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