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.
Every time i come out finishing a laparotomy, relieved though i am There are numerous “What ifs” in my mind. The system I work in is not certainly the best in the world and there are certain areas in which mistakes can occur.
Like for example we always forget to take the critical “time off ” before surgery to correctly identify the side and organ to be removed. The floor nurse is hardly visible except at the time of the final counts and the scrub nurses keep rotating if the surgery is long. Obviously they all are very efficient in their work and so far no mistakes have occured but we need to strenghthen our thoughts and minimise the mistakes.Blog Portal
Despite the heroics of Srilankan Spinners,Sehwag and Harbhjan helped India win the 2nd test at Galle.
Winning the toss was important as it would be in the 3rd test at SSC. The Indian seamers did a commendable job in the 2nd innings taking 4 wickets between them and providing early breakthroughs.
Tendulkar, Laxman, Dravid and Ganguly are still to fire , I think batting 1st on the placid SSC wicket will help them.
As for the Srilankans they lacked application in batting and looked as vulnerable to pace as India did to spin.The 3rd test has great prospects for us and after a long time an Indian series in Lanka looks exciting.
Credit goes to Harbhajan Singh for the way he came back in the 2nd test; Its not easy to sit out for a long time, come back and perform like the way he did.
As i had predicted or rather feared, Ajanta Mendis proves to be a mystery bowler and most of the batsmen have no clue about his unorthodox action. He took 6 wickets in the 1st innings and most of the batsmen couldnt go into double figures. He bowls the offcutter, legspin, googly and the straighter one with the same action and is very hard to pick.Only Sehwag seems to have a clue against him.
After the Asia cup loss Kumble said experienced players like Dravid and Laxman will easily sort him out but Dravid has been out to him three times in as many innings.
Indians are still in the game mainly due to two superb individual performances from Sehwag and Harbhajan otherwise they dont really have anything to cheer about.
This one is a real interesting case I have in my ward. She is a 35 year old lady with history of upper abdominal distension after meals.2 years ago she had features of gastric outlet obstruction and was operated in a govt hospital outside. No records of the previous surgery are available.
Now she has a small upper midline scar and scars of 4 laparoscopic ports. ( We are assuming lap assisted gastrojejunostomy was done). She has distension abdomen with bloating and a pelvic mass with ascites.
CT abdomen shows thickening of the pylorus and is suggestive of bilateral ovarian mass (Krukenberg’s tumor). Barium meal is suggestive of dilated stomach with an irregular ulcerative growth in the antrum.
Endoscopy was done which showed normal mucosa and two normal openiings.Palliative Surgery is being planned to relieve the upper abdomainal symptoms followed by B/L salpingoophrectomy and hysterectomy.
Surgery was done today, there was a growth in the antrum with malignancy spreading to the GE junction. Previous surgery was just gastrojejunostomy which was infiltrated by tumor.
We did a palliative partial gastrectomy with roux en y gastrojejunostomy.It was followed by Bilateral salpingo oophrectomy and hysterectomy.
The past week was not very productive for me from surgical point of view. I assisted in a few laparoscopic inguinal hernia and epigastric hernia surgeries. Sometimes I wonder if laparoscopic hernia repair truly has an advantage over open hernia meshplasty. I guess you should learn both and then make your choices.
The coming week i think is going to be more interesting, a couple of hemicolectomies and gastrstomies are lined up. I also have some good radiograph of a malignant gastric ulcer which ill try to post next time.
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
Delhi was ruled by members of the Maurya dynasty in around 300 BC and covered most of Northern India ;the main capital though was in Patliputra.(present day Bihar)
Under Chandra Gupta Maurya and later Ashoka many battles were won and the city experienced prolonged periods of peace and Harmony.Arthashastra written by Chanakya and the Edicts of Ashoka are primary sources of written records of the Mauryan times.
The Empire was founded in 322 BCE by Chandragupta Maurya with the help of his Prime Minister Chanakya also known as kautilya. They overthrew the Nanda Dynasty and rapidly began to expand their power westwards across central and western India
At its greatest extent, the Empire stretched to the north along the natural boundaries of the Himalayas, and to the east stretching into what is now Assam. To the west, it reached beyond modern Pakistan and significant portions of what is now Afghanistan, including the modern Herat and Kandahar provinces and Sistan and Baluchestan Province in Iran.
The rise of Chanakya and stories associated with him are legendary. He wanted to work with the Nanda king and offered him his services, but the rude king was not amused and Chanakya was thrown out of his court. A fuming Chanakya swore revenge and found Chandragupta, whom he recognised as a born leader. Ch?nakya’s initial attempt to overthrow Nanda failed, whereupon he came across a mother scolding her child for burning himself by eating from the middle of a bun or bowl of porridge rather than the cooler edge. Ch??akya realized his initial strategic error and, instead of attacking the heart of Nanda territory, slowly chiped away at its edges.
Under Chandragupta, the Mauryan Empire conquered the trans-Indus region, which was under Macedonian rule. Chandragupta then defeated the invasion led by Seleucus I, a Greek general from Alexander’s army.
I know its not important but still Id like to describe my preparation for on OR day… I usually refresh my memory a bit if the surgery hasnt been done for a while, the book i most frequently read is Farquharsons (mainly because it is concise and ive read it many times) but if i have time id prefer to go througha major book like Mastery of surgery or Rob & smith.
For laparoscopic videos i prefer websurg.com although youtube has some very good videos.
I reach the hospital at about 8.20 do the ward rounds and try to reach the theatre by 9.00 AM
Usually we are there before the anesthesia consultants and have to wait for them to shift the patients on the OT table. After that everything is smooth,after surgery patient is shifted out and the next patient brought in. This goes on 3-4 times. We usually have two consultants,one of them shouts a lot and makes everyone tense, the other one is cool and calculating but he does a limited no. of surgeries only. So if want to learn new things u have to accept the shouting surgeon and bear with him…
What kind of OT days do u have..Is it more fun than mine.
Some say Delhi got its name from King Dhilu in 800 BC, After that period there are many conflicting theories about rulers of Delhi, there was no significant achievments or wars and Delhi was ruled by hindu rulers for a long time.(817 BC - 372 BC)
