Discharge procedures

Earlier today, I had gone to help out a relative who had been admitted to hospital, and who was getting discharged today. The procedure was bizarre, to say the least.

A little before noon, a nurse walked into the room announcing that the discharge formalities were being put in place, and asked us if we had insurance cover (we didn’t). She reappeared five minutes later in order to remove the thing through which the intravenous drip and medicines had been administered. We thought it was time for us to leave, and informed people at the relative’s home to get lunch ready. What we didn’t know was that the “release” process would take nearly three more hours.

Every few minutes, I would walk up to the nurse station on the floor, and ask them when the discharge would happen. For the first one hour, they would tell that the bill would be ready “in ten minutes”. Finally I lost patience (my loss of patience doesn’t exactly make me an appropriate choice of personnel to manage discharge, I know) and asked them to direct me to the person who was actually preparing the bill. The bill was ready a minute after I appeared in front of that person, and it had been settled in the next five minutes.

A word here about the billing procedures. The relative’s ward was on the fifth floor, and I went down to the basement (“floor minus two”) to the billing section where I got the bill. I had to then take the bill and walk up to the ground floor to the cash section to make the payment, and once again take the receipt back down to the basement to get a printed bill.

Anyway, I thought most of the ordeal was done and proudly announced to the nurses at the nurse station that the bill had been cleared and they should let us go. But the discharge summary remained, and for the next hour or more, they said it would be ready “in the next ten minutes”. And once it was done, a nurse had to run down to the basement (yet again!) to collect it and get the signature of the doctor on duty. And run back up six floors (in another bizarre policy, hospital staff are forbidden from using the elevators!).

Then there was the set of prescriptions that were delivered to us regarding the medicines we had to buy for the following one week (and I’ll write a separate post on drugstores located within hospital premises). This wasn’t the first time I was helping someone get discharged, and this wasn’t the first time the discharge process took this long. From my own anecdotal experience, and from that of other relatives who I was talking to today, this is more the norm than the exception.

This makes me wonder why most hospitals, without fail, have such screwed up discharge procedures? Is this a matter of such low priority that all hospitals can consistently choose to ignore it? It is not like the amount of work that needs to be done is immense, so I wonder what prevents hospitals from streamlining the procedure? Or, like some hotels do, fix a discharge time so that they can batch process the procedures?

The problem, in general, with people in businesses that makes them feel noble, I tell you, is that they are not willing to heed to advice. And are not willing to question themselves enough. The nobility of their profession, they believe, places them too high to deal with mundane trivialities such as time taken to discharge a patient! And I’ll write a separate post soon on people in noble professions.

Big Bash

Half an hour back, I moved from my room/office to the hall to catch what I thought will be five minutes of Big Bash (Australia’s version of the IPL). I ended up staying there for half an hour. I don’t know if the quality of cricket was decidedly superior to that of the IPL, a tournament I hardly watched in its latest edition (I keep forgetting who won, even). It was the quality of broadcast that had me hooked.

I must mention here that I was watching the broadcast on Start Cricket HD, but even the IPL was telecast on SetMax HD this year. And there was simply no comparison in terms of the quality of pictures. I don’t know if it has something to do with the nature of floodlights at the Gabba (maybe it does), but the pictures from the Big Bash were so significantly superior to that of the IPL (tough to explain this objectively, so you should watch and see for yourself). And then there was the commentary. Again, I don’t think any of the famed Channel Nine line-up was involved (the broadcast is by Fox Sports, and I didn’t hear any familiar voices), but the commentary was good while not being too intrusive. Again, there was no idiotic playing up of the sponsors (DLF maximums and the like), and then they had wired up Shane Warne as he thought aloud as he plotted Brendon McCullum’s dismissal.

There is something about the overall sound of the Big Bash telecast that the IPL misses out on. It probably has to do with the way they capture the crowd noise, but it does make one feel like one is in the stadium. Of course, I must mention here that of whatever bits of IPL I watched this year, I watched most of it on mute thanks to the insufferable commentary.

And then the ads. The IPL simply doesn’t seem to have figured out an effective ad model. They stuff the viewer with so many ads that there is little brand recall, and people mostly react to these brands with a sense of irritation. The Big Bash, on the other hand, seems to have figured out the model of fewer and shorter ad breaks, which will still keep people in their seats. I hope they are being compensated for it with higher revenue.

There is a lot that the IPL has to learn from the Big Bash. Hopefully the low TRPs of the last edition will mean that they will be open to innovation and improvement. I surely won’t mind watching the IPL if it is produced with the same quality as the Big Bash. Maybe I’m being too hopeful here..

Romantic Comedies in Hollywood and Bollywood

Assumption: The median age for marriage in urban India is much lower than the median age of marriage in urban United States of America

Hence, romantic comedies in hollywood, usually end up having characters who are older than corresponding comedies made by Bollywood. Thus, Hollywood romantic comedies can be made to be more mature than corresponding Bollywood romantic comedies.

Data point: Serendipity was remade as “Milenge Milenge”. I was watching the latter movie a few days back (couldn’t sit through more than five minutes of it, as I kept comparing each scene to the corresponding scene in the original). In Serendipity the protagonists are around 35, and thus show a maturity that corresponds to that age. You can see that in the way they behave, go about things, etc. And here, in Milenge Milenge you have Shahid Kapur and Kareena Kapoor singing and prancing around like Jackasses. You can’t watch too much of that, can you?

Tailpiece: My all time favourite romantic comedy (across languages) remains Ganeshana Maduve, starring Anant Nag and Vinaya Prasad. I’ll talk about the virtues of the movie in another post but I can’t think of any other movie that even comes close to this one. Meanwhile, if you haven’t watched this movie, get hold of a subtitled copy of it and watch it. Now.

Frequency of Temples

Earlier today, I realized that each temple has its own “frequency”. Frequency of doing the pooja and giving the mangalaarathi and tirtha and collecting offerings from the visitors. If I can generalize, I can say that the more popular temples featuring “standardized deities” are more likely to have better turnaround time in conducting poojas and archanas.

So I have based this study on two data points. On one hand, there is the Ganesha temple in Jayanagar 4th block (intersection of 30th cross and the diagonal road and 7th main; opposite Maiya’s). This is an extremely popular temple and draws thousands of visitors every day. And you must note that Ganesha is a “standardized deity” –  he is perhaps the most common deity across Hindu temples (if you count each avatara of Vishnu as distinct).

And this temple is quick. Despite getting hundreds of visitors every hour, the priests there work hard to serve everyone in quick time. The Mangalaarathi is held at a frequency greater than once every five minutes. Thus, you can just walk in, watch one round of mangalaarathi-and-bells, take the mangalaarathi, put in your offferings, drink the tirtha, go round and round, sit down for a minute and get on with your business, all within ten minutes. Maybe this efficiency (apart from the awesome location) is what gets this temple so many visitors.

Towards the other end of the spectrum is the Subramanyeshwara Temple in VV Puram that I visited it this morning. I had to get some pooja done there in order to kick off my wedding preparations (Subramanyeshwara is our “family deity”; one of the several reasons as to why I’m named my name) and went in at around 10 am. There was already a decent crowd there and I duly purchased my archane slip (oh how much I loved getting archane done when I was a kid – if not for anything else but to get the sugarcandy prasada) and tried getting the attention of one of the priests (there are several there) only to find that they wouldn’t accept the chit for another hour or so (the idol was being bathed at that time, and being scrubbed using one of those brushes used to clean brass instruments).

Considering it’s not too far from home, I duly disappeared and appeared an hour later, and by now the crowd was larger. I had to get my large frame between a considerable mass of people in order to reach a priest and hand in my archane slips (one for the self and one for the fiancee; I had purchased both during the first visit to the temple earlier today). And some further minutes later, there was a grand round of pooje after which they brought the mangalaarathi plate. A cycle time of a full two hours!

I don’t know how popular this temple is (I’m told it’s pretty popular), but I suppose one reason it doesn’t attract as many visitors as it might is because of the time commitment it demands. Due to the large pooja cycle time, only the most committed and devoted visitors visit the place. Maybe the temple loses out on contributions because of this, but maybe gains in terms of having only the more devoted devotees, which gives it an increased “average puNya per devotee”. And it is a choice that the temple and its priests have made, and I’m sure they have good reasons for the same.

Oh, and keep in mind that Subramanya is an uncommon deity when it comes to temples (definitely not when it comes to naming one’s kids).

PS: The tirtha they gave at the temple today was milk-based, which I think is quite messy since temples don’t really have places to wash one’s hands. Water-based tirthas are more appropriate since they can just be wiped on to one’s head after drinking.

PS2: I like it when the archane is done in front of me, when the purohit asks me for the details (name, gotra, nakshatra) rather than like today when it was all written on the chit and they performed the pooja inside. I like the personalized service of the former case.

PS3: To bring up a now-taboo topic, have I mentioned that Ganesha is a stud and Subramanya is a fighter? Just sayin’

Cutting and Bouncing

For the first time yesterday I watched a woman getting her hair cut and styled. Yeah despite having been earning MBA salaries for the better part of the last four years I’ve never really ventured into the “unisex salon” space and have always stuck to the neighbourhood hajaam such as the Noble Men’s Parlour at the end of my road. Till recently there was really no one to accompany so I had been deprived of watching this extremely interesting activity.

Yesterday I accompanied Priyanka to Bounce, supposedly one of “stylier” salons in the city, where she got her hair cut and styled. I had taken appointment by phone earlier in the day and hence there wasn’t much time we had to spend there reading Stardust or Filmfare (which I invariably do at Noble’s since there’s always a long line there). The whole process took about an hour and the distribution of various activities in this hour was extremely different from what I experience at Noble. Ok I must point out again that this is the only data point I have with respect to women’s hair cutting and am extrapolating based on that.

In the whole process, less than five minutes went into the actual cutting of hair, with the initial ten-fifteen minutes spent in washing the hair and the last half in blow-drying and setting the hair. Another thing I noticed was that the hair was mostly wet when it was being cut, while the local mens’ salons usually just spray a little bit of water before cutting.

Actually I realize that this analysis is futile since there are two large factors that separate the two situations that I’m comparing here – and a more complete analysis will be possible only when I observe men’s haircuts at high-end salons – that way I can compare differences in procedure based on sex and also based on kind of salon. Currently, however, I don’t think I’m really ready for splurging that kind of money on a haircut so that analysis has to wait. And yeah, I did observe several men getting their hair cut at Bounce yesterday, but then didn’t observe any of them close enough to come up with any valid data points.

Then I noticed that several barbers at Bounce themselves had really unusual haircuts. This reminds me of this old joke (also there in the classic Anantnag starrer Gowri Ganesha ). If there are two barbers with shops next to each others’  and one of the barbers has a haircut like Amitabh while the other has horrible hair, who will you go to if you want your hair to be like Amitabh’s?

The Film Game

So today I was introduced to this “hangout game” called Film Aata (the Film Game). The rules of this game are fairly simple. Through a slightly complicated process, you pick a random letter in the alphabet. Everyone is given a certain amount of time (we played with five minutes), and in that time you need to write down as many films as possible whose names start with that letter.

It’s a fairly simple and fun (though can’t be played for too long or too often given that the number of letters in the alphabet) but what makes it interesting is the scoring system. You get points for each UNIQUE movie whose name that you have written. So basically if you’ve written down the name of a movie which at least one other person has written down, you get no points for it. So apart from knowing the names of lots of movies you need to know movies that others don’t know (and it’s useful to have a resource such as IMDB handy).

So basically correlation matters! If there is one other player in the group who has similar tastes as yours, you are bound to get screwed. For example, the two people with whom I was playing this game today are sisters, so there was a major overlap in the names of the movies that they knew, which meant that on a relative scale I performed better than I would have considering the length of my total list.

I found the game extremely interesting! Now, here is a modification that would make the game more interesting. Put a cap on the total number of movie names that a player can write, all other rules staying the same. Currently, with no limits, you will end up writing names of all movies that you can think of. There is no strategy per se involved in the game. It’s more a test of memory.

However, once we put a cap, that brings in an element of strategy to the game. Now you will need to pick and choose the movies whose names you want to put down – to choose the movies that you know other people won’t know. And in case the cap is really low, then to pick and choose the movies whose names you know others won’t write. Insane game theory scope are there!

This also makes the game more repeatable – you can play it more often with different sets of people, and each time you’ll be trying to read the minds of different people and that will make things fun. With the same set of people, you can play with different caps, giving a new strategy each time.

It’s a simple game. A kids’ game. Something that might appear to be all too simplistic on the face of it, but this simplicity allows easy innovation, and that can make the game extremely fun!