growing old!

we dont stop playing because we grow old,we grow old because we stop playing

Cc

Cc or Celebrity crush...everyone has one [or would have had one]..flicked this idea from my fellow blogger friend grey [hope he doesn't see this]...and my celebrity crush was and still is Ayesha Takia...:D...Who is [are] yours???

rhinotillexis

hmm......this is one thing we would have seen others doing [a thousand times] and we would have done it atleast once daily [if u are health conscious:D]..yeah u guessed it right.. its nose picking, also called "gold digging" or "rhinotillexis"...but unfortunately the part of the nose involved in this [lower part] and the upper lip are called danger area of the face coz any infection in these regions can directly spread to the brain [called cavernous sinus] through the veins..so be careful nextime when u are about to explore your gold mine!!!..:)

jogger

yeah finally started jogging today [just continuing the routine left long back]....it really feels good!:)

relief!

yeah finally relieved of this internals burden...can now relax a bit a for few days[skin postings :P]..paper was quite easy and not as usual lengthy!!!....have now planned to watch prison break or The Eye movie[looks scary in trailers!]..have medicine postings coming up so have to start preparing for it seriously[hope so:)]...yesterday while revising digestive system came across a condition called Anorexia nervosa -
"its a psychiatric diagnosis that describes an eating disorder by low body weight and body image distortion with an obsessive fear of gaining weight. Individuals with anorexia are known to commonly control body weight through the means of voluntary starvation, purging, vomiting, excessive exercise, or other weight control measures, such as diet pills.. It primarily affects adolescent females, however approximately 10% of people with the diagnosis are male".

this reminded of Christian bale who for his role in the movie Machinist had done the same thing [had lost more than 60 pounds!]...and usually those in professions where there is a particular social pressure to be thin (such as models) are much more likely to develop anorexia during the course of their career...dont u think they need a psychiatric evaluation???...

Christian now
he in the machinist

random conversation

me: now a days i dont enjoy chatting with you!
my friend"s reply-thts because i dont reply properly [admire the persons honesty here]

me-no thats because our conversation is always on way!
my friend"s reply-yeah..i am an extrovert

me-your are wrong
my friend"s reply-then am in a introvert?

me-yeah..introvert means those who are less social
my friend"s reply-okk...[ honesty!]

me-i think you should change
my friend"s reply-i dont want to think anything for a few days

me-why?..internals?
my friend"s reply-no..some other problem

me-you could have shared it with me?..anyways atb for internals bye!
my friend"s reply-i have shared too many conversations with many people and so have to stop talking about myself and start listening to other people more...i am fine, bye....lets study!!!


the person is one of those few fellows who is extremely frank and honest!!!..[everyone cant be like that:)]

yeah!

finally have studied some thing for my medicine internals [after nonstop studying for 2 days:)]...still have infectious diseases and metabolic diseases [and liver] to complete...but much happy now compared to my preparations few days back...finally got a torrent to download[i know its illegal] for prison break episode 14 (season 3),will be able to watch it by evening...this is one serial i follow religiously (other being Dr House).From past few days my big brother has been watching FRIENDS (serial) which he luckily (unlucky for me) got from one of his friends [first 4 seasons]..now he watches atleast 3 episodes daily and because of which we (myself and my twin brother) have been unable to use the pc in the night from past few days (some times really feel like throwing those dvds away:( )...have to study now! [yeah bunked classes today!]..by the way any Prison break or Dr house viewer out there???

Battle at kruger!

Battle at Kruger is a viral video posted on YouTube in 2007 which was widely praised for its dramatic depiction of life on the African savanna. It is one of YouTube's most popular videos, with more than 26 million views and 20 000 comments as of today.It was the winner of 2007 best youtube eyewitness video!!!!!

It was originally filmed in September 2004 by videographer David Budzinski and photographer Jason Schlosberg at a watering hole in Kruger National Park, South Africa. The video depicts an unfolding confrontation between a herd of Cape Buffalo (Syncerus caffer), a small pride of lions (Panthera leo), and a pair of crocodiles......enjoy watching!!!!

.....

today was one of those few days where i studied hard for most the day and so its time for some relaxation now[ blogging!]...started with haematology today morning have finished about 60% now and hopefully will be able to complete it by night..while going through it came through a condition called Thalassemia where the blood hemoglobin synthesis is defective [quantitatively not qualitatively] and hence the patient will be suffering from anemia [decreased O2 carrying capacity of the blood].... in some of them this occurs as a trait [minor form] and in fact may confer to them some degree of protection in 2 ways 1) since in this condition life span of rbc is relatively decreased malaria parasites are unable to survive in the cell and so provides them survival advantage [to the patient]...this is common in some african regions...2) it decreases the incidence of heart attack in some[ not yet proved]...and in fact PETE SAMPRAS was a sufferer of this. [he disclosed this only after his retirement].

a interview!

Interviewer said "I shall either ask you ten easy questions or one really difficult question. Think well before you make up your mind!" The boy thought for awhile and said,"my choice is one really difficult question."

"Well, good luck to you, you have made your own choice! Now tell me this.

"What comes first, Day or Night?"

The boy was jolted in! to reality as his admission depends on thecorrectness of his answer, but he thought for a while and said, "It's theDAY sir!"

"How" the interviewer asked,
"Sorry sir, you promised me that you will not ask me a SECOND difficult question!"

He was selected for IAS [1986]

yeah!

yeah i have finally started studying for my med internals with endocrinology today,its too interesting but lengthy!...going at my pace now, don't think i will be able to complete atleast one reading one reading by thursday.Now i realize why people say this year is a living nightmare!...ok bye for now!

Vs time

planning is one thing i really believe in and right now am doing just that for the upcoming medicine internals...we[students like me] are now expected to study 350 pages of medicine within a short span of 6 days(hope so).I could have started med 2 weeks back itself when it was first announced but since had orthopedics postings didn't feel like doing so [its unfair to neglect our clinical postings subject].This is one problem we are facing from past 2 years.What happens is that during our clinical postings usually other subjects theory internals are kept and we are unable to decide whether to concentrate on our clinical postings or on the internals.Some serious brain storming needs to be done on this issue....my plans for today is to start with endocrinology and finish with infectious diseases by sunday [a really tough job!?]...hope i succeed in this task!

official!

yeah..its official ..our results were out 2 days back and am officially into the final year of mbbs[the final battle in the war:)].My results were not at all as expected(disappointed)!.After seeing my result i could have done 2 things 1) brood over that all day and night and ruin my mind!...2)apply one the dale carnegie"s principles[don't worry about those things which wont effect you after 5 years] and move on and guess what i did the latter!!!!...The thing which pissed me was that even after working hard for the exams i landed up in such a state..there is some thing seriously wrong with my approach to the exams or there is fault in the system itself...At the end of the day what matters the most is the our clinical knowledge and liking for the subject and all these marks don't matter much!!..Moving on to the final phase, our first clinical postings[orthopedics] will be over by Saturday and from next week for 2 weeks have skin postings and have almost decided to bunk it and prepare for the upcoming medicine internals!!!....

it pays to remember names and faces!

Two men approached each other on the street with a look of
recognition in their eyes. One said to the other, "Now wait a
minute, don't tell me, I know I know you, but I'm not sure of
where we met. Let me see if I can think of your name. I've got
it! We met in Miami Beach two years ago."
"No, I've never been to Miami Beach."
"Hold it, don't tell me—oh, yes, it was on the boardwalk
of Atlantic City that we met."
"Sorry, I've never visited Atlantic City."
"I've got it now! Chicago in 1953!"
"Nope, I was not in Chicago in 1953."
"Well, I know we've met, where do I know you from?"
"Idiot! I'm your brother!!

flashback (1)-Papillon levefre syndrome

what is papillon levefre syndrome?...ever heard about it?...probably not because its incidence rate is about 1-4 per million people [its so rare that its not even mentioned in our paediatrics text] .When i was posted in paediatrics last year i had come across a patient suffering from this .....this is a very rare condition characterized by skin lesions caused by hyperkeratosis [like excess roughness], and severe periodontal destruction[early teeth eruption].She was a girl of about 10 years and due to her recurrent teeth infection [and eruption] she had problems in chewing and because of this she had grade 1 malnutrition due to inadequate food intake.On further inquiring about her family history[part of our history taking format] came to know that one of her younger brother was mentally retarded and was recommended to NIMHANS for further evaluation[even showed us the letter of recommendation by one of her family physician].She[mother] even told us proudly that she was quite bright in her academics!.Felt really sorry for the mother and appreciated her cooperation to us inspite of all this!.... the same case was given to me for internal assessment[the reason she had got admitted was that she had chronic liver infection] and so it was little bit easy for me to take history and present the case.... in the end as a part of my appreciation to the girl presented her 3 chocolates and made her feel important!!:)

the butterfly effect!

!!!???

am really stressed,frustrated,sad,unhappy,anxious,feel like going somewhere...!!!!!!.........but cant do it!...any one kind enough to help??

medical terms...

usually when studying we medical people come across many difficult terms which we have to remember and regurgitate it out in our exams!..here are few of those ultra complex terms which i have come across in the last 31/2 years of my medical training!!!

1) Pneumonoultramicroscopic silicovolcanoconiosis-a lung disease caused by silica


2) Arbeitsgemeinschaft für Osteosynthesefrage(AO)-study of internal fixation of bone fractures


3) dysdiadokokinesia-difficulty in performing rapid alternating movements usually seen in cerebellar damage in alcoholics


4) Hepaticocholangiocholecystenterostomies - a surgical creation of a connection between the gall bladder and a hepatic duct[liver] and between the intestine and the gall bladder[organ below the liver].

a mechanic!

" person who uses tools to repair things (generally machinery) or works to keep things operating properly" is the wikipedia definition of a mechanic which can very well be applied to a orthopedician except that he works on the bones instead of on the machines!..We had our 3rd round OT[operation theater] yesterday and were very much convinced of this fact.Typically a OT begins with the patient arriving to the room on time and is given preoperative medications.Here (in orthopedics) a single operation requires atleast a team of 3 surgeons where the other 2 except putting pressure and exhibiting their physical force on the patient don't do anything else.No wonder orthopedics fails to attract the opposite sex [so called weaker ones physically:), yet to find a female orthopedician] and really pity all those people who work here[:(].then after the OT we were made familiar with some instruments which had all kinds of nails and screws.

Tagging...

usually have come across many blogs where people tag each other and used to wonder whts it all about!..Recently i was tagged by a fellow blogger Sahefa [thank you:)] and requested to write some thing about myself!

1) one of those people who believe in the principle "be friendly with many but intimate with few".Have few very good friends on whom i can rely upon!!!

2) always wanted to be a doctor and am living my dream now!...

3) love to watch action thriller type movies...one of my passions !

4) my passions in life-movies,case taking,chatting with friends,eating and drinking, and of course playing Xbox .....

5) quite shy with girls ,and do talk with only those girls who are quite themselves and are like me! [hate those wanna be types and attitude types]..and till now have had 3 crushes:P!!!

6) till now the biggest happiest movement in my life was when i got my CET[karnataka 2004] result!:)

and since i was tagged by a stranger[blogger friend] would pass this on to 2 of my new blog friends....Avanija and Drwiz

Magic formula....!

We as human beings come across various problems in our life and tend to worry about them[rather than being concerned].I used to do the same thing :( until i came to know about this technique given in one of the Dale Carnegie"s book[not that it has completely banished my worries but atleast it has decreased it to some an extent] .However let me warn you that this technique is nothing new to you people and you would have applied this in your life and i need not stress on that.The problem in us is not ignorance but inaction and my purpose here is just to do something about applying them.

Basically there are 3 steps in the technique!

1) analyze the situation fearlessly and honestly and figure out what was the worst thing that can happen in any given situation[or failure]
2) after figuring out what is the worst that can possibly happen,accept it mentally and practically[most important step in the technique!!!]

3) from that time on calmly devote your time and energy to improve upon the worst that you have already accepted


apply this and see it working just like any mind recipe!!..:))

no farting!...(2)

A ladies letter to her friend-
"One day I met a sweet gentleman and fell in love. When it became
apparent that we would marry, I made the supreme sacrifice and gave up
eating beans.

Some months later, on my birthday, my car broke down on the way home
from work. Since I lived in the countryside I called my husband and told
him that I would be late because I had to walk home. On my way, I passed
by a small diner and the odour of baked beans was more than I could
stand. With miles to walk, I figured that I would walk off any ill
effects by the time I reached home, so I stopped at the dinner and
before I knew it, I had consumed three large orders of baked beans.

All the way home, I made sure that I released all the gas. Upon my
arrival, my husband seemed excited to see me and exclaimed delightedly:
"Darling I have a surprise for dinner tonight." He then blindfolded me
and led me to my chair at the dinner table. I took a seat and just as he
was about to remove my blindfold, the telephone rang. He made me promise
not to touch the blindfold until he returned and went to answer the
call. The baked beans I had consumed were still affecting me and the
pressure was becoming most unbearable, so while my husband was out of
the room I seized the opportunity, shifted my weight to one leg and let
one go. It was not only loud, but it smelled like a fertilizer truck
running over a skunk in front of a pulpwood mill.

I took my napkin from my lap and fanned the air around me vigorously.
Then, shifting to the other cheek, I ripped off three more. The stink
was worse than stinking cabbage. Keeping my ears carefully tuned to the
conversation in the other room, I went on like this for another few
minutes.

The pleasure was indescribable. When eventually the telephone farewells
signaled the end of my freedom, I quickly fanned the air a few more
times with my napkin, placed it on my lap and folded my hands back on it
feeling very relieved and pleased with myself. My face must have been
the picture of innocence when my husband returned,apologizing for
taking so long.

He asked me if I had peeked through the blindfold, and I assured him I
had not. At this point, he removed the blindfold, and twelve dinner
guests seated around the table chorused: "Happy Birthday!"!! I nearly
died!!!"

UB

today doing our rounds we came across a patient[a admitted one] who along with a thigh fracture had sustained some injury to his urinary bladder due to which he had lost his urination reflex!...this patient had not voided from last 3 days and hence when examined by the professor his urinary bladder it was at the level of the umbilicus[normally not palpable ]!..when the prof asked the pg why hasn't he still put the catheter for artificial voiding he just told that he has been waiting for the bladder to get bigger to which the prof replied "how much bigger should it get??".

3rd week

its our 3rd week in postings now and still haven't got that seriousness that a final year student should have got by now!...not that am wasting much time now ,but when i look back at the end of the day just don't feel satisfied with the days work, guess every one feels like that[hope so:)].Today we had ward rounds with our unit professor and it was quite good.In the end when we said him that we wanted to present a osteomylitis[bone infection] case he just told a PG to take the class and went away and we as usual weren't interested to attend a pg`s class so just bunked it and went to college campus[hope he doesn't screw us tomorrow]. Our 3rd phase results may be announced within a day or so and am keeping my fingers crossed!..:)

Physician"s nightmare

Normally a physician during his practice comes across many diseases diagnosing which becomes rather a complex due to multiple symptoms and causes.
DIC[disseminated intravascular coagulation] is one of them where on one side in the patients blood[intravascular] there is excessive clot formation and one the other side due to these clot formation most of the platelets[one required for clot formation] are used up resulting in excessive bleeding[due to resultant platelet decrease].This condition usually occurs during pregnancy and during road traffic accidents.When diagnosing and treating the patient for this condtion the physician is unable to decide whether to give procoagulants to stop bleeding(which further promotes clot formation) or to give anticoagulants(which in turn promotes bleeding) to stop the clot formation and thus it requires meticulous maneuvering of the clinician between Scylla of clot and the Charybdis of bleeding,rightly called as PHYSICIANS NIGHTMARE.

"flight,fright,fight"

Adrenaline is the flight,fright and fight hormone!.....

Live in "Day tight compartments"...a lesson by Dale Carnegie

In the spring of 1871, a young man picked up a book and read twenty-one words that had a profound effect on his future. A medical student at the Montreal General Hospital, he was worried about passing the final examination, worried about what to do,where to go, how to build up a practice, how to make a living.
The twenty-one words that this young medical student read in 1871 helped him to become the most famous physician of his generation. He organised the world-famous Johns Hopkins School of Medicine. He became Regius Professor of Medicine at Oxford the highest honour that can be bestowed upon any medical man in the British Empire.He was knighted by the King of England. When he died, two huge volumes containing 1,466 pages were required to tell the story of his life.

His name was Sir William Osier-

" each one of you live with ''day-tight compartments' Touch a button and hear, at every level of your life, the iron doors shutting out the Past-the dead yesterdays. Touch another and shut off, with a metal curtain, the Future -the unborn tomorrows. Then you are safe-safe for today!.Shut off the past!Let the dead past bury its dead. ... Shut out the yesterdays which have lighted fools the way to dusty death. ... The load of tomorrow, added to that of yesterday, carried today, makes the strongest falter. Shut off the future as tightly as the past. ... The future is today. ... There is no tomorrow. The day of man's salvation is now "

a patient"s plight

This is a true incident that happened in our OPD 2 days back

One of the patients on the night before coming to the OPD had sustained a shoulder dislocation by due to a trivial fall.Unable to bear the pain he had decided to go to a near by orthoclinic in Doddabellapur.There the doctor had demanded 2000rs for the treatment.Being poor he couldn't afford it but after much coaxing by the doctor he agreed to pay 300rs and was finally put a sling[for immobilizing it] for his fracture and sent away.Next day when the same patient came to the Ortho department here in Victoria Hospital he was shocked to see the same person sitting in the OPD chamber and coincidently it happened to be our unit assistant professor!!!!!....you must be wondering now how i came to know about this?...the patient himself narrated all this to my friend during his history taking for the internals!!...

How many bones do we have???

Ever wondered how many bones our body is made of?..sorry no price for guessing..its about 206!!...typically at birth its about 350 and as we grow, due to unison of the bones the number decreases attaining constant number of about 206 in adults!...

Here is the breakdown:

- 28 skull bones (8 cranial, 14 facial, and 6 ear bones); !!!!!!

- the horseshoe-shaped hyoid bone of the neck;

- 26 vertebrae-back bone! (7 cervical or neck, 12 thorax, 5 lumbar or loins, the sacrum which is five fused vertebrae, and the coccyx, our vestigial tail, which is four fused vertebrae);

- 24 ribs plus the sternum(breastbone); the shoulder girdle [2 clavicles(collar bone), the most frequently fractured bone in the body, and 2 scapulae];

- the pelvic girdle[hip] (2 fused bones);

- 30 bones in our arms and legs (a total of 120);

- There are also a few partial bones, ranging from 8-18 in number, which are related to joints

so next time when you see a person try counting them!...lol

Blacky

Blacky is the name of one of the dogs of our neighbor(other being browny) which died unexpectedly yesterday night[that too on the occasion of shiv ratri] after being hit by a car at about 2300.Actually it was brought by our next door neighbors about 3 months back when they moved in .Along with its friend Browny they had formed a formidable pair in the street always being active and doing things which a normal watchman does at night!.We used to feed it occasionally with some biscuits and all.
This tragic incident happened yesterday night when while chasing one of the plastic covers this dog went straight to the middle of the road which when was hit by the car coming from the opposite direction.Browny was just lucky to escape as it was just behind this dog.This all happened when my brother was watching and he couldn't do anything:(...Its rightful owners must be blamed for all this since inspite of repeatedly telling them to keep the dogs indoors at least during nights, they were inhuman enough not to do so!...this shows the ugly side of human beings!.As a mark of respect and love for the dog am posting with some pictures!

Before-taken few days back

Today morning-rest in peace!:(

Bullshit

A turkey was chatting with a bull. "I would love to be able to get to the top of that tree," sighed the turkey, "but I haven't got the energy."

"Well, why don't you nibble on some of my droppings?" replied the bull. They're packed with nutrients."

The turkey pecked at a lump of dung, and found it actually gave him enough strength to reach the lowest branch of the tree. The next day, after eating some more dung, he reached the second branch. Finally after a fourth night, the turkey was proudly perched at the top of the tree.

He was promptly spotted by a farmer, who shot him out of the tree.

Moral of the story: BullSHIT might get you to the top, but it won't keep you there

first pill

today was one of those miserable days where you had to do your routine work when the world around you[ my other classmates] is busy enjoying and relaxing.Yeah,we had to give our first orthopedics internals today[this years first one] in the opd.The day typically started with us going to the opd on time[9am] and the professors as usual coming late[after 10].5 of us were told to take a case which unfortunately ended with the other 2 taking it.remaining 3 of us were given another case [a complicated? one] but unfortunately which due to patient"s incooperation couldn't complete it[SIMPU-students expert in making patients uncooperative??].Finally[thank god!] a pretty easy case was given ,which we presented to a assistant prof and got an idea regarding the internals in the coming days!
finally came home and watched MITHYA movie[produced by Arindam Chaudary-still guessing what made such a person enter the film industry!],it was good!

time for a joke!(1)

When nuns are admitted to Heaven they go through a special gate and are expected to make one last confession before they become angels.

Several nuns are lined up at this gate waiting to be absolved of their last sins before they are made holy.

"And so," says St. Peter, "have you ever had any contact with a thingy?"

"Well," says the first nun in line, "I did once just touch the tip of one with the tip of my finger."

"OK," says St. Peter, "dip your finger in the holy water and pass on into heaven."

The next nun admits, "Well, yes, I did once get carried away and I, you know, sort of massaged one a bit."

"OK," says St. Peter, "rinse your hand in the holy water and pass on into heaven."

Suddenly there is some jostling in the line and one of the nuns is trying to cut in front.

"Well now, what's going on here?" says St. Peter.

"Well, your excellency," says the nun who is trying to improve her position in line, "If I'm going to have to gargle that stuff, I want to do it before Sister Mary Thomas sticks her butt in it."

Motors of your life...

while going through some medical blogs , found this interesting article about happiness[rather well being] for medical students...here he suggests a mnemonic for a set of wellbeing practices.its called MOTORS

“MOTORS” stands for:

Meaning --> find a meaning in what you do for a living but don't forget to set limits around it
Outlook --> have a positive outlook on life, be philosophical but also focused on success
Time --> spend quality time with F&F (Family & Friends)
Out of yuppie values --> don't focus on chasing money or prestige
Religious / spiritual practices
Self care practices, like sports or meditation

cup of coffee....

had a cup of coffee(one of the main reason to get up in the morning) as usual today but still feeling sleepy...hope will survive the postings today....zzz.....

other part!

this is our 2nd week of our clinical postings and it started off quite well today in the wards.Took a wrist fracture case of a nurse[who is working here in the same hospital]. and who is been admitted in one of the special wards[yeah... government hospitals too have them but its not free].We were really surprised by the way she cooperated to us(usually medial staff people when admitted don't cooperate), and after finishing this case went to the rounds [for the 1st time] with our unit professor[who looks more like a zombie than a professor] and two of his PGs where we were shown some Xrays and some pretty bad RTA cases.Our theory classes were supposed to start today with a medicine class but fortunately:) that didn't happen.But the best part was got to meet some of my friends after quite a long time[ 3rd phase exams].

yummy!

You Are a Cadbury Creme Egg

You're the type that stole little brother's easter basket so that you could have MORE CANDY!

What Easter Candy Are You?

Whats the connection between Genu varum and Rivaldo???

Few days back when reading a orthopedics textbook i came across a condition called GENU VARUM which is usually characterized by outward bowing of legs giving the appearance of a bow. and one of the major causes of it being Vitamin D deficiency.When i goggled it came to know that among many famous sufferers of it world famous Brazilian footballer RIVALDO was one of them.He developed this problem[rather a deformity] during his early childhood days when he couldn't afford even a days meal because of poverty!....Inspite of all these difficulties he managed to become one of all time best footballers of this generation!!!

5 things am happy about!

1) my education,one of those few things that uplifts your self esteem.
2) able to urinate properly now without any difficulties because after 60yrs i have 70-80% chance of developing BPH[which causes urination problems]
3) some good friends on whom i can rely upon.
4) natures beauty:))(!!!)
5) 3 good meals a day(that too without any effort)!

Appreciation vs Flattery

Its an old maxim in the schools
that flattery"s the food of fools
Yet now and then you men of wit
will condescend to take a bit..

-Jonathan Swift

weekend

Finally the weekend[the first one after our postings started] has arrived and so its time for some relaxation[not that have worked hard all this week] and blogging!...this week postings were pretty ok with rotational OPDs and O.Ts!.regarding my resolutions for the final year ,still trying to stick to them as sincerely as possible:).First thing going to do today is meet my chaddi[in fact nikker:)] dost today after a such long time[whom i know from past 15 years] and then plan for rest of the weekend!