2008 has arrived. I have made a few resolutions.

1. anesthetists to be payed by NH

2. to deposit some money to NH with every Pt.

3. to maintain papers in a better way.

bad patch

I thought I was going through a bad patch. The hernia patient actually had an appendicular perforation. Patient has been sent to BMCH. Tuesday I had 3 operation. Let me see if lady luck smiles on me this time.

complications

Complications occur in succession. I can remember the time when every hydrocèle pt used to get severe wound infection. Now it is hernia. Last time I got a neurologic patient then another patient developed appendicular lump postoperatively.O, it is raining now. It is 6 o’clock in november. I wish I had a cup of tea. Everybody is sleeping.

sssshhhh

can it be seen

that is my family enjoying sme good moment away from decadron and deriphylline

hernia---- a painful experience

I operated on 18 year old male for rt ing hernia.The operation was uneventful to say the least. Pt complained of severe pain in the rt thigh radiating upto knee jt. on the 8th post op day. O/E there was mild seroma in the wound and nothing else. Antibiotic and analgesic are of no use. ON 17th day I consulted my senior who discovered some paralytic neurologic disorder on both lower limb and draw the inference of some preexisting neurological disease Treatment started accordingly.

Tuberculosis in epididymal cyst

A few days ago I operated on a patient who had a vaginal hydrocele and an epididymal cyst. I did eversion of sac and exicission of cyst. But the epidymal cyst was mostly solid when it was cut and arouse suspicion. It was sent for biopsy. Patient developed moderate wound infection post operatively. biopsy report came as Koch's granulomatous lesion. I have not gone through literature yet. I do not expect to get much reference.