Wednesday, September 25, 2013

Stairs

Today I ran up the stairs in station flyover without any difficulty and did not have any chest pain
I was relieved . we are going to Kolkata on Friday for my health checkup. Barda's health checkup is also a concern.

Monday, September 23, 2013

25th and 7th lap

Finally I resumed laparoscopy in Nh. I felt a lot more confident. Entry was perfect. Gallbladder was green. But I made the epigastric port a little lower, so I had difficulty in getting around the cystic duct. Lesson learnt from this that epigastric port should not be too low. It is better to err in the upper side. Cystic artery could not be identified separately. It was cauterized in the process. Liver bed dissection was better. Though gallbladder was punctured at one place. Gall bladder was removed intact.

25th and 7th lap

Finally I resumed laparoscopy in Nh. I felt a lot more confident. Entry was perfect. Gallbladder was green. But I made the epigastric port a little lower, so I had difficulty in getting around the cystic duct. Lesson learnt from this that epigastric port should not be too low. It is better to err in the upper side. Cystic artery could not be identified separately. It was cauterized in the process. Liver bed dissection was better. Though gallbladder was punctured at one place. Gall bladder was removed intact.

25th and 7th lap

Finally I resumed laparoscopy in Nh. I felt a lot more confident. Entry was perfect. Gallbladder was green. But I made the epigastric port a little lower, so I had difficulty in getting around the cystic duct. Lesson learnt from this that epigastric port should not be too low. It is better to err in the upper side. Cystic artery could not be identified separately. It was cauterized in the process. Liver bed dissection was better. Though gallbladder was punctured at one place. Gall bladder was removed intact.

Friday, September 20, 2013

24th lap chole

A lean and thin female patient. Entry was perfect. Gallbladder neck has little bit of adhesion. Cystic duct and artery was dissected out. Clip applicator was not functioning. It bled even after clipping twice. It was coagulated. Duct was clipped, and one extra corporeal knot was given. Liver bed dissection was as usual messy. Stones spilled which was taken out with desjardine forcefs.
Utpal's open cholecysyectomy was uneventful. He is complaing of lot of pain. Paracetamol infusion was given.

Utpal's operation

Today Utpal will be operated for gallstones. I preferred the open approach as instruments in medical college ( for laparoscopy) is not very good. Prof R S Biswas is going to operate. Everybody is very tense. who knows the future? I t is likely to be uneventful.
Barda is having chest pain. TMT is positive. Angiography needs to be done. Tension is around him also. All expect me to arrange everything for him. But nobody is caring that I am not in the best of physical condition. Sometimes I am having reeling of head. Chest pain of various kind is there. I hope all are insignificant.

Wednesday, September 18, 2013

Maa Durga

Durga puja is around. Last year everything was nicely poised. I was waiting for it. But an event has changed my life. I want to be happy but I cannot become fully happy. My father rings everyday to hear me. My mother also rings often. I am not happy. Every time It plays in the subconscious level that I had a bypass surgery. ... I have heart disease. Things may end suddenly. When I look around , so many old persons enjoying their life. I am unfortunate. Then I think, so many people die at tender age. Many die of AMI , I survived and reached bypass table. With diet restriction I can live normal span of life. Sometime diet restrictions make me feel depressed. But there are many who ate vegetarian by choice. There are many who cannot afford two square meals. I am. More fortunate than them.

Wednesday, September 11, 2013

25 to 30 years only.

I read today in a magazine, Dr Satyajit Bose has written that Lima rima y can last for 25 to 30 years. So no other intervention required in my life. Let me see how long shall I be able to survive. Will I be writing the blog at the age of seventy. I do not know. Let me see whether we healthy lifestyle and yoga takes me there.

Monday, September 9, 2013

MES, was it fruitful?

I joined mes three years ago, I was little tensed at that time about the future. Whether it was a good decision or bad, I was not sure. Let me review.
1. If I get transferred to Calcutta, I will be in a soup. I have to buy a flat to combat the situation.
2. No tension at work.
3. I am doing a lot of complicated operations at medical college.
4. It has a positive effect on my confidence.,and private practice at rph
5. I have lost about 10 kilos of wt and bit of myocardium.

Monday, September 2, 2013

Appreciation

One year ago when there was unit reshuffle, no unit wanted me. I was terribly hurt. This thing never happened to me. After 1 year I am in demand. Prof R S Biswas said he could not spare me. Every one from my unit protested my shifting to other unit. Sandip said I can stay the way I like if I go to his unit. In one year everybody started to like me, love me, appreciate me. This is a tremendous achievement. Prof Biswas gifted me one hilsa fish he bought from sagar. Today we performed one hiatus hernia operation. That's great. I think joining MES is satisfying.