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- In nothing do men more nearly approach the gods than in giving health to men -

Sunday, October 17, 2010

A glimpse into our Anatomy Dissection Hall





Let laughter flee
  Let conversation cease
  This is the place where
  The dead delights in helping the living 

Saturday, October 16, 2010

A day in my life when i was a third year medical student...

6:30am
Wake up and lie awake in bed.
6:31
Realise you spent Rs 300 on last night's dinner, means no eating for the next 6 days.
6:32
Hit snooze button. Go back to sleep.
7:00
Wake up suddenly with heart in mouth when you realize you didn't hit the snooze button--you turned it off.
7:01
Fall asleep again.
7:44
Wake up with heart in mouth again.
7:45
Ready to go to Hospital, will shave tommorrow, will eat early brunch at  Suresh Anna’s canteen
8:03
Arrive at Hospital
Realize your Professor arrived earlier today, must have got more work done.
8:04
Pass by HOD’s office, chat with his Secretary to find out if he is coming in today. He is, darn. Need to start work on the presentation  due this afternoon.
8:15
Read Bombay Times
8:20
Crumple up the paper. Throw it into the waste basket. Imagine you are Michael Jordan while throwing it. Alas … it falls out……..
Hate your self.
Depression: When will I become a Page 3 celebrity….??????
9:00
For jumpstart: go to coffee machine.
9:05
Kick coffee machine; promise yourself to call up the company and ask for your money back. Plan of sueing the company.Wonder why they would believe you. Enjoy the black coffee. Paisa vasool …..
9:33    Go to Library
9 37     Take the smallest textbook of the Surgery section and start reading.
9:41
Early morning stupefaction. Mutter racist comments to yourself about your studious colleague sitting next to you who is seriously reading the Davidson.


9:43
Curse your colleague in a low tone he would not comprehend. Feel good about him not grasping English well.

9:58    Ask your colleague a doubt about cystic hygroma in such a way that he          
           feels I am doing some research on that. ( I found that word by looking   
          through the  index of the textbook…..Thank God for the index ..!!!!!! )
  
10:19  Feel proud of my achievements in making him tensed. He closes his Davidson and goes to the Surgery section and takes a Bailey and goes to another place far away from me. Mission accomplished ..                    

10:31 Feel sleepy, should not have stayed late playing tetris last night.
momentary panic attack!!!!!!!!!!!! Presentation ……!!!!!! HOD needs a draft by afternoon.
10:32
          Tachycardia

10 33
           Sinus rhythm
10:59
Drop in at HOD’s office and borrow something you don't need and kinda make him aware you are working hard on your presentation
11:05
Perverted daydreams
11:11
Go to Suresh  Anna ‘s canteen and have a cutting chai.
Mid-morning yawn time
11:34
Go to Surgery  Department Library and start writing notes with a Bailey in front of you to pretend you are working hard as your HOD  passes by from outside.
11:35
Scratch out what you have written , tear the page in digust .Realise you have just 3 more blank pages in your notebook.(No money to buy a new notebook so stop tearing George….)
11:41
Flirt with the new secretary in the department.
11:45
Print out some slides for afternoon's draft + presentation.
11:47
Print them again, you forgot to change the date from last presentation.
11:49
Print another copy in case this one gets lost.
11:51
Completely forget about suing the coffee-machine company.
12:15
Hunger pangs:
12:20
3 vada paavs and a cutting chai…. Plenty of water .Lunch over.

1:00  
            Group Meeting with HOD

1:14
Sudden awareness of one's shallowness, resentment towards your behaviour towards your colleague in the library. Get reminded by your HOD that you need to do some more work for your literature review.
1:51
HOD hands you the reddened copy of your draft for corrections.
1:51:02
The 49 second urge to murder HOD begins!!
1:51:52
Realize that he controls your internals which will affect your University exams which will affect your life.
1:52:53
Thank him.
1:52:54
Thank yourself for not saying something stupid to and/or killing your HOD.
1:53:00
Splitting headache #1
1:59
Go to canteen. Check India Pakistan cricket match. India wins toss. Elects to bat.
2:06
More cutting chai
2:17
Oh No, it is my turn to cook tonight :-(
2:30
Sit through the afternoon lecture on Ca Testes.
2:39
Look outside the window make unrealistic plans to quit this degree  and take up a job. Wonder why Sindhi girls are so pretty.???
2:48
More perverted day-dreams. Pathology of Ca Testes is being taught.
3:06
Worry about never graduating.
Time to write a letter to Papa and Mummy….. No ..no time for that.
Wonder what must be going on with the match..
3:43
Watch the clock.
Make plans to do a all-nighter tonight. Vow to watch only Last 10 overs of both sides.
3:55   
          Sudden commotion in the class. Realise lecture is over. Give roll call. Give      proxies for friends..

3:58:01
Sudden sense of freedom.
Go
 home .Quickly check the score. Promise to see just one over. Land up seeing entire Indian innings.( IND : 245 /4)
6:00 pm
             Start reading Ca Testes from Bailey.
6:15 
               Dull aching sensation in groin region. Start wondering whether its Ca testes

6:31
The hard working grad student you are, you have to come to the hospital library late at night to "get the work done".
            Go to canteen to check the score.(Pak 30/2 8.2 overs)
Suddenly realize you need references for presentation. Realize its too late today to go to the library. Sudden feeling of having wasted the day.No point in studying now. Continue watching the match
9:43
             India lost the match
             Sudden feeling of possibly having to waste the night. Decide to turn in    early and       come back very early tommorrow morning. Decide to play a Tetris on the Nokia to put yourself in a good mood.

10:05 
               Dinner at canteen. Tell Suresh Anna  to calculate total dues.(He has being doing that for past 2 weeks). Remind him also of the possibility that the dues will be cleared tomorrow.

10 18
           Reach home.
Play game after game after game to improve your score and get on the scoreboard. Realize that Kunal is still at number 6, two notches above you on the scoreboard.
11:20
Play until you beat  Kunal into the 7th place. A sense of achievement!! Yes, today was not wasted!! Find Kunal watching the highlights of the Ind- Pak match. Tell him about the "hard working grad student day you had". Discuss philosophy with roommate. Tell him what a waste of time it is to be watching cricket that too highlights of a match you know we lost.

00:09 
            Kunal tells me to mind my own business.

00:16 
            Think about becoming a philosopher Discuss with Kunal whether India                      should have actually fielded first .Discuss the role of the 5th bowler.

00:49
Realize neither of you have bought milk today. Get reminded of the "too much milk problem".
1:04
 
Forget about getting up early.Set the mobile alarm clock to 6 am. Turn the mobile ringer off and go to sleep. Good night world …!!!!!!!

Wednesday, October 13, 2010

My white coat

I sometimes think what it is about the white coat, but whenever I put it on and go to see my patients it somehow brings out their innermost thoughts, emotions, fears, and desires. Patients are suddenly willing to share all of these personal aspects of their lives with me, a complete stranger to them in every sense of the word. If I was slightly less tired now (morning OP had close to 75 patients..!! ), had a bit more of those grey strands of ‘wisdom’ hair , I would probably have dealt with this topic on a more philosophical ground and emphasized on the importance of this cotton attire and how this forms an incredible  aspect of our health care industry. Instead, I'd like to share with you all an experience or let me use the word a ‘phenomenon’ that occurred in my life due to the presence of this white coat of mine. Being a not so enterprising medical student I would rarely be seen in the wards after college hours. Either a cute intern or an even cuter post graduate would have mostly been the reason for me to stray back to the wards during that evening. The Rajawadi Hospital, Ghatkopar  where I did my training from, wears a spooky and eerie look in the evenings, especially just before the Mausi’s (hindi word for aunty by which the ancillary staff of the hospital are fondly addressed by) switch on the ward lights. I entered the female medical ward wearing my almost brown white coat and walked in between the various rows of beds towards the nursing station. As most of the patients were getting ready to take a bath  (hot water was available only for an hour in the evenings) I could see a lot of empty beds. A couple of beds away from me I saw an an old lady getting up from her bed. I immediately sensed she was in some sort of distress. I was not sure of what was wrong with her and I quickened my pace of walking. As I reached her she was gasping for breath. In between her deep inspirations she was repeating ‘Hare Ram Hare Krishna’ continuously. I held on to her with one hand and with the other I started to feel her pulse. Her pulse was galloping and I knew with whatever little knowledge a 3rd year  medical student had that the lady needed emergency medical intervention. I shouted for the staff. She held my hand which was feeling her galloping pulse and looked at me. I could see she was in severe respiratory distress and she was sweating profusely. She was collapsing …  and that too in my arms . I screamed for the staff to come for my help. We helped her onto the trolley and wheeled her into the ICU. Throughout the journey from the ward to the ICU she didn’t leave my hand and it was in the corridor between the ward and the ICU that I had this really awkward yet beautiful conversation with this lady. Two strangers having met for the first time…  What follows is the english translation of that hindi conversation, as close to verbatim as I can remember:
Old Lady: Thank you, Son for helping me. Hare Ram..(Gasping for air)                      
Me: Oh no problem just relax. You wil be fine.
Old Lady: Son, will you do me a favour.
Me : Uhh.. OK.
Me: [About to launch into a "You're doing great!" pep talk]
Old Lady: I know I am going to die soon Son…anyways, Hare Ram ..I have donated my body to your anatomy department and I wanted to meet one of you medical students while I was still alive.(Gasping for air)
Me: [mouth gaping]
I felt her grip on my hand tightening.
Old Lady: Ya, I wanted to meet one of you while I was still alive and before you all cut me open and poked at my body when I'm a corpse. [Points to her noticeably frail and wrinkled body] My husband signed up for it too. So remember there was a nice old lady once before you all cut me up.
I was like…., what the hell am I supposed to say to that?
The double doors of the ICU flung open, her grip loosened and she was wheeled into the ICU…..

On an awkward scale of 1-10, with 1 being the least awkward (me proposing to a girl)and 10 being the most awkward (a girl proposing to me), I'd have to put this at least at a 6 or 7. It is almost necessary to spend considerable amount of time in first year of medical college forgetting that cadavers were once human beings, leave alone human beings that talked and that I'd ever meet, in order to do what we had to do to them. Basically, as she was speaking, I had images of my cadaver opening his eyes and trying to tell me where and how he had met me when he was alive . I realize this sounds really awful, but I guess this is something you can only understand after spending a year cutting open a dead body which was alive at one point of time.
Since I am no expert at these things anyways, never intend to be also…perhaps you'd like to fill in what you would have said in response to that old lady if you were me, and make a note of this in the comments section.
(The old lady died early next morning and I am still waiting to meet her in some medical college soon……)

Tuesday, October 12, 2010

Life in Medical College

There have been many challenges along my journey through medical college.
One major hiccup throughout the agenda at college was my very different perspective about being a doctor. There are a lot of stereotypes that still exist within the walls of our age old medical profession. This is also a challenging aspect of attending this institution.


One of the greatest challenges I have met throughout college was facing all the
stereotypes that still exist in peoples minds. For example, many students, teachers make
generalized comments that hit close to home i.e. involve people in my family, or about
my life experience. Through this though, I have learned that I can maybe help people
open up their minds a bit more to see beyond things and to realize that people and the
situations they are living in are not so black and white.


Throughout medical college, I have learned a lot about myself. I have learned that
I won’t compromise who I am and where I have come from to be like everybody else. I
think God has led me down this path and it has truly been a path of self-awareness
and self-growth.


One of the biggest surprises about medical college has been all the opportunities
and the doors that open before you. There are so many resources to access if you only
show an interest. My academic career in medicine has brought me all over the world!
For example, there are many conferences and educational opportunities available and
people are often willing to share their knowledge. I didn’t realize just how much of a life commitment this truly is and how it really becomes your lifestyle. This isn’t really a problem when it is your passion, but I do think it is important to share this knowledge with people who show an interest in medicine as a career.


There is one main reason why I chose to come to medical college and that is for
the people. For as long as I can remember, I have always wanted to help people. I
thought that if God gave the gift of knowledge and learning to me, then maybe I
should use those gifts to the benefit of others. There are a lot of people in the world who
people forget, push away, and many who get lost in the shuffle of life – these are the
people who I strive to work with and be a part of their life. Being a doctor is a special gift
– it allows you into people lives in a way that many people won’t ever experience.
My advice to students is that you can do anything you put your mind to – you just have to try and work at it. Another big thing is to reach out for support and information. There is a lot of information available, but sometimes it’s not right out in the open. Also, there are students who have gone before you and can help answer questions and also to be supportive in the journey. One other important thing is to be yourself and to always be honest.


This journey is sometimes a tiring and exhaustive trek, there are many obstacles, and you often feel like a fish out of water. However, it is also important for students to know that they are never alone in their endeavors. After all it takes a lot of ‘patience’ (patients) to make a good doctor.

I wish each and every one of you the very best in your journeys of life and welcome you all to my Medical Odyssey…….

Sunshines to all !!!   


Kochi (Queen of the Arabian Sea)
Jan 2010