@ home,stipend

finally at home..pavgada posting is over[and hence my rurals] and am so relieved and happy but at the same time sad coz it was such a nice place and i really enjoyed staying there...[not much work,free food and u can study a lot!!]
From saturday i have med postings which begins with psychiatry for the first 15 days...am really looking forward to this since i have kept an option open to psychiatry for my pg...working practically now in the department will surely expose me to its real pros and cons and will definitely help me in my decision making later.

p.s-My first stipend got released few days back.. am so happy...:)...this is my first earning in my life and the best part is that my whole mbbs expenditure will be given back to me in the form of this salary!!..that's the price u get for studying a govn college[of course u shd work ur ass off to get into it!!:)]

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]!!!...

multi-tasking

here in this phc[primary health centre] u get to do all kinds of work...

physician-
prescribe med in opd

surgeon-
wound dressing etc..

obstetrician-
weekly anc clinic

group "D" jobs-
unlock the opd rooms on holidays urself

and spiderman work-

climb and jump over the wall and go to nearby govn center for emergency nature calls:D

p.s-happy ugadi:)[its new yr for us today]
loved this video...so inspiring..

no title

it has been just 2 days that i have been posted here and already feel freaked out!!..My previous posting was such a heaven even though it was a 9-4 job[unlike here where its just 10-1pm].
the place where am posted to looks like some old broken bungalow and after seeing the work environment[read senior sisters attitude etc..] i don't feel like working here anymore.Even the job ur expected to do here makes u loose interest like they expect u to work in the pharmacy and give medicines and what not...if that the case y the hell have they hired the nurses[and paramedics]??....still have 12 more days here!!

p.s-1-only positive thing here is tht u get holidays on sund and general festivals
2-i really miss those paeds opds and those cute children!!...:(
3-planning to watch fast and furious 4 tomorrow...any of u have already watched it?

next stop

finally THE posting of rurals is over and from tomorrow its in kghalli....frankly experience wise it was a great learning curve but sometimes it was too hectic and i really need a break now from the traveling and 70-100/day patients handling thing!!!
in kghalli phc life is total bindaas...only 10-1pm work daily[opd] and that too only on working days...!!!

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!!

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;)]

beauty with brains-part2

she was absent today!!!.. she was on a leave i guess!!

p.s-and am not fooling anyone here[ for apr fools day]

beauty with brains[?]

a student nurse working here in the pharmacy is quite good looking[in fact pretty] and everytime she sees me throws a giggle at her friends[atleast twice yesterday]..i really don't know the reason or maybe she finds my face funny!!

p.s-lets see wht happens today:D

anything for the money

a 14 yr came to me in paeds opd today and said that he needed a favour from me and that being a re-dressing[bandage] for his old completely healed abdomen scar.Actually i didn't know how to react but meanwhile he continued the conversation saying "my mom's brother has met with an accident and seriously needs some money for his surgery and if i show this [ false bandage] to my paternal grandfather he may give some some money[5k]!".After listening to this i reluctantly agreed and when was about to write for his dressing he said he doesn't have the opd slip and needs 2 rupees for that!..Finally i made him am opd slip with my money and he happily went to minor ot.

p.s-unfortunately he couldn't get the dressing done!!...lol

change in gear

after seeing about[in 6days]

30 common cold cases
10-15 dog bites
15-20 bronchitis,pneumonia
3-5 accident cases
20 uti [urinary tract cases]
15-20 skin allergies cases

its time to say good-bye to med and shift to pediatrics [hopefully]!!..

nothing new to know abt the clinical aspects here but learnt quite a bit about the drugs and the way to handle these patients.

happy weekend!!:)

p.s-[actually am bored to prescribing for the same cases again and again from past 5 days]

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

lion among the lambs

today was my first day at nelamangala PHC.Here each intern is assigned a department on rotation basis and and i will be in medicine for the first 3 days...ur alone here and have to deal with the opd patients independently till 9-4pm[including prescriptions and the investigations].Today i have prescribed to about 70-100 patients including for myalgia,malaria,fungal infections and a bipolar disease[just re prescribed in this case]!!
u get to see all almost all types of patients here ranging from 1 yr old ones to 85 yrs old.Even the emotion displayed by them varies a lot from being friendly and grateful to the extent of even abusing u for the unknown reasons[like today one guy literally started scolding me for making his wife go around the hosp for the checkup]

Overall it as been a real learning experience.....14 more days to go!!
my first opd prescription slip!!!..:)....[diclo and omeprezole]

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!!]

World's best

Many of u by now would have come across[or at least heard] the pulse polio programme being conducted annually by government of India but unfortunately most of u really don't know how much work,money and man power has been spent on this to reach the level it has today.

This programme is in fact just a part of Universal Immunization Programme (UIP) under Child Survival and Safe Motherhood Programme (CSSM) which was setup in 1992.The UIP envisages achieving and sustaining universal immunization coverage in infants with three doses of DPT and OPV and one dose each of measles vaccine and BCG, and, in pregnant women, with two primary doses or one booster dose of TT.

Since we are posted for duty in a referral hospital now we are getting to see the real practical picture of this.Here weekly 2 days have been assigned for this vaccination thing during which vaccines are put to the child concerned for absolutely FREE of cost and this is being carried out in all the major phcs and district all over INDIA[almost 1000s] 365 days a year. Unfortunately many of u are still under the impression that a good health care facility is the one with a posh building with ultra modern facilities and good nice looking ambulances[and nurses!] parked outside but thats not the truth.The real thing is that which provides the basic of basic facilities to the absolute needy and that too free of cost and its all happening here right here in INDIA!.So next time before criticizing and pointing out fingers at the government plz think twice and appreciate the work done by it!!...
hepatitis B vaccine.

p.s-only 2 more days here..then its phc[primary health centre],nelamangala.:)

CNAA

CNAA-Community Needs Assessment approach

about the programme-
Its a de-centralized programme which implicates close association of the community and its leading lights and opinion leaders such as village Pradhans, Mahila Swasthya Sanghs, Primary School Teachers, etc. in formulation of the PHC based family welfare and health care plan. Under this approach, plans regarding family welfare services were to be formulated in consultation with the community at the grass root level and expected to lead to improvement in quality of services and client satisfaction matching with ground situation requirements

participation-
We have been assigned to this since the last 2 days and have been going house to house survey with paramedics.
Our[read paramedics:P] job is to just note down the family details[number,names etc] giving special importance to family planning and eligible couples[15-49yrs]....myself and my friend just accompany them to boost their moral(does it?!) and get the public co-operation[since most of these people think its just another some lame government survey and don't bother at all].

experience-
But the best part of such surveys is that u get to see the real family, their living style and its practical aspects like today we came across one where the children[2 of them] had developed chicken pox and their parents still hadn't got any medical opinion but instead had been visiting a temple hoping for the cure and also came across a house(medium sized) which was home to abt 7 couples[total 21 ] and they had a common kitchen,drawing room,store room!!...u really feel sick when u see this and in a sense little bit happy that u are in a better position in life.

p.s-government has sanctioned 180rs/day/worker for this and i still don't know where his money is going[paramedics who are in this project from last 1 days still havent got a rupee]

an experience..

today we had ANC[antenatal-pregnancy] clinic duty where we clinically examine the pregnant ladies and advise them regarding their health,prescribe medicines and do a thorough followup.
overall we examined abt 50-70 ladies [19yr to 35yr old ones]....few among these was so shy for examination tht she almost refused to co-operate...this is one problem we always come across with opposite sex patients....[still remember the male patient in our surgery opd who almost masturbated when one of my friends examined it!!]
The sad part was tht both our BP apparatus weren't working properly(readings were on the lower side) and we had to just guess it and fill in their opd books....no one really cares abt it here[generally in govn institutes] and hope none of them turn out to be hypertensives!...and another problem in these govn places are the attenders[read sweepers,chaprasees] who act as if they own the place and some times they really mistreat these poor patients!

some things[people] never improve!!

as a Dr

today was my 2nd day as an intern in a near by Urban health centre.Its located nearby my college and to be frank was really surprised and in fact proud of facilties its providing. to the local population.It has all the basic facilities like regular anc[antenatal-pregnancy] checkup,US,xray,family planning techniques,immunization , regular field works[ counseling,govn school health check up etc] including basic ward facilities for the needy.

yesterday-
we had a free health check up visit to a nearby govn school[1st to 5th std]..totally there were 61 children.Really enjoyed interacting with these children.

today-
was immunization day..learned the practical aspect of it and the different routes used for it[im,subcutaneous and intradermal]....here abt 500rs worth of immunization drugs are provided to every child every week till the age of 5yrs and and all this are funded by our government for free of cost ...!!!...some thing to feel proud abt:))