joined Rampurhat hospital

I joined Rampurhat hospital today. Let me set some goal. I am more confident , more experienced surgeon than 2010 when I left Rampurhat hospital. I shall try to make amark this time..let me hope l shall set high standards this time with GOD on my side.

Last day in bardhaman

Tomorrow I'm all probability i will be released. I joined Rampurhat way back in 2012. Long 7 yrs. Lot of memories. Sweet and sour. I hope to have a good beginning in Rampurhat. Now that I will be unit head. I have to manage the unit, it will be certainly a new experience. I pray to God tha let me spend rest of the tenure with lot of respect and honour as a great surgeon. Let it be a perfect combination of glory honour and good practice.

puri

Going to puri for the fourth time. By air this time. Sealdah Puri দুরন্ত express has been cancelled, so I booked flight in a hurry at a price three times normal. Conference is in bhuboneswar.  

Waiting in airport.

going to kolkata

lap appendix

Last Monday I did one lap appendix, which was done with monopolar cautery. Bipolar cautery was not functioning. Appendix tied with roeder's knot. Appreacited by PGTs.

transfer order

new challenges

Life will bring new challenges. One has to accept that. Time has come to lead from the front. Now I have learnt whatever I could, time has come to pass the knowledge.

Transferred and posted at Rampurhat

Finally transfer order came out. I have been posted in Rampurhat. I asked GOD to do what is best for me. Because I could not decide what is better for me. 4 hr long journey for 3 days a wk is definitely problematic. Now let me see the pros and cons of postings......

At first the cons.

1. Miss the PGTs

2. Miss Prof RSBiswas.

3. A little more workload.

Now the pros 

1. At some point if time you have to take responsibility of leading the unit. I AM happy, it came early.

2. I had nothing more to learn from Prof RSBiswas. I was with him for more than 7 yrs. Mainly learnt doing prostate and laparoscopy under him.

3. I have to find some way to stay academic. Since there is no PGTs.

4 It is better than being transferred to some distant medical college.

5. If I want to learn more, the workshops, conferences are there. I hope I will enjoy working here.

117 and118th (57 & 58th) lap chole

Done well with confidence.

difficulties in lap chole

1. Making first Port

2. Checking calot's after operation.

3 checking ports for bleeding.

My solutions are.

Regular practice of one technique  for fisst Port. Checking calot's after dissecting gb halfway through liver. 

Before taking out gb routinely check all the ports with camera for bleeding. Regarding umbilical Port we should have 360 view again during end of operation.

116th and 56th lap chole

Medium built female. Mid bleeding from Port site. Done in style.

associate professor

I wanted this promotion for quite some time. Everytime there is shortage of Rmos, they would have called asst Prof to do ES duty. I am relieved that I don't have to worry about it. But Associate Prof has its own hazard. I may be called to head a unit. I may be asked to be convenor of undergraduate examination.

 Any way I am a bit troubled with light headedness. I hope to recover soon. I have to. I want to be centenarian.

start of new chapter

Today I am going to to join BMCH as associate professor. I pray to God for good health. So that I can continue my job with honour and respect.

 I am occasionally having light headedness.  It has got some psychological component. Let me think how long will it take to overcome it.

promotion order.

That's it!

Promoted

Promoted to the post of associate professor.At last. Posted in Bardhaman. Reasonably happy. Sent msg all around.

115 the lap chole

Lean and thin pt. Done 30 mins.

114th lap chole

Diificult lap chole, started by pgt. When he failed, he called me. I did it

 It took little time.

Rampurhat or bardhaman

Rumours are going round that i shall be posted in Rampurhat. Let me see what are advantage /disadvantage of Rampurhat posting.

1. The journey ends. It is becoming troublesome

2. Practice for 7 days if i want.

3. Increase in practice ---hospital related.

4. I shall be the boss of the unit.

Disadvantage..

1. I cannot learn operation from seniors, now i have to teach juniors.

2. I shall have the responsibility of the unit. Others will enjoy

3. Pt party related problem.

4. More tension and anxiety.

horoscope

I never checked horoscope. Yesterday Rupam tild me that result might be out next day. Iam praying for it. I want things to stabilise a bit. I cannot pay full attention in BMCH.

I checked horoscope in internet. Two sites says i am supposed to receieve some good news today.

Lemme see.

puja 2019

113rd lap chole

Entry little clumsy. Rest was smooth.

Death of sejomama

Biggest failure as doctor. He came to me in morning. I examined him. Nothing abnormal. Complained of occasional resp distress. Cxr was not that bad. Pain abd. Clinically i felt a little unusal feeling in epigastrium. Usg done, it was normal. He returned home. Severe resp distress. Got admitted in Hospital.  Died there after 3 to 4 hrs. I really couldnot make out what went wrong.
What a shame! Engaged in teaching now.
Today i am Thakurpukur cancer hospital attending oncological conference.

Weight loss

I was trying to follow 16:8 dieting. It caused 1 kg weight loss. But it is causing weakness and reeling of head. Let me see if I can continue with it.

Reeling of head

After quite a long time, I had quite a bit of reeling of head. I felt slight dizzy while getting down from train in Bardhaman . However I walked to the hospital signed and went to rest room above emergency. There I felt terrible. I was having vertigo, walls were moving. Even on lying down on bed, things didn't improve. Thinking it might be hypoglycemia, I started eating roti and payesh. I felt little better, but still I was not comfortable. I went to OT, asked my PGT to check BP. It was 150/100. I decided to come back. Telephoned to Prof R S Biswas. Then I left. I started to walk towards station without any discomfort, but I was sweating like anything. I came to station , thought it can be acidity, I gulped one pantoprazole . After sometime I swallowed half a bottle of antacid.  I was still sweating, and having little vertigo. Then train came, it was not crowded. I managed a window seat. And started playing Candy crush. Fresh air through window enliven me and I felt better.

Reeling of head

After quite a long time, I had quite a bit of reeling of head. I felt slight dizzy while getting down from train in Bardhaman . However I walked to the hospital signed and went to rest room above emergency. There I felt terrible. I was having vertigo, walls were moving. Even on lying down on bed, things didn't improve. Thinking it might be hypoglycemia, I started eating roti and payesh. I felt little better, but still I was not comfortable. I went to OT, asked my PGT to check BP. It was 150/100. I decided to come back. Telephoned to Prof R S Biswas. Then I left. I started to walk towards station without any discomfort, but I was sweating like anything. I came to station , thought it can be acidity, I gulped one pantoprazole . After sometime I swallowed half a bottle of antacid.  I was still sweating, and having little vertigo. Then train came, it was not crowded. I managed a window seat. And started playing Candy crush. Fresh air through window enliven me and I felt better.

112 and 55 lap chole

Couple of more lap chole in Aaha NH. uneventful.

110 and 53rd lap chole

Easy case. Done easily. Little bleeding from Port site at the end. Cauterised.

Disputed land

Finally I managed to sell the disputed land. Gobra took it for 4.5 lakh. I lost 50 thousand. That is not good. But I had no choice.

Kota

Stayed at Kota for two days. Convinced Rik everyway possible. Ate famous kachuri from Ratan kachuriwala. Consulted eye specialist. Rik' s cylindrical power has increased quite a bit. Doctor said nothing to worry. Also consulted Rupam over telephone, he also assured. Now going going back by ajmer santragachi express. (18010). Bad thing about this route that hawkers are infrequent. Even a cup of tea is not available.

19607 madar kolkata express

This is the 2nd time i am going in this train. It is bit slow. Starts in time but may not reach in time. Lot of parents go to kota for admitting their son/ daughter in kota, so lof bengali families around. I didnot find any bad element in 3 ac compartment.
No pantry car, that is the greatest worry in this long journey. Hawkers are also infrequent. Some people serve lunch and dinner. But quality is not good. Even i craved for a cup of tea in the morning. Finally i stepped out of train in sungrauli to get a cup of tea.

109th and 52nd lap chole

Few adhesions, stone spilled. Meshy at the end . Took quite a ling time.

108th and 51st lap chole

Lean and thin. slight difficulty in entry. Taking out the GB was also difficult as it containes a lot of stone.

107th lap chole

easy case. Done properly.

Requested Ashok Chatterjee

I requested Dr Ashok Chatterjee for manipulating my posting so that it  can be in BMCH. He made request to someone. Let me see what happens.

Interview appeared foor associate prof.

Appeared in the interview . Asked a lot of question. Let me see what happens. There were 8 candidates. 30 seats. Kitna na insaafi hai.

50 plus

Now i donot feel gloomy over my age. It is a number. Now i am 50 +. Yesterday was my 50th borthday. Aheli arranged for a cake. Today after ot in Burdwan, I shall go to Kolkata for my interview tomorrow. I want to get promoted this time. Let me see what God has in store fore.

106th lap chole

Medium built female. Pyocele. Total adhesion all around. Very short cystic duct. Took a lot of tme (2 hrs). But done at last. Level 4 GB.

105th and 50th

Medium built male . Few adhesions. Done in 1 hr.

Ellligible for interview

Finally it is written on website that i am elligivle for interview. Let me see if i can get promotion. It might mean transfer from bardhaman, then it has to happen oneday. Let me see what the almighty has thought for me.

104th and 49th

Medium built female, easy gall bladder. Done without any trouble.

103rd and 48th lap chole

Done in Asha with new incompetent assistant. Took one hr. I have to do lap chole regularly in Asha to be in competition.

Leaving kota

I am going to  leave kota  and goong to jaipur bu train. There i will caych flight to kolkata. Rik remained in kota. May God bless him.

Kota

Rik insisted and i also disnot find a better solution, sa we arrived at kota. We booked a room through OYO. It was such a farce. Hotel simply refused to give accomodation. It was midnight. We hired a auto, came to near Sankalp, Allen. And with the help of auto driver we booked a hotel. 1800/ day. A bit costly. But we had no choice.

Neet result out

Rik performed badly, scoring just 390, with a all india rank of 138000. That is terrible. Again it is result day and doomsday for us. We went on hiding our faces. Rik is alao pretty depressed. 550 seems to be a safe score now. Can he make it. God knows.

Departmental promotion

I applied for it. Sincelely hope that i shall get a call this time and get promoted.

Headach

I am having for some days. There is some tenderness in left parietal area. Was I hit on head aometime.? I don't know. I am worried a bit.

Private medical college

Everyone was asking me to admit rik in private medical college. Let me see the rank. If i get a chance in KPC in govt quota, I might consider.

102nd lap chole

Done in 30 mins. Easy male gb.

Neet over

Rik scored 456 It cannot fetch any seat in medical college. What to do?

Neet

Rik's neet exam is going on and I m sitting inside a car in absolutely hot and humid situatation. Will he be able to score 500 +. That is a million dollar question. I can only pray to God.

NEET exam

Today is Rik's neet exam. It is 2.47 am. I can not sleep. Rik is sleeping. I donot know how will he do. Hey ma kali, help him. You have always helped me, whenever i am in problem. He is trying but he needs your blessings.

Cyclone foni

Massive cyclone "Foni" is going to hit today. It will hit Orissa and pass through costal areas of west bengal. Lot of rain and storm is expected in kolkata tomorrow. I shall be in kolkata tomorrow. Because Rik's Neet exam is going to be held on Sunday. Rik studies a lot but his results are not impressive. Is it bad handwriting, absentmindedness? I donot know. But starting from class 1 whenever results are out he  is a dissaster personified. Neet exam is ahead. Help him. Give us a chance to rejoice on result day, so that we donot have to hide our face.

Cbse class 12 result out

Rik managed to get only 79.2 percent. It is not at all impressive cosidering the present standard. Few of my medicos batch mate posted result of their children, and they got 94 to96 percent.
Anyway it could have been worse. Considering the problem ridden school and all the non academic atmosphere let me see if je can do do something in neet. He is getting arond 450 in akash and 500 in previous yrs paper. It seems likely that he might manage a 500 plus score in neet which might fetch him a govt seat. I pray to God. Pls help me and my son. Only good thing i felt that i am out of narayana, the school which always caused a hell lot lot of psychological problem.
Now he is going to appear for neet, if he cannot manage a seat he is going to try for another year.

Operation pt dried up

Now iam having 20 odd pts everyday butot pats are less.

Weight gain

I cannot decrease wt. I want but i am unable.
What wrong things am i doing.
1. Taking sweets.
2. Eating rice twice.
E. Eating potato.
4. Not doing yoga regularly.
I am now 71 plus.
Let me try few thing for 1 month the review after 1 mont.h.

Death of P R Datta

Dr P R Datta died a few days ago. So many memories.  I wanted to meet him during his illness but couldnot find time. I might repent this throughout of life. pls forgive me Priya da whereever you are. I myself am a cardiac patient.

Rik is preparing for NEET. He is saying that he is getting 500 plus number in practice test. Arupda was telling score of 460 migh fetch a seat in govt medical college. Let me see.

Practice downhill

Only 12 pt. I am terribly worried. I am frustrated. After practicing for 16 yrs, i didnot expect this.
There is little i can do. God help me.

Rik's HS EXAM STARTED

Rik's HS exam started today with english.Centre is un barasat aditya birla school. I hope everything goes alright.

Lean patch in chamber

I am little worried this time. So many surgeons around cases are decreasing. Last day i saw 23 pt, but today inly 12 pat has been enlisted . After practicing for 15 yrs this is not something i expect.

Successful lap hernia

It took a hell lot of time. 3 hrs. But good thing that it was done. I was liosing patience during the end but it was ultimately done.
I am happy and proud.

Lap hernia

Going to attempt lap hernia again.
I pray to god that Almighty helps me today to become successful.

Poor practice

Couldnot reach double figure today.
Onlg 9 patient.

Failed lap hernia

Last Monday I tried to do a lap hernia. Initial dissection was absolutely fine. But it was a long sac and I couldn't dissect the sac, scared of triangle of soon I abandoned the procedure and open operation was done. Little disappointing but not bad as beginning. I want to do it in a small hernia or direct hernia. I am confident I can do it.

Downhill practice

Rampurhat declared medical college, lot of doctors have come in rampurhat. Today i saw only 9 patients.  How to increase practice in this set up. I donot know. I am not very good in management.
I have decided to do a complicated operation. I thought that could be the way to build a reasonable practice.
What a pity. Even after doing practice for 15 yrs in rampurhat,  i have to worry about private pracrice.

102nd lap chole

Easy one.

My wishes

I want to sleep till late morning. They will come and try to pull me out of bed dut i wont get up.
I donot like to shave every day.
I want to have luchis and paratha with chicken or mutton and sweets everyday.
I shall not go to nusing home to operate or chamber to see patients.
I shall sit idle in my bed until i feel bored.
I shall telephone my parents and all other relatives for hours and talk nonsense.
I want to read old novels by sarat chandra
I want to read rabindranath
I want to see saas bahu serials on tv.
I like to browse internet for hours.
I like see current movies on youtube
I want to remain awake till late night without any reason.

New yr resolution

1 become vegan
2. Do yoga.
3 lose wt.
4. Do more lap chole.

Pondicherry

We went to pondicherry. Three hours travell by car from chennai. Hard a lot about aurobindo ashram and aurovilla. Totally disappointed. Ony the beach was good. It was not worthy of going.
Finally we came back to kolkata by spicejet. We accessed to premium lounge in chennai airport. By swiping regalia card and platinum rupay card. Foods and beverages were free.
Flight experience was not good for me . I was always very tense. Mid air turbulance was little but was very frightening.  I thought i might not come back alive, so i gave him all my bank details. But now that i came back i am happy