Sunday, December 14, 2008

This One For all the Guys like me who suffer from Androgenetic alopecia!!!!

Forget the comb-over boys, that hair style just isn't working for you!

Many men who are balding are self-conscious and worry that the hair style they currently have is actually a bad hair style. If that's your thinking, you're not far off. A comb-over only emphasizes the areas where your hair is thinning out. Of course, a receding hair line and thinning hair don't offer much in the department of hair styles so this page will offer you fashionable alternatives to those bald hair styles and why they help hide your balding. Once you're done reading this, you'll embrace your thinning hair with a great new bald hair style everyone will love!

Bald Hair Style Option 1:

Short, clean cut. If you leave your hair long in the back or on the sides in the hopes that a comb-over will solve your problem, think again. It only draws more attention to the fact that you are balding. So why not go for a short, clean cut? With this hair style, you can use different products in your hair, such as muds and waxes, to create different styles any day of the week.

Bald Hair Style Option 2:

Grow facial hair. By growing a beard, goatee, or moustache, it will take attention away from your head and people will focus on your new "accessory".

Bald Hair Style Option 3:

Color your hair. It's not just women anymore! The truth is by lightening your natural color, it will reduce the contrast between the hair and the scalp which in turn makes your thinning hair much less noticeable.

Bald Hair Style Option 4:

Shave it off! Vin Diesel does it, so does Michael Chicklis, as does Hector Elizondo. If you don't think using waxes or coloring your hair is you, then simply go bald. This way, everyone will think that you have chosen to have no hair and women find it attractive!

Some men would rather restore their hair loss instead of choosing one of the above mentioned bald hair styles. There are a number of shampoos and creams on the market for hair loss or you can seek out the help of a medical professional and get hair transplants.

Don't feel bad if you're beginning to lose your hair. Although there are ways to slow down or prevent the process of hair loss, there are also great hairstyles for those of you who have a receding hairline. It may be tempting to camouflage your hair loss with a "comb over," as demonstrated by New York mayor Rudy Giuliani, but this is not the ideal style. The best way to camouflage the fact that you are experiencing hair loss is to have your hair shaved and wear it as short as possible.

Actors such as Bruce Willis show us that this is possible, while singer Moby also looks great with no hair at all. This just makes it look as if you intended to wear your hair extremely short, rather than compensating for your receding hairline. This also looks a lot better than trying to hide your hair loss with a hairpiece or toupee.

Friday, December 12, 2008

My Wild Side!!!..the perfect pose!!

As an amateur glamour photographer...i tend to do wacky ideas which i long to put into pictures but really dont get time owing to my commitments to the world of medicine....there are a lotza things i do jus to keep the flame buring inside...one thing is i watch a lot of pictures....i mean still pictures not movies.....of models posing and other glamour photography..works of the masters of da field etc....
After analyzin those things i have come to certain conclusions...most ppl have difficulty posing...they dont knw whts their best look for a picture....here are certain points that will help u guys find that pose that you longed for...

1. A slight natural tilt of the head make you look comfortable and at ease. Women tend to tilt their head towards the upper shoulder.

2. While eye contact can look engaging sometimes, refrain from it until you have some sharp feature, instead go for a gaze elsewhere, it sets up a reflective mood.

3. Position the head and chin depending upon your personality, mood and feel you wish to convey.

4. Keep one shoulder slightly above another, it will prevent from you from lookin stiff....this isnt a drill soldiers!!!

5. staright arms look awakard...try to make ur hands work....keep some angles at the elbows...it makes some interesting shots.

6. Remember, even the manner in which fingers are bent can convey a message

7. Black clothings suits all mostly..ppl look slim in that..so try that if you are not sure of your clothes.

8. Avoid slouching.....look comfortable

9. Keep body weight on one leg, while the other accentuates the posture.

So try these small tips and look great in ur pics...
mail me some of your ravishing pics at memymyselfin@yahoo.com

till then

happy clickin and happy medicine!!!

Friday, December 05, 2008

The Cold Delights.....

Winters are my favourite time of the year...
i can wear colorful clothes and still not end u p looking like Govinda of the 90's....
i can gobble up Hot Gujab-Jamuns and Gajar-ka-halwa and still have a valid enuf reason for having em....
Yes i can sit whole day and sip as many as nescafe's i want....no problems of excess sugar!!
And when i put on weight..i can say winters mein hota hi hai!!

You know wht still tops all above???
Going to a Hill station with a light snow fall....some bon-fire....a cup of hot brewed coffee....and company of a person whom who cherish for life!!
NOTHING BEATS THAT.....

i can Sit dayssssss with this kinda setting.......

But alas...i am here in a crampy old room..with a stupid PC for my constant companion and tons of books.....preparing for that impossible...knwing half of those seats are already for some wealthy or da influential....
but the spirits are still high..(Mainly coz of da circulating Spirit in da blood!!!...hehehe)
LONG LIVE THE GREAT INDIAN MEDICAL DREAM!!

Good Night.....

Thursday, December 04, 2008

Rare, Forgotten but Real......Songs!!

hey ppl
this is a slight deviation from my usually grim intern diaries essays.....
this time i am shifting your focus on some songs, that though were excellent in their composition didnt actually become that popular that they should have...
Well, i must confess...i am a soft rock/ballad yuppie......i love a soothing romantic ballad..and i sometimes imagine myself singing the song in da rain for my someone special who seemingly cant be with me for my life but yet will remain close to my heart forever....
I am focusing on two songs today....one is my current fav rt nw....Aankhon hi aankhon mein...from the movie EMI....
yes yes i know the movie tonked at the box-office and many of you might be confused whether this is a movie name...Guys hold on a sec.....This is a movie this year featuring Sanjay Dutt, Arjun Rampal, Urmila Matondkar, Paresh Rawal among others...
Though other songs werent in the same league....this song caught my attention in one of the promos....
The soothing melody and some simple lyrics real make this song a wonder....
Please do listen to this "aankhon hi aankhon mein" From EMI....it was a soft rock number that will just fill in your hearts like a fluid in motion....
Highly recommended.....

The second song i wanna tell you guys is from slightly older movie...i mean released last year....Ek Chaalis Ki last Local.....Remember it guys???.....it had a certain Abhay Deol with Neha Dhupia and a real puzzle of a screenplay(though the climax was ok i must admit)....There was a song in this that goes like.."Bheegi Seeli si".....
Its again a soft rock but kinda peppy number..not the romantic type....but it will surely lift ur hearts once u hear it out...


So currently Aankhon hi aankhon is in repeat mode in my ipod for a hundredth time......this is late night and i am fighting it out for the all india exam next month...and trying to stay afloat in a hopeless situation....these songs are kinda helping me out..
Try em out...might help u ppl too....
Good night and Good Luck!!!

Saturday, November 22, 2008

The Intern Diaries Contd...

So i gathered my men and volunteers, vaccine and other stuff and stuffed the Government vehicle alloted to me. It was tough to fit in everything in a crampy-old maruti Omni but we managed somehow...So off we went in the direction of first stop, a booth, an anganwadi where i was suppose to meet an anganwadi worker. To my horror, i first could not locate the anganwadi, let alone the anganwadi worker. I asked some locals and located the home of the worker. I made him realize that today is the Pulse Polio day and gave him the vaccine. Then i headed for the next booth and one by one delivered volunteers and vaccine to all the stations. As i was coming back i asked my driver, what next, he said well sir u have to now start inspecting the areas as to check whther the workers are doing there job or not. I said i dont know wht to check. he gave a wry smile and said sir you will know. He sounded like the Headmaster dumbledor of the harry potter series making a prophecy that i will knw!!...but the fact of matter was i didnt knw!!

but then i took my supervisor stuff from the head office and went back to assess the areas.
As i roamed home to home and asked whther children have been immunized i found that almost 90% of the population was covered by these guys and its a good sign for the national program. Inspite of the various drawbacks, and various footfalls, the program actually worked.

contd in nxt post...

Wednesday, November 19, 2008

The Intern Diaries....

well..it has been a long time since i posted my internship experiences.....lots have happened over the time....
I shifted base to a civil hospital near my home...though the type of work has changed much but it has sure become much easier being nearer to home....
During one of such lazy days i was informed that i will have to do duty as Pulse Polio Supervisor for that months's drive in the city. I was alloted 7 areas under me with the health workers, anganwadi workers at my disposal.
You know it felt kinda funny....just 1 year ago we were studyin the same thing and mocking regarding the pathetic state of the National Health Programs of india, and here i was being very much part of it, very much responsible for the work.
I felt insecured and ill-equipped to handle such responsibilities. Anyways, i had to get on with it. So i started with a refresher course on Pulse Polio, read from my dusty old Parks PSM regarding polio and its eradication.
I landed on the day full of optimism that i will make a good result of the oppurtunity. I was handed a file with all the documents of a supervisor and my name clearly written on the cover signifying authority and confidence. Though i must confess that i was a little anxious but i did hide it well from the District Immunization officer, who asked me a few questions which i could luckily answer.
So at 8 am in the morning i gathered my health workers, Nursing Volunteers and started calculating the Vaccine Vials and Carriers etc needed. I was provided with the Micro-plan of my areas so i felt pretty much confident.
That's when it opened my eyes....
The micro plan was no doubt an elaborate one, but on closer inspection it revealed that we were supposed to cover 200 houses on 2nd day. Taking 5 minutes at each house it was clearly more than 12 hour job for which we were given only 8 hours roughly.....
I looked in bewilderment at my workers some of who were old and they smiled wryly, knowing the look on my face. They nodded at me and said not to worry, they have seen it all the years.
So i simply followed them and left them to plan everything....
so here i was the supervisor actually trying to learn the practical nuances of running a national health program.
The National health Programs which we so easily cram and vomit at the exams are much more difficult to comprehend practically. There is so much paperwork that you spend less time vaccinating a child than actually filling up the forms.
Well, so we began and delivered the vaccines at the Booths. I saw the vaccine carriers and Ice Lined refrigertaors for the first time after my third year of medical school.
The areas that i went too had a different story to tell.


contd in the nxt post.....

Friday, October 17, 2008

"If stones are thrown at you, you convert them into milestones." Sachin Tendulkar on the day he broke Brian Charles Lara's world record for most number of test runs ever. He was asked to respond to people criticizing the seniors of the team.
Here lies the difference between Sachin and Sir Don Bradman....
it gets tough sometimes....to control the inner pain..
i always wondered how to react to death...of both body as well as the soul...
In my mind i know some part of my soul is dying a slow but sure death....it wants to do so many things before it says goodbye....sometimes it pains...sometimes it jus doesnt feel anything.

The understanding that no medicine or treatment exists to mend my soul...it gets so confusing and frustating to just sit and watch....you still have to enjoy other aspects of life and fullfill the duties that you are supposed to do.....
Nothing appears out of ordinary..nothing appears exciting....there are no more eureka moments of life..just chugging along.....
there is no dip in the quality of the output but the zeal for the output is lost.
There are no more exciting jobs but just jobs.....

it does get tough sometimes...to control the inner pain.

Wednesday, July 23, 2008

Candle Light Treatment.....

Yeterday was one off those days in my life as a doctor that shows the varied aspects of living a life of a doctor here in rural india....
The day started of with me reaching late at the Primary Healh Care Facility at Deoli....there were lots of expecting mothers there for me to sign off their referrals to the central hospital...after having signed them off i sat in the office and started my OPD...the first few patients were the usual upper respiratory tract infections and diarrhoeas...we as interns get real anxious to see a small child walking towards us as we have very limited knowledge of the drug dosages to prescribe to small children.
Then there was the first bad incident of the day...some patients are really pain in the ass...that patient was a known case of hypertension and diabetes...his BP a day before was recorded as 140/90 mm hg and then the smart guy not satisfied with the high bp went to a local quack who said there is no BP problem prescribed some sedatives and sent him off....so this guy comes today delibrately not taking his BP pills...jus to prove me wrong and create a tussle at the PHC..
i vented all my anger to the asshole and shot him from the office.....
Rest of the day passed off peacefullly..with around 60 patients seen..i was somewhat tired and went to catch up some sleep as i had the night duty also...my co-intern took my place in the office....

Around 6 pm all the other interns left and i was to remain at the PHC for the night emergency duty....
and then when it all started!!!!!

Rains unleashed upon us like angered clouds as we were left helpless....electricity went off, not to return for next 12 hours....there was acute shortage of diesel so we could not fire up the genertor....candles were light as we waited for the Gods to intervene...
The patients started to pour in too...the rains were taking its toll..
there were a couple of accidents which required suturing....a candle light suturing was done to best of my abilities of working in the darkness....
There was a patient of acute abdomen who came at around 11 pm...the poor guy probably had a koch's abdomen but we being at a PHC couldnt use any investigations..(For my readers of developed countries...we dont have even a Total Leucocyte count here in a PHC, no lab, no Sonography, No xray...its purely clinical diagnosis that we work on!!)...the patient just had 100 rs with him( around 2 dollars)......we asked his relatives to shift him to the central hospital immediately but they couldnt afford the transport and our own ambulance had already gone to shift an accident patient to the central hospital...
he didnt have any money for medications...we managed to start some hydration and also gave him analgesic injections...but he just lay there waiting for death to intervene....he was a farmer by occupation, had taken loan on interest and simply had no money....Slowly he too withered into darkness in front of my eyes.....my own frustation was that i personally had brought just some 50 rs for the night......
there were few more patients as the night and the rains continued....
I managed some sleep around 2 am....
i got up around 6 am and went to the local bus stand for a ride back home.
Seeing me with a stethoscope dangling around my neck...a local private bus operater offered me a complimentry ride back to my hostel sayin " Doctor Saheb...kal raat apne bahut mehnat ki...and so on..."....i found out he was one of the patienst i had seen yesterday night that i have sutured in darkness....

Life turns a full circle in matter of a day...its so varied in its approach that some times even Gods dot know what to expect.....

Friday, July 11, 2008

Is jahan mein kash mohbat na hoti,
To safer-e jindagi mein mithash nahi hoti,
Milti agar bewafaon ko sajaye maut to ,
Deewano ki kaber itni udaas na hoti !!

ek choti jehi koshish...

ek choti jehi koshish
Tere mere Pyaar di khaani chete ayi hai
Amberan de vich aaj fir kaali ghata chayi hai
vagg di haneri te dar jeha lagda
Dil vala diva pamukke kangu magda
Sunn da vichon fir tanna us jagg da
masti oh pyaar vaali fir aaj chaayi hai
tere mere pyaar di khaani chete ayi hai


Bath de si ral mil piplan di chavan thale
bhul de nahi aaj v vatye jehre aapan challe
ucchi ucchi geet gaoyne baagi bath aapan kalle
Raat vali kali chup sandesha koi lyi hai
tere mere pyaar di khaani chete aayi hai

aaj v oh yaad hai jad miss callan mardi si
bebe sanve mainu jad Rimmy tu pukardi si
yaad vich teri har aathru jo venda si
dil vali daddi peer fir aaj chayi hai
tere mere pyaar di kahaani chete aayi hai

Mainu chad jad kise hor di tu ho gayi
os din eh chandri muskaan kite koh gayi
birhan naal kurmayi sadi osse din ho gayi
Maut vaali sool sade dil nu eh moh gayi
Kabran vichon awaaz AMAR lagda kise ne lagayi hai
tere mere pyaar di khaani chete ayi hai

Thursday, July 10, 2008

If you are in transition...read this

i am currently in such state that i have completely lost faith in love and its meaning. I feel its better live a life and not think about what could have been and wht could be....
the following Lyrics from movie Music & Lyrics still inspire me sometimes......

[Verse 1]
(Drew Barrymore)
I've been living with a shadow overhead,
I've been sleeping with a cloud above my bed,
I've been lonely for so long,
Trapped in the past,
I just can't seem to move on!

(Hugh Grant)
I've been hiding all my hopes and dreams away,
Just in case I ever need them again someday,
I've been setting aside time,
To clear a little space in the corners of my mind!

[Chorus]
(Both)
All I want to do is find a way back into love.
I can't make it through without a way back into love.
Oooooh.

[Verse 2]
(Drew Barrymore)
I've been watching but the stars refuse to shine,
I've been searching but i just don't see the signs,
I know that it's out there,
There's got to be something for my soul somewhere!

(Hugh Grant)
I've been looking for someone to shed some light,
Not somebody just to get me through the night,
I could use some direction,
And I'm open to your suggestions.

[Chorus]
(Both)
All I want to do is find a way back into love.
I can't make it through without a way back into love.
And if I open my heart again,
I guess I'm hoping you'll be there for me in the end!

[Middle-eight]
(Drew Barrymore)
There are moments when I don't know if it's real
Or if anybody feels the way I feel
I need inspiration
Not just another negotiation

[Chorus]
(Both)
All I want to do is find a way back into love,
I can't make it through without a way back into love,
And if I open my heart to you,
I'm hoping you'll show me what to do,
And if you help me to start again,
You know that I'll be there for you in the end!


Love is Like walking down a road holding hands. Sometimes you fall down coz of a problem or whtever and the other person extends her hand and lifts u up to go ahead......

Love is still meaningless to me

In search of a Meaning...

Good night and good luck
Zin

Wednesday, July 02, 2008

The Turn-Tables of Life...

Life sometimes takes unexpected turns...
No matter how many plans you make...a single moment changes your life in such a manner that you are only left with memories....
There exists a dilemma in everybody's mind that whether to do the right thing or the things that most people do.
In everybody's life there comes a time when one has to stand up...for himself...for what he stands for.
he is offered a cross-road to choose an easier path and escape away or to follow the rough path and get declared as a maniac or a damn good winner...
every success has its fallacies and every loss has its golden moments.
Those are the moments for what we play for...for in the game called life there are no winners or losers....everyone dies eventually....everyone wins eventually...

till then take care
goodnight
cao
Dr Zin

Monday, June 30, 2008

Happy Doc's Day...Baby's Day out!!!

Today we uncermoniously celebrate the doctor's day. Its the day where we are suppose to feel good about ourselves. Henceforth i have to lift my Respiratory Infection and fever ridden body out of my warm and comfy bed to the PHC so that our dear Department of community Medicine can earn some browny points for the college.
First of July has been designated as Doctors’ Day in India. It is surprising to know how few people are aware of this. A random survey amongst the people around us, including doctors, will confirm this. Hence to expect people to know the significance of Doctors’ Day would be unrealistic.
Is first of July designated as Doctors’ Day all over the world? No, it is Doctors’ day only in India. For example, in the US, Doctors’ Day is on 30th March every year

Let me give a short history of Doctors’ Day in the US. The first Doctors’ Day was observed in the US on March 30, 1933. The idea came from Eudora Brown Almond, wife of Dr Cha Almond, and the date was the anniversary of the use of general anaesthetic in surgery. On March 30, 1842, Dr Crawford Long used ether to remove a tumour from a patient’s neck.

Now, coming closer home, how did first of July get to be designated Doctors’ Day in India. First of July happens to be the birthday of a very famous Physician of India, Dr B C Roy.
Dr B C Roy was born on July 1, 1882 at Bankipore in Patna in Bihar. His career as a physician started in 1911 when he came back to India from Bartholomew’s hospital in the UK having completed his MRCP. Thereafter, he joined the teaching staff of Calcutta Medical College and later moved to Campbell Medical School and then to Carmichael Medical College. He dedicated his life to the upliftment of Indian society, especially, the downtrodden.
Thus July 1st was considered an appropriate day to be designated as Doctors’ Day- a tribute to Dr B C Roy and the entire medical profession.

I always wonder what happened to the large majority of patients who were recipient of competent and humane treatment from doctors and have reason to feel grateful to doctors. Why do they not stand up and express what they surely feel?
Why cant their hearts at least publicly say Thank You, Doctor! And what better day to say this than Doctors’ Day ! Surely, this will provide a feel-good factor to all the good, honest and dedicated doctors.

Lets start ourselves by saluting the undying spirit of a doctor who will even with a bone crunching fever will go to the PHC so that his bosses could be well fed at the end of the day....
Cheers for Department Of Community Medicine!!!..

tc cao
see ya soon

Primary Health Care.....Best Medical Negligence!!

India's much touted and hyped Primary Health Care concept has been on since ages but the ground reality is altogether a different story.
Any Intern who has been ever posted at a Rural Govt PHC knows What a farce in the name of health services does the gov. offers. I was posted at a Govt PHC recently and went through some of the shocking pictures of medical negligence.
My Medical Officers in prescribing medicines did not even care to ask what the complaint of the patient was. On an avg he just spent 15 seconds in prescribing the medicine to the patient and moving on to the next. The examination table in the corner of the room looks like it has not been used since ages. I unfortunately being a green-horn in the working pf PHCs asked my patient to lie down on the table so that i can examine him. To my amazment there was atleast 1 inch of dirt on the table.
Then suddenly the lights went off..Daily load shedding my MO said..that amounts to around 8 hours of ancient world. A patient came with a foreign Body in the eye. To my second shock of the day there was no TORCH in the PHC for me to view the eye and remove the foreign body. I had to use my nokia as the light source....Improvisation thts the first thing medical colleges should teach i say!!...
The sphygomanometer was out of mercury since i guess 6 months so...you can guess where the hypertensive patients would be getting there monitoring done!!....
and oh i forget to mention My MO didnt have a Stethoscope with him....didnt need it he said....can catch a disease from the pulse i must say!!!!!.....

All this are just a drop in the ocean of medical negligence that these Govt Health services offer and yet often the doctors who are dragged to the court are the private practitioners who are trying to offer a quality service and rightly ask for payment of it.

Its just a poor state of doctors in india that the country is on the verge of a health breakdown.

Still I say...never give up to those tired doctors who still save many lives without whom the country would have been finished years ago.....
Cheers for Doctors

Tc
See ya soon

Wednesday, June 18, 2008

Hate the disease and not the diseased!

My posting in the Medicine department during my internship was both tough and rewarding.In a span of one and a half months,I had matured from a happy-go-lucky intern to a responsible,thoughtful doctor. An incident midway during my posting really had a lasting impact on me.....

I had mastered most of the procedures in Medicine including Lumbar puncture,Ascitic and pleural tap,collecting arterial(radial and femoral) blood for ABG(arterial blood gas)analysis.

But the one procedure which every intern covets is the 'Central venous Line'.There are 3 ways of doing it:-
1.Peripheral(easy)
2.Subclavian(toughest)
3.Jugular.

I had the misfortune of witnessing a failed attempt by one of my friends in the HIV ward.The boy ,instead of entering the subclavian vein entered the subclavian artery.(Both are close by and this is a blind procedure)The massive internal bleeding led to a hemothorax and the patient died within the hour.No significant emergency measures were taken to save him.Why?

"Are,HIV patient waise bhi marnewala hai.Ispe sab karke seekh lo".(The HIV patient is going to die anyway.Do all procedures on him and learn).
This was what the residents used to tell us.

Shattered ,I went into depression for 3 days.I did my usual work efficiently but my mind was preoccupied.

Why should HIV patients be treated as guinea pigs?Are they not human beings?Agreed that many of them wronged by not using protection,but they are paying for it with their lives!The social ostracism is expected as not many are mature enough to understand their situation.But we are doctors.If we also ill-treat them and use them for experiments,where will they go?

Relegated to balconies,these people are kept in the filthiest of surroundings.No one sweeps or mops that area for fear of contracting disease.The bedsheets are ancient and laden with dirt.No resident doctor or staff nurse bothers to venture near them.Only interns or student nurses are coaxed to go near -that too with the dangling carrot of a procedure.But most interns also refuse.After sometime even their relatives forsake them.

What happens is that sooner rather than later,the patient breathes his last.All are relieved.Good riddence!

But for me,its another battle given up without a fight.Another setback to the basic principles of humanity.This callousness on part of the so called 'Life saviours' borders on frank cruelty.This must stop.

Who are we to judge these people as good or bad?We are not Gods to play with their bodies to satisfy our academic aspirations and then allow them to die.Every patient (whether HIV positive or not) is valuable and must be given full care and treatment.Such patients need more care-medical,sanitary and emotional compared to others.They need to have exclusive wards with specialist doctors and trained staff.

Yes.AIDS at the moment,is an incurable disease.But it is possible to give these people a decent quality of life by alleviating their pain and controlling opportunistic infections.We can help them to be self-sufficient and live their last few days with self-respect.Compassion and understanding are equally important as the anti-retroviral medication as the psychological effects of the disease are equally crippling.

Come on all members of this noble fraternity.Let us show our solidarity and support to fight this deadly disease whose cure may just be round the corner.Till then we must hold on remembering these words,

"Hate the disease and not the diseased".

Hate the disease and not the diseased!

My posting in the Medicine department during my internship was both tough and rewarding.In a span of one and a half months,I had matured from a happy-go-lucky intern to a responsible,thoughtful doctor. An incident midway during my posting really had a lasting impact on me.....

I had mastered most of the procedures in Medicine including Lumbar puncture,Ascitic and pleural tap,collecting arterial(radial and femoral) blood for ABG(arterial blood gas)analysis.

But the one procedure which every intern covets is the 'Central venous Line'.There are 3 ways of doing it:-
1.Peripheral(easy)
2.Subclavian(toughest)
3.Jugular.

I had the misfortune of witnessing a failed attempt by one of my friends in the HIV ward.The boy ,instead of entering the subclavian vein entered the subclavian artery.(Both are close by and this is a blind procedure)The massive internal bleeding led to a hemothorax and the patient died within the hour.No significant emergency measures were taken to save him.Why?

"Are,HIV patient waise bhi marnewala hai.Ispe sab karke seekh lo".(The HIV patient is going to die anyway.Do all procedures on him and learn).
This was what the residents used to tell us.

Shattered ,I went into depression for 3 days.I did my usual work efficiently but my mind was preoccupied.

Why should HIV patients be treated as guinea pigs?Are they not human beings?Agreed that many of them wronged by not using protection,but they are paying for it with their lives!The social ostracism is expected as not many are mature enough to understand their situation.But we are doctors.If we also ill-treat them and use them for experiments,where will they go?

Relegated to balconies,these people are kept in the filthiest of surroundings.No one sweeps or mops that area for fear of contracting disease.The bedsheets are ancient and laden with dirt.No resident doctor or staff nurse bothers to venture near them.Only interns or student nurses are coaxed to go near -that too with the dangling carrot of a procedure.But most interns also refuse.After sometime even their relatives forsake them.

What happens is that sooner rather than later,the patient breathes his last.All are relieved.Good riddence!

But for me,its another battle given up without a fight.Another setback to the basic principles of humanity.This callousness on part of the so called 'Life saviours' borders on frank cruelty.This must stop.

Who are we to judge these people as good or bad?We are not Gods to play with their bodies to satisfy our academic aspirations and then allow them to die.Every patient (whether HIV positive or not) is valuable and must be given full care and treatment.Such patients need more care-medical,sanitary and emotional compared to others.They need to have exclusive wards with specialist doctors and trained staff.

Yes.AIDS at the moment,is an incurable disease.But it is possible to give these people a decent quality of life by alleviating their pain and controlling opportunistic infections.We can help them to be self-sufficient and live their last few days with self-respect.Compassion and understanding are equally important as the anti-retroviral medication as the psychological effects of the disease are equally crippling.

Come on all members of this noble fraternity.Let us show our solidarity and support to fight this deadly disease whose cure may just be round the corner.Till then we must hold on remembering these words,

"Hate the disease and not the diseased".

Saturday, May 24, 2008

storms of the different kind....

there is a storm brewing outside my window and one in my mind....god has funny moves u know...my life has turnd topsy turvy in a matter of few days. All the plans down to the smallest one have been turned on their heads. its a new equilibrium that i am trying to adjust to. this new balance just reminds of the constant chronic dynamics of life that will never let you rest until you actually rest in peace that is. we aim for moon but will end up on the mars itself!!!....Love is a strange feeling almost like the addiction with alprazolam or midaz...difficult to get into and difficult to get out...the bullshit chemicals in the limbic cortex play havoc with your emotions and literally make you beg for mental stability.
its a difficult situation to get out of....therfore they say innocence is bliss!!!....
but someday someplace we lose our mental virginity to love and then for life we become sluts and slaves to this obsession of a different kind..hence the storms of the different kind!!!!
cao
take care
Dr Zin

Thursday, January 24, 2008

Internship Experiences GOD's OWN CRISIS!!

HANDS OF GOD! (My experiences during internship)
Author: superashdoc, Posted on Sunday, March 05 @ 04:58:28 IST by RxPG
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"Sweet are the uses of adversity which like the toad - ugly and venomous, wears yet a jewel on its head"My lacklustre performance at the Final MBBS examination came as a gray episode in my otherwise unblemished academic career. But using it as a stepping stone, I resolved to be more committed and launched into my internship with gusto! I breezed through surgery, learning the essentials of suturing and dressing of wounds with ease.After surgery came PSM-rural posting Palghar; and here is where our little story begins.....Palghar is a sleepy village about 25 km north of Virar in the Thane district. I mentioned the word sleepy because if you venture out after 8pm in the night-the entire village would be deserted.On my first day as I alighted from the Ferozpur Janata Express, I took my first full deep breath of fresh, cool, unpolluted air. It felt like the first few drops of sweet rain on a parched desert land! Fortified, I purposefully strode through the tiny but busy market and within minutes reached an old building which read - 'Rural Health Centre, Palghar'.Our duties at the center were divided intoa) Subcentre and b) Maternity. Subcentre consisted of :1. A weekly ANC opd at Palghar2. A number of visits to various subcentres in the surrounding region to see ANC as well as General patients during the week.I particularly remember my visit to a village called Kharekhuran. It was my first trip there and I was to reach at 2pm along with my co-intern Vishal who was staying at the hostel.However due to the low frequency of trains, I reached Palghar station at 2.30pm.Assuming that Vishal had gone ahead, I looked around for a'Tum-tum". Finding it,I managed to squeeze in along with 10 other villagers and over 3 dozen fish (no kidding!) and crabs. By the way,a 'Tum-tum" is the local name for an eight-seater autorickshaw which is the main mode of transport around Palghar.After a bumpy ride,which tested the integrity of each one of my 206 bones, I reached Kharekhuran at about 3.30pm. As I entered the small cattle shed which also doubled as a subcentre; I was amazed to see around 35-40 pregnant women seated quietly in a line."There you are!", thundered a voice, "Is this the time to come?These people are waiting since two hours!" I turned to see Sister Joshi's otherwise kindly face take on an angry colour which I judged to be either reddish-brown or crimson! (sorry, I didnt give my elementary drawing exam at school. Colours always confuse me.)I almost opened my mouth to back-answer her when my eyes fell upon a little boy holding his cheek and crying bitterly. Wordlessly, I went up to him,elicited a quick history using my charm (usually works with children and fails with girls!) and prescribed voveron and Septran (only 7-8 drugs are available). I also wrote a reference to the Palghar Dental OPD to take appropriate measures.I then moved into the adjoining room and meticulously examined all ANC patients -counselling them as well as clearing their doubts. I was able to diagnose a number of cases with anaemia and a PIH. I then came across a patient complaining of pain in abdomen whom I found to have a transverse lie. I then dispatched her urgently under the care of Vishal (who had arrived finally) to the maternity centre at Palghar.Then I saw all the general patients prescribing from whatever meagre resources at my disposal. At the end of 2 hours, my job was done.As I made to leave,Sister Joshi said, "Doctor, I am sorry for my outburst.But even last week no one had turned up. The ladies here are very poor. They cannot afford to go to private doctors. They are totally dependent on you."The next week,I reached Kharekhuran exactly at 2pm. As I entered the village, there were shouts of "Doctorsaheb aale, Doctorsaheb aale" (Doctor has come). I was taken aback as two men and three women,one of them carrying a baby in her arms fell at my feet."What is all this?" I demanded.One of the men was an old bent man of about eighty-frail with shivering hands. He gave me a broad toothless smile and his eyes glistened with tears."I have become a grandfather saheb," he said "Now I can die happily".Baffled,I looked around and saw the woman holding the baby. She was Savita,the patient whom I had urgently sent to Palghar for a Transverse Lie."She had previously 3 miscarriages Sir," said the village headman."Yes saheb", the old man said , "because of you ,our baby was saved. You are no ordinary mortal!""But all I did was to examine her and use my knowledge!" I exclaimed, moved.The man held my hands in his coarse palms and said, "Saheb,we are farmers.With these hands we work and toil and only then grow food to sustain life.""But your hands are special! With just a touch ,you could give life to my grandson. These hands are a part of your body but they do not belong to you!"And then in a loud voice he proclaimed to an entire village:"BEHOLD!THESE ARE THE HANDS OF GOD! "