Sundarban : Land of the Royal Bengal Tiger & Mangroves!(Part 1)

My visit to sundarban, is dramatic as well as full of thrills. 

Last week I was depressed as hell, and it’s not the first time. Given the emotional and physical stress I was subjected to I think it is completely normal to feel stressed!

So after finishing my ward duty, I returned home at Midnapore.

Next day afternoon, I reached Ghatal by bus with my little sister 👧

Next day morning at 7am our journey started.

The travel was organized by  Obadiah Tour & Travels

Paresh Nagar, Ghatal, West Bengal 721212
097326 97080


https://g.co/kgs/ByoZil .

Journey started from Ghatal Sub Divisional Hospital.

Ghatal Sub Divisional Hospital


https://goo.gl/maps/oYUwDwUPy2J2 .
We were in a Mercedes Benz bus, a group of 53.

  All friends and family members! To be truthful I never have traveled before with such a large group! It was marvellous experience.

(More in part 2)

(Image source: my Moto G4+)

Dengue! How severe can it be (part 2)

First day of hospitalization:-

  • When I finally woke up from my dizzy delirium, I found myself in emergency ward of Medical College in my hometown (which is not my alma mater)

This is a peripheral Medical College, anyways as I knew the pathology I was so sure that dengue can’t be this severe! Surely the private path lab who did my blood reports messed up some where! That’s the problem with majority of us young doctors, we have so much confidence in ourselves that we often forget there are 5% cases where things can go wrong beyond our calculized margins!

Platelet count read 19,000, so I was transfused with 5 units of platelet which should increase my platelets count by more 20k.

I was lucky to have been admitted in a cabin, which had both plus and negative points!

Two of my guardians were allowed to stay with me.

And Me : the patient was so weak that was even unable to stand alone due to severe myalgia. And the bathroom was far! 

I was advised caripill which is an extract of papaya leaves and was having general aversion towards food.

There was mild respiratory distress. And fever was coming back very frequently with temperature reaching upto 104 degree F.

Lonely..In the rain!

​~ written by Ms Bhardwaj.

It is raining.

I am sitting in a cab. Safe. Dry.

Going home after a hefty day at work.

Feeling lucky. I could find a cab.

We pause at a signal. Me and the cab.

Drops are winding down its panes.

Windows are slightly fogged.

I remember drawing a heart with my finger.

And an arrow struck through it.

Through the cleared glass, I see a bike.

A boy, in a Yellow Tee and drenched denims, rides it.

Not bowing once to the heavy downpour.

He sits steady. Head held high. As if not for himself.

Behind him, snuggled, sits a young girl.

I couldn’t see her face.

For her face is hidden in the nape of his neck.

Somehow protected from the rain.

He sits upright, so that she could save herself better.

She holds him tight, with her arms around his chest and waist.

One on chest, other on waist.

Wait.

She is holding something.

She holds a big polythene sheet, in front of his chest.

While he shields her from rain, she covers him with an impermeable layer.

How much they would be helping each other, I don’t know.

For they both were drenched.

I know this but… they both wanted to protect each other.

That proximity, That togetherness, That bond

Made me feel…

I want to be on that bike. Right now.

With a person like him.

Protecting him being her.

Being protected by him being someone.

~ My Most Difficult Time Being Single ~

My stint with Dengue (part 1)

Hi all,

As you already know I am a doctor, so this time I was sick . No not just 104 F temperature I mean, I was sick to an extent of life and death and am glad that I made out alive.

So how the healer needed healing? Yes like you I also believe that I picked up the infection of dengue from ward. For those who do not know my workplace is a government medical college which is particularly a breeding ground for mosquitoes.

Yes, that’s the view.

And while the fight among government agencies and college authorities on the ground of cleaning and hygiene of college, well this is the site.

So , back to the story as a careless fella to own health as I am, I asked my parents to take me to home only when things gone out of my hand, platelet went down to 26k, fever was not at all coming down under 102 ( I was given oral paracetamol 650) , with shivering and peripheral cyanosis and even in that condition I refused to visit physician, self medicated and went unconscious for a considerable time.

Hardship, insomnia during residency~ life of a medico

​Before commenting about whether lack of sleep actually causes any impairment of judgment or not, it surely does hamper the young intern’s health in the longest way possible, cause this is not a matter of one day or two, this over scheduling continues in residency, fellowship, post graduation, super speciality! Everywhere , so we can say these habits interns count as building blocks or rather foundation to their long term stressful, over worked, disempathetic lifestyle.

The biggest irony is that credits are not counted as how many lives saved, how many right decisions changed the outcome of prognosis , neither in terms how many decisions were made under duress , doesn’t matter if you save 9out of 10 lives, the one you couldn’t will be accounted, tried and tested against you!

So, dear OP, I beg your pardon if I fail to quench your brilliant enquiry about the statistical data how much human is actually a doctor, or if an intern is allowed to do mistakes under the clause sleep deprivation, the answer is a single NO.

Doesn’t matter how much sleep deprived an intern is, there’s a hierchy system in our health care, the consultant decides the protocol even in emergency! He is usually a person well experienced and knowledgeable enough. Can’t he go wrong? ( If you actually consider him human, then to err is human) but then he is surrounded by atleast 6_10 people, including unit heads, senior residents, residential medical officer, emergency medical officer, resident trainee doctors, all of them or any of them might oppose if anything they found not tailored to patient’s need.

Oh yes, I almost forgot the overworking part! You see we do want to have an 8hour schedule, to eat, sleep, work 8 hours and repeat! And obviously to socialize. Some of us does! Some lucky of us get opd jobs, but most are unlucky and end up having emergency duties! And well what can I say, if we protest about it we are tagged as inhumane sociopaths! If we do not protest about it such questions are posted in social media, some think we work more for earning more that is not the case in government set up, not in my state. Health care is free here, duty load is more as patients to doctor ratio is ever increasing…spouses and significant other halves don’t understand it, they think we are sociopaths cause not protesting against overwork!

Actually I think it takes greater motivation to protest after such rigorous working schedule, very few understand that, most of the people who has not undergone it usually are happy with statistical data showing intern’s faults due to overwork!

Yes , most interns take it positively (as if we are given options!) It’s time others start to accept the truth and start protesting about producing eligible, apt , doctors who are not overworked. Only then a quality health care can be provided to all!(irrespective of any bias)

Maths and Medicine

​Can mathematics save someone’s life?

Yes, it can. Literally.

Body fluids drains out very rapidly after extensive burns. The lost fluid must be re-introduced in the form of Intra venous Infusion. Now the rate at which fluid to be given has to be calculated. Most commonly used formula(parkland formula).

The Parkland formula is mathematically expressed as:

V=4.m.(A.100)

where m=mass is in kilograms (kg), A=area as a percentage of total body surface area, and V=volume in milliliters (mL). For example, a person weighing 50 kg with burns to 20% of his or her body surface area would require 4 x 50 x 20 = 4,000 mL of fluid replacement within 24 hours. The first half of this amount is delivered within 8 hours from the burn incident, and the remaining fluid is delivered in the next 16 hours.