Posts

So What?

Image
  The condolence meeting was a serious gathering as was expected. Her husband – an orthopedic surgeon in the city had suddenly died of heart attack. It was a shocking death which added to the solemnity of the occasion. He must be in his late forties - still very young. She sat leading and facing the mourners. They were in early mid-life. Still nothing was well settled and the entire apple-cart of her life had turned turtle. The pain and challenges that she now faced with two young children was impossible in words. Her eyes got misty intermittently. As a wife and husband, both of them had got along very well. They were a fine couple. A tall lady very good-looking in her youth, she was my senior and always had a very healing presence. She was very skillful and competent in her work. She was not strict but was well accomplished in getting all the work done. Solemn condolence meeting         I went early in the meeting. My connection with her was never formal. It was beyond that. It was
6 comments
Read more

Hello Kidneys – What’s up!

Image
  Out of the blue flashed a tweet on the social medium Tweeter one day: “My dialysis is becoming very draining for me financially.   Oh, how I wish I die”. It stopped at that. One Obgyn doctor read it. She sensed the pain and helplessness of the person who had tweeted. The reader knew nothing about who had put out this stress call. For inexplicable reasons something made her send an immediate personal message “Can I have your mobile number, please”. The person who had tweeted this was a lady in the fourth decade of her life. She was from a town in MP and was diagnosed as a young primary hypertensive for many years. Then this tragedy struck. Theirs was a comfortably resourced family who was buying all treatment for hypertension with ease. But as they say when tragedy strikes, it strikes enmass. Her father a successful businessman faced a massive loss in business. Out of despair he committed a suicide. The shock took away the mother in less than a year. This left her behind along wit
9 comments
Read more

Technique Of Cesarean Section: What is scientific? What is unscientific? (Evidence based answers)

  Introduction:             Cesarean section has become the most commonly performed surgery in obstetric practice. When any procedure or technique or for that matter any drug is widely used, it is natural to look at the data to know how rational is our thinking and where has irrationality crept into our thought processes. As students of science, we seek to remain on the scientific course at all times. Therefore evidence becomes very critical for us. Undoubtedly, evidence is provided by data. Hans Rosling in his famous book Factfullness states that when in doubt look at the data. We are going to look at the data for nearly every step that we follow while performing a cesarean section and accordingly conclude. Agreed, it is impossible to cover each and every micro-aspect of the techniques involved in the surgery. However, care has been taken to include all wherein good quality data was available. Nearly all data has been generated from Randomised Control Trials (RCTs) so the quality of
4 comments
Read more