Neocortical Impulses!

well, it was quite a special day yesterday(4th october), first being, it was my birthday. we were also finshing our paediatrics postings, so it was internals time(yet again)! the internals went alright, i had to take a case of acute diarrhea! we did not have any classes at 12.30, so whiled away my time till 2. after the medicine-neurology class at 2, it was time for some partying!!!! i had to give a treat to my friends and another close friend had to as well, for getting his ICMR project approved and getting a handsome stipend! we went to an ice-cream snacks.... joint and had some fun!!!! a photo from there: by the way, 4th october,1957 was the day the first satellite was launched, sputnik it was....

before i could say internals, another internal got over-surgery theory, on friday. it went okay, better than the last one i hope! and our paediatrics postings have begun, nice to see the little kids, really cute they are. but it`s sad to see them sick, in hospital wards.... too bad. and about a software- mobi reader . it was recommended to me by my friend-brocas..... i managed to find an alpha version for my s40 phone and it works like a charm. although i had hoped that i would not be reading anymore novels, i am halfway through twenty thousand leagues under the sea, thanks to this wonderful software. you can find this and more such legal e-books on Project Gutenberg .

last week, we were told we would have no internals at the end of postings in obg and instead we would be evaluated topic wise, we would be given a topic to prepare for, the previous day, and questions would be asked on the same and marks given according to the overall performance in several topics. this happened on last saturday and this monday. the rest of the days, our profs, asst. profs, lecturers were all busy and today this happened: "oh, you have internals today right?", asked the person who had told us we would not be having internals, at 10:30 in the morning. i was thinking- NOOOOOOOOOOOOO, we dont. but nothing came out of my mouth, not from the others` either.... we did present 2 cases. my internals were okay, except for 2 silly mistakes, one because of a slip of tongue..... i have been in an irritable mood ever since. nothing much to write about, except more internals- we have surgey theory on friday. and paediatrics postings begin from monday, hello kids!

hmmm.... i don`t know how to describe my performance in the OBG and paediatrics internals. both of them did not go as well as i had hoped them to go.... it was quite a task to prepare for the paediatrics internals, 3 days, 30 odd topics. i ended up skipping some unimportant topics and not revising fully what i had read.... don`t know what else to write about now.....bye for now!

right when i was fretting about internals on 2 consecutive days-11th and 12th of august, our clinical internals in surgery got preponed to 8th august from 11th and the obg theory internals got postponed to 19th august. call it divine intervention!!! by the way, we have pediatrics internals coming up on 23rd august, both the subjects have quite a lot to be read, but at least we got a chance to DIE ANOTHER DAY! and the surgery internals itself- they got over on 8th,friday. i had to take a thrombo angitis obliterans(TAO) case, seen exclusively in males, in smokers only. people who are sensitive to nicotine in smoke develop severe inflammatory reactions in their blood vessels-especially small and medium sized vessels and blood flow to the parts supplied is severely affected, especially lower limbs. this guy had one of his legs amputated- above knee and the other leg also was suffering from lack of blood supply too. it looked like he would need amputation of that leg too! so smokers, beware...

well, our surgery postings internals are scheduled for next monday-11th august. that is actually 2 days after our surgery postings would have got over, and our next term and next postings-OBG would have begun! darn! no term holidays also this time!!! and theory internals in OBG got announced today, to be held on 12th august. what timing! and the portions are not confirmed yet! and i was hoping for a little break, what after we had finished our medicine internals only last week!

about time our medicine postings started, they did from this monday. already we have seen quite a few interesting cases, 2 pleural effusion cases, copd with cor pulmonale, anemia for evaluation. but the most interesting case is about a guy who has diffuse, dull aching, bilateral chest pain since 3 years and breathlessness and bilateral pedal edema since 1 month. he also has cough when he gets breathless, a/w scanty sputum! evening rise of temp. also since a month. to top it all, he says he has diarrhoea since 3 years-hard to believe when he says he dint take any real treatment for it. its a case referred to our hospital(victora) from jayadeva. obg internals was okay. couldnt blog because net connection was down for almost(or more than) a week, first time this has happened with bsnl broadband. at last, bangalore royal challengers won a rare game yesterday, the last 4 overs were scintillating to watch! 3 wins off 12 games, they have moved off the bottom of the table at long last! p.s: th...

so soon? thats what i feel whenever some test/exam comes up! but these internals do really come very frequently in the final year, what with internals in all the postings you attend and theory as well. well, obg internals fast approaching, am trying to fast reading! still have quite a bit to read. skin postings are still going on(no internals in this one posting,thankfully), get over this saturday.we saw a case of pemphigus yesterday and a case of hansen`s today. lucky the patient was so co-operative today, imagine 30 odd "doctors" examining your hypoaesthetic patch, palpating all the nerves that can be palpated superficially(half of them tender for him), each one asking the same questions, .... found an interesting and funny image!