For starters, Dr. Shankar is way too sloppy in the way he works. When Krishna, the protagonist, first sought help from the physician, Dr. Shankar merely "asked a few questions, wrote down a prescription and put it away". He confidently declared that "it is just malaria" and he has "fifty cases like this on hand, no need to see Susila". This type of hit-and-miss and inaccurate assumption of a patient's illness has to be the cardinal sin in the world of practitioners. He is far too confident and casual in his diagnosis that he is able to tell to tell what illness a patient is suffering from without even being present in front of the in front of the patient. Dr. Shankar is the perfect example of what all doctors in the world should not do. His quick dismissal of Krishna's request for him to see Susila proves just how irresponsible a doctor he is. Dr. Shankar is not meticulous enough, and in his official capacity as a doctor, he is best described as "an automaton dispensing medicine and healthcare". If only Dr. Shankar had been more elaborate in his proceedings, the outcome might not have proved to be so tragic.
Another key factor in Dr. Shankar's contribution to Susila's demise is his