Neocortical Impulses!

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

that`s the postings i have right now. we have had 1 and a 1/2 weeks of it and it has been okay, compared to medicine. like most people say, in medicine, diagnosing itself poses a big challenge whereas in surgery, it`s not so much of a headache. maybe i am saying this because i have liked general medicine all along my course.i liked physiology in 1st year, medicine is like an extension. i had not liked anatomy then, so surgery doesn`t appeal so much to me. also i don`t think i can stand the pain suffered by patients in surgical practice. some of the times, when the PGs are dressing wounds, ulcers in the wards, i can`t bear to look at the faces of those wincing patients or hear their painful cries! anyway, we have seen a few cases till now, them being a diabetic ulcer(i had to help dress it, thankfully, it was painless to him), a carcinoma breast, a hernia, a hydrocoele, a thyroid gland swelling. all these patients were really co-operative and we students have to be really thankful to t