I came home for Christmas.
Friday, December 23, 2011
I came home for Christmas.
Saturday, December 17, 2011
A surgery! What a way to start medical life!
Students' special ward, is the place. 11, 12.
And the fantastic thing about it is that he's now able to walk for short distances by this time I'm posting this.
Bactoclav (amoxycillin and potassium clavulanate injection) is the life saving antibiotic. And thanks to interns and pgs, we've stocked enough of those.
Food, is not a problem for him (he's got the tube delivery direct to blood)
but it is, for us. So lemme go and have dinner.
Saturday, December 10, 2011
Friday, December 9, 2011
consultant of nuclear medicine says the trend is moving towards molecular basis
it uses radio active isotopes?
Shows increased enzymatic activity. And cancer cells have increased glycolysis, etc
decisions are based on anato-metabolic imaging
this can be taken to the heart too and brain!
from current to current (state of art treatment)
change is the only constant thing in life
so, we should learn new things, change.
3 idiots dialogue.
To diagnose we use kilo volts, but to treat it takes mega volts. And radiation is no longer delivered using radio active substances, but x-ray
medical linear accelerator
rotates around patient to deliver from multiple angles
earlier the dose could be only given through a square or rectangle that could also include the normal tissue.
Then, it became possible to give custom shapes.
Then, intensity modulated radiation therapy. Dose required, is dose delivered.
Computer controlled multileaf collimater
cancers- head, neck, breast, prostrate, etc are all treated.
The media should be handled carefully
knowledge is power
and the video that explains the 360 degree treatment, except that it didn't explain how it comes from below the person - through the bed?
high intensity focused ultrasound.
Necrosis of fibroids without surgery
leiomyoma - uterine fibroid is non malignant but very incapacitating.
Ok. So there is mri, ultra sound directed on the prone patient inside the machine. Painless, non-invasive, targeted, non-anesthetic, ends in 3 hours.
The hifu heats the tumor to 60 degrees, it undergoes necrosis and get absorbed gradually. Reduced symptoms in 1 month.
So after voxel by voxel sonication, there's 80%+ non perfused volume.
Scars don't have blood, so it could burn. But there are scar patch beams
better quality of life!
Surgical approach to complex spinal deformity
this doctor was all India rank 1 in pg entrance!
MS ortho from aiims!
Non academic first 2 minutes. Experience at college. Late comer for 9 o'clock ward, copies during internal.
Scoliosis. Even Hrithwik roshan had it.
Stop the growth at convex side, allow concave to grow.
Skeletal maturity, if you wait for it after the first presentation, it's gross negligence.
Shows several cases. Operation is pure mechanics. Put steel, screws all over, straighten the spine.
And cervical pedical screws introduced even before the west has started using it!
So, again and again. All spinal deformities are best addressed as early as possible.
Catch them young.
in between, bad news for Divya Deepa trust. The plan for a stall in this meet didn't succeed because we hadn't asked for permission in time.
Ok. Back to yoga.
Says, yoga is better than normal exercise routine in increasing HDL.
Yoga for cancer!
Only pilot studies as of now. Hospital stay, anxiety, depression reduces during therapy.
cortisol level increased.
They say yoga doing people can sleep better than normal exercisers
all the same story.
Yoga group better than normal exercise group.
I wish i could actually see how the experiments were done, what exercise did the non-yoga group do?
Says, techniques from sages have enormous healing potential that requires very little chemical interference.
Dr AjayKumar is an oncologist and founder of hcg cancer treatment
the statistics, he says, say that there are only 1 million new cancer cases in India while it's 1.5 in usa. This is obviously error of enumeration.
And it's exemplified in the 'arogyashree' program of Andhra Pradesh where bpl people are given free health care (even tertiary)and this has led to an increasing number of patients crowding at all leading hospitals with cancer, cardiac or ortho care. The question is, where had these people been going before the inception of this particular program?
And then, it could be misused in a society like India's.
And then there's the health care system of Switzerland which's based on compulsory health insurance.
To finish, he talked about how India is now just following the west in medical methodology and not innovating anymore like she used to, before British came along. Why not we lead!?
It's the alumni meet. And there are doctors all over (obviously, you don't expect engineers).
Dr C G Narasimhan gave an address too.
Next, is the scientific session. I shall keep updating as it comes.
Thursday, December 8, 2011
No, I didn't go home. But I went around Karnataka with friends. Tumkur, Bangalore in 2.5 days. Thursday, past lunch you leave, Sunday for dinner you're back at hostel.
Then obviously there wasn't so much of what could be called a break, as there would not be.
The classes resumed right after the last batch finished their anatomy practical.
And Divya Deepa won the first round in spark the rise competition.
And went to the Dasara exhibition for the first time. The columbus boat rocks.
The SC/ST students got free Sony vaio worth 40k+ from college. And one of my friends bought a Toshiba C640 14013 laptop from Singvi computers for 24990 just today evening.
Got an invite from Diaspora, it's google+ itself.
Oh, btw, we've moved on to the head, brain and neck region in anatomy!
And, the good news: I passed in anatomy. 23/40 in theory, 26 in practical.
Physiology? 32. Only that it's out of 70 :D
Lesson learned: READ something, don't just blog, have fun, and marvel at the human body.