Wednesday, October 31, 2007

HOW TO SURVIVE A HEART ATTACK WHEN ALONE

HOW TO SURVIVE A HEART ATTACK WHEN ALONE


Since many people r alone whn they suffer a heart attack, without help,the person whose heart is beatin

improperly and who begins to feel faint, has only about 10 seconds left b4 losing consciousness.

However,these victims can help demselves by coughing repeatedly n very vigorously. A deep breath should

b taken b4 each cough, n d cough mst be deep n prolongd, as wen producing sputum 4m deep inside the chest.


A breath and a cough must be repeatd about every 2 seconds without let-up until help arrives, or until the heart is felt to b beating normally again.

Deep breaths gt oxygen into d lungs n coughin movements squeeze d heart n keep d blood circulating. The squeezing pressure on the heart also

helps it regain normal rhythm. In this way, heart attack victims can get to a hospital. Tell as many other people as possible bout this. It could save their lives!!

Saturday, October 27, 2007

The story of a doc....Livin A Dream??

It is essential to dream.Only those who dream can hope to realise their dreams.BUT Some dreams can be fatal....There was a boy named Umeed who dreamt of becoming a surgeon.He came from a financially poor background but his parents managed to put him into an English Medium school. Umeed was an intelligent boy and hardworking too.He used to top in his exams and do well at sports.By the time he got to 8th standard ,he was earning some pocket money by tutoring some of his affluent classmates after school hours.

One such student was Vaibhav.Vaibhav hated studies but only due to Umeed's efforts he passed each year.The two became close buddies. In the same school,2 years junior ,was a pretty and studious girl called Kaamana.She was a huge fan of Umeed and also went to him whenever in difficulty. In the 10th standard and then in the 12th ,Umeed was a merit rank holder.In the medical entrance exam ,he got a good rank and entered medical school.At this conjecture,his mother and father were most overjoyed."Our troubles are over now",they thought.

Little did they know that this was just the beginning...... Four and a half years of toil and finally Umeed passed final MBBS in flying colours.His aim in life seemed very near now.He had developed a keen interest in Neurosurgery and was determined to accomplish his ambition. "One year of internship,"he thought,"Then PG entrance."
Umeed knew the importance of clinical work.He decided to do his internship sincerely.He divided his day -12 hours ward work,6 hours study and six hours rest.He followed this rigorous schedule for 365 days and completed his internship.He was nominated as best intern of the year. He was also well-prepared for his entrance exam.

BUT ALAS!! A directive from the university disbarred him from sitting for the exam.'One year compulsory rural service or pay 5 lakhs.' 5 lakhs was a huge amount.Umeed could not make such a big demand from his parents.He chose to go.He was dispatched to a remote adivasi village.Umeed worked dilligently for a year.He returned and gave the entrance exam.

He got through by the skin of his teeth.He had not found time to study but his old acquired knowledge helped him. As a surgery resident,Umeed was a ray of hope for all patients.He was a model doctor alleviating the suffering of people around him.However,he unfortunately got entangled in political rivalry and failed in his first attempt.Studying hard ,he cleared MS after 6 months.He was now almost 29 years old.

Umeed decided to study for superspeciality entrance. BUT ALAS!!! Another directive from the university said" 3 years compulsory rural post or pay 15 lakhs to be eligible!" Umeed was stunned."15 lakhs!!??"It was impossible for him to pay.His father had just retired from post office.There was not much income.Dejected,he left for the rural post.It was in a god forsaken place with poor living conditions.Umeed spent 3 years in a living hell.He thrice came down with malaria,once with leptospirosis and once with typhoid. He lost 10 kg weight and was emaciated by the time he completed.

At 33,after studying,he gave his first attempt at the MCh entrance.He failed.A year later on the second attempt,he missed a seat by 5 ranks.Grey,depressed and broken,Umeed,now a 35 year old unemployed surgeon walked down the street.A few people who knew him smiled or spoke a few words of consolation.But Umeed was impervious to the world.

Just then a sports Mercedez Benz stopped in front of him.A smart looking gentleman in a suit got down and smiled at Umeed."Hey ,don't you recognise me man?Its me,Vaibhav!" Umeed was happy to meet his chldhood friend."What are you doing nowadays ,Vaibhav?'',he queried. "O,I am a consulting neurosurgeon at Bombay Hospital",Vaibhav replied. Shocked,Umeed asked him how he had achieved this feat. "Nothing diifficult.My dad paid 15 lakhs and got me a MBBS seat in a pvt Medical college.I cleared MBBS quite easily.Then I took a six years MCh Neurosurgery course .Cost a bomb .About 55 lacs.But its worth it now.Am earning 15 lacs a month."

Dumbfounded,Umeed heard out this tale of arrogance and power of money.Just then,a beautiful woman in a sari walked up to them.She was fair and adorned with expensive jewellry and diamonds.Vaibhav turned to her and said,"Hey Kaamu,look who is here!"Umeed turned to look into the smiling face of Kaamana,his childhood friend! "She is Mrs.Kamanaa Vaibhav Sehgal now",he said. Some 2 hours later,Umeed returned home.He had done some deep thinking in a nearby park.He was tired of it all.He had dinner with his parents and then went to bed.

Next morning,he was found lifeless with an empty syringe and a vial of morphine on the bed. 13 days later,as Umeed's mother sat quietly struggling to comprehend what had happened,the doorbell rang.It was a letter from the university.She opened it.It read"Reverification of the marks of DR.Umeed has revealed an error in assessment.He has stood not 30th but 3rd in the MCh entrance." "3 seats".She could hear Umeed's voice in her head.He had said that there were 3 seats for MCh Neurosurgery. Tears welled up in her eyes.He had done it.He had achieved his goal.He had kept the promise he had made to her 20 years ago.But now it was too late. Mechanically ,she switched on the TV.The news was showing the interview of the health minister."Our new rule regarding rural posting is a novel and innovative idea.It will help the rural population and also give some wonderful experience to young doctors.I have a FEEDBACK that many doctors are actually benefitting.........................................."..THE END.

Friday, October 26, 2007

Why Are the Doctors and Patients Rivals?

Ever since medical profession came into place, the relationship between the healers and the healed was a pious one... the healer was considered above all- whether he be a holy man/witch doctor, a priest or a doctor. The patient placed him/herself in front of the healer trusting what ever he does is for the patients benefit and he did trusted his doctor to the extreme. Times have changed... so has the doctor patient relationship. The patient got to know that even the doctors are imperfect, that he too also make mistakes, they also heard that the divine status of a medical man can be bought by any ordinary person by money or power, also he heard of stories of doctors taking commissions or sending for unnecessary investigations. Again adding to the worry. He lost his trust finally in the previously god-like doctors. Well! On the other side of the coin! The doctors started to wonder where we went wrong.

The sincere ones were hurt while the other group didn’t care or bother! But both the groups felt they were targeted by a pseudo enemy! This only worsened the situation! So to job here is not for the patient! But the doctors to earn that long lost trust! By words, action and compassion ... To regain what we lost sometime ago. Also it is up to us doctors to treat our fellow doctors with that respect that they too deserve. Only thru sincere effort shall each one of us regain that respect.Maybe the whole doctor community shall never regain that old name. Because flaws still exist among us, but each doctor who took sincere efforts in healing minds and relationships along with the bodies he treats may prevail above all... Just reminding you that oath we take when we take our first step!

Let us stick to that [read the classical and modern versions carefully and our questions will be answered.] Hippocratic Oath?
Modern version I swear to fulfill, to the best of my ability and judgment, this covenant: I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.

I will apply, for the benefit of the sick, all measures [that] are required, avoiding those twin traps of over treatment and therapeutic nihilism. I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon's knife or the chemist's drug.
I will not be ashamed to say "I know not," nor will I fail to call in my colleagues when the skills of another are needed for a patient's recovery. I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most especially must I tread with care in matters of life and death? If it is given me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at god.

I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person's family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick. I will prevent disease whenever I can, for prevention is preferable to cure. I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sounds of mind and body as well as the infirm. If I do not violate this oath, may I enjoy life and art, respected while I live and remembered with affection thereafter. May I always act so as to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help. Written in 1964 by Louis lasagna, academic dean of the school of medicine at Tufts University and used in many medical schools today.

Hippocratic oath -- classical version I swear by Apollo physician and Asclepius and Hygeia and panacea and all the gods and goddesses, making them my witnesses, that I will fulfill according to my ability and judgment this oath and this covenant: to hold him who has taught me this art as equal to my parents and to live my life in partnership with him, and if he is in need of money to give him a share of mine, and to regard his offspring as equal to my brothers in male lineage and to teach them this art - if they desire to learn it - without fee and covenant; to give a share of precepts and oral instruction and all the other learning to my sons and to the sons of him who has instructed me and to pupils who have signed the covenant and have taken an oath according to the medical law, but no one else.

I will apply dietetic measures for the benefit of the sick according to my ability and judgment; I will keep them from harm and injustice. I will neither give a deadly drug to anybody who asked for it, nor will I make a suggestion to this effect. Similarly I will not give to a woman an abortive remedy. In purity and holiness I will guard my life and my art. I will not use the knife, not even on sufferers from stone, but will withdraw in favor of such men as are engaged in this work.

Whatever houses I may visit, I will come for the benefit of the sick, remaining free of all intentional injustice, of all mischief and in particular of sexual relations with both female and male persons, be they free or slaves. What I may see or hear in the course of the treatment or even outside of the treatment in regard to the life of men, which on no account one must spread abroad, I will keep to myself, holding such things shameful to be spoken about.If I fulfill this oath and do not violate it, may it be granted to me to enjoy life and art, being honored with fame among all men for all time to come; if I transgress it and swear falsely, may the opposite of all this be my lot.

Thursday, October 18, 2007

i learnt a few lessons...

Never try to shout out your problems it wont help...especially arnd ur girlfriend...
Never think about your problems offduty..especially in front of your girlfriend...
Never try to remember your problems....especially in front of your girlfriend...
Coz your girlfriend is there to make you forget them...
Thts wht we men are made for right!!!

Unless of course..ur girlfriend becomes your problem!!!!! :-))

cao
Zin