“Please come in. Be seated.” I said with a big smile. I always have a  big smile, when I am going to earn some money. The patient gave a  feeble smile and sat hesitantly on the edge of the chair. “Relax.”

“Doctor, will this hurt a lot?”

“Not at all.” The patient relaxed visibly. “You know something, Doctor, we tried removing it at home, but failed.”

I was shocked. “Thank God. Trying this at home can cause serious complications.”

“I first tried to remove it by jumping up and down, but it just  wouldn’t budge.”

I smiled and said, “If it were that easy, who would need doctors?”

She gave a cute smile and said, “Yeah! My neighbour tried to remove  it with his finger, but the hole is so small that he used a hair  pin.”

“Oh my God!”

“Yes! My mother even tried a matchstick.”

My blood pressure was shooting skywards. I just sputtered without  uttering a word.

“Tell me, doctor, how do I avoid getting this dirt inside me?”

I knew that it was an unwanted pregnancy, but calling it dirt was too much. I replied a bit angrily, “There are tablets which can prevent this happening. Or you could use protection at night.”

Now it was the patient’s turn to be confused, “You mean to say that it happens only at night?”

I saw her point. “No! No! I meant anytime of the day, whenever you are in the mood, you should use protection.”

She was even more confused, “It depends on my moods?”

Again I saw her point. “My mistake. You need not be in any sort of mood. It just happens.”

“My neighbour advised me to go to one of those chaps who sit by the roadside.”

“You mean that pin man?”

“Yeah!”

This neighbour of hers seemed to be a very dangerous man. Besides using pins, he was sending her to such quacks. The only safety he  knew was among the pins. “You were wise not to heed his advice.”

“But I tried his other advice. He told me to put warm oil inside and wait. However, that also did not work.”

This was getting more and more bizarre. Her neighbour deserved to be locked up either in a padded cell or a barred one.

“But have you taken your husband’s permission?”

Now the patient looked confused. “Do I have to take my husband’s permission? Because if you need his sign, he is working in Dubai. We  were not able to meet for the last one year.”

It was my turn to be shocked. I gave a sly smirk. It was one of  ‘those’
cases. The pin-wielding neighbour seemed to me the usual  suspect. I reassured her. “No! No! The husband’s sign is not at all  needed.”

“However, I did inform him on phone.”

Her husband seemed to me a very broad-minded fellow. I didn’t know  whether to congratulate her or to commiserate with her. So I hastily  turned to other aspects. “Its good that you came a bit early.”

“Actually I wanted to come early in the morning, but I had some other work.”

“Oh! I did not mean early today. I meant that if you had delayed this removal, it would have started moving. Then it would have developed a heartbeat.”

The patient was staring at me wide eyed as if watching a horror  movie. Looking at her face, I decided that she was not fit to listen  to the grotesque details. I decided to relieve her a bit. I said,  “You will bleed a bit, but only for a few days.”

By now, the poor patient was trembling, “how-H-How much bleeding?”

“Oh, only slightly more than your menstrual period, and it will  continue only for a week or so.”

By now the patient was clutching her hair in her fingers and staring at me wide-eyed. I asked her soothingly, “Why don’t you lie down on the examination table? Remove your clothes and relax.”

This was the final straw. She didn’t even wish me goodbye. I saw just a blur of motion leaving my consulting room at top speed.