What a big fuss is it if the person you are marrying is not a doctor and you're one??

Ages have gone by and we still have kept the notion of 'A Doctor's
best suitor is a doctor' alive. Yes, even I blindly believed it till I
had a reason to prove it wrong. Love.

The war of my worlds had begun, I thought. Putting forth the liason to
my family and their prompt approval felt great. His family, too, were
indeed happy, for their son had sought a girl. (The fact that he could
was a reason in itself for celebration.) ;-)

The fight that I had thought would be tough, and would have to be
fought with all the weapons out in the open was not a fight at all.
Their were no soldiers firing at me, no archers aiming at me, no
arguements thrown at me. Infact, this was a storm inside me, which I
had to calmen at my time of committment...this was the question within
me, which I had to answer...this was the decision that I had to firmly
take by myself....merely because of the myth our society has created
and believed ever since. In the absence of such a notion, I would not
have to give my 'Non-medic' guy so much of thought.

Anyways, being officially together was a relief and bliss. Some people
applauded my breaking the league, some people still pestered that
'Doctors understand each other's lifestyle better'. Fine.

Life is merrier and beautiful. Our wedding dates have been finalized.
8 months later we would be Man and Wife. Amidst such happiness,
there's another such upheavel whose genesis I find stupid, and
explanations unnecessary. For now, those storms, questions and my
decisions are not inside me, they are in the people I meet. For open
discussions, as if it were a debate competition or a panel discussion
with the people no less than 'experts'.

People are more interested in quoting the 'failed' cases to prove the
general notion than thinking about who they are arguing with. Even
that is fine, until they start predicting the future about how he
would dislike my night duties, how he wouldn't be able to understand
the pressures of this profession, how the professional life would
creep and kill my personal life. n blah n blah.

Sometimes, I wish I could hand them over a trophy and end the
conversation. They'll atleast feel a winner, how-so-ever insensitive
they might be.

Then, sometimes, I wish I could aggressively open fire and go -'Being
a doctor doesn't mean I can't marry a mortal human, when I too am the
same.' ; 'My specy hasn't changed. Not that I am a Homo sapiens
doctairre.' ; 'When did being a doctor become the minimum eligibility
to understand another doctor?'

But then, I don't.

For they would never understand.

For when I am happy, I don't need to shout and tell them that I am.
They'll know with time.

For one day, seeing me content, they'll quote my example to argue with
the one who says that 'Doctors should marry doctors'.

For the time will come, when such obsolete notions will disappear.

And even if it doesn't...I don't give it a damn! Shaping our life is
in our hands and our hearts. No false belief can distort it.


PS: The story and lives of two people are known to none other than
those two people themselves.

PPS: Love trespasses caste, creed, gender, professions.

A new lease to life, and a new breeze to breathe.

Two months it has been since I left my abode of decades, my home-town, and set foot in this hush-a-hush, 'metro' city,the capital- Delhi.

Had today day been the start of January 2011, you would have been reading a post with lots of Yippies, Yays and Hurrays; for I intended to leave the usual pathway of pursuing medicine as a specialization, and foray into the field of research by taking up a degree course in it, and juggle it with a part-time clinical junior residency. And, Delhi was the dream's wonderland.

But, today is not January, but a June. Mere difference of 6 months in the time frame, but a giant leap in the action frame...a leap across a wrapped, locked closet.

In the action frame, Now: Pre-PG!

The societal Ohhhs-Awwws did get the better of my parents' patience and my ego. They were offended and I was furious.

Taking the step next; leaving all the plans to bin, and shifting to Delhi with a completely different purpose, I now prepare for the Post Graduation Entrance Examination.
Yes, the one path which I did not even turn my heads to look at, in the past; the one path which all my peers run and tumble and succeed on; the one path which is like the storyline of a Bollywood flick- boring, usual and predictable.
Period.

These 60 days have not been exactly the way either my Mum-Dad or I would have wanted them to be.
Yes, somewhere I realize I am not strong to have dropped my dreams for something as volatile as prestige; for I know, one moment, people ridicule you for taking a useless path, and the other they quote you, when success is achieved.

Yes, somewhere I know I am not doing justice by forcing myself to try and do something where my heart doesn't lie.

Yes, somewhere I understand I am not only cheating my parents but also myself.

But, as they say: Your wish is my command!
Such is the motto of my life: To fulfill all my parents' wishes, all which I can, in my capacity.

Even beside this no-so-pleasant turn of events, I do have a new lease to life.

It is the presence of the breeze that I breathe here. It is the fragrance derived from the completeness of my soul.
It is the innocence and the naughtiness of this beautiful phase.

Google Images

God ought to be thanked and simultaneously be bribed for blessing me with even more grit and courage and determination to fulfill their dreams, of which I have taken charge; and the stamina to fulfill mine too, later in the course of time.

For times Sake...

For times' sake,
For distractions that were fake.
Or might be, they were true...
Unlike some weeds that grew
in the backyard, Unwanted.

Now that I look behind:
the bench, the grass, and the hound;
The garden that I had lived on,
for the years long I lay my feet on,
was just a greener pasture.

Time has powers to nail,
and truth is like that hail,
which hits the soft leaves.
The greener grass bereaves,
for it is now a brown bald patch.

Many seasons a plant has to see
'Twas Rains, Spring when I was free
to flower and smile and giggle around.
Summers are up for this time round,
and it's the sun that smiles now.

The flower in me needs to close,
to conserve, flourish; and pose.
Pose with a beautiful face in view,
Romance and kiss the drops of dew,
when...when my season comes.

Up till then, I'm keeping the things away.
I'm back to becoming
the Little Bud that I once was.
Closed, cute, with a cause.
Lest I become an item on bake...
All...For times' sake...
All...For times' sake...

Last Days...

...Of a common post that we 100 students shared; wrote below our names on governmental papers, on investigation forms, on application forms: Intern Doctor.

...Of the life so youthful in its name; full of friendship, teasing and bonding; over classes, practicals, postings and duties; of functions, fights and re-bonding: College Life

The last days have been interesting, lost in celebrations. Parties every night, and preparation in the days. Gossips attained a new high of all times. All which wasn't done in the college times found an outlet and takers.

Guys and Girls who had never shaken a limb even in chilly freezy winters, danced for hours incessantly. Happiness does that to you.

All the love harboring lockers opened up; a few new couples were made and a few new heart-breaks. Still, the broken hearts are happy, at least they tried their bit.

The old, going-strong couples moved a step ahead. Happiness did that to them.

The fun-lovers are yet the fun-lovers, enjoying the transformation of the serious souls to party maniacs. 

Graduating after 5.5 long years gives a satiating feeling.
It does feel great.


Forgetting the dilemmas my brain fires, endorphins are up for releases, body waves with the musical notes, lips widen to smile at others' laughs, and heartbeats race with each day.

Happiness did that to me.

Power is the seed to sin...

Sitting in the back seat was so fun.
Dad Mum drove us to where they wanted,
or where I desired to go.

Then, came the time...
When I wanted to take control
Of the steering, the gears and the accelerator.

It enthralled.
It injected the shot of power...
Of directing it where I wanted it to.

They say,
Power is the seed to sin.
And,
Power is addictive.

The keys of life lay in my grab.
The ultimate power of independence was mine.
Did it rise to my heads??
Did it malign me for a period??

The car zoomed.
The gears clicked.
...In the lanes that were forbidden.
In the areas far from the final destination.


Up and down,
Left and right,
Reverser and bang on the wall.
Zapping accross the face of the earth...
Without a predecided end-point,
Aimlessly foraying into unthought-off realms...
Of mountains, rivers, savannas and plains.

The air was enough to alcoholize me...
And the cloudy skies were enough to opiate.

Yes, it was a hallucination...
That the car was moving in the righteous path.

When they said, 'Come back!'
I thought they were missing
the powers they once had.

When they tried setting
bubbles of destination on GPRS,
I felt they were being authoritative
& creating a remote for the toy-car, ME.

I resented, I smashed, I argued & I cried...
See, dependence to power I had developed.

What a veil the power was...
Showing me a glorious journey,
acting like a 70 MM screen.

How convenient had it been,
to null the aims,
defer the solutions of the problems,
forget the realities &
live into the beautiful movie.


I lived there...into it.
Enjoyed it with the popcorns
and the burgers.
Till...

Till the credits ended.
And the reality came & tore the veil.
It stood like the ticket checker...
Forcing me to leave the dark hall,
to enter the bright sunshine.
Blinded to it, I rushed back...
To the hall.


I wanted to escape.
The responsibilities,
the obligations,
and the bumpers of the road.
Since, I knew..
The theatre was a cake walk.

Was I sleeping and dreaming?
No, I was rather taking the world as a dream...
Which I could structure and design,
mould as per my need,
control as per my choice.

The water splashes didn't get me up.
The violent shakes didn't break my dreamy world.
Engrossed with my dreams...
I did nothing...when analyses grew
in the conscience.
Where power had taken me to,
I analysed.

A false world it was...
I had betrayed not everyone BUT myself.
This intoxication had to end.
The effects of it had to fade.
And when it did...
I lay here distraught, dismayed.

Oh! I wish...
They find my keys
and drive me to home.
To security & caress & love.
Instill in me the purpose,
the meaning of this existence.

Oh! I wish they do...
& I wish I am able to do what they say!!

---------------------------------------------

Yay! Uhuu!!

Jubilation and Grief struck successively.

'Yay!' for the first independent USG that I did today. Yay! Yay! Yay!

Yes, after the duties that I had 'tried' doing dotingly, I finally got a chance to do a USG myself. All these days, I had been just another on-looker, who used to see and try to comprehend the organ being focussed. Then, was handed over the reporting. Scribbling on the piece of governmental papers the findings and the opinion was still better. At least, had something to do.

And, finally, today, was handed over the probe and the screen all to myself. Focusing organs seemed so easier as the observer, but was infinitely difficult for the doer.

Lots of attempts, Gelling of hands and triumphantly, focusing the organs successfully. It was a well deserved happiness. 

The USG strip of the first patient I investigated independently was taken out in double copies. One kept for my records - Of all the sweet, or bad first memories I treasure. (But, believe me, I have not kept the placenta of the first delivery I conducted, and neither have I kept the blood-soaked-thread of the first suturing I did.)  ;-)

Now, the 'Uhuu!' part:
I lost that strip in transit from Hospital to Home!! 

Uhuuu!
I don't have the coveted black & white imaging strip for my collections with 'Right Pleural Effusion & Liver' written. Ohhh! Damn.

Still, I do have a picture to be put: The one I took before I set the probe on the patient, trying to be familiar with the USG machine. :-)

My first USG! <3

Radiology sucks, still the work is fun. :-) Only for random temporary purposes. ;-)

Unethical - II

You might be remembering the short fiction story I wrote under the name Unethical a week ago.

And, If you don't remember it..... or haven't read it ......or find it too long... ;-)

Here's the Summary:

A girl meets a guy at an engagement party, and they notice the magnetism amidst them, despite of their never having met each other. But all of it is unethical as the very guy she's falling for, is the groom-to-be of her own cousin sister. 

(Wow! I'm super good at summarizing!) =D *winks

I saw you talking on the phone

I know that you are not alone

But you steal my heart away

Yeah you steal my heart away

You're acting like you're on your own

But I saw you standing with a girl

Stop tryn' to steal my heart away,

Stop tryn' to steal my heart away

I don't know where we going

I don't know who we are

I can feel your heartbeat ..

He said to me

I can feel your heartbeat

Running through me

Please do this video justice by watching it on full-screen mode!

A song and video I've lately fallen in love with.
The component of the S1-S2, or the Lub-Dub make it more captivating, and the anatomical beating of the heart depicted by the incandescent lights make the nerves stir

I'm sorry,but I'm hopelessly into Medicine, and into Enrique and into Nicole. (They make the hottest couple ever, in my opinion. But, I guess Kournikova and Hamilton have their opinion too. Apart from their love for their respective! ;-)

Tele says:
I can feel your heartbeat...

Running through me...
Humming through me...

Aborted

Oh! Wow.

Is it true,

that, some time from now,

I'll have you?

Google Images

The idea that I had,

was living within me,

It was growing forward,

and reality, soon, it would be.

Within me, you could be felt,

Some unfinished dreams were being recalled,

your presence made the stolid heart melt,

being yours was a thing with which I, now, romanced.

I knew, you want to rush into my embrace

Be called mine & caress me too.

Yes, It is a truth and not a pseudocyesis case.

And in no time it would be happening to me & to you.

Love, care, and a bond had developed

I told you so, and you knew it, right?

With each moment, closer we had moved.

Until that changed it all, that night.

You rushed, you hurried, you planned to meet,

when time should have taken care of it all,

The waters broke & the heart too, feeble had become your beat,

Trying anything couldn't have helped to stop you fall.

Google Images

You were premature, just a fetus,

Incapable of independent existence.

You were not a baby, a live part of us,

Having the grit to put persistence.

Before you matured or ripened,

you were plucked for celebration,

Oh! I wish-

You would have been where you had always stayed,

After all, you were God's own incarnation.

You feel bad, hurt and at loss,

You tag me irresponsible & hate me enough.

Baby, but dying I am too, because,

I lost more than you did-the dreams & the reason to live.

You need to believe it and you know, it ain't a bluff.

Tele says: Respect time, sometimes rushing can only abort.

Just came around this beautiful picture...!! :-)

Baby's First Movements!

The dude, the drunkard and the asshole!

Half-past ten, Casualty Center, Hospital.

It was about time I creased the white apron, rested down the stethoscope, and bid a goodbye to the casualty duty for the day. 6 hours since the duty had commenced, some minor road accident casualties, a few heart patients, and two major emergency cases had been handled. It was my first day at Casualty, and it had been a satisfying day at work.

The Resident Doctor (Does it sound similar to The Resident Evil?? ) were about to change duties for the night. Yeah, the one who was to stay did ask me straight faced, 'So you're doing a night today?' 
Please say a yes. The excitement was barely conceadable.
'No Sir, I would retire for the day in few minutes from now.'
Bursted.
'By the way, you're an intern, right? What's your name?'
'Tele'
'What?'
'Tele as in Television'
'Ohk. Christian?'
'Tele, We have an influx. Come.', the R-2 called. 
R-2, the resident whom I had assisted the whole evening, was a pleasant doctor. Needless to say, the same sequence had taken place few hours before when I had joined duties, but seeing my no-nonsense-only-work attitude he had ceased hitting.

So, here we had: A head injury, A maniac, and A Road-Traffic Accident patient.
Triage.

The Dude!

Head Injury first. A 20 something old labourer, having a 10cm horizontal slit on his forehead, blood splattered over the face, conscious.
Examining him, we were sure he had a frontal fracture, and he would have had injured his brain too.
Suture him before the Referral.


'Stitch?? Doctor, Don't cut my hair.' the patient blurted.
'Dude!'
Well-being was rather secondary, for him, to his good-looks. *grins

The Drunkard !

The maniac was jumping and shouting in the trauma center, moving hitherto. The paramedic had been ready with the history. 
So, he was under acute intoxication with the so-asserted 'poisonous alcohol'. 
The newspapers had been full with reported sale of poisonous alcohol and deaths in the last 2 days. On suspicion of him having consumed it, he had been brought.

No symptoms detected, yet Gastric lavage had to be done.
He was comfortable now.
He-The Drunkard.

The RTA was a minor accident. Two men, one with a bruise, and one with a laceration on the right palm.
Standing in the MOT for stitching up the palm, I overheard a voice.
'Ya bastard, you left me there. Ya think ya saved your ass, do you? I'll open ya up once I get outta...'
'Excuse me, who's had the injury on palm?'
The one conversing stared at me, and entered.

The A**hole!

'Pllllleaaaase. Make it numb.'
He whimpered like a baby.

'What, One more stitch. Nooo.'

Bandaged, he left.
I overheard him, 'Am coming ya f**ker! Ya Asshole!'

Retired for the day!

Tele ;-)

Leaving you an interesting picture ;-) 

Cool Hair Cut! 

True. Sincere. Just.

Amidst the hue and cry of scams, communal-ism, injustice, and political ill-will; the silent optimism might be missed but not ignored.

Every year the glory of the past that our country beholds brightened me up, made me believe that how-so-ever untidy or faulty the present is, it would transform to shine in the future. 

This time too, I feel the same. Only, the feeling was deliberated, and appeared more like a fantasy world of the Grandma's stories. Period.

Indian Tiranga

The desire to change it for the better still fumes, and so, I do what I can do best.

Do my duties sincerely.

Just think, What if everyone whole-heartedly did what they were meant to do?

True, Sincere, Just - My Future, My Nation.

Hi. This is Me.

Hi.

This is me.

Me...

...When kids my age are spending time playing outdoors & watching movies, 

I'm sitting in my room with my books 

as I have to clear this tough exam to enter my career field.

Hi.

This is me.

Me...

...When adolescents my age are having crushes, pimples and dinners outside, 

I'm trying to understand the human systems and their diseases.

Hi.

This is me.

Me...

...When youth my age are dating, smoking 

and boozing with their peers, 

I'm discussing the treatments to human ailments with mine, 

adorning blood stained robes.

Hi.

This is me.

Me...

...When my school friends are outing, roaming 

and discovering the world, having no answerability, 

I'm sitting amongst the sick, poor & ailed, 

all of whom are my responsibilities.

Hi.

This is me.

Me...

...When people my age are spending their salaries

 on the worldly pleasures, 

I'm left with no time to treat myself,

 even with the fortune I'm building.

© Tele_Jane

Hi.

This is me.

Me...

...When fellows my age are heart-broken,

 for their love left them, 

I've already witnessed thousands of innocent souls depart into nothingness.

Hi.

This is me.

Me...

...When buddies my age are married, 

& are treasuring their times with their kids, 

I'm waiting eagerly for spending some quality time with my kids 

& hoping to capture those moments into memories.

Hi.

This is me.

Me...

...When professionals my age are working in the limited time fashion, 

I'm slogging late nights, updating myself with the recent advances, 

so that my knowledge cures others.

Hi.

This is me.

Me...

...When aged my age are retiring, 

and re-living the nostalgic memories of their youth, 

I am left with no energy & ability to create those memories.

Hi.

This is me.

Me...

...A Medic. A Doctor.

'I, who, lived my life for others.

For humanity.'

Clicked from a hoarding in UMCG Hospital, Groningen.
© Tele_Jane

Conspiracy

All right, this is one feeling, which I NOW know, has been through the minds of all the medical students. And I did mention ALL here. At least ONCE it definitely would have.

God conspired against me and hence, sent me to Medicine.

Google Images

When, How and Why did we feel this is completely, an another story. (And I would rather not dwell into it.)

I had my share of this feeling ever since I entered the degree course, the so-called M.B.B.S.
After joining the course, a month's wrath was enough to make me feel unfitted. But, my dears insisted me to continue & I gave to their wishes.

5 years of life into medicine, I have literally 'passed' my life i.e. in the sense of 'time-pass'. The only motivations I have had on and off have been from the clinics and the researches.
The academic life sucks. Especially since I hate theories. The books are highly un-interesting to me since I seriously can't just read onto such an interesting science and imagine things.

Anyways, apart from the occasional attractions after working in clinics, I rarely find times when I feel I suit to the field of Medicine.

But, sadly I don't find a way out either.
And, sadly I won't earn much either.
And, grimly, I would still be a graduate, once I am out. Even after 6 years of studies.
Also, there's isn't much anyone's left to do after they've passed this sentence.

So, I have all the reasons to believe that God conspired against me.
And, I know he's enjoying sitting there, high above, watching me feel confused, frustrated and irritated.
Haaa!!
Have a Laugh, God !
I'll pass the challenges. You keep on looking.
 ;-)

PS: I know this is the completely imperfect time of the year to rant against God, or for the matter of fact anyone. I am sorry readers. But, I had to.
Also, May this year be clear, progressive, happy, and joyous. Wishes.

Dos líneas

Two lines...

For women it sometimes means hell.

She came with the strip faintly positive, The second line barely visible yet not insignificant enough to be ignored.

Hailing from a low-middle class background, another Sonography meant much, though not more than what this may result to. 

She didn't have the resources to rear another child. 

A pregnancy was what she could not afford. Not now.

Showing the reports, she kept praying for a denial from the doctor. Lucky, she was.

An air of relief is sometimes so more important than any atmospheric oxygen. She would have collapsed to have heard otherwise. This was the third time in the last 10 months that she had to come to consult her doctor.

The past two times, she had been put to trauma. Getting 2 abortions had left deep imprints, on her body and her psyche. Looking frailer than before, she was still recuperating from the last termination, when this agony conjured.

Discussing the contraceptives with the doctor, she broke down.

Counselling her was not useful anymore. Coz she knew what she wanted, and precautious was something she had by now become an expert at. It was someone else who needed counselling, and probably a stint at de-addiction clinic.

She loved him immensely, and so did he. And she knew it, by his caring ways, and his expressiveness for the love they shared. He had always supported her and her decisions. They had together resolved to not extend their family of three, and had also readily agreed to the protected version. They had been on a roll, except that minor friction which got them off-track. Not once, but thrice.

Alcohol not only kicked him, but also got him off-guard. 'Spirits bring in him the spirit of beasts. I am left to his pity and his conscience; the conscience which evaporates with alcohol, and rains with the hangover.'

Weeping, she informed that his husband did not want to leave alcohol, and also not come for the family planning counselling.

Such barbaric repeated episodes of mistreatment and subsequent harm to her health is not what she was going to take anymore. She wanted a way out. Peace could be reached. But how?

Getting an Intrauterine contraceptive device placed, she walks back home relieved of ONE big aspect. Conception worries.

The path she takes has got to be hers, and her hubby's. Together.

Together...till he accepts to understand, or till she grits to suffer.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Random musings

What is left in a woman's life if even her husband is not worth the trust?

A man can share a woman's life, not own it.

Alcohol. A jinx that creates more bruises and breaks than the euphoria it promises to offer.

'Why people take it to give themselves to it; remains a mystery!' To me atleast.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Discouragement, Anyone??

We have it here, aplenty!! :D

The sponsors in India can let go off treasures, for flowing 'spirits',

but mime being bankrupt for encouraging spirits.  :D

^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^

The college authorities have provision of Rs. 60,000 each year, to spend on national representations at PULSE (where students go promising participation, yet never do), but not a single penny for a student who represented internationally, and brought laurels to the institute's name! Haahhh!! 

Guess they know that this is not a  place where they can eat up in the middle.

So, 'no gain' becomes 'no provision' !

Easy way to save your face, duds! :D

Go, save it. As long as you can.

Coz, Once, Sooner, there will be 'The Encouraging India' I dream of! :)

Out-Patient Departments !! OPDs

Obstetrics and Gynaecology:

> Enter at 8:15 am, and get a scolding for being late. (even though, not a single patient is visible! ) :-D

> Sit down, and fill forms for investigations. (CBC, S.HBsAg, S.VDRL, U/C, X-Ray, HIV)
*--  wuhoo, my colleague send a pregnant female for a Chest X-Ray !! (Had to listen to lots of 'appreciation', from 'chuhiya' mam!! - Apparently it was his first day on duty, and he was so pissed off by the immense swarm of people hovering over him, that he handed someone else's X-ray form with her name!!)

> Fill in some BPL forms. (BPL=Below Poverty Line)
*-- It is tiring. Check the details on their card, crosscheck it with the form, confirm that the relative is genuinely entitled to receive the benefits, sign the form, and send them to another teacher for verification and signatures!! :-D

> Track down the patients who are being admitted, and take samples.

>. Fill in more investigations forms. And direct them to the Blood Bank for tests.
*-- Directions!! I'll die if I am made to do this, even for 2 consecutive days

> Do Beta-HCG Urine Pregnancy Tests.
* Tell each patient to go, 'FIND A TOILET', and collect some urine and bring it to us. 'ONLY A TOILET',.....Tell that 4 times!!

> Keep on scribbling, and fill in more forms for providing medicines to BPL people.

> Rush to the wards, and send the new admissions for investigations.

> Find out the HPE reports, enter them, re-enter them, and give it to the patients.
*My pen dies an untimely death. Grief !!

> If lucky, enter the P/V room, and write down what Ma'm or the R-2 or the R-3 'discovered in their examination.
*With their pen! ;-)

> Fill the Pap Smear forms.

> And, If damn lucky....Get to take a Pap Smear!! :-)

> If Born lucky, get to drink a sip of water!! Aaaahhh!!

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Surgery:

>Enter at 9:30am. Sit in front of an air-cooler.
*Those who wish to go, can leave almost instantaneously!! :-D

> One has the liberty to sit calmly, and catch a nap also.
*Others can just spend some quality time observing the patients, their attitudes, grimaces, and gait, and direct the occasional one/two to the surgeons.

> Some overzealous people dare to enter the MOT. :-D
*98% faint. (2% =  Tele and Spongy)

> Dress some wounds.
*We hate nudity, and strongly condemn it. And, we are doing our bit against it, by mummifying the wounds, and waiting for a burial like Tuttun-khamen! :-D

> Help a patient pee. :-D
*Insert foley's catheter.

> Stitch the injuries-(cuts and lacerations).
* Tailoring Job.

> Clean the patient of all the dirt and splashed blood. -Be it anywhere, even if not at the site of injury.
* Some spa work.

> Horse-riding!! ;-)
hehe...tht's for the anal fissures, and fistulas to be dressed!! ;-)

> Do some repairs.
*ala the Mechanic!! :D

> Some biopsies.
*Drilling like the miners.

> If Born UN-lucky... Get samosas, mirchibadas, kachoris to eat, and lassi, chaach, cold drinks, slice to drink.

> If Lucky...Get to eat LUNCH!! -Hotel ka!!...with paneer and naans !! *yummy
* Actually, had a CME !! haha!!


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Tele says: Take surgery, stay happy, Eat happy, Stay healthy, and above all--ENJOY BITS OF ALL OTHER PROFESSIONS!! ;-)

Lights...Forceps...Action !

That was how my First Night was ! (Its the duties I'm talking about !! LR duty) ;-)

A cinematic night.
Where only the lead role has to face it all, or be a part of all the happening stuff.

It was a night which could compensate for the sin of not reading obstetrics the year or life-long.
'It was the William's Night!!' 
All the different varieties of cases had conveniently squeezed into the night.
I think, I learned the three quarters of  obstetrics. (A 'Quarter' is in my lungs. Exhaled!) ;-)

Just to put it all, the cases that kept us wide-eyed the whole night:

- Seropositive Pregnancy (HIV positive) - The whole kit that had to be worn!! (gown, cap, 'goggles' (haha!!) shoe-covers,  the 4-5 gloves worn one-on-one. cute!) Forceps delivery. Nevirapine syrup.

- An HBsAg Positive Pregnancy (Hepatitis B)

- Pregnancy with Heart disease (RHD -Severe MS, mild PAH, mild TR, H/O CHF) -The murmurs- Opening Snap, Diastolic murmur, Sent for Caesaerian Section.

- Abruptio Placenta - The pieces that the placenta comes in. The haematoma lying behind the placenta.

- IUD baby - Delivered a small baby of the size of two palms, all enclosed in the membranes, the ones which were difficult to be torn. It felt like a jelly tablet. Translucent to visualize the fetal parts through it.

- PIH cases- Lots- (4-5!)

- 2 Cervical repairs - * The women these days. Huh ! Do not believe in bearing down. And the fundal application, required in almost every case, is depressing. Forget bearing down, they do not even cooperate in our assistance. :-X

- PPH with Pre-eclampsia.


- Polyhydramnios
- Breech delivery.




The SPECIAL INCIDENTS which will be etched forever in my memory will be:

1. Fat obese woman, not bearing down, baby with a breech presentation, a frail skiny-thin R-2, trying to extract the baby out, fundal by an Intern and R-1, the baby's come half way out, and the head's stuck in there.

Yenna Rascalla ! The R-2 has had enough.
Now, she is fed up of the effort she's put in.

Sheooo. Sheeo Sheeo.

She closes her eyes, and takes a deep breath.

Hmmmmmm.

With all the vigour she possesses, she shouts, 'Emmmmmmmm' and plays the tug-of-war, with the mother.

'Ye Bachcha hume de de, Maai !!'

;-)

One more 'Emmmmmmmmmm.... ' and the baby comes out in the hands of R-2.

Slow motion:
R-2 is holding the baby in her hands, and she's falling down to the ground.

Knees bent, she's about to hit rock bottom.

Only inches away from hitting herself on the floor.

STOP.

Swoooosh.

She stands up on her feet from that position, and keeps the baby in the baby tray.

"Mind it."

A meany stare.


(Hey, yeah, this all happened. and in the same Rajnikant way that I tried to weave in words.)

It was because of the umbilical cord, and the attached placenta, that the baby and R-2 recoiled back. (I hope now you can understand how frail and skinny my R-2 is!! ) ;-)

* The baby was a huge 3.8 kg !!

2. A delivery that wet us all.
Under-estimating the excessive liquor that she had, we had to shower ourselves in the approximate 4 litre of fluid that gushed out, as soon as the baby was delivered.

It was like standing at the opening of the dam gates !! 
:-D


Tele says: What does a Breech baby do first??




Simple. 
Shows a 'Butt' to the world. 
:-P

Emergency Duties

The duties, apparently, had only emergency in its name, and its place, i.e Emergency Center of the Hospital.

The patients who registered their presence, had either come to show their reports, or get their BP checked, or to  get some injections administered, or to get blood tranfused. A few of them, had come to get ascites treated (@ OBG !! referred them to Medicine), and some had come to get their breast diseases evaluated ( referred them to Surgery dept.). A few had come 'cause they had started to have the labor pains/ leaking per vaginum (admitted to Labor room)
In all, what an emergency means here, is the procedure of getting admission, either to the wards, or to the labor room.

Advantage Me:  Learnt Per Vaginum examination. Theoritically knew it, but doing it on patients, is seriously an another world, alltogether.
Earlier, was too apprehensive of hurting the patients, hence, did a very very gentle examination (Read as: Just entered and without touching the walls, finished it.)
Thence, just felt the vaginal walls, and could not even feel the cervix, and out.
Then, touched the os, and out. (as if that was a reptile and would retaliate back, and sting me.) :-D
Then, entered the cervix, and Voila ! felt the fetal membranes. (smoothly sliding)
Finally, evaluated the dilatation of cervix, and felt the vertex of the fetus (granular feel to the tip-due to hairs) and was lucky enough to have a breech presentation (felt the soft buttocks, and also could identify some small fetal parts (which I suppose so, were the feet, or could be the fetal genitalia.)

PV is definitely not fun.
Neither for the doctor, and Never for the patient.
The force with which you try to enter your fingers in, and the depth you wanna reach, It all feels weird. Poking  in.
Exploration of the cavity is the only attraction that keeps me going.

:-)

OPD Tomrw !!

PS: Emergency Sign Board :    ;-)

Intern - Rs 3,500 p.m.

If you're making us work like Dogs,


at least pay us like Puppies.

Insanely Freaking !!

Yeah, that's the appropriate synonym for the day that passed by. 

Day 2, LR Evening Duty.

Started with a Breech delivery (I missed witnessing it!) of an Anencephalic child. (clicked a lot many pics) :-)

An almost psychopath lady who, on the labour table, refused to let us touch her, and when R1 (resident-1st year) tried to help her with an episiotomy incision, she let her legs go to hit R1 smack on her chest. Violently insane she was. VIP treatment she had, with 3 nursing staff, a R1 and an intern, all in her service. :-D She finally delivered, but the episiotomy closure was the hell of a task. Earlier it was for the sake of her child, that she had mellowed down, but, Now, Huh! (In the meanwhile, we had some more deliveries and the staff had gotten busy. We were in need of some empty tables, and she wasn't co-operating. We had called for some sedatives, and anti-anxiety drugs to facilitate our work, and while they were being procured, R2 asked me to go and calm her down. (What! She wants me, end up beaten!! ) *But, Do what your senior says. No Ifs, No Buts. Whateva it might me. Just do. 

Talked to this lady, in my rotten-marwari, told her, its only after anesthetising that v'll stitch you up. It's not going to pain. And If it does, tell us, Don't hit. It is for your own good. 

Aaannnnnd ....she agreed. 

But, only when I do it, myself. (Ha ha. It only confirmed the fact that 'She was insane'. She wanted an intern like me, to stitch her up. With me doing that job, she would be having her vagina open into urethra, and cervix  closed. I mean, I can do anything, and everything wrong !)

Anyways, consoled her to get it done by the R1, and stood there beside her, all the while. 

A helluva task accomplished. (seriously.)

 

Learned taking samples. Learned breaking bad news to relatives. (Two pre-diagnosed intra-uterine foetal deaths) Saw a pre-term delivery (1 Kg child) Learned the endocervical application of PGE2. (was being done for a congenitally malformed fetus, a post-term pregnancy, an IUD) 

Saw another case, of septic shock. Ran to the ICU to get hydrocortisone, patient saved. 

Also saw, what position a female child has in the minds of people. As soon as she delivered, and saw the female child, she shouted, 'Daakan aayi gi' (A witch has come) 

What followed was a Super-lovely speech by our head nurse. And she was forced to say,' Sorry. I will never say it again.' 

Emergency duty today. 

*Had a chance to conduct a delivery, all by myself. But, it was about time that duties changed, and the R3's wrath was better prevented. 

First LR duty as an intern

As a student, what I did maximum was observe the labour, see a few deliveries, and be back home in an hour or so. Never touched a particular thing there! Anyways. The point now is:

How is it being in the Labour Room for 6 hours duty, as an intern?

Nursical (din't do anything more than what a nurse can do. Infact, the nurses were teaching me stuff, like breaking the ampoule, giving a IV injection, starting a drip, restarting a blocked drip, changing cannulas, running out to call the pediatrician, calling for the relatives to bring the desired medications from stores !!)

Clerical (making entries of the deliveries and abortions, putting notes at the history sheet)

Obstetrical (tho, only for a brief period of time, but, that was indeed consoling) - Checking the dilataion, crowning, putting cathethers, checking for proteinuria, APPLYING FUNDAL PRESSURE. (there were some ladies who had absolutely no ability to push, henceforth, the fundal pressure was applied. Violent jerks were given with the fisted hands, to assist the expulsion. (I learned it in the first, and did it satisfactorily in the second such case! yippie!) holding the babies... held three such neonates in the baby trays.
Saw a PIH case, lots of abortions, and D&Cs, saw another patient who was brought very ill- had severe rigors and feeble pulse, unrecordable BP. (was saved!)

*Just a sad ending I had: the last case we handled, we couldn't save the baby. congenital anomaly (massive Hepatosplenomegaly) and he had an occassional heart, and no respiration since the delivery. Tried a lot resuscitating the baby, but, cudn't. Still Birth.

* A lot of spontaneous deliveries happened today- 3 deliveries took place on the bed itself.
(And all I think, is because of the not so good resident, who was negligent enough to not carry out the P/V regularly) But, not their mistake altogether: Coz the patients cry all the time, and most of the times just for the sake of catching the attention, and not because they are about to deliver. :-D

!Anyways, Peace.!

Repeat duty tomrw !!