RCB! RCB!

all hail rc for making into the finals of this years IPL...

hope they win it...!!...

SAY IT LOUD "RC RC RC" !!!...comeon people!!!!

EGO defence mechanism...

in Psychiatry theres something called Ego defense mechanism which are psychological strategies brought into play by various entities to cope with reality and to maintain self-image. Healthy persons normally use different defenses throughout life.Defense Mechanisms is to protect the mind/self/ego from anxiety, social sanctions or to provide a refuge from a situation with which one cannot currently cope.

Sublimation is one such kind[class 4 type] where there is Transformation of negative emotions or instincts into positive actions, behavior, or emotion...like a person loving nude/porn expresses it as a photographer or a painter[one famous painter here in India frequently does that]!!...

actually i loved this concept and have been really fascinated to do more research on it!!

common drug

diagnosis-schizophrenia
drug prescribed-risperidone,

diagnosis-alcoholic hallucinations
drug prescribed-risperidone

diagnosis-ADHD
drug prescribed-risperidone

think every tom dick and harry who comes to opd here with psychotic symptoms is given only this medicine!!...

p.s-actually am not in a position to judge this subject so early...!!!

non stop duty

went for duty work on monday morning...returned home today morning.....totally 24hrs duty....this will be our routine once a week[opd days] for atleast 4months from now on.....

tc bye guys...duty time!;)

Sunday

"Do not let sunday be taken from you if your soul has no sunday,it becomes an orphan"

unfortunately they have taken mine...no more sunday holidays for me from mow on!:(..

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.

reality

after working in this department for 4 days i have realized one bitter truth...never like any subject theoretically for its practical aspects will be entirely different and in the end may disappoint you...to succeed here[in psych] u really need lots of patience[which i think i don't have] and a strong mind to cope with all the abnormal people u come across...
hope in the coming days at least i really enjoy working here..

p.s- cases seen so far
schizophrenia
alcohol dependence[every 5th person]
depression[every alternate person]
delusions[of infidelity,commonest type]
anxiety disorders[exams,work related]
impotence[obvious!]
and bipolar illness

Quotes

If you talk to God, you are praying; if God talks to you, you have schizophrenia
-a psychiatrist

Number tagg

Reflections has tagged me to do this Numbers Tag

still remember the first time[1] i gave injection when i was in 3rd yr...some things u learn only by doing !!

i take bath about 2 times a day[ much coaxing by my father..he thinks am a walking store house of germs since i go to hosp]...lets see till when i keep up with this habit...

i always carry 3 pens with me..all Parker...inkpen[which i use],dot and microtip....these parker pens have their own charm right?[or its just brand power]...

when i was in 2nd pu used to get up at 4 in the morning[of course to study]...tht was the first and last time i did that[not even after joining medical]

5 litres of sweat is the amount a person looses during exercise[its an entrance exam qn!] in this summer heat..so better watch out....keep urself hydrated guys!!

6 is the no of street dogs near my house...3 of those have died among those.....!!

there are totally 7 pgs in my med unit right now..3 out of them are from Nimhans....more pgs means less work for us interns:D

through out my middle and high school days i used to get up 8am on sundays...but now its either at 6[for jogging] or at 10...!!

ivy is the peg word for 9 and it also happens to my birth date.

i have atleast 10 watches[swatch,fastrack,titan octane etc] now in working condition ans still open to some more of them from anyone willing to present it..!!

actually i enjoyed taking up this tag...once again thank u reflections:)

and would to tagg arpitha,Vyas Vishwanathan and arun kumar....

p.s-happy weekend!

happy mother's day

A mother is a person who seeing there are only four pieces of pie for five people, promptly announces she never did care for pie.
-Tenneva Jordan

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

@ 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!!:)]

swine flu

swine flu has hit the people around the world really hard[atleast according to WHO] and is said be announced as a full blown pandemic[still in 5/6 alert phase-WHO with 1003 cases till now in 20 countries]..In simple laymen's language its a viral infection of the lungs leading to secondary bacterial infections[cause of death]...Luckily till now there hasn't been any case detected in India
And from this week we have been put for Airport duties.Our work there is just to screen the incoming international passengers for the flu with a questionnaire and isolate them in case found positive.Working there indeed makes u come across so many different kinds of people like one guy[around 50yr old] had to return to India coz he had a minor heart attack few days back[as told by his wife to her relative] and another guy who inspite of being well dressed[and with a 30k mobile] couldn't fill in the form coz he didn't know English.But the best were the air hostess whom i talked to while getting their filled in forms..each one looks so perfect that its really difficult to decide whos the best:D....

p.s-leaving for pavgada tomorrow....

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]!!!...

part of democracy

my voter id card
in the booth
outside the booth after voting....

p.s-
do vote!
am posted in pavgada district[150kms from bangalore] for 15 days as a part of rurals..leaving tomorrow.....accommodation and basic necessities will be provided...will be back only on next sunday...untill then bye...have a grt weekend!!:)

please vote

please vote tomorrow....India's general elections 2nd phase polling is tomorrow and am defenitely voting and u guys too!!...

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;)

The "Last Lecture"

really amazing video guys.. just loved it... [plz]do watch it once!!



Randolph Frederick Pausch^[3] (October 23, 1960 – July 25, 2008) was an American professor of computer science and human-computer interaction and design at Carnegie Mellon University (CMU) in Pittsburgh, Pennsylvania. Pausch learned that he had pancreatic cancer, a terminal illness, in September of 2006. He gave an upbeat and adage-laden lecture entitled "The Last Lecture: Really Achieving Your Childhood Dreams" on September 18, 2007 at Carnegie Mellon, which became a popular YouTube video and led to other media appearances. He then co-authored a book called The Last Lecture on the same theme, which became a New York Times best-seller. Pausch died of complications from pancreatic cancer on July 25, 2008.

p.s-
source-wiki,youtube

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..

a day in food street...

had been to famous FOOD STREET today

pics-



pavbhaji,parotha and rose milk!!...

p.s- 2 items are missing!!:P

happy weekend

"A great obstacle to happiness is expecting too much happiness." - Bernard de Fontanelle

so true!..and happy weekend:)

p.s-my 351st post!
have been given "honest scrap" award by comfortably numb...thanks bro:)..

would like to pass it on to my fellow med bloggers-rajeev,vani,chandana,arun and saranya

fast and furious

saw this movie yesterday

great action+good storyline+nice babes=perfect combo!...i would rate it 3.5/5

p.s-watch it only if u have seen the first part...

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!!

stressed out....

this has been my schedule from past 10-15 days-

get up at 6 and go for jogging from 6.15 to 7.30
leave home for work at 8.30 and come back at around 5.30
then study from 7-11 with an hour or so break inbetween.
haven't got any holiday till now[even on sundays] and desperately need one...feeling so stressed out!!!!

p.s-haven't watched any movie in a month or so!!!:(

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