Smile.

A middle aged lady walks into opd with a smiling face.she greets me warmly, quietly takes her prescription slip and in the end again smiles leaving the opd.
After few minutes I realize scratching my head that this was the same lady whom I had intubated and put on ventilator few days back.timely intervention and right decisions makes a difference to the life.
these are the few instances which really puts a smile on our faces here.

Iron man

Clinical case presentation...patient is a clothes presser....written as iron man.... (4??)....;)

frustration...

thesis topic selection,getting jacked in rounds daily [by HOD],irritating/illiterate patients behind your back always,language problem,boring/tasteless mess food......all these make me sometimes pull my hairs out of frustration....

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!

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.

bribe[?]

a young guy in minor ot today comes straight to me and puts some thing small into my hand and says "its my birthday today"!Co-incidently i did his dressing quite early then and hope others[patients still waiting]out there dont think it just happened coz of the "chocolate" he gave to me.

countdown

just one opd to go and 8 more days of med postings...its better to see a glass as half full;)

p.s-people now days r so stupid and careless....for just simple fever and diabetes they come to emergency in the middle of the night for medication...guess wht they do during day time.

scissors

at 5am today[during my emergency duty] a patient walks in to the casualty and says that he is having loose stools and needs iv fluids[they just demand here].So when i asked him the frequency of the stools patient calmly replies back "150 times"!

a 2nd yr nursing student asks our pg during rounds "sir i want to know some systemic causes of Scissors?"(she meant to say Seizures)

p.s-
1-Wolverine movie really rocks guys..had been to it with my pgs last week...dont miss it!!...
2-

Envenomation

During rounds a patient bit by a snake says to our unit prof "saar(sir) it[snake] just hissed once and i got this bite"
myself and the pgs were literally rofl on hearing this..as if via bluetooth its venom got into his body!!

wtf moments

in the wards one patient attender comes to me and tells "doctor my husband's urine collection bag is full..wht shd i do?"...i just calmly replied back saying now whether shd i do the cleaning work also for her!!!...

in the morning post opd day when i confidently said to one of the pgs that i have done the work he had told me to do[ecg and xray] and pointed out my finger towards the patient he says "why are u pointing out in that direction when the patient is right in front of u"...actually wht had happened was there were 2 Anands in the wards and unfortunately i had done the investigations for the wrong person.

p.s-except cleaning and feeding the patients they make us do everything here[or atleast patients think we r here for tht sake]

life in med

this is my 2nd week in medicine and now i feel have quite well adjusted to my work...

on mondays i will be too busy as its opd day and on the same day after 4 will have emergency duty[till 4 in the morning]...this is one place where i really enjoy working...every case u come across here will be critical and hardly u get time to think on the spot there...from poisoning ,suicide cases to kidney,liver failure u get to see all sorts of cases and some times the patients input will be so high that u don't get beds for the patients and experience wise also u learn everything from a nurse job to that of a doc...
next day will be ur post opd day where the profs concerned see the cases and advice the pgs[its more of finding fault in what u have not done]...imagine one prof,2 assistant,7pgs and 3 interns going together for rounds...i just love this part and its when u get the feeling like a real doc...
on other days ur[read interns] just busy doing investigations and collection reports and writing discharge summaries....
overall i have started enjoyingmy work but unluckily my studies have really been affected.

p.s-one more night icu duty tomo.....so one more day of less sleep and more work....

The ugly duckling syndrome

"The Ugly Duckling" tells the story of a cygnet ostracized by his fellow barnyard fowl because of his perceived homeliness. To his delight (and to the surprise of others), he matures into a graceful swan, the most beautiful bird of all. With "Thumbelina" and other tales, "The Ugly Duckling" demonstrates Andersen's identification with, and his sympathies for, the 'outsider' searching for his or her place in society.

this is in particularly true to those who get affected due a genetic cause[downs,albinos] like one patient who had this rare skin disorder[called xeroderma pigmentosa] coz of which her skin texture was completely lost and was discarded by her own father[due to nonacceptance] and hence come to our department for psychiatric evaluation.
p.s- but the truth is its her father who needed this and unfortunately no one here[in govn hosp] has the time and patience to do that.

a psychiatric case

history elicited from a patient in opd today-

"it started about 5 years back when i started hearing people conspire against me and when i got up[he was asleep then] looking out for him there was no one around or inside my house...since then am having this symptom quite frequently where i hear 2 people talk abt me.Even my wife is involved in this[he was damn sure about this] and i firmly believe that she has an affair with my employer .All 3 of them[wife,employer and his father in law] are together now and are conspiring to take away my property[17acres] and sometimes even control my thoughts..regarding this i have approached both police and lawyers and none of them are willing to help me"

this is a classical case of Schizophrenia where the persons reality gets affected....here in this case he had 3 of the 4 classical symptoms[called first rank symptoms]-Auditory hallucinations[hearing voices],Control thoughts and Delusion[false belief tht his wife is having an affair also called as othello syndrome].

p.s-watch "a beautiful mind" movie which is based on this disorder

life in pavgada

finally am back from Pavgada[my present rural posting] after one full week duty...life was definitely good there but i missed my home there and now an happy to be back home[till sunday]..

its one of those few places which u instantly like and its a nice combination of work,enjoyment and studies...

we just manage odp work there[9 to 4 daily].Only 2 types of patients come here Tb or no Tb...here both DOTS treatment[for tb] ICTC[for Aids] and Mdt for Leprosy are provided for free of cost, hence u get to see quite a lot of such cases

most of the time we used to either study or watch tv....but sometimes u get bored doing this and for a change used to roam around the town in the evenings..

ok guys for now..happy weekend!!:))

some snaps-
pavgada Rural Health centre...
our opd....
tendon reconstruction surgery done in a leprosy patient[for claw hand!]

typical local bus crowd here....
town....reminds me of my native:)

p.s-
1-will be taking up reflections tagg very soon..thanks

2-some ass[hole] has hacked my gmail account and i had to reset my password!!...:(

3-just love this video...one of the best performances by Govinda[still my fav]!!!...

inj-mania

one of the nurses had taken a leave today and hence i had to take her injection room job....(in phcs usually basic drug injections are provided and a room[with a sister] will be assigned to it.)

from the time i started[around 10.30] patients kept on coming and by the time i finished the work it was around 1pm.Seeing the patients reactions here bought my childhood memories back when i used to run away from injections and do all sorts of gimmicks to avoid it[during routine vaccinations].When after uploading the drug into the syringe we press it until a drop or two spills out[ to avoid air clot formation in the artery] and children[some times adults too] here on seeing it get all sorts of phobia and instantly start crying[this is infact the best part infact and i secretly smile to myself like a devil:D]...overall it was a nice funfilled interactive learning experience and to be true was my best here till now.

p.s-one patient after getting the medication asked me whether he can take bath[since he had fever]...i said its his wish for which he replied back saying some one had told him not to do so and is now stinking like a pig!!....lol!!

saranya has bestowed me with an award..cute's blogger award..i thank her for this but i really dont know why i got it[my blog is cute??!!]!!:P

win-win

one thing that i have realized in just one month of my internship is that u really need just a little bit of patience on ur part to deal with the people[patients].Daily when u see about 50-75 patients back to back,prescribe medicines [and advice them] u tend to loose patience once in a while repeatedly answering the same silly doubts,qns and many such things and this way might hurt their sentiment...for me they are just a patient[1 in many] but for them[and their loved ones] they are just[1 in 1] one!..so it does really make a difference to them when i behave rudely or be impatient on them...so in these situations[loosing patience] what i do is just listen to them quietly like a good listener and do my job and in the way swallow that ugly beast called impatience.....that's what i call win-win situation.:)

p.s- yesterday a namoona[speciman] had come to opd[at12pm] saying his marriage is at 1 in the afternoon and need some urgent med for his illness[fever and cold]...he infact had worn the wedding dress and was in full josh!....hope the med would have worked by night;)

diclo-aholic

everyone tom,dick and harry with pain[hands,feet,buttocks everywhere!!] who comes to opd here "Demands" a painkiller injection!!...[they would have been so addicted to this instant pain reliever]

p.s-diclo-is an analgesic[for non-med people;)]

an old patient is better than a new doctor

a patient walks into the medicine opd clinic and when after knowing his symptoms was still wondering which drug to prescribe tells me "give me pp4 injection"!!...

p.s-pp4-procaine penicillin 4Lunits

my father is pretty much like that..a veteran in self medication:P

gratitude

God gave you a gift of 86,400 seconds today. Have you used one to say "thank you?" ~William A. Ward

After attending 4 ANC clinics i now feel my job is the best in the world!![atleast i feel like that:)]...more than the satisfaction its the gratitude and respect u get from them makes u feel so good!!...like some say "happiness of a man in this life consists of the mastery of his passions" hope i achieve it some day:)

p.s-

from nelamangala hospital..real action begins now:D

real life scenarios

#1
a 4month old pregnant lady of 23 yrs comes for a regular check up at our ANC clinic and when advised to undergo a USg scan at our center says she wants to do it outside somewhere in a private clinic reason being[when asked the reason by me] she wants to know the gender!!....she already has a 3 yr old daughter.

#2
today during CNAA survey on equiring about his childrens age a father of four replies "8,6,4 and 2"....guess he has worked out his math very well!..lol

p.s-
1-see this hilarious video of a prank call...u will surely go rofl!!:)

2-atlast one of our Bp apparatus is working!!....some thing to cheer abt:P
3-my close senior friend had his graduation today..my hearty congratulations to him.[i will be in his shoes next yr:)]

4-finally met the stygian sailor[kafta cafe blog] who is my senior[by 2 yrs] in the college...really cool guy indeed:)[@ sailor.. its not a flattery!!]