Re: my 27yr old MBBS degree laughed at- to ashok, ashish, dr Gupta, varsha, kaushik and all usa mgimites

[Guest guest]

Hi,

I must Thank all of you for the advise and moral support.

I feel grateful to this forum, to dr Shah who is the creator, to dr Gupta who

is

the backbone,  for  uniting all  of us .

I went to meet Dr Kaushik Patel, one of the senior most MGIMItes.

It was very nice of him to advise me on being a respiratory care physician. i am

also looking at that aspect.. but mentally not yet tuned to it.

I have done a course in accupuncture, but did not gv the exam. i am thinking of

completing the exam, if i dont get into physician assistant  course by 2011.

WES is not accepting my Wardha transcript, they want transcript from nagpur

UNiversity, which will take time and i may loose out on deadlines in non GRE

accepting Universities in NY.

But i am very unhappy at how our old  MBBS is of not much value. They want new

graduates- which is quite understandable.

Our Indian system of education must undergo a change and follow international

level of recognition, till then we suffer , or we adapt to situations.

Bottom line is ... All is Well !!!

Thank the Lord for everything, and yet continue with perseverence and

dedication.

Thanks all of you, for just being there for me.

Thanks Ashish for being there for Nikhil, and appreciating his work.

regards to all

Meena Samtani

________________________________

To: mgims

Sent: Sun, November 21, 2010 2:11:41 AM

Subject: Re: my 27yr old MBBS degree laughed at

 

Hi Meena,

Nothing wrong with the MBBS degree. The guy must be jealous that he is not a

doctor and you are. He knows that sooner or later you will leave him behind.

What do you mean by 27 yr old degree ? It actually is 27 years of experience !!

Don't forget ever Meena...that just because you are not practicing here yet,

doesn't make you any less of a doctor.

Over the years there has been lot of fraud as far as certification requirements

and substandard training. Hence the grueling process !

Lot of suggestions have been offered. I heard that these days residency programs

are looking for recent grads only.There has been an oversupply of candidates and

so they are becoming very choosy.

Meena a field that is becoming hot is the field of alternative / complementary /

integrativterne medicine encompassing homeopathy, acupuncture, naturopathy and

now Ayurveda.

I know of a pediatric gastroenterologist ( gora ) who has quit practice of

'traditional' ( read allopathic) medicine and joined a group that practices

alternative medicine exclusively and are affiliated to prestigious universities

like Northwestern. They prescribe mostly herbal meds or nutritional supplements.

As these are not subjective to FDA ( Food and Drug administration ) approval

they also don't need licensure to prescribe. Meditation is hot.

People are going to India to do short courses in Ayurveda or Naturopathy and

then comeback and establish their practice.

If you live in an affluent suburb then alternative medicine practice will be

very lucrative.

All the best Meena,

Ashok 1984

>

> From: Joginder Singh <jogindersingh@...

><mailto:jogindersingh%40hotmail.com> <jogindersingh%40hotmail.com>

> >

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

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

><pakaushik%40yahoo.com>>

> Subject: 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

>

>

[Guest guest]

Dr. Meena,

Do not ever think of going back to India at your age, and stay in USA.

 

Once your apartment lease is over, think about moving to San , CA and stay

with your daughter. There is no place like California (I lived in CA for 20

years, and still own a property there for my retirement).

 

Pass your exam for Acupuncture, and start your private practice in CA along with

someone who is a Chiropractor.

 

Off course, these are my suggestions only.

 

I wish you Best of Luck.

 

Dr. Kaushik Patel

 

>

> From: Joginder Singh <jogindersingh@...

><mailto:jogindersingh%40hotmail.com> <jogindersingh%40hotmail.com>

> >

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

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

><pakaushik%40yahoo.com>>

> Subject: 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

>

>

[Guest guest]

I want add to it that Medicaid covers Acupuncture treatment.

>

> From: Joginder Singh <jogindersingh@...

><mailto:jogindersingh%40hotmail.com> <jogindersingh%40hotmail.com>

> >

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

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

><pakaushik%40yahoo.com>>

> Subject: 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

>

>

[Guest guest]

The California MediCal program (that is Medicaid in other states) offers limited

coverage when you see an acupuncturist that is a MediCal provider.

>

> From: Joginder Singh <jogindersingh@...

><mailto:jogindersingh%40hotmail.com> <jogindersingh%40hotmail.com>

> >

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

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

><pakaushik%40yahoo.com>>

> Subject: 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

>

>