Glittering lights in that house...(Story of a silent humanist)

Suddenly heavens opened up that evening. The Professor was totally unprepared. Rains were torrential and his consulting hours had just ended. He had just got ready to go home and the rains started to pour down in sheets. He waited for some time, his car-driver too was reluctant due to poor visibility and water-logging that was expected. Once the fury of the rains eased a bit the professor asked his car-driver “Shall we go?” Reluctantly the driver agreed. Hardly had they gone five minutes in the failing light that the old car went conk. Stranded in the middle of the road, without any umbrella to protect him from these unforeseen rains; he came out of the car briskly to take protection under the awning of a closed shop nearby. He was hoping to catch a taxi to be driven home. The fury of the rains intensified once again.  He tried to call some numbers through his mobile but nothing seemed to be working. He was obviously distraught.

Always very upright, trained in England from where he got…

Oxygen, Metamorphosis and Preeclampsia: Amazing Nature

In our perception when someone talks of amazing nature, the reader almost always feels it must be something with natural scenic beauty around us. However being in the field of research and academics for three decades now, I have found natural beauty in each and every natural phenomenon, live tissues, cells and sub-cellular particles. One such natural beauty which for an average onlooker can appear, ugly, is the phenomenon of Obstetric Vasculopathy. Amongst all obstetric vasculopathies, preeclampsia is the one which is most studied and gives us time to go into its depth.

Oxygen: Oxygen is rightly called “Pranvayu” in local vernacular or life-giving air. It is basic to sustenance of all life on this planet. Following this rule the fetal system needs to arrange for a robust and sustained supply of oxygen for its survival and growth. Trophoblasts have been assigned this responsibility. As is well known the cytotrophoblasts undergo a rapid proliferation as soon as implantation occurs. They i…

A Teacher In Life.....A Teacher In Death

There was a complete chaos in the classroom. It was our second MBBS undergraduate lecture room. As we waited for the teacher to arrive and start the lecture expected disorder, fun, frolic, noise and mischief ruled. Absolutely neglecting the fact that there was a classroom adjoining ours, the entire class of more than hundred students was having a free for all. 

Suddenly all this turned into a hushed silence. Everything suddenly became orderly. Students sitting on the desks suddenly re-positioned themselves no one was uttering a sound and all seemed to be so disciplined. No the lecturer had not yet arrived – but there at the entrance stood a forty-plus, nearly 6 feet tall Professor, very handsome and immaculately dressed but with a stern and disciplined demeanor. He was just standing there without a single word uttered, in a commanding silence. His presence was enough. No word was spoken, no rebuke, no warning. He was apparently taking a class in the adjoining lecture hall and was distu…

Recurrent Spontaneous Miscarriages:latest BEST SELLER in Obgyn

About the book:
New and latest edition of this best-selling book titled Recurrent Spontaneous Miscarriages has just been published and has already been declared The Best Seller in obgyn. Extensively overhauled, profusely illustrated and interlaced with clinical case studies, this new edition covers all aspects of recurrent miscarriages up-to-date. This second edition has many nuances incorporated within. Aspects of Obstetric vasculopathies in reference to recurrent miscarriages have been specially handled. Special attention has been given to recent advances in immunology and ultrasonography in approach to a subject with recurrent miscarriages. Frequently asked questions regarding the use of heparin, progesterone, HCG and other supplements have been refreshed in the light of latest literature. Literature review has been stretched to include references upto December 2013. Evidence-based practice in recurrent miscarriages with practical tips to the management of these cases has been conti…

Blood Relatives…WHO?

“Sir there is a rupture uterus. She is looking very pale. We are arranging for blood. The anesthetists have been called” – it was a typical call from one of the junior doctor on duty from the labor room in the middle of the night. Such calls instantly awaken and put the consultant-on-duty in alert mode.  As I accelerated my car on the nearly deserted roads in the middle of the night, I did a mental rehearsal of what all complications and challenges I was likely to face and what all should be done. No wonder rupture uterus is called “electric emergency in obstetrics”. It is a potentially catastrophic event during childbirth by which the integrity of the uterus is breached. It is a life-threatening event for mother and baby. As I was racing up the stairs to the labor room operation theater, I passed a junior doctor. He was obviously breathless hurrying back from the blood-bank carrying two units of blood in his hands. It must be for that patient in shock. I asked him “Why did you go pers…

A Loaf Of Bread (A Human Story)

She was rushed down to the obstetric emergency rooms with advanced pregnancy, increased blood pressure and heavy bleeding. Almost immediately she delivered. Her baby was a stillborn. It did not stop at that. Because of raised blood pressure and bleeding for a long time before she could reach the hospital, her kidneys failed.This was indeed a bad condition to have. Thankfully her kidney failure appeared to be of the type where recovery was possible. But in the mean time she needed dialysis. As luck would have it, all the three dialysis units at the hospital were dysfunctional and so she had to be shifted to another government hospital in a still bigger city about a 100 miles away.
Obviously she was in no position to spend for her transport but the hospital had the facility to transfer her free in its ambulance. Though the main part of the dialysis at the government hospital was free, each cycle of dialysis would still be costing her nearly 2000 to 3000 rupees. Even if by a conservative …

A Child’s “Thank You” [Human Story]

Medical college hospitals have some very interesting routines. One of them is The Grand Round. Though its structure and name may vary from one hospital to another, in the obgyn department where I worked it was on the day on which we had our minor OT. On this day surgeries which did not need major anesthesia were performed. The chief of the unit would take the round with all other junior consultants and all postgraduate students. It was a spectacle – the chief walking cot by cot surrounded by his entourage of his subordinates and nursing staff.
One fine morning in one such grand round, the chief stopped by a patient who had choriocarcinoma (a quick-growing form of cancer that occurs in a woman's uterus (womb). The abnormal cells start in the tissue that would normally become the placenta). Choriocarcinoma occurs in young subjects in their reproductive age. Thankfully it is very responsive to treatment. The subject in question was being administered chemotherapy (medicines for treat…