Bliss.

Bliss.

Tuesday, July 18, 2017

Monologues.

I see two possibilities. I'm either going to blog with unwanted frequency or I'll close the blog and call it a day.


As ugly as within
Currently listening to:
  • Neenillade (Ondu Motteya Kathe)
  • Just Like Honey (the one from Lost In Translation)
  • Lag Ja Gale : different versions by various singers but come back often to the original by Lata Mangeshkar (I am a boring old woman who listens to the same songs on repeat until they ferment in my brain)
I'm also glad that I finished reading:
  • City of Joy (definitely an interesting read, an eyeopener into the lives of the slum dwellers of Calcutta, the happiness amidst the suffering and the ray of hope amidst illness and poverty.
  • Marley and Me (can I please get a doggo now?)
  • Oliver's Story (Finding love after the loss of your loved one. A sequal to Love Story by Eric Segal)

Anyhoo its back to college and I'm once again in surgery postings. This time we've been divided into 3 units of 10 students. So yesterday we saw two different stages of presentation of the same condition: Carcinoma of the Stomach.

First we saw an elderly female patient with history of abdominal pain since 20 days. Apart from this, she gave history of passage of dark colored stools. Examination did not reveal any findings. Based on the age and the complaints, the professors suspect an advanced stage of gastric cancer and have requested for endoscopy for correlation.

Next we saw a case of a 35 y/o female from Shimoga who was operated for gastric carcinoma. She had initially come with pain in the abdomen after meal and complaints or regurgitation of food. Suspecting PUD, endoscopy was performed. Here, ulcers were detected and the biopsy confirmed H.pylori infection and dysplasia.


After treatment with Anti H.pylori regimen, the patient did not experience relief of symptoms. A repeat biopsy was done and a second opinion was sought which confirmed the gastric carcinoma. The patient was operated at Kidwai Bangalore for a gastrojejunostomy and had come for a check up with the tube. A mother of a young girl, this lady will now require chemotherapy once her lab reports are complete and satisfactory.


Life often throws us into unexpected turns. And there isn't anything we can do about it but to face it head on. Which is why, when the road is clear, the path is straight; keep going and don't dawdle.


Today I saw the surgery for varicose veins for the first time. Its called the Trendelenberg operation and they ligate the tributaries of the GSV and then introduce a stripper, ligate the perforators and then remove the stripper (along with the shrunken vein) in one Strong tugging movement. It went on for quite some time because according to Gopinath Sir, 'It was a jungle inside with fibrosis and inflammation'. 


When the OT goes on for far more than your stomach can wait, your stomach decides to protest. And loudly, the rascal. In fact, today was the orchestra of several hungry stomachs singing in unison. The best way to deal with this is look straight ahead at the table with such conviction that even the ones next to you will believe that it possibly the patient who is hungry and not you!


Watched OMK with Abhi and had Dinner at Anmol midweek. I think I would like that to be the highlight of my week. I just remembered this thing that we had learnt in programming/ JAVA during high school. Something about memory allocation. 


I don't remember it well enough but when you delete one value and add another instead, it occupies the same 'space'. Or something along those lines, I can't get the exact words. I don't think we can do that. You cannot erase a memory you wish to forget by creating new memories. Hah! Life is not so simple that you vapourize an unpleasant experience with a poof!

You accept it, you acknowledge it and you rectify it for what it's worth. You can move farther ahead by acceptance than by denial. Sometimes. :)



Tata!!


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