Tuesday, January 26, 2010

Friday, January 15, 2010

Friday, January 1, 2010

love sunsets and clicking them with my camera

To Inspire

My medicine days have been very inspiring.

It has been sheer hard work. I finished my undergrad (MBBS) from most prestigious AIIMS and then joined initially for post graduation MD in Opthalmology at R P Center, AIIMS for a brief period before I decided to call it quits.

I went for a 24 hour call in Opthalmology , which fell once in month and what a fantastic duty!!!

I was never woken up in night for once except for tonometry in morning.

I was not fascinated by it much though initially I had opted for it out of choice for I was fascinated by those machines out there .

I decided then that I should never regret it in my life in future.I should not regret it later say 10 years hence.

ONE SHOULD NEVER COMPROMISE ON WHAT ONE WANTS TO DO IN LIFE. WHY SHOULD ONE REGRET IT IN FUTURE SAY 10 YEARS HENCE.BUT ONE SHOULD WORK HARD, HAAARD !!!! TO GET WHAT ONE WANTS TO DO IN LIFE.SUCCESS IS SHEER HARD WORK, OFTEN BEING POSSESSED BY IT.My key to success!!!

So I decided to call it quits and resigned from the post grad seat in ophthalmology in R P Center,AIIMS.

Six months later I took up Internal medicine for specialization at AIIMS itself.I love being MD in Internal medicine.

I found it challenging for I love handling crisis in sick patients.

In a patients life , a doctor is a real hero. For he is fighting the disease on behalf of the sufferer.I love being dedicated to my job and it gives me great satisfaction. For I fight for the patient, take clear and quick decisions for management, which pays off many times.

I love the smile on the patients face and the gratitude of the relatives for having put someone back on track to life.

I loved working in the Emergency /AIIMS casualty. For here when a patient walked in I had to diagnose the problem in a very brief time, make up my mind and handle the emergency. It is a “on the toes “ affair perpetually. And I loved doing so.

If I would have ever done superspecialisation . I would have loved to do it in DM in Emergency medicine. Love handling the adrenaline in emergencies.

It is here that I got my clinical judgment for time being short , I had to work fast. For the variety I saw in the hospital, and I had to work hard..it gave me a plethora of experience to handle all kinds of crisis. From poisonings , to heart attacks, to snake bites , to hysterias..to enteric fevers, stab injuries , meningitis..it is a terrific way to handle danger on part of patients and coming out unscathed most of the times. DOCTORS ARE essentially CRISIS MANAGERS.

Quick diagnosis is the key to survival in the hospital in the patient. Bookish knowledge does not help in medicine. It is the bedside clinical judgments. I got it because I spent most of the time with patients in the ward. Taking histories, independently examining them, getting my own clinical findings( later I compared it with the case sheets in the ward and many times I got new clinical findings which I added on to the case sheet). Theory is important as a backup but clinical findings and sense is most important in Medicine. It is more clinical medicine.

I respect all my poor patients for they taught me medicine. If it had not been for them I would have never learnt what is Sydenhams Chorea, or Huntingtons disorder or Multiple Sclerosis or Leukemias.

I was lucky to have worked in the best hospital in the country because we have terrific role models, and focus being on excellence , there is lot of silent learning happening which makes us ahead of any hospital in the country. AIIMS is rated as the third best hospital in the world now.

But of course , in medicine one has to work hard himself to be the best. No spoonfeeding from anyone will help.

REMEMBER IN ANY DISCIPLINE ,IT IS YOUR OWN BATTLE THAT YOU HAVE TO FIGHT ALONE. TO BE THE BEST , YOU HAVE TO BE FIGHTING IT DEDICATEDLY.

I love medicine and cant thank God enough. I still work for charity in medicine now and love treating very poor patients .