medico

Why do Medical PG Residency in India?

| The Ikiguy

The Harsh reality of Medical PG Residency in India.
This how your Family doctor, Surgeon & Pediatrician are made.

I am 100% sure you have no idea what goes inside this place.

And I am sure, even if you do, you would look sideways as swiftly as when a six-year-old beggar kid selling roses comes to you on the signal, even if you could, you end up doing nothing for her.

You do what, we all do best, ignoring and moving ahead with our own work,

with our own life.

Period.
Everyone knows how much inhumane it is.
Everyone knows how demanding it is.
Everyone knows how cruel it can be.
Everyone knows how depressing it can be.
Everyone knows these.

Then why do they still do it?
Then why do they still chase it?
Then why do they still tail it?

They know they will be exhausted till they themselves drop dead on the bed.

They know they will be emotionally drained till they themselves find no satisfying reason for happiness.

They know they will be tired till the point they themselves feel lifeless.

And the saddest part is?
Nobody cares.

Nobody cares that they slog like slaves.
Nobody cares that they go to bed on an empty stomach.
Nobody cares that the sheer stress drives many to depression and worse, suicide.

Everyone shouts at them.
Everyone expects too much from them.
Everyone kicks them left and right, up and down.

Yet nobody raises a voice.
A voice saying something for them.
A voice expressing their pain.
A voice demanding a human way.

Well, this is the story of every Indian PG Resident doctor.

Did you know this?
Even if you did, surely turned to the left and let it pass.

My mind still wonders,
Why do people, MBBS doctors pursue PG?
Even after all these

Is it worth it?
Is it worth it?
Is it worth it?

Yours Only,
Dr Dinesh Raja,
The Doctor who feels.

Were all those endless nights and early mornings worth it?

| The Ikiguy

Was it worth it?

Were all those endless nights and early mornings worth it?

Was shouldering all those expectations from patients, professors & parents worth it?

When I look at those smiles, of pure innocence and unadulterated love, my heart whispers gently into the ears of my soul,

Han ji. Yes.

I have to admit as much as taxing it is to be a doctor, it is equally fun to be one. Especially if you are an extrovert or a people person, it is just the right profession for you.

Looking back at my 12th standard days, when I was learning biology in the lanes of Old rustic Chembur church, I couldn’t have thought of what an exciting journey it would be.

Catching the Mumbai local trains heading towards the Munna Bhai hall then the dissection hall for practicals, followed by lunch at our katta with the gang, then again dragging our lazy, sleepy asses for the rest of academic tortures, finally getting relieving at twilight, having special chai at gate no 2, chilling with friends, or organising events and fests, or winning some, breathing sessions at Hostel terrace at night, then heading back towards the pavilion, half exhausted, fully enigmatic.

MBBS does change you as a person. I can bet you, one doesn’t remain the same. Be it intentionally or unintentionally, one’s aura becomes softer and gentler more like the puffs of cotton tree gliding through wintry evenings.

I thank all the people, before I was born, after, and whoever has touched me, consciously or unconsciously, for what I have become today.

Thank you so much.

I am very much grateful.

It is a new day, a new morning for newer beginnings.

May the force be with you. Take care.

Yours Only,
Dr. Raja,
The Doctor who cares.

The White Coat is our comfort zone, isn’t it?

| The Ikiguy

When you lay back, and remove your doctor’s coat, you realise that comfortable warmness wearing down. And you miss it, consciously or unconsciously.

As much as we deserve the respect and pat-on-the-back, we have been too habituated in seeking them, and we don’t even realise it.

It is as if, when we go out there, in the open society, when we look unto the eyes of fellow humans on our right side, we expect them to bow down and a give us that single look which says it all.

Like we yearn for people to give us appreciation and tell us how much they are grateful to us. On a basic level, it is very valid, considering the work, and the sacrifice we make. But what I feel is we go wrong, when we are misguided and attach it to our ego.

I may be completely wrong when I pen down this.
But as a spectator, seeing from both the eyes of a layman and a medico, this comes to me.

I feel, as if, on a spiritual level, we have become an ego-feeding-machine-cum-healer.

Oh,
my dear comrades of medicine,
what do you think?
What are your views?

Yours Only,
Dr Dinesh Raja,
The Wild Thinker.
June 20, 2022

If leaving the campus doesn’t make you cry, you haven’t lived a college life

| The Ikiguy

It is as if we were all baby birds chirping cheerfully yesterday, then tomorrow we need to pack up our back and fly out of our home, our college; unto an unknown, strange sky.

When you hit the first step here, the trees greet you with their gentle rustling.

When you take a breath here, the breeze swells you up with warmth.

When you look up, the stars are showering their protective spells upon you.

When you try to find your way, the signage by the road, find you and guides you.

When you enter the hostel, the walls welcome you with a hug.

When you get into your room, she snuggles you up and sings you a lullaby.

When you eat in the canteen, the simple poha puts a smile on your face.

When you sleep late, your roommate’s alarm wakes you up.

When you walk towards the lecture halls, the ancient benches calm your heart down.

When the professor comes up, you feel like a Wizard, Harry potter yourself.

When you do your first night out, even the warden yells, ‘get out, and your buddies cheer you up aloud.

When you try the first things, you realise, how much you act like stupid beings.

When you have late-night talks, nothing compares to it, with a walk

When you propose, that’s when your life gets its course.

When you fall in love, poor soul, in the hell you dove.

When your heart is broken, your friends make sure something else too.

When you pass out, bless the soul, which cleans your lot.

When the exams are prime, the sleep is forsaken for another time.

When you are done with the last year, you wish for just one more year.

When you enter the hospital, you feel like an adult already.

When you live like an intern, you feel like a helpless, naive kitten.

When you graduate, you realise that it is getting real.

When your juniors give you farewell, you feel the big brother flowing out of you.

When you chill in the evenings, you realise, you are going to miss these innings.

When you are on the terrace, the city drenched in the cold night gives you a kiss.

When you leave the campus, you feel like you are leaving your own mother.

When you have to get up and move out, you feel like somebody is dragging you, from her soothing lap, away.

When you finally start to fly, that’s when you realise, she was nursing you all these times.
And,
You can never go back.
Ever.

Yours Only,
Dinesh Raja,
The one who feels.

Life of a Neurosurgeon – A review

| The Ikiguy

Why you should watch this?
1. If you are GMCite!
(GMCite=A passionate medico from Grant Medical College!)
2. To learn about Medical history.
3. To hear from the stalwart himself.
4. To listen to the heroic tales of doctors and bureaucrats.
5. To be ignited with the burning fire of becoming a good doctor.

Who’s who?

Dr. Sunilkumar Pandya sir

A well known GMCite and an eminent Neurosurgeon.
Dr. Pandya joined GMC (Grant Medical College )Mumbai in 1957, KEM (King Edward Memorial) Hospital and worked as Neurosurgery Professor and HOD there.
He is a proponent of the “Patient-centric model” as a solution to all the dilemmas faced by a physician or a medico.
Dr Pandya is editor of Emeritus, IJME (Indian Journal of Medical Ethics), Journal Ombudsman, JPGM (Journal of Postgraduate Medicine) and is a member of the International Editorial Advisory Board of the Men’s Sana Monographs.

Likes

Questions.
Good questions deserve great answers. Those were some pretty darn right questions asked.

Observation Haki

Like-minded people.
As the popular saying goes, ‘If you want to walk faster, go alone if further go together.’ When he quotes the anecdotes of how Governor Grant and his personal physician Charles Moorehead worked on the project of creating a medical school together, you realise, you need like-minded people. You need people who believe in the same cause as you to create miracles, to create magic.

Teachers.
For an institution to become great it requires both, the teachers and students to work hard to enable their institution to become national and international eminence.

Importance of history.
History is meant to be taught in such a way that it inspires individuals. It incites the fire in the belly. It makes them dream wild.

Future of medicine?
Oh, probably decay in clinical skills. We are already witnessing the degrading standards of clinical medicine.

About Charles Moorehead.

Devil is in the detail. It is fascinating how meticulous and detail-oriented he was. And how much he cared about the institution gnarly.

Heroic habits.
Habits we can inculcate in our lives to make them richer and prosperous.

Want to convince a group of people to do something? Show them your homework. Show them the surveys. Bring the Big guns of statistics.

Things Indian medical schools can adopt.

Teach them medical history.
Tell them about the scientists of medical science, the stalwarts of clinical sciences and the messiah of humanity. Whatever medical knowledge we have is the debt to them. We take it for granted. We are standing on the shoulders of thousands of people who have come before us. This a Medico should know.

The art of clinical skills.
Emphasize it.
Teach them gnarly.

Sunil sir’s advice on further reading.
1. Aequanimitas– Sir William Osler’s
Aequanimitas was one of Sir William Osler’s most famous essays, delivered to new doctors in 1889 as his farewell address at the Pennsylvania School of Medicine, prior to transferring to Johns Hopkins.

2. Charles Moorehead Graduation speech.

The GMC Show.
The entire team has done an amazing job. Right from the concept, to research, to video, to questions.
They have done a commendable job.
May God bless each one of them.
We are looking forward to more such amazing podcasts of eminent personalities.

Take home message for all the medicos out there.
Your main purpose to your patient is to help them.
Be humble.
Be humane.

Disclaimer:
All credits reserved to the creator, thee and the one who spoke.
The review is not meant to hurt any entity, person or thing.
The ideas, phrases is duly credited to the author.
This post is not meant to hurt anybody’s feelings, sentiments.
This article was made so as to facilitate the greatness of learnings which can be gained.

An Intaan’s guide to surviving Palghar postings

| The Ikiguy

ABOUT PALGHAR POSTINGS!

Hello, My dear GMCites,
Here, We shall be updating you about our Palghar postings.

Food diaries
Dwarka
Chavan
Nyahaari
Mi Hay Koli
Unnathi
Garib Nawaz Hotel
Poonam Bhojanalay

For Chats and Snacks
Janta chat

Tips

Be careful while walking at nights, night dog freak accidents are highly possible.

Must haves!
Anti Mosquito kit
Odomos
Believe me when I saw the Palghar mosquitos are direct descendants of the dinosaurs!

***Journey***
Return Journey
Palghar to Mumbai Central
Morning
7am
740am

Then directly
Afternoon
12.14 pm
1.17 pm

***The little things***

Take the Night MEMU train
And sit on the whole open window.
The raat journey is worth thousand trips.

The Vaitarna travel
After you pass Virar station, you are greeted with Happie Farm lands glistened with fog, with a mystical backdrop of the sleeping hills.
It’s as if you are suddenly teleported from a Speedy Metro to a Saunter country side.

If you want to breathe 100% pure pollution free air, lower your white masks and take deep breaths while the train is passing through Pannju Island enroute the Beautiful Vasai Creek.

Don’t miss out the magical train journey in the woo hours of the morning,
It’s misty-cal!
Feel the cold breeze kissing your body.
The warm sun hugging you tight.
And the beating heart keeping you alive.

You will appreciate the clean water under the bridges of Palghar as compared to the poor Pollluted ones in Mumbai.

Wanna feel like kid again? Rather wanna play with your inner kid?
Swing gleefully at the Red iron gate.
Trust me, with each swing your heart hugs you tighter.

***How to handle patients***

Saturation
History
Days
Past ho
Vaccination

Vitals
02 saturation

If not understanding, call M.O.

Patient at Orange chair
One relative with patient one outside

Drugs
Monocef

If WBC
Piptaz
Doxycycline
Ivermectin

Write CT reference letter,
HRCT done free at Char Rasta, Green Diagnostics
CT score
To give or not, Remedesivir

CT score
Total:- 5 lobes having 5 point
15

02 Cylinder –
Jumbo- 12/min for 8 hrs
Dura- >12/min

Death protocol
Family breaking bad news
Body packing done by BMC
Cemetery, Incineration

Long Covid
Fibrosis
We repeat WBC,

***Facilities at the RHTC***
Mother and Child
Dental facilities
Every speciality

ANC every Wednesday, Health talks and check up

Triple H
Sugar
BP
Urine Protiens

The Healthcare Pyramid
Earlier, 10 sub center now, 6
Subcenter- 25k
Primary hc- 50k
Rural – 1 L

Students who Intern here
Nursing – Anm, gnm
Bpmt- in PSM, as posting
Degrees not much, NGOs

PG Duties
Water treatment plant
Sewage treatment
Fish storage
Peripheral PHCs

Salt plantations- Occupational hazard, ocular problems

Community health officer
Bams/bhms/nursing
Most active people participation

Brief history of our Hospital.

1948-Ramabhai Danderkar Nursing home, brahmin family for tribal community, maternity care,

1950- Hospital donated Bombay Mother and Child society, NGO

1951- NGO donated to GMC, since PHC was required

1956- Administration building was

1970 DMER separated from Public health, administration
Came under DMER


Dchc- before cesearean, TL, hysterectomy was done
Awarded best maternity unit in Palghar

16 beded maternity ward

6 sub center
OPD and Programs
ANC

Coming to the present,
the DCHC is a
50 O2 beded COVID hospital.

Dear GMCite, got anything more to add?
Please, do let us know!

Stay tuned.
Jeeyo Dil se:).

Disclaimer:
This article is for general information purposes only.
It is not meant to hurt any person, institution or entity.
Any information may change without prior notice.
Please visit the hospital or contact the office for further details.
This article is meant just to help people out.