After spending four decades in Sevagram, I often find myself reflecting on the past, comparing it to the present, and pondering what the future holds.

Itโ€™s one of my most cherished pastimesโ€”a price I pay for the salt that now outnumbers the pepper on my scalp.

The conversation begins with medical students. We often blame them for skipping classes. Missing bedside clinics. Focusing solely on their exam-oriented learning and preparing purely for NEET.

โ€œThey lack interest in bedside learning,โ€ laments one of my colleagues. โ€œThey only care about career and commerce, not the art and science of medicine,โ€ sighs another old-timer.

โ€œYou know, at the patientโ€™s bedside, we hardly ever see residents actually checking for physical signs anymore. Instead, theyโ€™re glued to their iPhones, hunting for apps that can give them quick answers,โ€ says one of the old professors. โ€œItโ€™s like they canโ€™t wait to order CT scans and MRIs, often skipping the whole neurological exam,โ€ another colleague adds, shaking his head.

โ€œAnd can you believe it? Pregnant women are wheeled into the ultrasound room before anyone even thinks to check their bellies!โ€ sighs an obstetrician, visibly frustrated.

The comparisons are everywhereโ€”in classrooms, post-graduate seminar rooms, OPD chambers, wards, ICUs, labour rooms, labs and operating rooms.

The older generation seems to have a long list of concerns about the younger one.

We believe that values were stronger then and that we worked harder.

Itโ€™s easy to think today canโ€™t possibly live up to the “good old days.” We may feel that the world has changed in ways that have lost something important. Students seem less engaged, and thereโ€™s a growing reliance on technology over clinical wisdom.

But are these comparisons really fair? Is it right to compare our experiences in medicine across different generations?

As we grow older, itโ€™s natural to look back with nostalgia. We often compare the present to those earlier days, convinced that the past was better. Back then, things felt simpler and more meaningful. Dedication, respect, and commitment were the norm. A focus on clinical skills and genuine patient care was standard practice.

Aren’t we simply romanticizing the past? Are we yearning for a time when we felt more in control and certain about our roles? Maybe these are just our biases. Perhaps our view of the present is clouded by nostalgia and cynicism. Maybe weโ€™re struggling to keep up with the changes around us.

Iโ€™m reminded of a quote I once read: โ€œThe past wasnโ€™t as good as you remember. The present isnโ€™t as bad as you think. The future will be better than you expect.โ€

I canโ€™t recall where or when I read it, but it helps me grasp the complexities of the world around me more clearly.