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Re: life in usa- to arvinder, dr Gupta, varsha, kaushik, joginder

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Thanks,

all ur emails have made me rise like a fighter.

i will carry no baggage, i will make life easy here, instead of it making my

life difficult.

i will stand up and fight!!

 regards

Meena Samtani

________________________________

To: mgims

Sent: Tue, November 16, 2010 11:44:51 PM

Subject: Re: life in usa- kaushik and meena

Hi everyone! I have been following with much interest, this topic and have

to say there were so many things that I had absolutely no idea about! :-D

Ravin '82

On Wed, Nov 17, 2010 at 8:46 AM, tarvinder singh uberoi <

drtarvinder@...> wrote:

>

>

> kaushik,

>

> it was wonderful going  through the series of mails

> you wrote to meena.

>

> i have some observations:

>

> i) your love and concern for your alma mater and its alumini is still in

> place.

>

> ii) although you are on administrative side, you dissected the whole issue

> with

> clinical precision and offered the most suitable/ feasible/implementable

> options

> availble to meena.

>

> iii) there is a world of difference in the two worlds.one has to make

> his/her

> own choice.

>

> iv)although people may move from one place to another, their fundamentals

> get

> frozen in

>

> the olden times

>

> one word for meena.

>

> do what gives  happiness to you.

> do not carry any baggage.

> you can start afresh

> with your kind of spiritual bent of mind, you could look at spiritual

> stress

> busting/stress lowering workshops/ counselling/seminars/ lecture tours etc.

>

> especially with your medical training

> hopefully there would  be no licences required for these, although there

> would

> taxes to be paid.

>

> on the ending note.

>

> Har kissi ko mukkammal jahan nahi milta

> kissi ko jameen to kissi ko asman nahi milta

>

> Tarvinder 76

> there would be no

>

>

>

> ________________________________

> From: Kaushik Patel <pakaushik@... <pakaushik%40yahoo.com>>

> To: Joginder Singh <jogindersingh@...<jogindersingh%40hotmail.com>

> >

> Cc: mgims <mgims%40yahoogroups.com>; Dr. Kirti Sivakoti <

> sivakoti.kirti@... <sivakoti.kirti%40gmail.com>>; Dr.

> Meena Samtani <meena63@... <meena63%40yahoo.com>>

> Sent: Tue, 16 November, 2010 7:21:10 PM

> Subject: Re: MBBS value versus value of medical assistant in usa

>

>

>

> Dear Mr. Joginder,

> Thanks for sharing your thoughts. People have no time in USA to give

> someone a

> TIP or sharing their ideas.

> I have worked as a Medical Director (UM, CM, QM) in KPC Global Healthcare,

> Riverside, CA.

>

> http://www.thekpcgroup.com/about.htm

> http://www.kpcmedicalcollege.com/

>

> I was in charge of healthcare for One Million insured of people living in

> Orange

> County, Riverside County, Los Angeles County, San Diego County, and San

> Bernardino County in California. We were 250,000 physicians on payroll and

> many

> contracted hospitals in those counties.

>

> I am telling you all these as you are on healthcare administrative side.

> Dr.

> Kali Chaudhary is a smart businessperson.

>

> If you do not mind, can I ask you were you working?

> I am currently in US Federal Government (since 2002) working on Disability

> as a

> Medical Consultant.

> Convey my regards to your MGIMS family members.

>

> Dr. Kaushik Patel

>

>

>

> From: Joginder Singh <jogindersingh@...<jogindersingh%40hotmail.com>

> >

> Subject: Re: MBBS value versus value of medical assistant in usa

> To: pakaushik@... <pakaushik%40yahoo.com>

> Date: Tuesday, November 16, 2010, 2:28 AM

>

> Dr. Kaushik,

> No one knows me in this alumni but I have three family members who are

> proud

> product of MGIMS. I can closely understand your point and well composed

> message

> address to 'a' individual or alumni as a whole. The hardest part that

> anyone has

> when s/he steps out of Indian system is the communication and

> accountability.

>

> And not many people are able to understand this thing on this side of the

> world.

> I have been living in US for 15 yrs and this (accountability/Timely

> communication) is one thing that could make or break the deal without any

> remorse.

>

> I believe that being open minded and having a very open mind in this very

> vast

> society gives a very different experience and different feeling. Also I

> have

> seen that here in this culture if you can not network and get along with

> any

> level of people then this country is not for that person. I have closely

> seen it

> and felt it. Someone like you clearly understands the issue and do provide

> the

> guidance and insight where its much needed because most people overlook the

>

> basic fabric of this society before adopting and those people always suffer

>

> almost whole life.

>

> I wish everyone is that open / relaxed minded like you and see the issues

> from a

> different perspective.

>

> I do understand the frustration that everyone with a MBBS degree goes thru

> as

> and when the local governments mold the laws to suit the needs of mass. In

> this

> country a nurse can still not count the sneezes of a patient without Doc's

> permission. and I do think its all the lobby and work of tight control of

> these

> Docs in this country.

>

> If the Med community in India becomes so strong then sure you all MBBS++

> passout

> will keep the profession for real professionals.

>

> I am sure you remember that some time back state of Alaska devised a 2 yr

> program where a the state will provide assistance and training to produce

> the

> " Dental Associate/Assistant " and this DA will be able to open the clinic

> and

> will have almost same operative powers as that of a DDS. Louisiana state

> wants

> to adopt the same program eventually. But It has received the strongest

> opposition from the DDS community who could come up with billions in lobby

> money

> and 100+ arguments about the quality of DA's work. Well who knows what the

> real

> outcome or impact on welfare of patients is or could be.

>

> I have been working in the healthcare (administrative not delivery side)

> and I

> do know how complex it has become to provide an honest care to a sick

> person.

> Media/Lobby/MisInfo are a few to blame on but this country may not see the

> reality so soon because noose is very tight. And I dont think a service (be

> it

> healthcare) can improve without a competion be it internal (within borders)

> or

> external (Med Tourism). And by now we in this country say that " Change is

> not

> optional anymore "

>

> Thanks for sharing your thought and sorry if I commented or disrespected

> you in

> anyway. My relative shared this email with me.

>

> Regards,

> Joginder Singh.

>

> From: Kaushik Patel <pakaushik@... <pakaushik%40yahoo.com>>

> Subject: Re: MBBS value versus value of medical assistant in usa

> To: mgims <mgims%40yahoogroups.com>

> Cc: meena63@... <meena63%40yahoo.com>

> Date: Monday, November 15, 2010, 8:46 AM

>

> Dr. Meena,

>

> How are you doing? I can feel your frustrations and is very understandable.

>

>

> After all this is my humble opinion. You have to decide, what you want to

> do in

> your life. No one will give you advice in this selfish world. Even when I

> went

> to India, I spent my time and went to meet Dr. Dilip Raichura (OB-GYN) in

> Mumbai at his hospital in July 1994, but he did not welcome me

> enthusiastically

> (it is ok, I don not have any ill feeling against him).

>

>

> You first need to understand culture and the way of life in USA. You have

> to be

> respectful and humble. Always learn to appreciate who help you and guides

> you in

> difficult times.

>

>

> For an example, I informed you in advance that I would call you that night.

>

> Therefore, you were expecting my call. I called you first time even though

> we

> never met before. After few minutes of conversation, you told me that your

> husband is calling on other line (that is fine) and you told me that you

> would

> call me right back. Nevertheless, you did not call me back (as if you do

> not

> care of me). This kind of behavior is disrespectful.

>

>

> Life is never smooth. You never know when you need help of someone. So, be

> humble and respectful to everyone rich or poor. Do not judge people based

> on

> wealth they have accumulated.

>

>

> Every FMG coming to USA at a later age has this kind of frustrations. This

> has

> been the case for many years. It is hard, but not impossible, to pass

> USMLE.

> However, the main concern is, are you ready to sacrifice 5-6 years of

> residency

> (if lucky to pass and get into residency) when your age is around 49-50?

>

> The answer is most likely resounding no.

>

> So, what are the alternatives?

>

> Do not spend $50,000 to get a Physician’s Assistant Degree. This is not

> worth at

> an age of 50.

>

>

> The best program is Respiratory Therapist. It is easy, cheap, and very

> short.

> You may get lots of transfer credit from MBBS course. Because of your MBBS

> degree plus respiratory therapist license, you can easily rise up to

> Manager

> Position, within a short period, in a hospital ($75000 - $80000). My two

> friends, both are MBBS from B. J. Medical College Ahmedabad, are manager in

>

> Respiratory Therapy (one in a Kaiser Hospital and other in a UCLA Medical

> Center).

>

>

> My other friend, in Edison NJ, who was a General Surgeon with established

> private hospital in Ahmedabad, came in USA when he was 40 years old. His

> motive

> was to educate her daughter. He decided not to take USMLE. He established a

>

> wholesale distributorship business of plastic bags from China, and now he

> is

> doing great making more than $100,000 a year.

>

>

> Your goal should be to have a better life in USA. Currently Motels are

> cheap and

> interest rates are very low. It is time to do such business.

>

>

> For any little job, you need a license in USA. USA is screwed up by lawyers

> and

> due to liability issues licenses are required (plumber, carpenters,

> electricians, childcare, etc). You cannot fight with those requirements.

>

>

> You have my number, and you can call me. Take care.

>

>

> Dr. Kaushik Patel

>

>

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We all wish you the very best Meena and much success!!

Cheers!

Varsha, 78B

Re: MBBS value versus value of medical assistant in usa

> To: mgims <mailto:mgims%40yahoogroups.com>

<mgims%40yahoogroups.com>

> Cc: meena63@...<mailto:meena63%40yahoo.com> <meena63%40yahoo.com>

> Date: Monday, November 15, 2010, 8:46 AM

>

> Dr. Meena,

>

> How are you doing? I can feel your frustrations and is very understandable.

>

>

> After all this is my humble opinion. You have to decide, what you want to

> do in

> your life. No one will give you advice in this selfish world. Even when I

> went

> to India, I spent my time and went to meet Dr. Dilip Raichura (OB-GYN) in

> Mumbai at his hospital in July 1994, but he did not welcome me

> enthusiastically

> (it is ok, I don not have any ill feeling against him).

>

>

> You first need to understand culture and the way of life in USA. You have

> to be

> respectful and humble. Always learn to appreciate who help you and guides

> you in

> difficult times.

>

>

> For an example, I informed you in advance that I would call you that night.

>

> Therefore, you were expecting my call. I called you first time even though

> we

> never met before. After few minutes of conversation, you told me that your

> husband is calling on other line (that is fine) and you told me that you

> would

> call me right back. Nevertheless, you did not call me back (as if you do

> not

> care of me). This kind of behavior is disrespectful.

>

>

> Life is never smooth. You never know when you need help of someone. So, be

> humble and respectful to everyone rich or poor. Do not judge people based

> on

> wealth they have accumulated.

>

>

> Every FMG coming to USA at a later age has this kind of frustrations. This

> has

> been the case for many years. It is hard, but not impossible, to pass

> USMLE.

> However, the main concern is, are you ready to sacrifice 5-6 years of

> residency

> (if lucky to pass and get into residency) when your age is around 49-50?

>

> The answer is most likely resounding no.

>

> So, what are the alternatives?

>

> Do not spend $50,000 to get a Physician’s Assistant Degree. This is not

> worth at

> an age of 50.

>

>

> The best program is Respiratory Therapist. It is easy, cheap, and very

> short.

> You may get lots of transfer credit from MBBS course. Because of your MBBS

> degree plus respiratory therapist license, you can easily rise up to

> Manager

> Position, within a short period, in a hospital ($75000 - $80000). My two

> friends, both are MBBS from B. J. Medical College Ahmedabad, are manager in

>

> Respiratory Therapy (one in a Kaiser Hospital and other in a UCLA Medical

> Center).

>

>

> My other friend, in Edison NJ, who was a General Surgeon with established

> private hospital in Ahmedabad, came in USA when he was 40 years old. His

> motive

> was to educate her daughter. He decided not to take USMLE. He established a

>

> wholesale distributorship business of plastic bags from China, and now he

> is

> doing great making more than $100,000 a year.

>

>

> Your goal should be to have a better life in USA. Currently Motels are

> cheap and

> interest rates are very low. It is time to do such business.

>

>

> For any little job, you need a license in USA. USA is screwed up by lawyers

> and

> due to liability issues licenses are required (plumber, carpenters,

> electricians, childcare, etc). You cannot fight with those requirements.

>

>

> You have my number, and you can call me. Take care.

>

>

> Dr. Kaushik Patel

>

>

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