For most of the practicing physicians in India, entering practice medicine either occurs when they do not secure a government job or when they retire from the service. I might be an exception to this rule since I resigned from my class I central government job in North-Eastern Railways after just 3 months, at 27 years of age, to start my practice. Incidentally, I also had a clinical attachment with a renal physician from the NHS in the UK in Omesby Hospital, New Guyana, before I decided to start my practicing career.