He came in with acute retention. The government hospital in Chandigarh that catheterised him had to dilate the urethra first, because it would not take the tube otherwise, and that line sat in the record from day one. The catheter came out four weeks later at a private hospital in Mohali, and he was back three days after that with a thin stream. Uroflowmetry showed an obstructive curve. A retrograde urethrogram showed a posterior urethra of irregular outline and abnormal calibre. Three weeks later he went to theatre under general anaesthesia for a cystoscopy, an optical internal urethrotomy, a bladder neck incision and a resection of prostate chips.

Then the bill arrived at ₹76,170, and he told the commission the hospital had frightened him, taken the money and done nothing at all. His evidence for that was that he had felt no pain, which is what the anaesthetic was for. A week after discharge he walked into a diagnostic centre and bought an ultrasound to settle it. The radiologist headed that section of the report POST TURP, noted no significant retained prostatic contents, and put the post-void residual at 10 cc. He read those lines as proof nobody had operated on him. Every urologist reads them the other way, and so did the commission. Complaint dismissed, no costs, five years after it was filed.

INI Results got announced yesterday, so we did our digging. AIIMS publishes the July round-one result as 808 pages, one row per candidate, and the first row is the one everybody checks: rank 1 took MD General Medicine at AIIMS New Delhi, and so did ranks 2 and 3. By rank 100, Medicine and Radiology had taken 66 of the 97 seats that went. Three of the top 100 got nothing. Rank 18 filled no choices at all, while ranks 66 and 85 filled theirs and were beaten to every single seat on the list by somebody above them. Go out to rank 1,000 and 367 candidates who filled choices came away empty against 575 who did not. Meanwhile the branch that filled more seats than any other, Anaesthesia with 144, sat untouched until rank 297. At the far end, Anatomy was still open at 4,799.

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Sixty seats went in Round 1 this year, twelve more than last, and 23 of them to ranks inside the top 1,000. Tata Memorial Centre took the five best ranks in the branch, starting at 14. Government MD Open closed at 838, which is seven ranks short of where the branch finished last year after Round 2, so there is very little room left there. DNB is where the squeeze shows: Open seats ran out at 2,945 against 4,545 at the same stage in 2025. It is also the branch nobody leaves. Five of 48 allottees let a Round 1 seat go last year, the lowest of the thirteen branches we have counted, and of the nine seats that did come back, eight were DNB. Round 2 closes on 14 November and joining on the 23rd.

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Also counted this season: General Medicine, Radiology, Dermatology, Paediatrics, OBGY, Orthopaedics, Ophthalmology, Anaesthesia, and the full Round 1 picture.

Deepinder Goyal's wearable opened pre-orders on 1 November and sells a continuous figure it calls Brain Flow, plus a stress score it calls Entropy. The sensor is a photoplethysmograph sitting on the temple, over the superficial temporal artery. That vessel is a terminal branch of the external carotid and supplies scalp and face. Brain parenchyma is fed by the internal carotids and the vertebrals, which is the anatomy the hepatologist Cyriac Abby Philips has been putting to the company in public, along with the charge that the published evidence is bad science. Goyal has answered on X, in a post addressed to concerned Indian doctors: Temple is a wellness product rather than a medical device, there is a return policy, and independent validation is on the way. For now the validation sits in preprints, and there is no CDSCO or FDA clearance behind either metric.

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Seven of the ten worst readings in the country this morning were in Haryana and Punjab, and the eighth and ninth were Delhi and Ghaziabad. Every one of them is in the band where the warning stops being about asthmatics and starts being about everyone.

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