শীতে জমে গেলাম

ভোরবেলা ট্রেনে যাওয়া বেশ কষ্ট।
গতকাল 10টা অপারেশন করেছি। তার মধ্যে 3টা গলব্লাডার। ফাঁকা বাজারে এতগুলো কেস করে ভালো লাগলো।
কাল কেবল এ সেটটপ বক্স লাগলো। অনেক চ্যানেল আছে। ছবির কওয়ালিটিও ভাল।
আজ বারাণসী এক্সপ্রেস নেই। 6টা 15র লোকাল ধরে যাচ্ছি।

জাঁকিয়ে শীত

ভালোই শীত পড়েছে। ভোরবেলা বেশ কষ্ট ট্রেনে যাওয়া।  প্র্যাক্টিস তলানিতে। কাল 13 টা পেশেন্ট ছিল।
রাজুর শশুড় গৌরহরি র হার্ট এটাক হয়েছে।
খবর পেলাম শুদ্ধ র কিডনী প্রবলেম হয়েছে। ট্রান্সপ্লান্ট করতে হবে।
কাল বিমল ফোন করেছিল। asicon এ গেছে। পরেরবার Asicon mysore এ হবে।

শীত এসেছে

এতদিনে শীত জাঁকিয়ে পড়ল। সকালবেলা sweater জ্যাকেট মাথায় টুপি পরে ট্রেনে চাপলাম।  বারাণসী এক্সপ্রেস লেট চলছিল।  সরাইঘাট এক্সপ্রেস ধরে এলাম।
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# penis

I operated a case of # penis in Asha NH yesterday. I operated  quite a few case of fracture penis before. But all of them were in Hospital. This was my first case in nursing home. Anrsthesist and Assistant was fairly impressed.

lost my bag and tablet

I was travelling in Rajgir Howrah passenger. I put my bag on the bank and was reading news in the moble. after half an hour I wanted to take my tablet, so I looked for the bag it was not there. I searched here and there. it was not there. I knew it was lost. I felt sorry for my tablet. I asked santu to lodge a police complaint with phone no and imei no. police assured of action but I know nothing is going to happen. police will do nothing. it is lost. I have to buy another one.

Great leveller

Life is a great leveller. Few days ago I had to do ES DUTY. I was very depressed. Prof R S BISWAS cheered me up. Couple of nice lap chole, payment of 2.6 lakh by NH, AGAIN I am back on track.

67and 36th lap chole

Lean and thin pt. Entry was okay. For last few occasion gb is getting perforated during removal from liver bed. I must rectify my style a bit.

66th& 35 th lap chole

Halim's relative. Bit bulky. Entry difficult. Little bleeding in calot's, rest was easy.

12-02-2015

Naren Mukherjee' grudge

This person  is always after me.
What could be the reason behind his attitude. I tried to figure out.
1.His Mean nature
2. I do not show unconditional loyalty
3. His attempt to transfer me to other unit failed.
4. CN doing his trick behind me
5. My attendance and performance.
That he always show that it is no 4. which is why he is not happy. But I do work at par with other outsider. He himself claimed to go 4 days a wk to north Bengal. I think first 3 are cause in descending order.
I have such problems before. I had to just ignore it.

Naren Mukherjee' grudge

This person  is always after me.
What could be the reason behind his attitude. I tried to figure out.
1.His Mean nature
2. I do not show unconditional loyalty
3. His attempt to transfer me to other unit failed.
4. CN doing his trick behind me
5. My attendance and performance.
That he always show that it is no 4. which is why he is not happy. But I do work at par with other outsider. He himself claimed to go 4 days a wk to north Bengal. I think first 3 are cause in descending order.
I have such problems before. I had to just ignore it.

Winter has arrived.

Finally sweaters ere out. Feeling chilly. Yesterday I went to lawyer regarding my disputed land. He said that he can say only after checking documents in court. Let me see what happens.

Sebeceous horn

Adday in BMCH

11-23-2015

Meeting BMCH

Meeting is over. Naren Mukherjee as usual was pulling everyone's leg. Bit confusion about going to Delhi for burn training. Ultimately I escaped.  Principal who himself stays here for two to three days, was questioning everyone for poor attendance.
I did a ureteric stone today.

Pain abd

Pain and is still continuing. Much less in intensity. Occurring mainly after meal and about 2 am in the morning. Gastric ulcer? How does it feel to be absolutely healthy?
My father is also ill. But I can not concentrate there because my own problems.
Today there is a meeting with principal in department. Do not know the agenda. I remain always worried about these meetings. I always have a feeling that HOD will try to nail me.

65th & 34 th lap chole

Lean thin easy GB, took around 1 hr.

Pain abd

:-) I am having severe pain ABD for last 9 days. It is crampy and upper abdominal. What at are possibilities
1 ulcer
2. Cancer

3. intestinal obstruction.

It has decreased but still continuing.
Sudden onset, crampy.
Initially pain increased on food intake but no relation with food now
Seem to decrease with antacid.
Pain goes off on its own.
Appears in the evening.
Bloating
Vomiting only once
Two to three loose motion in the middle but now it is okay.
Epigastrium was tender initially but now no tenderness.
LHC tender, decreased
Borborygamy.
Occasionally having acid eructation

PD... SAIO
            ULCER
SAIO... CRAMPY PAIN, BOBRBOYGAMY.
             Against.. No constipation, vomiting, distension, pain last for two to 3 hrs a day.

ULCER..H/O ACIDITY, similar pain before of short duration. On drug like aspirin,initial relation with food. Pain decreasing with antacid.eigastric tenderness.pain comes and goes of its own.
Against... Crampy pain

Cancer...a possibility always
Against... Pain is the last symptom.
USG by Abhijit .....NAD...
USG by Dr. B. N . Mondal..... NAD
So finally I am going to stick with  PD  of PUS
I  going to take PPI for 1 month.
Pain lasted for 8 days.

64 th lap chole

Middle aged female pt. Easy GB. Took around 40 mins.

63rd and 33rd lap cho

Again a lean and thin pt. 30 min case.

5 years

61th,62th lap chole (31st& 32nd)

Lean and thin well chosen pt. Done without any difficulty. Took about half an hr.

60th & 30th lap chole

Lean and thin pt .little difficulty in entering. Rest was easy.

59th and 29th lap chole

Lean,thin. Well chosen pt. Easy GB . one or two hiccuph in the middle.
Well done in the end.

Lucky man

When I travel in train I find so many people who are elder than me. They eat all the fried and junk foods. I feel deeply sorry. I cannot eat those. Cakes biscuits cold drinks are not suitable for me.

Meeting in BMCH

Danger has been averted. S Sarkar is kept in Thursday unit. I had a tough time because I thought that I may be shifted in another unit. But ultimately it didn't happen.

Mes review

Last day I performed one vuj cal in NH. I don't think I would have been able to do this opn  if I have not joined MES.  Now some bad thing, there is a bad element called Sajal Sarkar in Surgery Dept. Nobody wants him in the unit. There is a meeting in the Deptt. Today. Let me see what happens.

58th and 28th lap chole

I did two lapchole  today. I had two convert the first one. The next one was a cakewalk. Young pt . level 1 GB. Done quickly.

57th lap chole

i thought it was a very easy gall bladder at first sight. Actually it was.  i did in a hurry. there was a little bit of bleeding at the end to cause lottle worry. nicely managed in the end

56th and 27th lap chole

Lean and thin, well chosen pt, but anatomy was confusing . it took more than one hour. I lost the specimen of GB for some time . I found it at last. It was well done in the end.

55TH & 26th lap chole

lean and thin pt. level 1 gb. easily done. gb perforated during removal from liverbed. one must be cautious about thin gbs.

54th lap chole

Thin pt , short cystic duct. Done in 1 hr.

53 & 25th lap chole

52nd and 24th lap chole

Daughter of champa. Lean and thin. Entry perfect. Calot,s triangle perfect.I think it took less than 40 mins.

50 th and 51st lap chole (23rd in nh)

Last one was easy  with perfect anatomy. Previous one had a little confusing calot's. Both were done nicely.

48 th 49 th lap chole( 23rd in nh)

48 the lap chole operation was nicely done. But pt developed palm oedema and lvf. Eventually pt died. There was tremendous chaos after death. I had to agree to give rs 2 lakh to patient party. Dr PK Roy ,anesthesisist, agreed to share rs 50 thousand. Nursing home bore rs fifty thousand.
49 the lap chole patent was a lean and thin pt. GB was alright. Nicely operated.

Rik

Rik has done badly in exam. There are two years left before the final ., let me give a final try . I will teach him everyday. I will sit by him while he is studying. I think inattention and English language is causing the trouble for him. I shall review my attention every month.

47th and 21st lap chole

Last lap chole had a bile leak which caused a little tension. I had to take her to bmch for managing the case. She was managed conservatively. After that I had  done three lap chole. All were uneventful.

44th and 19th lap chole

Lean pt. Entry little difficult. Rest was okay. Post op pt was complaining of back and shoulder pain.

43rd and 18th lap chole

Lean , middle aged female. Entry perfect. Calot's triangle dissection was good. Liver bed dissection was quick. It took less than 1 hour. Things are improving.

Cholesteol level

For the first time cholesterol lever has shot up after ot. LDL IS 74.4. It should remain below 60. I have decided not to take anything in train. I must bring it down in three months, I have no choice. I have to do yogas regularly.

42nd and 17th lap chole

Medium built, entry okay. Calot,s triangle was easy. There was a arterial spurt from posterior side. Managed with diathermy. Rest was uneventful.

41st and 15 th lap chole

Lean and thin female pt. Entry perfect. Calot's triangle dissection was okay.   Liver dissection was little difficult.  Rest was okay.

New year resolutions

It  has been my practice to make resolutions . its nothing new this time, just emphasising the unfulfilled ones,.
1. Yoga pranayam regular basis.
2. Bring down my wt to 65.
3. Push my score to 2 cr
.
4. Become vegetarian
5. Buy flat in kol
6. Put boundary  around my land
7. Do more l/c in rampurhat
8. Publish 10 papers.
9. Lot of walking
10. Rik' study and my study. Boosting.