gandhi=rajni

happen to pass by this at rocky beach here. people here have given rajnikanth the status of gandhi-the mahatma?

happy republic day

happy republic day :)

he does it again...

A.R.Rehman..true ambassador of humanity...does it again..spreading humanity and harmony throught his mesmerizing music...video

Obsession

People's obsession with alcohol..(or great marketing?)...saw this just yesterday at a nearby shopping centre....at first was dazed to c people sell beers so openly at a public shopping centre but when I went near it was a total surprise ....a beer shampoo!!...lol

BEwada

an obese man brought to casualty with unconscious state at morning 9am.....known case of TB already on catg 1 ATT....i was called immediately [yeah tb anywhere...even hairs..we are called first :O]....vitals were stable[spo2,bp] so i referred to medicine after ruling out hypoxic encephalopathy........med team tk CT immediately which was normal and we concluded it must be a OSA case with CO2 narcosis.....everyone [med and me] eagerly scratching their brain fr the diagnosis and putting up various DDs for this...when ABG turned out to be normal we were clueless..............

it turned out to be a simple case of alcohol intoxication.......he had boozed previous night nicely[this history was hidden by the attender till then]

BEWEDA SAALA...HAMARA JEENA HARAAM KAR DIYA.......!!

miracles do happen...

a guy who was pushed off a train to brought to casualty with both his legs cut into 2 pieces[leg pieces in a plastic bag]...

me[as CMO] to ortho resident-i think he is dead bro!

ortho resident-he is breathing asshole...common boys its time save him!!

miraculously he is resuscitated and brought back to life  with fluids etc by the ortho and casualty team!!


this what gives me more happiness...not some OBAMA winning some damn election somewhere....CHANGE wont happen to us right?

p.s-

now tht obama wins..every tom dick and harry sitting in their office here wants to fbook it...wht crap!!

Heart attack...

Myocardial Infarction[MI] or in plain english heart attack kills people....in just a 6 hours shift yesterday i came across 4 such situations..all of them referred from private physicians...unfortunately these poor people keep roaming from one practitioner to another with no treatment and finally end up here losing that precious 3 hour window period where any medical intervention perhaps will save his life.....

p.s-

am more worried about these atypical presentations[unusual symptoms] of MI...like this one guy yesterday who came with an upper abdominal pain and when i did a fresh Ecg[high suspicion coz of age and associated diabetes] turned out to be angina.....this patient could have been easily neglected as a case of gastritis and put on wrong drugs...

beginning....

1-loads and loads of OPD cases who cleverly bypass it and land up in casualty for medications...[who rarely succeed]
2-road traffic accidents...being a tertiary centre you shoud be ready for this...being a MLC[medico legal case] u shd be extra cautious regarding documenting and handling the crowd...already 2 cases in my pocket today.....
3-emotional ladies......those who are always ready to pop up a tablet for no reason and land up in casualty with their extra caring husband[read frustrated]...am talking about poisoning...from 10 to 40 yr olds female gender this is so common...this also being a MLC you in a soup if u mess up[like the husband when the wife survives].
4-staff patient....real PIA types[Pain In the Ass]....always extra demanding and try to boss u[even a chapraasi is a staff right?]....but we really don't give a damn for them.
5-real sick cases....this is the reason your posted there..do a quick triage and refer to the parent department...this s where your medical knowledge will play a role....
6-help my colleagues-any respiratory case comes am expected to

this sums up my 1st day in casualty today...

p.s-

best part is that you are your own BOSS..u can dictate terms..and also sometimes get to work with nice people :D

Walk....

Beach side walk....

P.s-
Back to ward from tomorrow......:-(
Watching barfi movie?

Gangnam style...

http://www.youtube.com/watch?v=9bZkp7q19f0

time factor...

when a case comes to casualty...

time taken

for history taking-15mins [with my full blown butler tamil]

for xray -30 min...yeah thats how our emergency works here....everyone here [except the docs] work at their own pace whether the patient convulses,faints or dies

for me to see that x-ray and come to a diagnosis-another 15mins....

means just for a simple cough case i spend a useless 1hr [of my life] and end up prescribing some lame tonic or tablet [cant prescribe genuine ones available outside since the patients cant afford.....they come to casualty with a 5rs/10rs note in their pocket!]

p.s-

1-another night duty yesterday-not much cases but still no decent sleep..coz i had to attend a call at 3am for a simple asthma case....

2-happy ganesha chathurthi :)

holiday....

today we have a holiday and i clearly don't know why[ compensation for some holiday which was cancelled few months back]..

OPDs are closed today and many patients [those who were previosly admitted in wards and come for routine check up] clever enough bypass it and come to ward directly and expect us to see them and prescribe some medications[any thing will do for them....they just want something to swallow]....

Actually i really pity these people for relying on our health system...lack of proper guidance/counselling regarding basic health,lack of planned facilities,the way this govn setup works[takes months for a simple CT scan]...and in a way i feel we are not even providing the basic proper care we are supposed to provide for them being a part of govn health setup......

p.s

[INDIA's population and poverty is not helping either....]

1am

I hate such loosers who after an alcohol binge land up in casualty with just minor complaints and u end up loosing up sleep attending these people.

Pondicherry being a UT and alcohol available at cheaper rates makes people here quite vulnerable to addiction

p.s-

-UT-union territory

-for me my sleep is more important rather than the health of these addicted loosers..

Wishes...

I don't know the key to success, but the key to failure is trying to please everybody-

myself..

belated dasara and advance diwali wishes to all....

random thoughts of an unemployed mind...

days are getting colder and my schedule tighter..more classes with less time to cover them and the time spent in preparations are inversely proportion to your retention in neocortex...think good planning and time management are the keys now...

watching Inception was a big mistake...its a nice movie but no where entertaining and instead shd have seen despicable me..animation movies are always the best bet when it comes to entertainment and frankly even the worst made are quite entertaining..

blogstipation is an epidemic now...many fellow bloggers have virtually stopped writing and it has caught t on me too..i really dont think anyone is interested whether i shit,eat or sleep...this is one reason i never use twitter [last update was 27 days back saying 'i hate twitter']

lilliput living next door is quite amazing..i always hear him either crying or screaming [till his throat burst out]...and i still i haven't unleashed my ultimate weapon against him ie..chocolates...best way to make a kid your fan/follower..;)

house s07 coming ..starting 23 sept...

according to medicine personality is an unmodifiable major criteria for heart diseases...just think about it!..that means personality u have cant be changed at all [as many books say] and once u get its the end...

a story..

A young boy travelled far from his home to study under a great teacher. When he met the wise old man, his first question was, 'How long will it take me before I am as wise as you?'

"The response came swiftly, 'Five years.'

"'This is a very long time,' the boy replied. 'How about if I

work twice as hard?'

'"Then it will take ten,' said the master.

'"Ten! That's far too long. How about if I studied all day and

well into the night, every night?'

'"Fifteen years,' said the sage.

"'I don't understand,' replied the boy. 'Every time I promise to

devote more energy to my goal, you tell me that it will take longer.

Why?'

'"The answer is simple. With one eye fixed on the destination,

there is only one left to guide you along the journey'"

its an excerpt from Robin sharma's "The monk who sold his ferrari" book and has always been my favuorite when it comes to philosophy.

legal now..

finally,atlast[and after little bit of luck must say] i got my name registered in my state council..tht means am a legally certified doc who can start practising and moreover people from now on can sue me for my misadventures[pretty scared]!....getting this work done itself was a big pain in the ass....extension,getting the duplicate challan and those stupid office people[our collg is a govn one] who make u go around 100 times to get a sign done.

Studying for long hours[though not consistent] has become a routine now...but i still feel internship was better with just work and little bit of academic thing.

Havent watched a single good movie from a month..quite a record for me....waiting for IM2..planning to see this one in big screen[hope this isnt a pseudo-3D like CotTs].

p.s-

spending 3 hrs[council people made me wait till evening so had no other go] alone[!!] in Mcd yest was just too aweful...now half an hour had to buy something to keep myself and those cleaners busy..[empty table here doesnt show tht i havent eaten anything!]

a new life...

after grad everything has changed..no more duties,getting up early,rounds or any post duty offs....now i can do wht ever i want provided i compromise on my exam preparations....

-have realized studying for hours is not my thing...those who say they can study14-16 hrs/day r either bluffing[after success many] or are the psycho types.

-friends cant be trusted always...many who say r ur friends stab ur back[too much competition u know!] or like those small beatles eat u inside out.luckily i dont have such kinds

-exercise is a good way to destress urself...went for a jog yest and had never felt so good recently...hope i cont it...

-have to get my name reg in karn council[legally]...quite a long procedure:(

-nothing beats HOUSE...still now its a kickass serial with its trademark sarcasm and medical research.

-have been reading abt the CRPF massacre in the newspapers recently...even after seeing so many deaths @ our hosp i still feel bad for those who die for no reason...all around 80 getting blown away together shows how incapable we[India] are and the disrespect we have for lives of soldiers.

p.s-

recently came across an article where the CAT topper says he used to study just 1hr/day//wtf!!..he expects us to believe this bullcrap!?

things i miss..

finally with the internship coming to an end [not counting the extension in ENT am doing] i would like to highlight the things which i think i liked and would miss from now on...

1-stipend-this may sound weird but frankly this is the thing i will miss the most..financially it helped and hope from now on i need not work part time till i get into a pg...

2-post duty brkfast-after 24 hrs duty this was the silver lining i was looking forward to each morning[post duty]..nothing more cherishing than a good brky[with coffee] on a post duty morning..will surely miss it [more so since most of the times pgs used to pay for it:P]

3-sisters-will miss those v rare cute sisters whom i worked with and were my good friends....

4-seminar perks-only reason we interns used to attend those boring post lunch seminars was the perk we used to get there-a simple tea/coffee and some snacks [and also a way to escape from ur ward work]

5-free samples-sometimes its tht more than the patients its the medical reps[MRs] who pester u with their products and medicines....we used to get a lot of such samples[most of which i never used] and sometimes even movie tickets!!

p.s-

thts our official pullover of the passing out batch...[brugandi color]...

dance,dance,dance...

yesterday we had our class socials [much like pre-graduation party without alcohol].After so many months [almost one yr] i got to meet many of my classmates whom i really missed during my internship.Rather than a simple get together it was more of a pre-graduation farewell party where we gad everything-a formal function,a trip down the memory line in the form of pics and in the end when we all by ourselves we ate,drank,talked[gossiped] and danced together.