Should I Worry

Some times I feel a vague chest pain, and dizziness.  Is it something serious. Now what factors are in favour of me.
1. Total arterial CABG,which lasts for more than 20 years.
2. Almost veg diet.
3. Lipid profile very good.
4. Body wt  within normal limit.
5. No smoking.
6. No diabetes.
7.can walk for half an hr without any discomfort.
8 climb 7th floor without chest pain.
9.discomfort occurs even at rest and passes of after sometime.
10. Sometimes discussion of the disease make things worse.
11. On walking i feel better.
12. Pain is never like the angina i used to have before opn. If has no radiation either.
13. All the people with cabg are doing well. Many are having venous grafts.
14. I think everything is well. I need to do a echo to see ejection fraction.

New Year Resolution

Time has come for setting a few goals for next year. Last year I could not write it. Let me see what I think , should be better for me. 
1. My health has been a concern for some time. I feel very dizzy occasionally. I feel nervous. That nervousness makes the situation worse. But why something bad should happen to me. My blood parameters are below normal. Body wt within control. Diet okay. No diabetes. no smoking. Normal bp. I can climb 7th. Floor running without any chest pain. I think that is extra ordinary even for a normal person of this age. Total arterial cabg.  Why some thing bad should happen to me?   I think I should do a echo to see ejection fraction. My ecg shows old infarction, rest is okay. My aim is to get an echo done as early as possible. Tmr is another option.
2. Become totally veg.
3. Do yoga's more regularly.
4. Do lot more exercise, and climbing stairs.
5. Rik's admission to narayana.
6.flat decoration.
7. Mother's cataract opn.
8.fencing of my land.
9.b uy a house in rampurhat.
10 do more lap chole in rampurhat.
11.study regularly, and teach students.

83rd and 44th lap chole

I forgot to write earlier on which I did in NH. it was nicely done. pt recovered well. i charged 23 k for it.
Thi one was in BMCH. Elderly female. Entry troublesome. The rest was cakewalk. It was over in half an hr.

Review 2016

Now that another year is coming to an end. It means I have come nearer to my end. While reviewing the last year I found that it was just another year with some imp events
1. I could not do lap chole too much. Only fourteen.
2. I suffered from minor ailments quite often. Sometimes it was pain in neck, sore throat, loose motions or fever or something like that.
3. In the govt service, ashim became assistant professor and tried his best to create problem. Dr naren mukherjee was at his usual tricks.i covered 4 years as assistant professor but there was no seat for associate prof.
4. Private practice was alright. During the end of year I have to leave susanta as assistant as he was not interested.
5. I went to saithia twice for operating on gall bladder pt.
6. I had a record of operating on 9 gallbladder patient in a day.
7. One great achievement. I bought a flat in kolkata. It was a dream come true for me. Kiran helped me a lot. It was for a long time I was trying to buy a flat in kol. But it was not happening.
8. In nov modi our pm, demonetized rs 500 and 1000. I had a cash of around 45 lakh. I had to distribute among relatives. Let me see how much can I recover.
9. Rik i s appearing in board exam this year. So lot of tension. I donot know how is he going to do. Had DONE registration in narayana kolkata for admission in XI.
10. Finally my Heath. I am having weakness, chest pain, reeling of head as usual. Sometimes I feel very depressed. Decided to take oil free diet since last march. My parameters are alright.blood cholesterol, lipid profile, sugar etc are all within normal limit. Body wt 68. Bp 126/70. For last few days I climb running to 7th floor of my flat, without any chest pain. Once I did that twice, my legs were aching, and almost collapsed, but there was no chest pain. It gave me lot of confidence. Bit when little bit of chest pain occurs even at rest , then I become very depressed. I have few plans for new year, that I will write in my new year plan.

Flat in kol

I am excited about my flat in kol. Few things to do.
1. Colour
2. Wood work of the doors.
3. Making few woody furniture.
4. Buy two cots.  And accessories.

5. Lpg connection
6. Electric connection.
7. Tv.
8. Mutation of flat.
9. Grill and collapsible gate has been ordered.
10. Quotation for electric connection done.
11. Aqua guard.
I want to finish all these things before feb 17. So that we van stay for couple of weeks after Rik's exam is over.

A long day ahead

Today I have to do es duty. There is no second year and 3rd year pgt. Prof rs biswas is also absent. So it will be difficult to manage the opd also. But I love challenges. let me see how it goes.

Is it angina

Occurs at rest.
Feel comfortable on walking.
Can climb 4th floor without chest pain.
More common during some anxiety.
No radiation for sure.
Occurs in different part of chest.

Weakness and chest pain

I am having weakness and chest pain, reeling of head. Even at rest. I have climbed to 4th floor, running without any chest pain. But occasionally i start to have chest pain at rest and weakness. It lasts for some time  1 or 2 hrs. Then it disappears . And I start feeling okay.

Flat registered

Finally I officially own a flat in kolkata. It's a dream come true for me. How long was i waiting for this.  So my next address is flat 5e block b, kolu pukur more, rajarhat rd , teghoria , kolkata 157.

Flat in kolkata

Tomorrow  my flat(it is not yet mine) is supposed to be registered. I am pretty tensed about it. Lemme see what happens. Today I have to do es duty. Ashim has played a trick. He has. Changed unit temporarily without informing me. I am fed up with this unit. I shall change unit at the first possible chance.
.

80th and 43rd lap chole

Medium built pt. Entry straightforward. Easy gall bladder. Done in 40 mins.

Low practice

Demonetization, harvest season, all taking it's toll on practice. It is at it's lowest. Very few operations. Less no of chamber patient.

অসুস্থ শরীর

সকালে।পাতলা পায়খানা হয়ে ছিল। একটা ব্রেক খেলাম। পায়খানা আর হয়নি। শরীর খারাপ।করছে। এভাবে বেঁচে থেকে কি আনন্দ।পাবো। প্রায় প্রতিদিন শরীর নিয়ে দুশ্চিন্তা। কখনো বুকে ব্যথা, কখনো মাথা ঘুরছে, কখনো জ্বর। বাইরের লড়াই কি করে লড়ব। নিজের সঙ্গে লড়াই শেষ  হচ্ছে না।

Demonetization

Suddenly modi,our prime minister, banned 500 and 1000 rs note. Like many others i am also in trouble. I got help from many people. Still finding it difficult to manage all the hard earned money. Letme me.see what happens.

VUJ CAL

Yesterday i did a vuj cal. I was quite tensed before doing this. I decided not to do vuj cal anymore because it gives lot of tension. Though i got the stone easily this time

79th And 42nd Lap Chole

Mala  masi of panchgram choose to b operated by me. It was difficult in the sense that was wrapped in fat. Took more than one hour to manage. Postoperatively there was little abdominal distension, causing tension in surgeon's mind.
I went to saithia last Saturday to do 3 open GB. I t gave me 9000 rupees.

Losse motion fever

Again I am having fever, loose motion vomiting. Am I having some serious problem. I am having  low grade fever too often. I am worried.

78th lap chole

I did lap chole after quite some time. Lean and thin pt. Camera, instruments of hospital is messy as usual. Operation was also bit messy. but it was done with some incompetent assistant. So it gave me a little confidence. Tomorrow I will go to saithia for doing gall bladder in bittel nh.

Fever

For last few days I am having  a sensation of chill. And feeling feverish. Thermometer reading was normal. So I ignored it. Last night it was 100 degree Fahrenheit. Gradually subsided of it's own. I am really worried. I am having minor ailments too often. Sore throat, fever, chest pain.  during puja nowadayss I played cricket and was having lot of muscle  pain in chest and back. Actually I am not able to stay healthy for sometime. What can I do.
Am I too worried about my disease etc. So many people are having coronary artery disease nowadays. Tarun  our next door dweller in kaitha had cabg opn few days ago. I should stop worrying about disease and move forward.

Pujo 2016

ঠান্ডা

হটাৎ ঠান্ডা পরে গেল। বয়সের লক্ষণ। শীতে কষ্ট হচ্ছে। ক্রিকেট খেলার পর প্রচন্ড গা হাত পা, বুক পিঠ ব্যথা করছে। আজ একটা pcm খেলাম।

Pujo 2016

Journey

Body wt

My body wt is increasing. It has become a matter of concern for me.

Paid Off Loan.

Today I paid off my home loan in SBI.

. Actually I am preparing to take  another.

Yoga

I am having minor ailments too often. Sometimes it is fever, sometimes it is sore throat. I resolved to go to yoga. Nothing can prevent disease. As per the present knowledge. Yoga claims to do it. So I decided to do yoga regularly. I also decided to take oil free veg diet as much as possible. I want to see  If it helps to reverse my CAD. My lipid profile is okay. Let me see if I can better it. It is a challenge for me . I shall repeat my tests after 6 months.

Diathermy Over Cecum

After doing appendectomy, there was very small bleeding from cecum. I touched diathermy . A little burn was there.  I am very much worried as usual. I thought the injury is limited to serosa. In that case nothing will happen.. but I cannot get rid of the tension. I shall never ever diathermy  over cecum. Let me see what happens.

Chest Pain.

My sore throat is gone. But chest pain is persisting. ECG, lipid profile is better than normal. Sugar(f) is 100mg.i read somewhere, to reverse disease cholesterol should be Below 150. I am maintaining it four last three and half years. Ldl is below 60. Weight is around 68. I am keeping my numbers Right. Only I cannot keep my professional tension down. Let me hope for the best.

Flat In Kolkata.

I always dreamt of having a flat in Kolkata. But it was not happening. Finally I booked a flat in teghoria. Twin towers. Top floor. 1135sq feet. 46 lakhs. No garage. I don't say it is the best, but a beginning. I have given them 2lakhs. Want to loan 35lakhs. Rest will be paid by me. Then a lot of interior decoration etc to be done. Kiran helped a lot.

GB Patient

GB patient. MRCP WAS DONE. It was normal. Jaundice decreased.pain subsided. Everything seems to be okay. What was the cause of jaundice. A CBD stone is likely. Though nothing was visible in MRCP. It caused huge adrenaline rush in me. I cannot get out of tension. Not performing yoga for few days.

Lipid profile

Cholesterol dropped down to 96mg/dl. Ldl 49. Blood sugar 100. Ecg shows old inf wall MI. Reports are okay. Looks very promising. Does it have any bearing with my CAD. If it does it should be reversed . Booked flat in kolkata, teghoria, near baguihati. 3 Bhk, 1135sq foot.46 lakhs. Need to pump up my private practice a little. Spent a lot in puja marketing.

Post op case of gb

Soma datta, relative of p r datta was operated by me . Open cholecystectomy done. She was alright for 4 days. She was discharged. On that evening she developed severe pain in back, vomiting, mild icterus. I was  in bmch,. Immediate usg done. No peritoneal collection. Cbd was dialated. 9 mm. Abhijit suspected some pathology low down the ampulla. Bilirubin was 4.6. mg. She was brought to bmch. Apparently there was no clinical icterus. Urine colour also became lighter. She is having nausea. LFT,  CBC, mrcp was advised. She is put on nbm. Iv fluid, antibiotic. Results are awaited. Tense moments for me.
What went wrong?
Donot know.
Good things...
1. Operation was un eventful,
2. Usg... Negative
3. Clinically not much icterus.
4.  Abd soft.
5.  Passing flatus.

Should respond on conservative management.
Supposed to go to kolkata tomorrow

Illness continue

I am having sore throat. It is still persisting. I got myself examined in BMCH. Ritom said it was reflux pharyngitis. It will take some time to get cured. In the meantime I am having fever with severe body ache. Dengue is prevalent.  I took pcm 500 at  7 pm. It decreased the fever by little. Let me see what happens tomorrow. Rik ia also down with pain abd, low grade fever.
I'm actually fed up with this. Only few days ago Rik was ill for 6 days before fever subsided. Now I am having sore throat for one month, terribly worried, now fever. Not to speak of low grade tension of CABG. GOD PLS HELP ME. I WANT TO LEAD A DISEASE FREE LIFE WITH MY FAMILY.

Sore throat

1 it appeared with reflux.
2. It decreased of it own.
3. It reappeared on cold exposure.
4. Tarun could not find anything.
5 iam having bangla acidity quite often.

Best in open chole.

Today staffs of Asha NH, were saying that nobody can do open cholecystectomy better than me. It delighted me a bit. Today I did 3 cholecystectomys in about 1 hr time.

Sore throat continuing

I has decreased, again increased. It caused a lot of tension. Let me observe for dew days more

Sore throat

I am having sore throat for some days. It is not getting well. I consulted dr T . Patra. There was nothing abnormal as fas as he could see.

Birthday

I am 47. When I reached 40 i was very upset. I didnot want to grow old. Now I want to grow old ,live a few years more. My friends in whatsapp wished me since morning. Aheli was very excited about my birthday.  Mother came rampurhat for this.

Jandiced gallblader pt

15 days ago I operated on one gb patient. It was a difficult gall bladder . I managed to do partial cholecystectomy. Patient was passing yellow urine from day one. She developed jaundice on on 4th post op day. On enquiry she revealed that she use to have recurrent jaundice for last 6 years. But I was worried. I thought that I might have caused bile duct injury. Patient was discharged on 5th post op day. She returned on 8th post op day with deep icterus and vomiting. I gave some med and advised her to go to BMCH for admission under me. She refused. She went home.  I was worried very much. She came after 7 days. Now she had no jaundice .PT is alright. Her bilirubin was              .8mg.  i was delighted. I knew that there was no BDI. But there is certainly having cbd stones . I told her accordingly. ANd she went home.

Rik's fever

Rik was down with fever for about 6 days. Initially i thought it was viral fever, so put him on PCM alone. But fever continued for 4th day, so I put him on cefixime plus ofloxacin. Blood test for malaria,  dengue was negative. Platelet was normal. He was feeling very wk. I was very worried when fever came on 6th morning. I consulted Anando mondal. He also advised treatment on the same line. Fever decreased on the evening to my relief.

77th lap chole

New experience. There was bleeding from portsite (umbilical). It took some time to manage. Then liver got punctured at one point. It all started to bleed. It fourty mins to controll all these before i could actually hold the gb. Gb was easy and it was done without any hiccup.

TMC

Tmc came to power for 2nd term.  For the first time in my life I became so involved with the election. I wanted the defeat of tmc. But it came with massive mandate.

Yesterday we went to a fair near rampurhat station. There we took a ride in 'break dance'. I had reeling of head and discomfort. I cannot remember whether i took this ride after operation. But i felt terrible yesteday.

Age of retirement has been further increased to 68 yrs. Shall i be able to enjoy retirement life.
I am trying my best to stay healthy. But everything is not in my hand.

75th lap chole

Medium built female. Unclear calot's. Dissected the calot's well. Gall bladder punctured at multiple sites. Bile and stones spilled all over. Total messy. Not happy at the end of operation.

Just

Asim

Asim got promoted. Now he thinks that he is equal to me. He is creating lot of problem. I hope i can tide over it.

17 cases

Yesterday i operated on 17 cases. It is highest in a day. Previous highest was 14. It included 9 gall bladder. I went to saithia to opeate in bittel nh. I operated 6 gall bladder there. Today i operated another eight which included two gb . Great going.

74th and 41st lap choLe

Hefty feamale. Resident of kaitha. Easy gb . Done in styLe.

Sabai kato bhalo achhe

Sabai bhalo achhe. Ami keno bhalo nei. Psychological or some real problem. Today I came from Asha NH to flat, then ran up the stairs to the roof. I was sort of breath, but I didn't have any chest pain. I LEFT meat and fish, oil. what else I can do?

Discomfort

Yesterday I had some discomfort during ot. My BP shot up. I think rise of BP is the problem. I started taking eslo 5 last night. Regarding fluctuating pulse rate, I googled. Many have it between 50 to 89. So relax. I think poor stress management is causing it all.

ঝাপ্টের ঢাল

এখানে বারানসি এক্সপ্রেস এর স্টপেজ নেই। কিন্তু প্রতিদিনই থামে।নীচের ছবিটা ওখানের। সাদা ধুতি পাঞ্জাবি পরা লোকটা ম্যাজিক বিক্রি করে 10 টাকা দিয়ে।

Posting in Rampurhat

After lot of dilly dallying principal ordered about my posting in Rampurhat sdh super speciality hospital. My opd on Tuesday. I feel excited to return to Rampurhat hospital after six years. They will also pay 5000 rupees daily. Great prospective.

73rd lap chole

পাতলা বয়স্ক মহিলা পেশেন্ট। সোজা ছিল। BMCH এ করলাম। 40 মিনিট লাগলো।

What good thing happened to me

Healthy lipid profile
Decreased bp wihout med
Decreased sugar
Healthy wt.
Pulse rate of 60. Without med
Now few bad thing.
Feeling of heaviness in chest occasionaly.

72nd and 40 lap chole

পাতলা পেশেন্ট। cystic artery ছিড়ে গেছিলো। cautery korte holo. Rest was uneventful.

Shouting in a flat meeting.

After my operation i always maintained a low profile. Yesterday there was a meeting in our society. One person objected to the change of secretary. I started shouting at that man. Everybody came in my support. Everybody was a bit surprised to see me in that way. Anyway it was a change.

কলেস্টেরল এবং সুগার

লিপিড প্রোফাইল করলাম।LDL আবার 60 এর নিচে। ভেজ ডায়েট এর প্রভাব। সুগার ও 82 MG/DL, এটাও VEG ডায়েট এর প্রভাব। এখন অয়েল ফ্রি খাবার খেতে শুরু করেছি।

গরম পরল

হটাৎ গরম পরে গেল। sweater টুপি বাদ পরে গেল। এখন শীতে কষ্ট হয়। প্রাকটিস কম হচ্ছে। অপারেশন ঠিক আছে।

Acidity

I am suffering from severe acidity. I stopped taking so many thing. Now even bland diet is causing acidity. One good thing happened. Veg diet has reduced my blood pressure.

Has anything decreased in 3 yrs post op

Pain on slight movement
Anxiety pain
Back pain
Reeling of head.

Why it is not angina

1. It is not related to exertion. It occurs even at rest.
2. The pain is never like the anginal pain I used to have. It is not at the same place.
3. Pain occurs at various place.
4. Sometimes pain may be reproduced on deep breathing.
5. Pain decreases on continuous walking.
6. Walking one km at a stretch then climbing to the 5th floor doesn't produce pain
7. Even similar pain occurs at rest while sitting in opd.
8. No radiation.
9. Back pain occurs only in evening and after prolonged sitting.
10. Pain decrease on deep breathing or on messaging.

Why it is angina

It is over precordium
I have h/o heart disease.
Associated with uneasy feeling and weakness.

71st and 39th lap chole

Lean and thin pt . 30 mins case.

Ddd

Fgh

Medicos 87

ট্রেন নেই

ট্রেন নেই। বোলপুরে বসে আছি।

শীত কমে গেছে

হটাৎ করে শীত কমে গেল। ভরে উঠতে আর কষ্ট হচ্ছে না। বয়স হচ্ছে তাই শীত সহ্য হচ্ছে না। যাক কি হয় দেখা যাক।

I should be alright

1. Prof p s pal
2. gagan mondal
3. Jyoti cabg
.4. Super Rsdh
5. Amal saha.
6.  keshri cabg
7. Gour hari cabg
8. Nalhati cabg
9. Berhampore. Cabg
10. raghunathganj cabg
11. Pranab cabg
  12.     Laltu

13.  Many others with whom i donot have direct link.
All are doing well
Why shouldn't I?

70th lap chole

Prof Biswas opted out. And i got a chance suddenly. It was a lean and thin pt. Gb was easy. I was in a hurry to catch the train. Finished lap chole in 30 mins.

69th lap chole

Bmch  এ করলাম। রোগা পেশেন্ট। সঙ্গে এপেন্ডিক্স টাও করলাম সেমি ওপেন টেকনিকে।

ঘাড়ে ব্যাথা

কদিন থেকে ঘাড়ে ব্যাথা হচ্ছে। এর আগেও হয়েছে। স্পন্ডিলয়টিস হবে। সবসময় মাথা নিচু করে কাজ করছি।দুদিন থেকে খুব কাঁপুনি দিচ্ছে। জর নেই। ভাইরাল ফিভার? বয়স হচ্ছে।

68th and 38th lap chole

রোগ পাতলা পেশেন্ট। আধ ঘন্টা লাগল। গল ব্লাডার ফুটে গেছিলো। ওয়াস দিতে হলো।

2016

2016 has arrived. I donot know what is in store for me in the coming year. I can only pray to god for a better ,happier, disease free year.