This is a case of cerebral malaria which died of hypoglycaemia attack. I was not able to save this patient....But before dying the patient taught me an important lesson about PHARMACOECONOMICS IN INDIA.   The patient died because of the shortage of D25.

DISCLAMER: THIS IS NOT FROM REPRESENTATIVE COLLEGE. THIS IS OUTSIDE DATA.

IMCU of my hospital. Its the temple which taught me many things. The atmosphere is indescribable. Always very active.







My first intubation is to this patti. Sadly she died. But she like a GOD taught me an important skill and died



Hey CPR training is very nicely given in IMCU. Jump to the bed- keep the base of the hand over the costochondral junction near the sternum- now give vertical compression with elbow straight and movements from the shoulder. Thank yo IMCU.




First thrombolysis therapy by using SK (streptokinase) . The ST elevation reduced in 1and half hour ECG. I was seeing the night duty for first 4days.



this is sambamdam. The case went for cardiac arrest. There was flat line in ecg. The patient was given shock and then CPR and the patient survived. He is good now 4 days after resustication. He talking after 1 hour of CPR.

Demonstration against compulsory rural service.

All year students participated. It was success

Neurosurgery experience

This is my experience during my neurosurgery posting. My first clinical posting in CRRI. In one word the posting was awesome posting. Fully thrill filed.

In the posting Muthuraman sir one day asked to make a case ready for theatre around 8 pm. It was a case of RTA. The patient had sub arachnoidal hemorrhage and was shifted directly from causality to sicu. The patient was a man of 52 years old. The history was he has fallen while getting inside the bus. The most precious times were wasted in the kumbakonam GH and on the way to transfer to our college.

"Remember the golden time from saving the brain from death is 8 hours"

OK I went to sicu as told. Found the patient. His Glascow coma scale is only 4. The pg sir decided to put tracheostomy before transferring to theatre. All were made ready including the investigation and the dress(veshti) for theatre. I managed to take the patient to theatre by 10 20 pm. Dr Muthuraman sir was ready. He is one of the man I admired very dedicative and very much hard working. Worth to be kept as a role model.
By next 20 minutes GA was given by the anaesthetist. Sir made an incision flap was raised. Gloves was cut for holding the flap. The flap is known as inverse question mark flap. Burr hole was made. Craniotomy instruments were used to open. Then sir made a small knick in the arachnoid. Like a jam blood clot were coming. I can never ever forget that. Then insicion was made and roots completely removed. Brain became fully odematous. The brain got swollen into a big mass. Skin was closed with suture. Remember no skull bone now in that area. The patient was transferred to sicu

I can remember his wife and his daughter face. In desperate for the loved ones to be saved. I then went 2 times to sicu on subsequent days. On the third day the news came that the person died.

Fish bone.

This is one of my experience in ENT posting. We all like fish isint it.this incident will make you to fear of fish. On one of my stay duty in ENT a adult male who is a fisherman came from karaikudi GH for complaints of dysphagia for 3 days. He was not able to take any food orally. So he came to our hospital around 6 pm. He gave history of fish bone swallowing.A xray soft tissue was made to take. On seeing we recognised it was a retro pharyngeal abscess. We were amused at seeing the extent up to the floor of tongue. A emergency D OT was decided to take. PG sent me for taking all the inv andThen assessment for GA. I took all instruments madre to D OT. By 10 30 Ganesh sir started the procedure. There was so much risk involved and death on table consent was obtained. Sir was very dedicative. Leo sir was anaesthetic in charge. Endoscopy is contraindicated too. So the procedure was done with patient fully conscious. that was more dreadful. Think of a rigid oesophagoscopy inside Ur mouth and with all knife inside Ur mouth. NG tube cannot be put even. The procedures were not fully successful. Asst were calling HOD for. Assistantance. The case was then shifted to ICU. I was given the in charge of taking care of patient at night. The night was uneventful. The case was taken again for surgery the next day. Again attempts were made to drain abscess but as such in the form of pus nothing came. The patient was in ICU for one more Day. After one day he began to drink liquid food followed by slid food

In opthal today we had camp. It was full of enjoyment with so many grand father and grand mother coming. Opthal dept is doing a very Nobel job by going to people and canvassing for undergoing cataract surgery. Just think how many people will be blind if this is not done. Peoples are bought and they are given food and all inv and diagnosis are made on the same day. Next day assistant sir and madam very sincerely do the surgery and on the 3rd day of arrival patient is discharged. This is very novel. I am very impressed.

Hai I am back

Hai friends here I like to tell something which would be one of the big differences between our hospital and phc. Phc is the place where people feel that the phc are their second home. I can literally see children coming on their own without the help of others and fearing for nothing. I saw maternal women carrying in all sweets and all their relatives staying nearby. Phc are the agent's which make the public feel that health care sector is easily approachable. I see people coming in for puny complaints like running nose for one days. All these show the affection of people towards us. Right now I am in naducauvery phc.good night. 

IS LIFE THATS ALL:

                                12TH results came in . everyone would have been eager to know who achieved state first this time and all would have had a glance at news paper. DID YOU SEE SOME OTHER NEWS OF MANY STUDENTS HAVING COMMITTED SUICIDE ON THE SAME DAY. Take our district one of the student had committed suicide for which treatment was given in our hospital SURGICAL INTENSIVE CARE UNIT. what made these roses to take such a decision. i would blame the shear pressure of the society. the over praising of the toppers would put in other students who failed in to so much miserable state. what is sociey going to gain by talking more about the toppers. OR ARE THE TOPPERS GOING TO SERVE FREELY FOR OUR COUNTRY IF WE PRAISE THEM. MOST TOPPERS ARE GOIMG TOP GO TO USA OR OTHER FOREIGN LAND .ONLY THOSE WHO GOT AVG MARK ARE GOING TO WORK IN OUR COUNTRY. 

ITS TIME WE CHECK ON THE WAY WE THINK FOR INCIDENTS LIKE THIS NOT TO HAPPEN.

BUDHALUR PHC:
       
                           HI BLOGGU PEOPLE. see you after long time. now my posting is budhalur phc. which rides a 40 minutes ride across the farm lands and railway tracks to reach the destination at a fairly good speed to ride. the phc can also be reached via the national highway of trichy where a cut has to be made near the Pondi matha basilica. in this posting i saw varied number of cases. the phc is quite big and the afternoon duty nap and free ness cant be forgotten. there is heavy duty in the morning hours with the cases continuously pouring and being varied in nature too. some cases which came cant be forgotten like one grandfather who comes in make a hell lot of noise and tells that he has dust in his eye and he needs syringing. and only syringing will satisfy him (actually he suffers from allergic conjunctivitis which he is reluctant to accept) and many of the grandmothers who showered in all types of complaints from head to foot.I and prakash one day visited Pondi Matha Basilica. the church was big and was equally calm and it was one of the divine places i felt.

i will try to upload pics in some days. hope you enjoy the day.....

THE JOINT DIRECTOR


                                   It was my afternoon  duty. no patients came and it was a lunch time too. i decided to go to the tv room in PHC and see some channels. KAVALAN was running and i was enjoying it. around 1 50 a man with so much bledding in the head came blood was all over his face. i came out and then cleaned and put TT nad did things to be done. then arounf 2 30 madam came and we both sat. AT THAT TIME A CAR CAME, MAM STARTED TELLING SOMETHING THEN A MAN CAME INSIDE THE ROOM. then suddenly mam stood and wished him. then i too stood. then only i realised he is the director of the district for PHC. he as talking rough and tough. he asked me many question which i did not know. how bloogu people we can know. we spent most of the time seeing the OP PHC. he went to the extent of asking the population amount served by the PHC. MAM TOO WAS FIRED WITH MANY QUESTIONS..... IT WENT TO THE EXTENT THAT HE SAID HE RECOMMENDS GIVING ME A EXTENSION FOR ONE MONTH IN THE PHC

VALLAM PHC:

                      Hey bloggers. my posting now is Vallam PHC. After working for around 8 days what i realised is how important is this set up for the well being of the people. a large mass of people come here to PHC mainly for geeting their routine HYPERTENSION , DIABETES , ANTENATAL CARE. just think if this bundle is diverted to the medical coolleges then there would have been utter confusion AND MORE IMPORTANTLY THE IMPORTANT CASES WILL BE MISSED. THIS WOULD HAVE BEEN DISASTER.  you know there is NO CURRENT EVEN FOR 3 TO 4 HOURS AND ALL THIS IS CARRIED OUT AD MIST SO MUCH SWEATING. LEVEL OF DEDICATION IS FAR FAR MORE

     But i see the other part of it where the drugs are under supplied added by the reduced level of health care workers leading to the STATE OF COMPENSATION OF THE LEVEL OF HEALTH CARE WHICH WOULD NOT BE HEALTHY. 

     THERE ARE WONDERFUL RECORD MAINTAINED AND I HEARD THERE ARE CHECKED ROUNTINELY.

THE BEST PART OF IT WOULD BE A NICE JOURNEY FROM PHC TO HOSTEL IN MY BIKE WITH PRAKASH  CELL PHONE PLAYING A SONG FROM DIL WALE DUNIA LE JAYENGE

TRAUMA:

                have you ever thought of this. Some one so close to you goes out telling "kanna by bye na poituvaren". they go out of the home taking 2 wheeler and after some 52 minute the incoming call comes from the loved one. you being happy and takes the phone. BUT YOU HEAR THE VOICE OF SOMEONE ELSE TELLING WE ARE CALLING FROM SO AND SO PLACE. "entha phone ku sonthamanavara oru car eppa than addichu thuki potuchu. unga number inbox la erunthuchu athn kuppitom. naanga 108 la ethi GH ku annupi vachirukom... neenga sikkaramn vaanthu pathukonga.."

INCIDENTS LIKE THIS DO HAPPEN... FRIENDS LIFE IS SHORT DO LOVE AND RESPECT YOUR LOVED ONES BEFORE FATE TAKES THEM AWAY FROM US......

AND ITS THE DUTY OF DOCTORS TO SAVE THE PATIENTS WHO COME TO US CAUSE EVERY ONE HAS A LOVED ONE...........

                                                                   BY TRAUMA CARE SURGEON ASPIRANT

THE ATTITUDE WHICH NEEDS TO BE CHANGED:

Why is there much PRIDE AND PREJUDICE in our profession alone . the reason might be what which i felt in my mind was in other profession though they are highly paid they come under the control of some BIG PERSON LIKE THE CEO IN CORPORATE IT SECTOR FIELD , SENIOR MANAGER IN ADMINISTRATION FIELD . But as THE DOCTORS can do Private practice and be on our own feet many DOCTORS take it as the sole reason for being in more PRIDE NOT RESPECTING OTHERS. You can ask even business man are standing alone but why they are not like some doctors very pride cause they are dependent on the customers but in OUR CASE THE COSTUMER (THE PATIENTS) ARE DEPENDENT ON US. 

 THIS IS NOT THE RIGHT ATTITUDE FOR THE HEALTHY SOCIETY. ITS TIME FOR SOME DOCTORS TO CHANGE...

UNDERGROUND WORLD:

                 After going to the ART what i realized is there is lot of works which are happening in the underworld like HOMO SEX AND MANY PROSTITUTION. I even had the chance of speaking to one of the homo sex who told how he will draw in others towards that. THE DESCRIPTION OF IT WOULD NOT BE HEALTHY IN A PUBLIC FORUM. but i want to warn you in that BE CAREFUL AND DONT  EASILY TRAP INTO THESE ACTIVITIES CAUSE THE DEMON MAY BE NEXT TO YOU.

But i want to add a not that I TOO REALIZED THAT NOT ALL HIV COMMITTED PERSON GO IN FOR ALL this and in some cases even this works get justified like they don't have any source of income or their husbands return in for EVERY 5 YEARS(THINK OF THE SITUATION OF THE WIFE IN THIS CASE)or the WIFE GETS MARRIED TO THE HUSBAND WHO ALREADY HAS CONTRACTED DISEASE. 

i also see a better society building up like the brother who is non reactive has come for collecting the drugs for his sister as she has exams

I WANT TO END WITH A NOTE THAT I AM WELL AWARE THERE ARE OTHER MODE. thanks for reading. wish you happy life.

WHAT MISTAKE DID THE SMALL GIRL DO:

       My week went on with ART POSTINGS (POSTING RELATED TO AIDS) i had the chance to see varied number of patients.ONE OF THE GIRL WHO CAME BROUGHT ME TEARS. the girl is studying 1st standard and absolutely i am telling no one would ever suspect that girl to have this deadly disease. HER BOTH PARENTS HAD AIDS AND SHE IS A ORPHAN. She is on AIDS THERAPY RIGHT FROM BIRTH and you all know that the drugs itself has so many side effects. Her grandma is taking care of her.

I PUT ON SOME QUESTION??? DOES THE GIRL HAS ANY FUTURE OF SMILE? CAN SHE BE MARRIED?

similar to this girl many CHILDREN COME TO ART CENTER FOR THE MISTAKE DONE BY THE PARENTS...


THIS IS NOT THE GIRLS PHOTO. THIS IS FROM flickr.com

TRACHOESTOMY:

                            Had chance to see 2 tracheostomy in SICU today and yesterday. it was quite thrill to keep the knife on the patients neck with just a local anesthetic. and the second one even went for the most popular complication of any procedure HEMORRHAGE. PG sir just tried to hold and compress it with sponge which being futile he used a artery forceps to hold it from bleeding . The steps are given fine in BAILEY AND LOVE. hope that i keep a hand soon in one patients knife. By the way SICU was very daring with frequent emergency and accident cases with so much bleeding with most penultimate cases referred as the last chance of savior.

 DEAD MAN ALIVE:(FICTION)

                                Have we ever be afraid of something???


 ok the situation is like this I treat a patient in our ward. the patient has some hemoptysis problem. on examining he was diagnosed as have pulmonary tuberculosis. which was confirmed by sputum AFB and chest x ray. I was treating it according to routine. suddenly 2 days later I come in the morning to realize that the man has died. The  nurse on inquiring told that he coughed so much blood last night and he went for shock and died. THE NURSE SAID THAT LAST NIGHT SHE TRIED SO MUCH TO CATCH ME ON PHONE BUT COULD NOT GET. THE MAN BODY HAS ALREADY BE SENT FOR POSTMORTEM... ok i felt bad then thought ok its just happened. went to OP sat  for seeing patients. AROUND 11 55AM ONE PATIENT CAME I DID NOT SEE HIS FACE BUT WAS BUSY WRITING THE OP SEAT. HE TOLD HIS NAME AND SAID HE HAD COMPLIANT OF BLOOD ON COUGHING(HEMOPTYSIS). i raised and was shocked to see the man in ward .
 WHAT WILL YOU DO.  
                        TREAT HIM?SHOUT LOUD?FAINT AWAY?

         

COLLECTOR HAND SHAKE DAY 8:

                                                 today around evening i was called by Mathews to go to the blood bank where there was some  work. OK me too went. over there i realized it was not work but a felicitation function.. It was  well organized where the collector, the S.P. Tanjore ,The Dean ,The M.S and many respected dignitaries came. the function started with tamil thai vazhthu. Many talked about the importance of blood donating and the value behind it. I WENT AND COLLECTED THE AWARD REP TANJORE MEDICAL COLLEGE STUDENTS. THE BIGGEST PART WHICH I FELT HAPPY WAS WHEN I HAND SHAKED THE COLLECTOR. HIS SPEECH WAS VERY CATCHY. WE SHOULD ALSO SPEAK LIKE HIM. this day i will cherish in my life and i will aspire to do more work.THANK YOU FRIENDS ALL CREDITS FOR MY HAPPINESS GOES TO YOU. YOU ONLY DONATED BLOOD. THANK YOU. LETS DONATE FURTHER MORE. ITS TIME TO PUSH FORWARD

i will upload the photo once i get it.

DAY 7  the old fascinating story

                              From today on the duty is transferred to the TMCH OP. Today one girl came of age around 19 she was tall. Her complaint was that the second toe on her foot was growing it was awesome to see some one with only one toe alone so long and big and other toe are of normal size. she was advised to take an xray which showed that her bone part was fine. it is a soft tissue overgrowth of a particular digit on a unilateral side.differential diagnosis needs to be read???

 ok have i ever told what we do in  my prime objective posting FEVER SURVEILLANCE. it as that we calculate the number of 4 different cases FEVER, RTI,PUO,DOG BITE in TMCH OP,WARD,IMCU,CAUSALITY . then we have to enter the number of males and females among these and then make more and more cracky calculation which will make us go nuts. Then we have to fill alll this in the EDSIS form and then report to the SPM department.

 THE DAY WHEN SOME DECISION MATTERS:(the story)

                                This is one of the the fascinating true story which occurred in my life. one day in final year around evening there was a news in hostel that there was a accident in tanjore in  which there was huge number of injured people so they need some final year. so i went owing that i was free at that time. i went to ET WARD and thay gave me work of taking the blood from blood bank for transfer as many lost blood. I COULD SEE PEOPLE ON BED HAVING LOST THEIR LIMBS AND HANDS. in that i saw a boy who was seen as well read. on enquiring i came to know that he was from one of respectable colleges in Tanjore he is studying engineering. THE ATTENDING ORTHOPADECIAN SAID THAT THE BOY ARM  HAS TO BE REMOVED OWING TO THA AMOUNT OF INJURY HE HAD. THIS WAS THE OPTION ACCORDING TO OUR HOSPITAL PROTOCAL WHERE THE PRIORITY WAS GIVEN TO SAVING PATIENTS LIFE. WAS THE ARM REMOVED????? I WILL TELL IN NEXT BLOG....

AIN HUM:

                Today in OP a peculiar case came which has a incidence of 0.015 to 2 %of population.ITS AINHUM WHICH IS AUTO AMPUTATION OF THE LITTLE TOE BY A CONSTRICTING BAND WHERE THE cause could been due too anomalous posterior tibial artery blood supply.

TREATMENT: 

Incisions across the groove turned out to be ineffective. Excision of the groove followed by z-plasty could relieve pain and prevent autoamputation in Grade I and Grade II lesions. Grade III lesions are treated with disarticulating the metatarsophalangeal joint. This also relieves pain, and all patients have a useful and stable foot. Intralesional injection of corticosteroids is also helpful.

REF: THE WIKI( http://en.wikipedia.org/wiki/Ainhum)

MYSTERIOUS WOMEN DAY 5 AND 6:

                                             Hi as the op went on yesterday suddenly a women came she was well built she was continuously talking and in fact repeating the same words her words were something like"kaliatha magamai vesham kaduchuruchu ...ayyappan solitaru..."she was also continuously wiping the hands in front of her face. THE BIGGEST PART WHICH MADE ME ASTONISHED WAS SHE WAS INSTRUCTING ME TO WRIT THE MEDICINE SHE TELLS  ME TO WRITE. I WAS TAKEN ABACK. i prescribed some placebo in her good will.

   Next one women came she was crying. SHE TOLD THAT HER HUSBAND  HIT HER ON HER HEAD. WHAT IS THIS PEOPLE. still incidents like this happen in our country husband beating wife. they don't realize that wife's are their better half. I REJECTED TO TREAT HER AS SHE HAD A PERIOD OF UNCONSCIOUSNESS FOLLOWING ASSAULT. and who knows it might be a case of HEMATOMA IN BRAIN WHICH MANIFEST AFTER 2 DAYS.so i referred her to causality writing as assault.

     Today morning it would have been just 10 min from the start of OP a lady came with severe chest pain and sweating complaint she was near fainting. so i decided to take a ECG just as a formality. YOU KNOW I WAS SHOCKED WHEN I NOTICED A ST ELEVATION(SIGNIFICANT OF ISCHEMIA) . A 37 year old lady who come to OP this kind is alarming for us to be more careful. Any way i am aware that there are differential diagnosis for the elevation of ST SEGMENT... 108 was called and the lady was transferred in stretcher to the TMCH

WAS THE BOY IN CRISIS DAY 4:

                           Today a brand new day. being Monday we expected maximum crowd in the O.P.as we were seeing at the patients many patients came with the complaint of cough with cold and fever. One boy came around 9 am and he was crying. on enquiry he said that the hand has been hit in the wall and hand is swollen . On examination we found that the 3rd metacarpophalengeal joint is swollen in the dorsal aspect. so what is the big thing in the case is that THE BOY HAD 10TH PUBLIC EXAM IN JUST 60 MINUTES FROM THE TIME HE CAME TO OUR OP. so we decided to take immediate action considering the urgency of the situation. one of his Tamil teacher came with him to accompany and he was complaining that the boy had got the swelling while fighting with the other boy. i decided to take him to the pediatric OP though he was 15 years . in the Pedia OP one sir said to give him diclo and asked him to write exam. i was expecting some topical pain re liefer.

MY QUESTION WAS?? WAS THE BOY MALINGERING IN FEAR OF EXAM?? WAS HIS INJURY SELF INDUCED??My answer would be though there might be a chance of malingering it is better that we consider this kind of cases where something damn important for the patient(in this case the 10th board), its better to consider the case genuine and treat it with 200% .CAUSE THERE MIGHT BE A GENUINE CASE WHO MIGHT NEED OUR LOVE. WHO KNOWS THIS TIMELY HELP COULD HAVE SAVED THE BOYS FUTURE!!!

day 3 
PACEMAKER MAN INJECTION DAY:

                                     Hi bloggu people OK i went to the OP. then as i was seeing the cases there came a man with two of his children. he was complaining of giddiness. on further enquiry he told that he had been placed a pacemaker in his heart. for the first time i saw a pacemaker in position it was fascinating to see. then i further referred him to the medicine OP as the case might be bit complicated. Then after 11 am i decided to learn putting injection went to the RMH casuality and then i was seeing how to put TT INTRAMUSCULAR  and RABIES 2 SITE INTRADERMAL injection. the nurse was putting great then after that i decided its time to move on then i started putting injection.

HEY I HEARD ONE REAL STORY FROM ONE RUSSIAN SENIOR HE TOLD THAT WHEN HE WAS IN SURGERY DEPT he saw a case in which there ws gangrene all over the limb THE REASON WAS WRONG ADMINISTRATION OF PARACETAMOL INJECTION IN THE INTRAVENOUS WHILE PUTTING IN THE GLUTEAL REGION RATHER THAN INTRAMUSCULAR. SO BE CAREFUL WHILE PUTTING INJECTION . BE DOUBLY SURE BY WITHDRAWING AND SEEING FOR AIR

BLOOD CAMP DAY 2:

                                What to say i got up late.OK no go hurry to work right in the second day itself. Mam asked me to go to blood camp in Melathiruparanthuruthi. they then took me in blood camp ambulance.How many volunteers i was shocked. Many boys from the locality came forward by themselves.I WAS VERY MUCH ASTONISHED TO REALIZE THAT THIS MUCH AMOUNT FOR HARD WORK GOES BEHIND COLLECTING A UNIT OF BLOOD. we 8 people incl the staff nurses and others went. I allegedly played the role of MEDICAL OFFICER whose work is to check the vitals and to do the routine CVS RS examination and then ask the past history which may contraindicate the patient chance of donating blood.I took BP for around 30 people today itself O foo the practice of repetition starts here. Thru out the time one thought was routinely in my mind what would have happened if any emergency would have occurred like patient going for shock. AM I COMPATIBLE TO MANAGE????

EVERY DROP OF BLOOD IS PRECIOUS TO GIVE/ TO COLLECT/ TO GET/TO SUFFER...

FIRST DAY OF WORK:


                                     I went in the morning around 8 am to RMH OP.right as i feared in 5 min they made me to sit in chair and told me to start seeing patients. Soon i saw an array of patients coming.I asked the senior help.At last i came to know something in common and funny, for  most of the patient it was a 5 drugs which was given on alternative 1. Amoxicillin 2. Ciprofloxacin 3.Paracetmol.4.Ranitidine 5. Vitamin B/CPM

Continuously this went on for the next 4 hours.

MAN I HAVE CERTAIN QUESTION WHICH I AN SURE  ALL CRRI WOULD HAVE HAD TODAY???DID WE TAKE OUR DOCTOR POSITION FOR GRANTED??WERE WE UNDER PREPARED FOR OUR BELOVED PATIENTS?? IS IT THE PATIENTS FATE TO COME TO OUR HANDS?? 

hey you know my strategy was if i feel i have under treated for that patient problem like one boy came with past history of seizures,i better referred.so ha ha ha the referral from my side was to as much and as needed

TREMENDOUS SPEECH ON THE ORIENTATION DAY:

                                          I told to class what i did for the whole money and then i sat. speeches so superb were rendered. The best i liked was by Dr.Ravikumar sir and Dr. Muthukumaran sir,the anesthesiology HOD. Dr. Muthukumaran sir told about the work which one of the hypuse surgeon in his days did. that is collecting blood and then calling a P.G. by putting on the inviting screen in the theatre. I was impressed with the amount of remembrance he had. Dr.Ravikumar sir said about the way we have to convey the message to the deceased. that was a valid and truthful point . HE SAID THAT HOUSE SURGEONS IS ONE OF THE MOST ENJOYABLE DAYS IN THE MEDICAL CURRICULUM.THAT WAS HIS ATTITUDE. I LIKED IT. many other doctors gave and made us realize that many work will be given to us ha ha ha . prepare up guys what else we could do. tomorrow for me Fever surveillance in the RMH medicine OP.

FIRST DAY CRRI:

                        Bloggu people i am happy. today is the first day of my CRRI posting . my first posting is social preventive medicine. i am excited . as mentioned earlier in my post i am going with zero on field knowledge and i am eager how i am going to manage in the  CRRI  posting. pray for me bloggu people today can be the day for the birthday of one of the greatest doctors in the history?????????

MEDICAL REGISTRATION:


                       "YOUR LIFE IS A HORSE THERE WILL BE NO TIME TO REST. IT TS THE FIGHT FOR THE KILLING OF THE UNFIT PERSON"

             After all the enquires about the money collection for the completion of the CRRI posting i got vexed and i decided to ask the girls to send one of them to come and check for themselves and i asked one of the boys to come for too. After completing the work of provisional certificate from the university i went to medical council in Arumbakkam and finished the work but still i settle all accounts money tomorrow and pay the remaining money in the office .

THERE IS NO MERCY IN COLLECTING PUBLIC MONEY. EVEN YOUR NEAR AND DEAR ONES WILL QUESTION YOU FOR A MEG RE MONEY WHEN IT COMES TO MONEY BE A CHEETAH IN COLLECTING MONEY. NO MERCY. NO CHANCE OF LETTING OTHERS LET YOU ASK A SINGLE BIT OF QUESTION. THERE LIES THE ESSENCE FOE BECOMING THE FUTURE VICE CHANCELLOR. Allah hu Akbar.

DJANGO ::
             

               Bloggers today i saw the movie Django in satyam cinemas. Man it is hell a movie. Put in old fashioned way it is about the negro slaves and their British counterparts. It had whole lot of humor in the movie and it is serious bit too. it had the love and missing part too. so what does this do with the life of doctor ???? movie where so many death scenes but no emotions in my minds. there lies the essence of a doctor DEATH IS NOT A BIG ISSUE PREPARE FOR IT

THE DOT FACTOR:

                                          All profession mostly require some help in executing their task for example engineers need computers in completing their work . BUT WE DOCTORS CAN BE PROUD IN THE SENSE we don't want these aid in performing our duty. others might ask why then x ray MRI and all ha ha ha... its that we can arrive at a diagnosis just by our own intuition and knowledge but to confirm it only we need the help pf instruments. its that we are able to perform our duty ourselves but we are that doubly confirming for the welfare of others using others help. THIS IS TRUE ONLY FOR GOOD DOCTORS THERE REMAINS "THE DOT FACTOR"

DAILY WAGES??? ARE WE LIKE LABORERS???

                                          Take the engineering profession they have a fixed amount of money which will be given every year which they call it PAY SCALE. BUT DOCTOR PROFESSION ESPECIALLY THOSE WHO ARE BECOMING PRIVATE PRACTITIONER just earn ON DAILY BASIS. their income in uncertain if they don't get the required amount of patient per day. WHAT IS THIS  bloggu people . are all our hard work all this years is to live on daily wages depending completely on others. BUT DON'T GET DISHEARTENED MY FELLOW DOCTORS!!!!! our earnings are not restricted we can earn as much as we want and there is no limits.

OUR HARD WORK CAN MAKE US CROREPATI TOO



PHOTO COURTESY: thehindu.com

ARE DOCTORS THE ONE FOR SADNESS:

                     Have you ever wondered in our profession what do we do daily. Daily we meet a sad person and then talk to him. treat him. DO DOCTORS DON'T HAVE THE CHANCE OF SEEING SOMETHING HAPPY WHICH ALL OTHER JOB PEOPLE ENJOY???? this may be a antique question but the essence of the answer makes what is a doctor but what ever the answer may be fragile doctors please don't think in this sense cause it may provoke the different sense of attitude in us which is not expected of the society from us

DOCTOR LIFE A MYSTERY:

                               The medical field have seen how many gold medalist in academics not shining in the field. why is it so. cause the medicine is an art which needs not only the books but also your art in executing it and also the satisfaction in the patient side for the treatment he has received. you have seen many patients always having the same preference of doctors rather than others. so ultimately for  a doctor to become very successful "THERE IS A FACTOR X WHICH CANNOT BE SCALED AND THERE IS NO INSTRUMENT OR WEIGHING MACHINE TO SCALE IT"

KEEPING UP THE WORK LOAD:

                                 Will i be able to cope up with the working hours.WILL I BE ABLE TO BE AWAKE WHOLE NIGHT???? i have heard that house surgeons have night duty for long hours... i am never used to being awake at night. even while reading i used to read waking up in the morning only. being awake whole night will be a challenge to me... WHAT IF I SLEPT INSTEAD OF BEING AWAKE AND SOMETHING HAPPENS TO PATIENT.GOD WILL NEVER FORGIVE ME!!!!!!!!!!!!

will it be like a patient shouting at me"WHAT ARE YOU DOING DOCTOR??DON'T YOU KNOW EVEN THIS. A  NURSE DID THIS YESTERDAY. HA HA HA..."thoughts like this surely arise in my minds but what to do life has to move on. i know i have to learn from everyone right from nurses to professors. i should not take prejudice thinking she is just a nurse how i can ask teach me this i don't know. NO NO NO. I SHOULD NOT AT ALL THINK ANYTHING LIKE THAT. i should make up that LEARNING IS THE PRIME PRIORITY RATHER THAN ALL THIS THOUGHTS. it can go to the extent of asking a compound er how to adjust this operation table height cause in life if you want to be a big doctor YOU SHOULD KNOW NOT  ONLY YOUR JOB BUT ALSO THE JOB OF YOUR WHOLE TEAM TO SUCCEED....


PHOTO COURTSEY: thejobbingdoctor.blogspot.com

i have diagonised cases in my final year MBBS  studies but all those were very slowly where i took much time for a single case but now i will not have that much time WHEN I SIT IN THE OUTPATIENT DEPARTMENT???? IT WIILL BE A RACE OF HORSES HOW WILL THE MULES LIKE ME SURVIVE. OH GOD..... i have seen the crowd of people coming. what if a diagonised a case wrong. i love my patients . how will it have effect... i must be more studious thats the solution i suppose

why not i myself tear a pillow cloth and try by suturing it back. any way it wont give the KICK of playing with lives. but i think i can try this out for helping me. you know how i holded the forceps for holding a suture material i holded it like a dagger. are yaar wht is this. this is definitely disheartening me. he but i have others problems too??

and i feel time keeping is very important thats why my uncle is buying a watch for me . nice na. ok cool. you know even if i want i cant learn any of the arts now . i can just  read some books which tells"first use your right hand to hold a scapel and then you left hand raises the skin fold as a flap" all these i feel are non sense na. practical as practical. ok i made some idea . you want to know the idea. see my next blog. miss you all readers. you encouraging me to write more. thanks for your support.

ok this learning curve is not only for my profession. its for all. but there is a hell lot of difference guys. DOCTORS PLAY WITH PATIENTS LIFE IN THEIR QUENCH TO LEARN.  now i should make myself ready . buy all required items. my father bought me new bag too. i bought a alarm clock yesterday to wake me up early to go to work correctly. enough na. do you have some suggestion ???to make myself  ready for the battle with lifes???

But friends not only me.ALL THE BEST DOCTORS today would have once been in the same situation of mine. NO ONE IS BORN IN MOTHERS WOMB knowing the art of suturing i believe ha ha ha. every doctor in this world will have a learning curve. its how short we make the curve matters

i am very eager friends. i don't have any practical knowledge at all. i don't know to put suture or to put a intravenous line or loading a vial. all these days i was very much oriented to THEORETICAL studies only. BUT MAN I HAVE MOUNTAIN OF EAGERNESS. i have the belief that i will learn all the bit very fast and in the best and nice way. 

this is one of the excellent books i came across which inspired me to start this blog. the author Mr.Atul gawanade has excellently told about the life of a resident. i may not be as professional as him in sharing my experiences but definitely i wont let my readers down as much to my ability

Compulsory Rotatory Residential Internship (CRRI) refers to one-year compulsory work in the hospital attached to the medical college or in any other approved hospital as allowed in some medical colleges(also known as Teaching Hospital), for a period of one year. This is required for the award of the Bachelor of Medicine and Surgery (MB BS) medical degree in India.

SOURCE:WIKI

hi. today is 23rd of march. i will be joining my house surgeon duty from next week onwards. i will post my experience and situation i faced in my days. HOPE YOU ENJOY. I AM IN TANJORE MEDICAL COLLEGE.