My surgical Blog & More

Life in a hospital ……… as a Doctor and beyond

The frustration was evident every time Indian contingent came back from the Olympics empty handed.

As a child I used to think and later media used to highlight the point “how a nation of a billion people cant get a medal in olympics”. That later changed to Gold after Leander Paes’s bronze medal in 1996 and RajyaVardhan singh Rathore’s Silver Medal in 2004. Till now we had to content with stories of the legendary Milkha singh and PT Usha (both of them missed bronze by a fraction of a second). Abhinav Bindra’s exciting performance will surely go a long way in boosting the morale of indian athletes and contingent in Bejing.

Saina’s exciting win in badminton against a better ranked opponent is also good news and i think she is one match away from a medal

A passing refrence– India lost the series against Srilnaka in cricket 2-1.Shh. The less said, the better.

Medical college and hostel life was fun, I dont remember when i attended the 9 am class i n final year, (Maybe thats why I have to be early in the hospital now;; Life evens out things)

I got hold of an old college magazine in which there was an article of HIlarious case presentations and history taking by 3rd year students

…Student asking from a grandson– Did your grand father get any head injury when he was a kid.

…. In Paedetrics ward   case presentation - 11 mth old male  blah blah … No history of alcohol intake in the past.

…student to a family member (In Village posting) What do you think about T.B.(Tuberculosis).?

Member; Sir we watch TB (TV) at night only  .

… In a door to door survey

Student–  from a father- Do u have any children below 5 years of age

Father– Not any more

Directory of Health Blogs

Student — Sorry! What happened to them

Father –They grew up

India Counts

Carcinoma Gall Bladder is on table tomorrow, she has ascites on CT abdomen which we are suspecting to be malignant but the patient is pretty well preserved (50 year old female).

If thats the case it would strongly affect the prognosis. she is not jaundiced and all the systems are pretty well preserved.

We hope to do a cholecystectomy with liver bed resection at least.

9.7.08

The surgery was started as planned but there was gross ascites with multiple nodules in the peritoneum, mesocolon and mesentary.

Omentun was thick fibrosed and adherent, Gall bladder was replaced by a mass adherent to the calot’s triangle

Cholecystectomy with omental biopsy was done, the only hope for the patient is if it turns out to be tubercular

If this is malignant, Thats pretty much it