before_sent:  He is doing private practice at T. P. Jacob Clinic in Royapuram, Chennai and is also a consultant vascular surgeon at MV Hospitals for Diabetes, Royapuram.
before_sent_with_intent: <fluency>  He is doing private practice at T. P. Jacob Clinic in Royapuram, Chennai and is also a consultant vascular surgeon at MV Hospitals for Diabetes, Royapuram.
after_sent:  He is in private practice at T. P. Jacob Clinic in Royapuram, Chennai and is also a consultant vascular surgeon at MV Hospitals for Diabetes, Royapuram.