pic of the day...

p.s-

this was taken inside NICU...a neonate on phototherapy..

i so miss my paeds postings:(

Hiroshima and Nagasaki...

A boy presenting with just lower leg[one side] weakness[and occasional vomiting] and after much needed workup on the case when found out tht its a case of CNS lymphoma [a brain tumor] and breaking this news to his parents is never pleasant!

disheartening...

its disheartening to see a Progeria case in real...[rememeber paa movie?]

p.s-
will put up the snap soon[of the baby]

inspired...

after 2 weeks of paeds i shd admit that am really enjoying it...first of all its after exams[aipg] which has made me totally relaxed[stress free!] and also it happens to my subj of interest.
Paeds is totally diffn..here u r more of a friend than a doc and children really adore u if u become one[not heroworship and all].They are just so pure and innocent which exactly makes me like them.Best part is that they just obey ur orders when they r told those golden words "chocolate"[often misused also].

p.s-
this is the first time in internship where am really enjoying my work...its just work and fun.

a patient politely requests today "mughe tonic likhkar do syrup nahi"!!
p.s.s-
One more duty coming up tomo...u just see few cases,sleep well[6-8hrs] and go home happily with a day off[HOD thinks we work our ass off during duties]...

MATRIX...

baby getting phototherapy[for hyperbilirubinemia]...just loved the snap![reminds me of matrix movie]
p.s-
eyes covered to prevent UV damage.

as a vet doc...

One obvious similarity between a vet doc and a paediatrician is the patient..both cant talk[except for older ones] and diseases must be cured based on interpretations/histories of the attendars[parents]...and many times obviosly u end up making assumptions or rely on lab findings for the proper diagnosis.


one of the most absurb/annoying thing i have seen in opds r the parents themselves..they just exaggerate symptoms and animatedly describe things where they corelate every possible incident with the childs sickness..i agree tht parents get anxious abt their kins health but by doing so u just end up confusing the doc.

whether its a 10yr old or a 15yr old child[adolescent] parents still[immature ones] demand or syrups..wth!...15 yr old and still make them take syrups[which they hate really]!...plz grow up people!!

yesterday we had an identical twin nabiulla and sayiulla[names changed]...they were so identical that after examining Nulla we found out that in fact it was Sulla who was sick.

"injection dalvado" is the expression which we hear often..even for a simple sneeze/cough they demand[request] for injections and that too for a 2yr old ones...still havent understood whether its their ignorance which make them beahve like this or they just want to exploit the govn.

back to the pavilion...

finally back into the routine....[@ paediatrics opd]...

still not out

tomo being my last day in clw[clean lab ward] makes me really happy,nostalgic and satisfied.....happy coz no more 12hrs/day duty[which i hate the most],nostalgic coz delivering and making babies cry[just love them to pinch!..lol] will always be a sweet memory to me and satisfied coz i always wanted to learn this[conducting labour] and am content with my count[50 till now] and hope tht some day some parent rememberes me for wht i have done to them:)

p.s-

when making a cpr to a baby with a paediatrician few days back i realized that 23 yrs ago i was in tht baby's position[me being prematurely born had to be in nicu for a month] and now tht same baby is in a position to do the same on others....indeed life is like a ....

week-End

finally a good weekend coming up....will just relax,sleep a lot,may be watch a movie and ofcourse go out to hogg!!!

p.s-shifting to orthopedics from Monday..bye-bye to the cute kids i have come across in paeds...will really miss them there!...its so much fun interacting with those innocent minds and scaring them for an injection;)[sorry kids!!]

a nice video-akon live..he really rocks!!

Pedicon 2009

myself and 3 of my friends visited the 46th national conference of India Academy of pediatrics....today was the 3rd day.
We got to see many new and latest drug displays along withthe latest upcoming technologies in the field.

As part of the conference a quiz show[all India Finale] was conducted[for UGs] in which our college[BMCRI] came second.Congratulations guys!!...[Banaras Hindu University students came first]

then we went to a nearby snack center where we satisfied our insatiable satiety center and then finally had some cotton candy[am having this after almost 10 yrs!]

MB-bs

still 2 more pracs to go...obg and med...first 2 were quite easy[surgery and paeds]...

it was really a learning experience in pediatrics...my first case was a 3 yr old normal baby..its father was just 21 yrs old[that makes him younger than me!!!] and it was his 2nd child[first one had died immediately after birth due to low birth weight-800gms!!]....this made me wonder whether all the health schemes and health promotion ads which the government promotes really benefits these poor people!!

Marfan syndrome

Marfan syndrome (or Marfan's syndrome) is a genetic disorder of the connective tissue affecting about 0.02% of the population....People with Marfan's are typically tall, with long limbs and long thin fingers.

Although there are no unique signs or symptoms of this syndrome, the constellation of long limbs[arm span being more than ur length by 5cm], dislocated lenses[one inside ur eyeballs], and aortic root dilation is sufficient to make the diagnosis with confidence. There are more than thirty other clinical features that are variably associated with the syndrome most involving the skeleton, skin, and joints

Olympic champion Michael Phelps [swimmer] is rumored[!] to be suffering from this though not proven yet!...

thumb sign[Steinberg sign]-is said to positive when completely opposed within the clenched hand, projects beyond the inner border..... patient in the pic below has been admitted to our paeds wards with a cardiac problem and is diagnosed to have this syndrome[he is almost 6 feet tall and is just 14yrs old]......

nostalgic moments...

our paeds hall where i wrote my last internals

last but not the least

tomorrow am going to write my last internals[pediatrics] of my ug [mbbs] life!!.......
its for 100 marks and the whole syllabus has been included this time.......wish me good luck!..:)


will defenitely miss them when i do my pg!!!

happy children"s Day

Children know laughter They know tears Children know peace They know chaos Children know acceptance They know rejection Children know joy They know pain Children know abundance They know lack Children know health They know illness Children know fulfillment They know emptiness Children know hope They know dismay Children know love They know hatred What they don’t know is WHY! Faith Deskins source-poemhunter today is also WDD[world diabetic day]....wish u guys a very good health

lollipop effect

Paediatrics is one subject where u simply cant extract a reasonable history and examine the patient without bribing them[children!-even they need it!]...this[bribing] not only makes the child cooperative but also the informant[usually the mother] who until then would have thought that we are concerned only about their history and not about their children...yesterday we[3 of us] saw a case where the child due to vitamin D deficiency had developed muscle weakness and was not unable to walk inspite of being 1.5 yrs old...and when we tried to examine it, it just refused in the form of crying....finally after giving a lollipop it calmed down and allowed us to examine it[that too with great difficulty]...thats called Lollipop effect..:)...
i still remember when i was younger the pediatrician near by always used to give me a toffee on my every visit and that one toffee really used to lift me up!!!...so when ever i see any child in the wards i make sure they don't go empty handed....

weekend..

good weekend coming[already started!] up and am eagerly looking forward to it this time....last few weekends have been quite hectic[coz of internals!]....will watch a movie[ironman or transformers] and may be go out and have something to satify my taste buds...paediatrics postings is good[one of the best departments in our college] and this being our last term in mbbs we ahve to make best use of the clinical postings[still medicine,obg and surgery to go!!!].....hope we utilize it properly!!!...:)

AM BACK!!!!!!!!

yeah finally am back.....reinstalled my pc today..feeling pretty happy[and proud too..since did everything by my self]....:))....feeling really good to be back here...will be catching up on other blogs today..thanks for visiting my blog all these days...
finally paediatrics postings started this week...its pretty good...we get to see many cute children..best thing is they become friendly pretty soon[of course after bribing them with a candy!]....obg theory internals coming up this tued!!!!..wish me good luck..bye:)

Adolescent day

August 1st is usually considered as Adolescent day..main aim being to educate the people abt its effect on the individual both biologically and psychologically...in keeping this mind IAP[Indian Paediatric Association] has started a program for the welfare of the people in this age group....

Indian being the home of highest no of HIV+ve cases really needs to educate the people regarding sex and its misconceptions....

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!!:)