disease. He told he was sent fitness certificate for underground mining job. Some many patients in three months, I had not remembered anything of this created plot. I wrote for 12 lead electrocardiogram and an echocardiography study. Two hour later, a phone call came from a colleague in echo laboratory .Sir, what is your clinical diagnosis of Mr X? ECHO study is normal. But you remember, we did echo of this patient 3 months before .To my faint memory, this patient had some complex congenital heart disease. I laughed but immediately visited the echo room. The indexed person had normal 12 ECG and chest X-Ray. Redo echocardiography was normal. I was about to write fitness certificate for this person .To my surprise, an exactly similar looking person gave a handshake to the actor in disguise. The duplicate told to the real patient that all the reports are normal and doctor is writing certificate for fitness .A faint smile of my colleague alerted me stop to certify and bring the issue under the notice of hospital security. What, a narrow escape! Two monozygotic were there, I was seeing in two eyes at a time! I asked, the copy of my morning patient, does he has health issue? Before he answered, both the suspicions disappeared in no seconds .The face of real patient was drenched with sweat and he was looking frightened. I was praising his effort to get into his father’s shoe but I was admitting I would not be a good administrator. I have not seen them either again. He may be trying somewhere else. A very nice quote came to my mind when the person was walking away in my memory lane with aging of time “Some people think that the truth can be hidden with a little cover-up and decoration. But as time goes by, what is true is revealed, and what is fake fades away”. Time will reveal everything. It is a babbler, and speaks even when not asked. May God bless you? Let you carry on surface if not in underground. Don't try to solve the problem, surrender to it. The things that matter most must never be at the mercy of things that matter least. I could still remember the face of my hero, drenched with sweat, may be trying somewhere else for his underground job.