What gives

This fortnight has been different from any other.I am anticipating a tough summer but I am sailing in by the grace of God.I have developed a new interest in eating fish with whiskers fried just right and as have been advising the patients thus far,I hope my haemoglobin takes a kickstart.I already feel so much better. In the work front ,it is getting busier,more interesting and after a laboratory and x-ray closure imposed on us has been lifted I am enjoying medicine as I should .We had a freak viper bite come in with local swelling,AKI and a prolonged CT.He is on the road to recovery.The last I saw a viper bite was fifteen years ago. A day earlier another lady was pushed into the casualty with a history of having consumed insecticide.We asked them to show us the pictuere of the poison and the son had a picture of Cypermethrin in his mobile.Apart from the smell which was strong enough to give me a headache her saturation was in the seventies but she was bright and awake scolding her...

I enjoy watching the swan paddle and swim in the water in front of the hospital.Today I realised why?The ducks and the swans everywhere around the world look the same,regal,dignified and beautiful and go about their daily activity sublime and oblivious of all the dirt and cacophony that surrounds them and yet manage to mantain their graceful demeanour. Today was a strange day to say the least.Our day started with Parwati getting extremely restless on the moderate amount of oxygen which was available.We finally had to opt for intubation and bagging to get her going.By the middle of the afternoon we had got her insurance in order and so was able to cart her to a bigger unit for the much needed HRCT/CTPA and a good ICU care.Vikash offered to accompany her and Vijay went along for the paper works that would be required.She belongs to the Musahir community which is a community of rat-eaters.She has been safely transferred to a tertiary care centre by God's grace,her care covered b...

The burden of rabies in India is supposed to be 18,000 to 20,000 deaths per year as per the WHO figures.In my little over a six month period in eastern UP I have seen more dog-bites and rabid patients than I have seen in other parts of India.I saw young children,adolescents,older persons, a strapping sixteen year old with full blown features.Every other day we get patients with dog-bites,mongoose bites and the list goes on.Today I saw a five month old baby with a wild animal bite.You just walk out of the campus and one sees variety of stray dogs roaming around the country-side. Everytime a person with a dog-bite walks in I give them a small lecture about awareness and the need to vocalise and demand vaccination of the stray dogs in the villages.Everyone gives me a blank stare and smiles happy to shell out the cost of the vaccine which must be taking a portion out of their daily earnings. We even tried to bring it to the notice of one of the officers in the government.He coolly shrug...