8th lap chole

8th lap chole was again a hefty patient. Dissection was alright. Clip applicator went out of order. Intracorporeal knot was given. It was not easy. End was messy. Gelfoam was given on lover bed.
Limnerg flap operations for pilonidal sinus was done.
Overall it was a good experience.

Mes revew

It is now more than two years since I have joined MES. During that time I was not sure whether it was a correct decision or not. Let me review.
First the bads
1. Transfer to Calcutta may spell disaster for me.
2. Sometimes change of unit disturbs the rhythm.
3. Leg pulling is there.
4. I have become a daily passenger.
Now the goods
1. I have become a more confident surgeon, and it has a positive impact on my practice.
2. Finally I am doing lap chole
3. No tension hospital related. Today is ad day and opd but I am totally relaxed. Which I couldn't think in my Rampurhat days.
4. I am learning new operation like microdochectomy. I am also learning new technique.
5. So far I have no regrets.
6. Few hospital doctors like P R DATTA, HIRANMOY, LOTIF, S GHOSH had to leave job justified my decision.

Travelingin a crowded train

Travelling. In a crowded train has become a routine for me. I have tried everything.  I tried to board the first coach behind the engine,the last coach, the for disabled, coaching the middle. Sometimes it works. I have calculation too. Like today is Saturday or sunday,so the crowd will be less. Almost always I am wrong and find myself standing at a corner of coach. Bottomline is there is less train than needed,

six patients

today I have seen six patients in Burdwan and operated on two ptients, I think that is great.

Microdochectomy

Today I saw this operation for the first time. It was done for bloody discharge per nipple. It was not done in a convincing way but still a new experience. That is way for I came to MES

Traveling in train

Now traveling in Tran daily four hours has become a habit. I don't get bored any more. With this I also decided to go on half fast on eetwos days. If that helps to reduce my weight. Let me see.

7th laparoscopy

IT WAS. An inflamed gb with lot of adhesion. Though I tried to do it classically. It was not to be. Somehow it was done. Anatomy was not. very clear. Stones spilled during gb extraction. IiAnyway gb can removed even in difficult cases laparoscopically. Next I did a fibroadenoma removal in Bengal N H.

If I am bald

Nauhty girl

Enjoy tension

While talking to Prof R Biswas about tension in surgeon's life he said you should learn to enjoy tension. This is an entirely new concept. Let me see if I am good at it. Gradually I am becoming a money laundering machine in my family.