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EXPERIENCE AS AN INTERN

EXPERIENCE AS AN INTERN

 

 

Being a child, I was always afraid of doctors. They always seemed like a demon with a sword ready to pierce me through. But the reality would be just a simple man, wearing a bright white coat and standing right in front of me with a 2cc syringe. I never thought of them as a demon because of their deeds but the fact that they had a needle in their handmade my imagination go crazy. After all, I was just a normal kid waiting in the queue to get my routine vaccines and also watching every kid come out of the doctor’s cabin crying their lungs out, made my heart skip a beat. Those were the days when I had sworn to never get close to a doctor and here I am today, standing in a bright white coat, with a Littmann around my neck, entering my OPD for the very first time as an INTERN!

 

Every senior doctor will tell you that these twelve months of your life will help you decide your future course and with no surprise, it did help me understand what I really wanted in life.

 

So I started my internship with the department of community medicine. Little did I know that this would be the time when I would learn the most. Yes, it was this period of two months that taught me the most valuable lesson of my life – humanity. I can still remember my first day and my very first patient. She was a 70years old granny, a known diabetic as well as a hypertensive for the past 20years, came for her routine checkup. Her name was Mrs. Lakshmi. I clearly remember her peculiar voice and her interest in her medicines. She was an active woman with all the knowledge about her drugs as well as her doctors. She very well knew about the system of our department. She was aware that every two months the PHC would have a new batch of doctors, which is why she made sure her new doctor thoroughly went through her history and did n’t mess up with her medicines. This was something rare for an uneducated lady to do and also the reason why I remembered her so well. She made me nervous, as I was a beginner. I did not want to fail in any circumstances. Later, after reading her records, I handed her the prescription with my name and initials signed on it. She smiled with gratitude, with a blessing in return. That was the moment which made me realize that my journey had now begun. I spent two months traveling to various villages, set out camps, provided health education, distributed free drugs to those who need it. And that’s when I learnt that there are endless people who need medical help and also people who are unaware of their illnesses needed  education and our duty is not just to sit within four walls and sign off prescriptions, our duty includes to stretch a hand of humanity towards those who are suffering and bring them to a better world and at least try to give them a better life to live . I learned, we doctors, are the ray of hope they were in search of.

 

After completing a posting filled with mixed emotions, I entered the world of surgeons. General surgery was my next department, where I saw myself turning into the imaginary demon I was once afraid of as a kid. Every procedure I did, every step I took, involved my patient under a scalpel. My hands were shaking as I assisted my professor for my first surgery. I was all decked up and a tad bit excited to read my name on the surgeon’s walls for the scheduled surgery. But, the first time I had to bury my gloved hands into someone’s wound made me obnoxious. I felt miserable for the patient. Had just one question throughout my surgery, “God, why must a human suffer so much ?” I could barely concentrate on what was going on. I had a sigh of relief once we closed up. Happy for the patient who had made it, but still a thought in the back of my mind – what if he wouldn’t have?

 

As days passed, my hands stopped shaking and my thoughts started diminishing. I started emphasizing learning how to save a life. There were no options apart from reading those huge books which would weigh more than a sack of rice and to practice the art of butchering. While I was a student, I would often hear doctors being referred to as a butcher. I used to get offended. But today, while I stand wrapped in my gown, with my patient completely sedated, lying down with his fate in my hands, I don’t feel less like a butcher. The only difference is we save lives.

 

Weeks after weeks, I started feeling strong and confident in what I did. The feeling of helping people cure their illnesses started growing on me. It was a magical land where drugs would do the magic and a surgery would cut the illness totally where and when required. I shifted from general surgery to orthopedics, and then kept moving to other departments as in the routine, and I could feel the magic of a scalpel until I entered the department of obstetrics and gynecology. Being in gynecology didn’t make me feel any different from being in any other surgical department. But what changed my complete mindset was the department of obstetrics.

 

My first few hours in obstetrics gave me a panic attack. I was in shock to see patients screaming in pain. I took a minute to see all around the department and realized this is something beyond the magic of a scalpel. I can’t help the ones crying for help. I just can not sedate them and cut them open to cure them. I felt very helpless. All I could do was console each and every mother and wait with them for the birth of their precious ones. I could see them struggling for hours together. And their struggle taught me to tranquilize my temper and be patient. After all, it was I, who could cheer them up and regain their confidence in the process they were going through. I could not wait to deliver a baby, but at the same time, I could not rush at any given cost.

Alas, it was time to conduct my first delivery. It was something I had to do without a scalpel. My hands had to be steady but tender. This time I was not about to cut an odious part of her body, but bring out the little one who has been growing in her womb for the past 9 months. This journey of mine continued for days together. I shared a very strong bond with each and every mother I came across. Each one was special. The joy of bringing another life into this world was incomparable to any other feeling I had ever felt. But as we all know, life is not a bed of roses. They always have thorns in it. And this time I was pricked by a thorn when I was informed I have to hold a scalpel in my hand once again. It was time for my first cesarean. Something I knew I would come across, but hoped I would never have to. Because unlike other surgeries, this one had another life struggling between my patient and my scalpel. I had to help protect a life unseen. As we painted and draped the patient, we prayed for the betterment of the little one who is yet to see the world. As we cut open in search of the juvenile soul, I could once again feel the pressure and fear which I had felt on the day of my very first surgery. This time the pressure had turned more intense and I had a sudden adrenaline rush to see the angel face safe. This was not something which was growing on me. Unlike my previous postings, this time I was not getting stronger with time, but I was definitely getting better with my skill. The task to get the mother and child safe from the surgery had become easier, but the worry I had before each every incision never reduced. I still pray before I start operating on a mother. I still feel the responsibility of keeping the mother and her offspring safe. There were sleepless nights, which I never regretted. Continuous duties which never stopped me. My journey in this department was like a roller coaster ride, where I  had numerous state of excitement which always encouraged me to move forward. I just wanted to stay back in the department, because for the very first time I felt like this is where I belonged.

 

It was my last day in the department as well as my last day as an intern. I had no emotions to express as I was going through my last few hours. That day we all sat together, recalled memories of our entire internship. All I could think of was how badly would I miss this department. As my seniors always used to say, this is when I would realize what my future holds for me, I agree with them, because  I have realized what I want my future to be.

 

Twelve months of the internship was nothing less than those twelve years of school life. We gradually learn as we grow. And that’s exactly what happened with me. It was the most difficult ‘goodbye’ of my life. Tears rolled then as they roll now while I conclude sharing my EXPERIENCE AS AN INTERN.

 

 

EXPERIENCE OF A DOCTOR

EXPERIENCE OF A DOCTOR

The hustle bustle, the chaos of the daily life, splattered blood on the floor and big blobs of Potassium Permanganate scattered all around –Yes this is the Emergency Room or fondly called the ER. The daily commotion of the ER and its speed of treating patients is what makes it the most critical yet exciting area of the hospital. It must sound preposterous to some, to call a Department or award with critically ill patients as ‘exciting’, but a Doctor’s point of view says much different. The thrill of cut and the joy of recovery – both are felt by the doctor at the same time, Blissful as I may call it. In the ER, you must work then and there –provide the patient with the first and foremost help required and as said by the book of Love and Bailey – ‘The Golden Period decides the quintessential treatment required by the patient  ’.  But is it really all that rosy and sparkly as it seems?  Every cloud might have a silver lining- but every cloud has a time when it bursts too. Same could be said with a doctor – A little delay of the seconds, a little inappropriately the body reacts and whoop- the case becomes critical than ever. How the doctor deals with the patient at that time, how he puts his extreme hard work of medical studies into actual treatment and how he manages to save the patients life is the real ball game. Unconscious, yet aware subconsciously how much pain the patient is going through – the doctors know it all. They might not be emotionally involved with everyone but yet the patient’s pain is their pain and the patient’s anguish is their anguish. And theoretically, everything is laid down on the books – which Medicine is first, which injection is second, when to push your chest for CPR and when to call time of death. And amongst all these battles with life – only one thing remains out of control of the patient –a deterration from the normal and even the abnormal. What if a patient reacts a way not mentioned in any Medicine books? What if the patient shows a symptom or sign never seen before –then what? Do we blatantly blame the doctor or feed our superstitious belief that God has planned so. Patients maybe mum at the time of crisis but the ones who love him/her are the real sufferers here. They want to do so much- and yet are helpless there. And there at that moment all their hopes, dreams, wishes lie on the doctor- and he is wilfully made the God. But also with that, lies the blame, the resentment, and the accusations – and if nature takes a call where the Doctor is unable to do anything even though he tried everything to his best of abilities –he is made a demon.
The ER has a million stories every day, millions of hopes and hues and cries of hurting people. It shows how the doctor rushes to the patients help, it shows what medicines are given during emergencies, it should how a person who has ingested poison can be saved – what it doesn’t show is the Pressure of the doctor,what it doesn’t show is the extreme burden of putting his treatment to use in a way that it shows results,the burden of handling a living human life in hand and most of all,the burden of letting down the patient and  above all –himself.
A doctor isn’t merely a white coat human with a stethoscope. A doctors experience is way more than words can explain. He wakes up early in the morning or possibly after only 2 hours of sleep after a night shift, then gets ready and on his toes for the next 10-12 hours. Crying, mourning and pain is what he sees every day. He doesn’t have a sunlight showing him joyous things all day long.  He doesn’t have flowers and butterflies and wall pictures. What he has is a solution- to heal people’s wounds. To make the best of his potential and treat that ulcer, and cure that chest pain. He works and works till the removes the word PAIN from patients’ dictionaries. He doesn’t mean harm – he only means well and truth. And the truth lies in the very basic fact that – LIFE AND DEATH ARE CONTROLLED BY SOME EXTERNAL FORCE THAT CANT BE ELUCIDATED and a doctor can trade his own life for the life of his patient but that’s all he can do. He can work and work and work harder to heal the pain, the sufferings the torture and turmoil born by the patient and his family – what he can’t do is compete against the undeciphered External Force of Nature and have a victory over it.
Lastly would like to quote – “The highest form of knowledge is empathy, for it requires us to suspend our egos and live in another world. It requires profound purpose, larger than the self-kind of understanding.”
-Bill Bullard.
MY EXPERIENCE AS A DOCTOR

MY EXPERIENCE AS A DOCTOR

 

I’ve dealt my experiences and knowledge with WHO’s this year theme Health for all

Let`s define Health for all-“Attainment of a level of health that will enable every individual to lead a socially and economically productive life”

When wealth is lost nothing is lost

When health is lost something is lost

When a character is lost everything is lost

Last year WHO stressed on the character aspect that too in individual level through the topic, ”Depression-Let’s talk”. This year we are dealing with the health aspect in community level and the wealth which is needed to establish the health system

“WHO was founded in 1948 to make health a human right and not as a privilege. We’ve crossed 70 years and still the conviction is as strong as ever”, these are the words of WHO director Dr.Tedros

As a third-year medical student, PSM is the subject which gave me the most joy as it dealt with health in community level. Health is something which is to be learned at a community level for the overall health promotion. Health is the only thing which is needed by the richest and also the poorest in the country without any compromise. It would be ruthless and barbaric to put an option like health or food/education/basic needs among the poor. That’s why this year WHO insisted on Health for all everyone everywhere

Now I’ll tell you my real life impact on community health during my 3rd-year ward posting. 8 year old female named Dhivya came to the pediatric OPD with chief complaints of respiratory distress. She is a known case of spastic cerebral palsy who had lost her mother during labor and father to an accident. She is now under the care of her grandmother. On head to foot examination, we found severe pediculosis affecting her scalp and eyebrows. We asked her caretaker to maintain proper hygiene by providing her regular bath and prescribed her ketoconazole shampoo to be bought outside (as it was not available in the hospital pharmacy). But she didn’t take the prescription and wept about her poor socioeconomic status to buy the shampoo which costs Rs.180. This patients history raised me questions in my mind. Why should the innocent girl suffer this? Is this any incurable medical condition like malignancy or AIDS? NO INDEED. Then there is no point in her suffering. The entire humanity should feel ashamed for her suffering as we are spending millions in finding and drug and testing it by clinical trials. Yet this Rs.180 made pushed the therapy to an unreachable altitude.

Sometimes I get inspired by watching medical series like HOUSE MD and got inspired by the American health care system. But after doing research regarding that I came to know that the health insurance companies only cover those people who are in good jobs. What about the homeless old man wandering in their streets? Does their insurance companies think that is a life not worthy of a medical care? We need a policy from our leaders which establishes equity among people. This year is the time to ask our leaders our basic right, OUR HEALTH.

For a good health care facility, we need people, services, products, finances and information and everything is needed especially in times of an outbreak. A good example of our health care system can be explained by the Nipah virus outbreak in Kerala. This is a deadly virus an too difficult to establish a diagnosis in index and primary cases. But our health care facility was able to tackle the situation and saved millions in spite of losing a few.

Here we are providing health care free of cost and health insurance also free of cost. As a medico from a government institution, I came across a lot of people from low socioeconomic class (as per modified Kuppusamy scale) seeking medical attention and they were given excellent care under free of cost. Few cost expensive services like MRI are covered under their insurance scheme. But still, we are not providing some advanced services like bone marrow transplantation, gene therapy, etc. which are provided by corporate hospitals. This is one milestone we need to achieve.

When we went to field trips to PHC, ICDS, Health sub-centre during field visits, I can see that at least essential health care is accessible to all individuals and families in an acceptable and affordable way with their full participation. We have launched a sustaining primary health care by formulating national policies, strategies, and plans of action as per Alma-Ata-conference. In spite of inequality among education, social status, economic status, etc, Healthcare is the only this we`ve tried to establish some equality and equity among people.

Regarding the inspiring 2018 theme of WHO I came to know that half of the world`s population don’t have access to a proper healthcare facility. Millions are pushed to poverty due to money spent on food. WHO insisted the need that No one should have to choose between health and food/education/shelter. Then what is the solution? The answer is to establish affordable health services for EVERYWHERE, EVERYONE. This universal health coverage can be achieved if and only if the political will is strong. WHO is calling leaders this year to make universal health coverage a reality for everyone, everywhere.

The very special 2 things in 2018 universal health coverage concept:

  • First, this stresses the importance of nurses and midwives in the health care system. Generally, they are underrated. They are the pillars of our health care system. I’ve seen a Nurses strike in my college. The whole hospital was stranded. They have the number and knowledge for our health infrastructure.
  • Second, universal health coverage stresses the importance of healthcare for older people. It considers their health issues in a novel approach. WHO does not want them to seek a doctor for their diabetes another doctor for arthritis and another doctor for hypertension. It wants them to have a health coverage in such a way that they can whatever the services they need in a single institution with their health-related data and treatment history being synchronized among different specialties.

Countries with universal health care include

Austria, Belarus, Croatia, Czech Republic, Denmark, Finland, France, Germany, Greece, Iceland, Italy, Luxembourg, Malta, Moldova, the Netherlands, Norway, Portugal, Romania, Russia, Serbia, Spain, Sweden, Switzerland, Ukraine and the United Kingdom.

There is a very peculiar thing about this list of countries. Have you noticed any South East Asian county on the list? The answer is a big NO. In South East Asia over 800 million people don’t have full coverage of essential health services. 65 million people are pushed to poverty because of the health costs. We cannot accept or afford a world like this. Especially as a South Asian Country, India cannot accept this atrocious state of us and our neighborhood. That’s why we should make health services universal so that these people do not suffer from financial hardship. By tracking who is not getting health care and who is being improvised by health care, we can make policy to establish this system. This would pave a way for a fairer and healthier world.

Health is a human right. No one should get sick and die just because they are poor or because they cannot access the health services they need. 97 million deaths can be prevented worldwide when the global community makes the right investments in the right health care system. This is quite a big number. The SDG or Sustainable Development Goals insists on making the right investment in the next 15 years to prevent this death. The SDG price tag in 67 countries which has 75% of the world`s population is 3.9 trillion dollars for the 15 years. These countries don’t have the economic source to pay the price tag (India is not one of those countries we have enough resources). But most other countries have the fund to make an investment in these countries. By giving economic assistance is theoretically proven that SDG can be established worldwide. This could add 535 million extra years of healthy living to the world’s population.

People-centered care:

Recently a lot of money invested in health has been wasted due to unnecessary investigations etc. To avoid this year WHO insists on people-centered care. People-centered care means health services are ensured to people’s needs and provided in partnership with them rather than simply given to them. It means the care where people, community, and families were respected informed engaged and treated with dignity and compassion. This improves the trust, experience, and outcome from people and gives confidence and job satisfaction among professionals. This would also improve the quality and efficiency of the healthcare system

Let’s take a look at these facts by WHO:

  • 5 million people don’t receive treatment for TB
  • 17 million people do not receive treatment for HIV
  • 20 million infants are not vaccinated against DPT
  • 204 million women do not receive adequate family planning
  • 1.1 billion people are living with uncontrolled hypertension
  • 2.3 billion people lack basic sanitation

What do we infer from these points? All the above-mentioned care is available now that’s what we are thinking, isn’t it? What is the whole point in developing a care that is not reaching millions and billions of people? We have the good knowledge I accept but we need to make this knowledge useful to the community. Otherwise, all these knowledge are vain.

Social media and mass media: Boon or ban for HEALTH FOR ALL:

Everyone will think that social media and mass media will be useful in spreading knowledge and improving the concept of health for all. But my point is they are better in collapsing the health care system rather than promoting it.

A good example is the MMR vaccination program last year. It was a great program to prevent 3 deadly childhood diseases Mumps, Measles, and Rubella. But it was a failed program. Because of fake what’s app message telling about researches in which they’ve proven that this MMR has lots of ADR?

My cousin refused to vaccinate her child with MMR.

I’ve shown her the researches about the vaccine in PubMed and yet she insisted on that wapp message and ignored me. In the history, there were a lot of failure programs due to mass media also.

. Universal health coverage is more than just health insurance, more than just health care. It means people can get quality health services where and when they need them without suffering financial hardship. Half of the population have no access to healthcare and millions are pushed to poverty due to health expenses. Universal health coverage is the solution to all this problem. Evidence and experience show that all countries at all income levels can make progress with the resources they have also show us that there is no single path to Universal health coverage. All countries must find their own way in their own political social and economic circumstances. Let`s take Ghana and Rwanda as examples,

In Ghana, a remote household receives support from community healthcare workers. They help people to receive relevant health care. I’ve read an interesting story about a 16-year-old boy, Shaibu, who was found to have a deadly skin disease and was spotted during such visits. He was referred to hospital to get specialized quality care. Ghana`s National Health Insurance provides free health services for children under 18. Since 2003, this health insurance covered over 6000 patients.

In Rwanda, Dr.Olushayo Olu WHO representative in Rwanda really wanted to create a community where everybody has a good access to health care, basic services like water and sanitation. He developed a system in which financial barriers are removed. The main problem is lots of their people were working in the informal sector. Generally, health insurance schemes focus on people who are working. So the government decided to create different categories called “UBUDEHE”. This classified people according to socioeconomic status and to know who needs assistance and what level of assistance they need. And the Community based health insurance scheme was rolled out. Now they have a coverage of over 80% which by African standards and by any standards represent a great number and they are now progressing towards 100%.

In India, states like our Tamil Nadu have the glory of having a state government implemented a government insurance scheme. Now the central government also made an initiative, Ayshman Bharat which could be the world’s largest health insurance program.

Conclusion:

Universal health coverage not only improves health. It reduces poverty, creates jobs, spares inclusive economic growth and increases gender equality. Strong healthcare systems based on the foundation of primary care are also the best defense against outbreaks and other health emergencies. Universal health coverage and health security are truly two sides of the same coin. Now it is the time for all countries to invest in universal health coverage.

It`s time to talk about the best ways to get health services to all.

Time to remind the world leaders “Health is a human right”

It’s time to have the Right care in Right time in the Right place.

JOURNEY OF MY M.B.B.S

JOURNEY OF MY M.B.B.S

For starters, I want to share my experience with students who want to go on this route and with people who are just curious about what it’s all about – Becoming a doctor.
 I still remember the first day of landing to medical college; the cheerfulness, happy moment, excitement and dream that everybody carries to become a doctor.
Well, my journey was both sweet and sour. The first phase is one of the important years I believe, That is when students have to acclimatize to the new environment. Nevertheless, it’s the year when everyone is ready to get kick started to become a doctor. Everyone is usually more focused during the first phase and eventually, some people start drifting away from their goals. I can’t say that’s the worse thing in the world since that’s how most of us learn the major life lessons. However, I would say getting a good grip on the first phase subjects anatomy, pathology and physiology go a long way. They make the foundation for a smooth journey ahead. I must add, I am not saying that biochemistry isn’t important. Each and every subject carries its own importance. What I see, in the medical field seniors are the motivators, guides and helpers.there are so many books and every writer had their own opinion regarding the books. and they help us in choosing the finest book to read and pass an exam. I love to read ROBBINS PATHOLOGY and GUYTON’S physiology.these book changed the way what I saw in the entire medical field, Guyton telling the all the normal physiology that happens in our body where Robbins explained the detail possible cause where physiology goes wrong to cause disease. studying these books throughout the first phase of my basic science tells me the start from normal physiological cell to the concept of a necrosed cell.
The first year is very fast but at the same time its sort of slow. It might be because its hard to forget the memories made especially during this year. The big transition from school to college is difficult to forget for the most of us. Then comes the second year, which is 1 years long on TU. Well, my biggest mistake was to think “Oh no biggie, I have a lot of time to hit the books.” I was wrong. this year we have to study all system remaining after the first year. Pathology and Anatomy is a major subject of the second year and its best to get a head start rather than waiting until the end. In my opinion, the best case scenario will be a student who not only focuses on the second year subjects but also adds medicine to pathology. Worse case scenario would be waiting until the end to open books!! Well, this is also the year when students start planning trips and enjoying college life. Have fun but don’t overindulge to a point that you can’t come back.
The third year is the easiest year I think. But also because I studied decently throughout the year and it’s very feasible. The holy grail of M.b.b.s is the fourth and final year. Its the hardest I believe. Mostly because practicals weigh just as much as theory, and I was always terrified of vivas. So focus on both theory and practicals. Attend the clinical postings from the third year onwards and be well equipped with the history taking skills.
The internship is one year long. That’s when most of the students learn the basic procedures and get a good taste of the hospital life specifically being on call or night duties.
Moreover, I believe that my medical journey was both sweet and sour.W e are not alone in the journey there is a lot in the world who are with us on the journey. I want to share  a great word by ARISTOTLE
  -“NO GREAT MIND EVER EXISTED WITHOUT A TOUCH OF MADNESS”
DOCTOR-PATIENT RELATIONSHIP- THE CURRENT SCENARIO

DOCTOR-PATIENT RELATIONSHIP- THE CURRENT SCENARIO

DOCTOR-PATIENT relationship!!!!

The above word relationship is “Highlighted” reason is simple… Things that are falling, failing are always highlighted!!!!!!

What’s the reason behind that?

What in this whole world where a doctor was(is???) considered God is now beaten like anything??

Why patient is not trusting doctor??

Are doctors only the reason behind that???

What’s the reason????

Let’s begin with a simple story of a boy. He decides to become a doctor at an age of 12 or 13 just by watching a doctor treating a patient and the healing of the patient, THE SMILE of the person making the day of that doctor!!! The boy decided he will be a doctor and will never disappoint a patient!!! FRIENDS NEVER DISAPPOINT A PATIENT MEANS HE WILL NEVER DISAPPOINT HIMSELF!!!! Then the boy studied hard and cracked the entrance… He got admission in the medical college… An ordinary boy now learns to be a person who will be SUPPOSED to be GOD after his completion!!! The boy gets graduation and joins post graduation coarse by cracking the entrance, the boy is still supposed become a god after his Post graduation!! He becomes a surgeon, one day due to some reason the patient died but wasn’t his fault (was it?) the fault of his was only that he was SUPPOSED TO BE GOD!!

The patients’ relatives got mad and took the life of that doctor!!!

Only a few could understand this, coz doctors are not to be treated like this!! They are here to treat you!!

Believe me, I don’t say it is one-sided fault… There might be few doctors about whom you would have a bad experience but they are never the same!! There are reasons for every advice of a doctor!!!

Doctors give 200% to save a life! If he fails written above he disappoints himself, I don’t say there is no problem yes there is a communication gap… If doctors are not communicating then misunderstanding might be produced!!!

In medicine, there is no place for misunderstanding!!!

If we treat the patient like a god he will definitely regard us with the honor of GOD!!!

And THE PATIENT AND RELATIVES MUST NEVER FORGET DOCTORS ARE HUMANS!!!

 

FIGHT OF A MEDICO AGAINST TUBERCULOSIS

FIGHT OF A MEDICO AGAINST TUBERCULOSIS

This is not only an article but my own story.  I am a 2nd-year student at Vardhman Mahavir medical college and Safdarjung hospital.

Last year around my professional examination I was getting ill very frequently it’s was like almost every evening suddenly fever was coming. I didn’t have a cough but sputum was present. I went to doctors many times but still have to take a PCM almost every night. Finally, one doctor asked me to get an x-ray done. seeing the x-ray he was not sure but I don’t know I had a gut feeling that it may be tuberculosis. After that, I panicked and I didn’t get the sputum test done there and went to a home in Ambala. There I gave my sputum sample and it was 4+ve  at that time I didn’t new 4+ve is what but in the 2nd year of my MBBS I got to know that. My treatment was started with my professional just a month away none of my friends knew at that time I went back to college tell the whole situation to the faculty. They told me I will be sputum -ve in a month and that till that time I can be at home. It turns out that my medicines ( Rifampicin ethambutol pyrazinamide isoniazid) work out great for me.
            My exam started I went to the hostel but I had to get a separate room for me because of the stigma of the disease. All my friends were very very supportive I couldn’t have fought that situation without them. As professional examination are very difficult it was really difficult for me to take my medicines on time and very frequently there was few hours delay. I use to go to the library and in the morning I have to get back in the hostel so as to take my medicines and plus gave to maintain a good diet,  keep a check on my weight and I feared that these drugs have side effects and also about the ease with it can change to XDR or MDR  .
When only one month of my course was remaining and I was doing just fine. I got hepatitis many students in my hostel were suffering from that even my roommate my medicine was modified now instead of rifampicin I had to take ethambutol. But in the end, everything went well. I passed my examination my x-ray became clear and I am doing just fine right now.
 But what I did realize that the biggest problem with this disease is social stigma. I was a fortunate event to have a supportive friend. This disease also has a psychological symptom I guess I think so because my friends after my condition got improved used to tell me that I started to behave weirdly when I was getting frequently ill.
    It is very important for every Medical student or practitioner to be careful as this disease does not see a class or economic level of the person but it can happen to anyone.
Today our nation is facing an outburst of TB. It is the need of an hour to solve this problem and stop it from destroying our lives.
Salary of a Doctor in India

Salary of a Doctor in India

As a medical student I strongly believe that being a doctor is one of the nobel proffesion in India. Let’s talk about the salary of a doctor in India after MBBS. It varies from state to state and also the place of work. Here we catagorize the earning of a doctor by his speciality in work and experiences he gather.

Goverment vs Private sector– In general Govt hospital pay less money than a private sector. A MBBS doctor earn 30000/- to 50000/- from a Govt hospital and 40000/- to 70000/- from a Private hospital. Whereas a specialised doctor like MD or MS can earn about 50000/- to 120000/- from a Govt hospital and 70000/- to 300000/- from a private hospital. It seems that there is a huge difference there. Right? Yes, it is. As I have already said that earning by a doctor depends on their speciality, degrees and experiences. It may varies from 30000/- to 2-3 lakhs per day.

Note that– An ex-professor of AIIMS had been offered around 12 crore per annum from a big corporate hospital. That’s almost 3 lakh per day !

But after all an Average salay a doctor can make is described below

Post MBBS- Rs. 10,000 to 40,000/month
Post MD/MS – Rs. 30,000 to 2,50,000/ month
Post DM/Mch/Fellowship – Rs. 50,000 to 5,00,000/month.

A report has seen released by Medscape 2016-2017 on Annual earning of a doctor according to his/her speciality.

 

Experience in first year MBBS final Anatomy practical exam

Experience in first year MBBS final Anatomy practical exam

A knowledge in anatomy is like a dead weight if we do not know how to apply the knowledge with successful skill. My experience in first year MBBS is quite good.Anatomy is really a hard subject for first year students because you never read about it like two other subjects like Physiology and Biochemistry. Our school teacher used to tell us that you have entered into a sea when we were in class eleven, But we are now really understanding what actually a sea is. The sea we were used to think are now like a small pond. Every wise person said that Practical part of the anatomy is more important than theory. I am sharing my experience in first year mbbs anatomy practical examination.

“I will turn human anatomy into roses and stars and sea. I will dissect the beloveds body in metaphor.” – Siri Hustvedt in The Summer Without Men

I know syllabus of human anatomy is like counting number of stars and amount of water in sea but if you love it like you love the beauty and smell of a  living rose – you are going to be a genius. I am writing another quotes which sounds funny.

“No man should marry until he has studied anatomy and dissected at least one woman.” – Honoré de Balzac

He had told like this to express that it is impossible to understand a woman. But if he really tried to learn anatomy- ever read the Grey’s anatomy, he would not said like this. If People have to study anatomy in order to get married – then – I like to hear your comment in this regard. It’s really a long debate.

So, I had the Anatomy practical exam. There was one day gap between two practical exam. Anatomy was next to Physiology practical exam. So, I had to focus on important chapters of anatomy and obviously my most favorite Atlas of anatomy utilizing most of the day. It was a amazing experience in first year mbbs anatomy practical examination.

The Day of Exam (experience in first year mbbs) 

Journey from Hostel room to Anatomy Hall – some unexpected moments 

Moments in the morning The day was luckily unlucky – Sometimes my luck favored but mostly luck was not with me. I was forced to wake up at 6:35 AM in the morning by me though alarm was set for 7 AM. And after some unorganized last minute view of Histology slides, I got ready and prepared my bag with with few  books, color pencils, pen etc. Then I see my white apron was staring at me curiously hanging from a overpopulated rope. I thanked myself for remembering that as I am a experienced and expert in forgetting.

Crisis in the road – It was 9:15 and I hurried for auto, taking a cake from canteen as usually I do. I was in hurry and there was auto but fully loaded there was no space for a single poor man. After few minutes a auto came and there was a space. But around ten people were struggling for  the single seat without showing any sympathy with this fighter. Waited for another 10 min with red face with anger in every cell like the Angry Bird and finally, I managed to get a seat and now I was the winner of the battle, feeling proud for myself. I traveled the 3/4th of the road very smoothly but suddenly paused but time was not paused. It’s cost was only 5 min, I had to pay. I started running, reached the college at 9:45. My heart was beating very fast as it wanted to come out from by body. I was feeling my apex beat like a novice drummer practicing with a hammer inside my chest.

The incidents that took place inside the anatomy hall – usual or unusual 

At last I entered the anatomy hall with gathering some confidence with in me. I was trying to charge mind but past experience was haunting my mind in the staircase. Head of the Department mam had already scolded me for the same reason.  It was my good luck for that day.

Histology exam experience – Histology exam started at 10:30 am, Histology notebooks were taken. I am telling seriously that I had some type of allergy in Histology notebook.  In Histology exam you have to identify 5 slides with two points and a special slide which you have to  draw only. Viva will be asked from the special slide . There was no problem in identifying the five slides and also the special slide. I was happy and did not hear any mishap from my fellow batch mates though 2 or 3 people mis-identified and later corrected with HOD’s solid snub.

Other six exam tables – After Histology, you have the freedom to choose any one of the following tables- Identification, Radiology & Surface Marking, Bones, Viscera and dissection window. Histology exam is conducted by fully internal team of Anatomy department but now it is the time for facing external.

My first choice Window – There was two cadavers one in supine and one in prone position. You have to give exam for one window. Normally you have to pick one card by lottery. The name of the window is written in the card. If you are lucky enough you get the chance to play with your luck again if the sir or mam conducting the lottery has some sympathy for you.

Luck didn’t favor this time – But actually what happened, the lottery was conducted by a really good and sympathetic mam. I was in a small queue behind two. They did no lottery just told what they want and mam gave the same card to them. My mind and heart was bouncing like a spring to get my most wanted, most practiced, most studied  Femoral triangle.  But, when my turn came another mam came to assist her. I told mam my choice. But mam was completely changed. The mam came like a negative inducer and I was ordered to choose from the bunch of cards. I choose a card and it was not for me, I have not done this before I told. The second mam started her mouth which I denied to hear and requested for another choice. First mam gave me the chance warning that it was my last chance. I did and and yes I got “Cubital fossa” a hot thing.

On spot preparation – I went for the cubital fossa there was no one for it. External sir was taking exam of a other fortunate who were first in the queue. I got the time as I required to prepare myself extra time to discuss with others who got the same.

We both enjoyed the Cubital Fossa – My turn came, Sir asked me to show roof, floor, boundaries, nerves, vessels everything and some clinical questions that I answered properly. I was happy to make sir happy but happiness came to anger when I came to know that sir gave 6.5 for good answers and 6 for moderate to bad answers. Actually they gave average number for experience in first year mbbs.

Identification, not a problem – Then I preferred to go for identification and waited for my turn sir pointed his forceps to  vessels, nerves, structures, viscera’s, muscles. I identified and answered carefully. Very good experience in first year mbbs practical exam.

Radiology and surface marking was my next choice I got a token of a line and a point frontal air sinus and 9th costal cartilage respectively. Examiner asked me few questions from occipito-mental view of skull.

V for Viscera – I gave the Viscera exam confidently. Brian, lung, tongue, cerebellum etc was given to me and I tried my best to satisfy the teacher. My total experience in first year mbbs dissection classes for viscera works fine.

Studying bones proved useless – The examination of bone was my last exam and the examiner’s too. We were three left for the exam. So as a team of three got confidence but he picked up the section of a bone. Giving half of the sectioned bone asked some definitions. He wanted us to tell “The exact definition written in the book” we failed to satisfy him. No anatomical position, no bony features, no attachment – studying these all things proved truly useless for the exam – a nice experience in first year mbbs.

It was my experience in first year mbbs and It was truly my last exam for anatomy, I successfully passed the first year and now trying to study the anatomy of second year that is Pharmacology.

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