November 19, 2006 at 5:29 am (Blogroll, general)

Thanks for the comments and emails!

sometimes it seems worth..and at others it seems k ji chaddo…kay faeda, sar khapaaan da!

they say k ji house job hoti hi itna khuari wali hay…u dont have ur own days..na hi ur own nights…sab ne esi ki hoti hay to u r forced to do it like some beast of burden…koi insaaaniat hay?

sab seniors bhaag jatay hain..bulao to kaam aglay din pe daal detay hain…hum becharay seniors ki b baiztian bardasht karain…mareezon k b ghussay sahain…kuch ghalat ho jai to wo b administrations ko explanations call do…ooper  se na sikhatay hain na batatay hain…bus ji they expect k banda PHd ho…

we admited 5 patients yesterday…1 bacha….mene us bachay ko oral treatment pe rakha..cz he was stable..prophylactic treatment hoti hay….he came for the surgery of his tonsills… he didnt need it much..and protocol is this too..to bus oral he di…….meray senior sahab aye(just a yr senior)..intra muscular antibiotics start kar gaye…mene kaha k sir! y injectibles..its so painful…..guessw hat he said?

learn tactics…this is the way to catch ur patinets..now they wont move from their bed..!this is occupational therapy …(to occupy bed)

wow!!! 5 saal ka bachaaa! who is not having any acute problem… intra muscular injections sirf is liay k bed occupied rahay….. then at other momenet ..aik mareez last to last night admit hua tha k ji nasal trauma hay..uski naak ki pati shatti huee v thee..magar phir b bleeding ho ri thee…. we did the packing again…secured bleeding…my consultant adviced cheeni wali drip…jo thee nahi ward me..i asked the nurse to get it from other ward…and what my MO..the same guy who prescribed inj.. said ..u make things worse Dr.sahab! go for short cuts…give it…just pani andar jana chaiay…i kept chup…i knew he’d b having reason to make me shutup.

nimak wali laga di..guess what?his BP went up to 170/110..and bleeding started profusely,again….khud to wo sahab 2:00 bjay tashreef lai gaye mujhe us banday ko din raat under observation rakhna para…ghalti unki…zimedari meri…kia yaar!

kia khaak short cuts..ghareeb banda! humaray experiments or dikhaway k liay to ni ata na haspatal!

i am getting acomodated to this setup…i fear i’ll one day become immune to it:(

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November 6, 2006 at 1:23 pm (Blogroll)

Ades aegypti    

the culprit…spreading Dangue fever

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in the line of Duty..!!!!

October 28, 2006 at 5:40 am (Blogroll, Life)

esSJee was on call on 26th Officially (on call= 36 hours duty, which is 24 hrs duty in ENT)..my other house officer had some problem so she exchanged the call..i had to do the call on 27th and she did mine on 26th. well.. was on alternate calls the whole last week…was on Eid special roster..or aj se meri aik haftay ki eid chutttiaaan shurrruu 🙂 well. kal ki kahaniii :

it was achii khassi smooth call till 2:00 pm…i was free in morning so..i sat in the OPD… it was achi khasi heavy… but the real call started after 2:00 pm..wehn i somehow had the worst calls i have evcer had…

as there is only 1 house officer on calll..so its very hectic…. from 2:00pm onwards i continously had emergency patients..for stitching…nasal bleeding…accidents..fall..foreign bodies in nose,throat n ears… i didnt get time to eat a single bite…

khair isis me 9:00 baj gayee 9:00pm…. then came a patient at 9:02 pm…with a food bolus stuck in the throat…the protocol was followed..i sateyd with the patient for 3 hrs…at 12:00 his breathing got worse… my MO came at 10:00 and we decided to remove iit in general anesthesia..at 12:00am..the consultant was called….

mean while at 9:45 pm i recieved a patient in my ward from emergency with nasal bleed..for 2 days…i did cold sponging for 1 hr and it did not get better..inj transamine…no effect…had to do his nasal packing(naak k andar ki  patti) khair we decided to take both patinets ikathay in OT (operation theatre) 

…at 12:30 both the patients were in the OT…my consultant did the Food blous case..and i did the packing …bolus was removed and patient was being dealt by Anesthetist… and i was done with packing aswell..his bleeding was still there…from posterior side of nose… my cosultant ..didnt scold..but simply said ur paking wasnt good enough..i kept chup… he did it himself…and bleeding didnt stop… no comments..

we had to do the posterior nasal packing…his bleeding didnt stop… and at3:50 am…the attendant told us that he has clotting disorder… jabkay when i took history they didnt mention anything….lo ji..haath paon par gayee hum sab ko..fata fat us ko cousil kia..CMH bheja k that sepcific type of  blood bag was not avaialable there at our hospital… kafi lar jhagar k gaye wo log…

khair humara zameer mutmain tha..we did all we could for him…. at 4:45 finally i was free… i asked an attendant k ji plz pepsi la diajiay..n a pain killer..wo khai…pepsi pi..sandwich khaya n soeee…after requesting the CMO k plzzzzzz stable patient na bhejiay ga raat ko mazeeed…usay OPd bula lijiay gaa

i wish k wo larka ab theek ho..bleeding ruki ho…stable ho gea ho…bohat shaitan larka thaaa… khair before leaving the ward subah..my patients were all stable..wo food bolus walai baba..pani pi rahay thay..everything was stable..

it was the most mushkil call…but yet i enjoyed..my consultant said it was the worst night he had…and i thought…acha to ye hoti hay House job…na khana ..na pina..na rest..stilll smiling … alhamdulillah 🙂

P.S:  met Dr.Salman in paeds yesterday…n it was the best meeting with a new H.O. here since i’v left Karachi… wo be naya hay yahan..he did his graduation from King Edward,Lahore… his First house job…..but the best thing was the way he helped me in attending the call..baki wards me bus keh daitay hain ji falan bed pai hai pt. us banday ne khud lai ja k pt. dikhaya..he stayed and kept giving me things i was asking him for the patient..i took 1 hr to manage that patient n he stayed there..it was too generous… …last days i was called in medicne to pas a naso.gastric tube…wahan k H.O. ne kuch nahi la k dia….na tube.na syringe..na local anesthesia gel..na gloves..na suction machine….and my 45 minutes were wasted in gathering the stuff from their ward…. though i came first asked them to keep everything on bedside…and i’ll pass it…m finally getting used to the system..magar is system me out of the way aik Dr. se mulakat left a very nice impression… 

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EID KI POST

October 25, 2006 at 5:33 am (Blogroll)

EId muabarak EVERY1..jinko me janti unko b..jinko me ni janti unko b…jo meray sath hain unko b ..jo meray sath ni unko b…

Although i was mentally prepaired k i will spend my eid in hospital but …Eid to 25 ko hogayee and i am back home… though i was home during my call ours k meray MO ne mujhay chand raat ki waja se  chutti dai d thee….

its really good to have you back here in Pakistan Lala!! 4 ssal baad we all are together on Eid, alhamdulaillah… missing Baji..n she’ll be here 2morow inshallah..

khair..all the best everyone….n missing Karachi like anything..missing all my friends and..without Cell…kafi kuch mushkil b hay..ni?

P.S.: we have 25+ patients of Dangue fever in my hospital here in rawalpindi..and the # is increasing really fast ..wish them all health…

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KOI BATA DAI ???

October 16, 2006 at 2:37 pm (Blogroll)

need some help!!!!

i am doing my house job in the subject i loved to do my house job in. i got the h.job without any problem, or sifarish… as i shifted from Karachi to Pindi it was evry mushkil to get a paid house job..n i got it…amazingly in just a single try

but after joining…i felt that there is had se zada back bitting, professional jealousy, kaaam chori, apna kaam doosron pe daalna, patienst ki zara b care na karna..and above all… there is not much learning…

 ENT(ear, nose n throat)…mene li thee k bohat general problems hoti hain…or surgery b hay to i would learn stitching etc too…chalo wo to seekh ri hun…but i am not set… 2 months pooray hojain gay 23rd ko…but i feel i am still an alien..

 everyday i plan k me kal bohat khush rahungi ward me…i wont bother k koi kesay rehta i would not let go my passion in waste..magar din k start me koi baat hojati k me sara din boootha bana k rakhti… m very  happy with my patients…i love them… but i feel guilty for how i am forced to do things which NO one has tought me..no orientation ..no CMe classes…bus pehlay din OPD k betho or dekho patients…koi kuch sikhata hi nahi… kuch pooch lo to mazak banatay hain… dil tor k rakh detay hain…

ufff…..m in very bad condition… me i thee k i would learn wo sb surgeries which i couldnt in in MBBS and jo mene seekhee theen un se b kam operations hotay yahan:( meray sab iraday toot gaye…jo bach gayee hun wo b toot jaungi… m not meant to work like this…itnay jhoot ….itnay dhokay me… patienst se jhoot..un pe experiments..un becharaon ko kia pata ye doctors kia kar detay un k sath…

i miss Karachi:( alot…. Civil hospital kioon chor i me 😦 or shayed..wahan meray sb class mates…sb dostain…yahan koi ni to me or zada depressed ho gayee..

what ever…. kia karoon? chor doon k ye azziiaat bardasht kartee rahooon? k 2 mah ho gaye..4 b guzar jain gay???  

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