1st Year MBBS : My fear, My fight..

1st year-MBBS-doctor-persevere-fear-fight-mental-strength-college-competitive-dhoni
You always comes out to be stronger, once you fight with your fear..

“I have been told that you will pass the first year of MBBS, only by studying in the last two months just before the final exams, and I had believed on this statement seriously, and that was my biggest mistake in my whole MBBS life…”
Yes, this is my story, of how I had taken things too lightly, only because of my mistake, and how I had tried to rectify my mistake, by fighting against my fears, by fighting against mental stress and with the help of my close friends.

Whenever any student who wants to become a Doctor, after long hours of study and after passing the tough competitive exams, gets his goal of entering into medical college, than he or she is expected to have euphoria in their initial days, and same was the case with me (but the only difference was that, it stretched too long).

Initial days was full of fun, plus fear of seniors and ragging, new friends, new instruments, learning new things, doing dissection of a human body was altogether a different experience, and I was enjoying every bit of it.

Some of my seniors regularly told me that don’t take tension about studies, you can be easily passed by doing studies in last few months. I trust them and was in the opinion that nobody studies in their first year.

However, as the end of 1st year was coming near, I could realize that my knowledge was inferior as compare to my counterparts, and no one takes my opinion, whenever there was a discussion about studies, but still I thought all these were normal and no need to worry as exams were not near.

But, as the exam’s date announced, I came to the conclusion that I haven’t read at least 70-80% of the syllabus, and I was in a deep trouble.

My friends who were the toppers of my class, they support me, provide me everything that was necessary for the exams.

But the main battle was to fight against the extreme pressure, that was building in my mind as I had to read the vast amount of syllabus.

But you know, when you are under extreme pressure, then from somewhere, the ray of hope did come, if you persevere in your efforts to achieve your goal, and the same thing happened with me.

Even after having the extreme pressure, I just keep repeating the words to myself that “Anshul, keep studying, give your 100%, something good will definitely happen.”

And yes, the good did happen with me. I passed my first year, with 60% marks (that is considered average, as highest goes till approx 75% ).

In my journey of first year, where anything can happen, one of my very good friend, helped me a lot, she was there with me in every bad and good times, and my passing of first year was dedicated to her.

My lesson after 1 st year was that :

  1. Don’t listen to others, if you realize that they are wrong.
  2. If you are in adverse situation, most important thing is to have a cool and calm mind, just remember, Indian Captain M.S. Dhoni.
  3. Friends are valuable, respect them, as if they have helped you in adverse situation, never forget them.
  4. Persevere, persevere, persevere…

Dr . Anshul

โ€˜This post is a part of Write Over the Weekend, an initiative for Indian Bloggers by BlogAdda.โ€™
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I am always happy with Happy Sundays, organised by MenakaBharathi and Mayuri.


My Reflections : Endurance.

Exhausted, Extended, Exploited..

But still my body wanted to lasted..

But my body knows his patients wanted to get cured..

So my body keeps running, so that it can help to make their patient’s body running..

Hope these are thoughts that may have come into the Doctor’s mind, who keep doing night duties, even when he exhausted all of his energy, starving, but still perform his job, because he is suppose to..

Dr. Anshul

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Gone are the Days..

Gone are the days when Doctors consider as God..

Gone are the days when Medicine was considered as Noble profession..

Gone are the days when patients respect their healer, the Doctor..

Gone are the days when Medicine was not the profession to earn money but to serve the unfortunate..

Gone are the days when the patients trust their Healer blindly..

Gone are the days when so many Doctors does not put their 100% efforts because they know that patient will take other’s opinions also..

Gone are the days when feelings matter from both sides, now only the money speaks..

But I must say Doctor is here to cure the illness, the pain, of a patient as that was patient’s priority.. and the patient is here just for showing gratitude for the Doctor’s efforts as that is what he wants mainly..

Doctor’s Duty, Patient’s Gratitude. Image: Linkedin.com

Dr. Anshul
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Misconception : About Spinal Anaesthesia

Doctor, is there any other option apart from giving injection in my back because I have “Heard” that there is long term pain in the back after receiving injection in the back during SPINAL ANAESTHESIA.”

I have heard these type of question from 8 out of 10 patients who have to undergo spinal anaesthesia for surgeries, and trust me I really get irritated by hearing this because this question arises from the misconception that is widely prevalent in the society including my family members too, and that causes a lot of inconveniance to both the doctors and the patients.

And these misconceptions present mainly in pregnant females.

What is Spinal Anaesthesia ?

Describing in a very general terms for the common population :

It is type of anaesthesia, in which instead of whole body, only the lower part of the body becomes non-sensitive to pain and touch and becomes total numb, while the upper part is normal, and the patient is concious and alert.

In Spinal Anaesthesia, drug in delivered into the spinal cord, where it directly acts on the nerves of the spinal cord.

Anatomy of Spinal Cord. Image : wikipedia

How it is performed ?
By putting the patient in sitting position, after cleaning and taking all aseptic precautions, a fine needle is introduced into the patient’s spinal cord through the space between the two vertebra, and through that needle a Local Anaesthetic Drug is given which acts on the spinal cord nerves and make them non-sensitive to pain and touch.

Anaesthetist giving spinal anaesthesia. Image : wikipedia
Spinal Anaesthesia Needle and Drug. Image : Wikipedia

Spinal Anaesthesia Useful for :

  1. All lower limb surgeries like leg’s fractures
  2. Caesarean Section (delivery by operation)
  3. Surgeries around the umbilicus that is Hernia
  4. Vascular surgeries in lower limbs
  5. Hysterectomy (removal of uterus)
  6. TURP (prostate removal surgery)

Misconception :

That after receiving spinal anaesthesia, patients especially pregnant females having the backache for the whole life.

Reality :

  1. There is no severe trauma to tissues in spinal anaesthesia which leads to long term pain, temporary pain for 1-2 days may occur. The only exception is when the patient is having very difficult spine or having some diseases like Ankylosing Spondylitis, the procedure of spinal anaesthesia may become difficult, which may leads to slight tissue trauma, but still it is not of that much concern.
  2. In pregnancy, because of distended abdomen, there is stretching of vertebral ligaments, which resumes its normal shape after pregnancy but in great majority of females, it not resumes its shape fully, untill and unless the female do regular exercises post pregnancy, and that is also one of the main reason of having backache. And because delivery and spinal anaesthesia events occurs simultaneouly, so females tends to think that back ache is due to spinal anaesthesia, rathan than not doing exercise post pregnancy.

Problems because of Misconception :

The only problem because of this mis-conception is that patient refused to have spinal anaesthesia and want to undergo General Anaesthesia (full unconciousness) even if it is not needed.

In spinal anaesthesia, patients main physiology is intact, we need not to do much interferance in body’s normal functioning, while in General Anaesthesia, tue whole body function’s is at anaesthetist’s hand.

Conclusion :

So when ever Spinal Anaesthesia is desirable as per Anaesthetist’s choice, patient should go fot it, because Doctors know better how to take care of your body ๐Ÿ™‚

Dr. Anshul

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Anaesthetist : Who is he ?

He is …

A Doctor who is initially a Doctor, but has many roles to play..

A Doctor who act as a general physician, when he do check up before the surgery for patient’s fitness..

A Doctor who act as pathologists, when he assesses all the blood reports before the sugery..

A Doctor who act as a friend, when he talks to patient before the OT, hear her what she has to say, solve her concerns, remove her anxiety, and cheer her up..

A Doctor who act as a councillor before the OT, when to address any concerns to the patient or her family..

A Doctor who act as a alarm, to the surgeon before the OT, if he sees some problems in patient’s physiology, and advised first to correct them and than proceed for surgery..

A Doctor who gives a peaceful sleep, when the highly painful procedure is going on in your body, and still you are unable to feel it..

A Doctor who always thinks about your pain relief” ..

A Doctor who does so much for you yet he does not expect from you to remember him, because he knows you wouldn’t..

Dr. Anshul

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Real Happiness.

Nurse tapping on his rest room door in a rush, and he tirelessly opens up the door, little bit irritated as he barely had one and half hour sleep, before this nurse brings him back to his senses.

“What happened ? Why are you disturbing me again, is there again the usual delivery case in an emergency room ?” he asked to nurse and wondering why all the mothers have decided to give birth to their babies on his emergency duty.

She said “No sir, there is a trauma case of a young female, who lost almost whole of his lower body’s skin and muscles in a road traffic accident, and whatsoever is present, they are in patches, she is bleeding profusely and she is posted for surgery as her left leg bones are also broken”

He hurriedly runs to the emergency department for doing the “Pre-Anaesthesia Checkup” and assess her situation, given orders for preservation of blood units and inform his anaesthetic consultant about the condition of patient.

Aniket was a 2nd year Post-graduate Anaesthesia resident and was on night duty that day, he arranges all the things which he would need for anaesthetising this patient, before patient enters into the OT.

Finally the patient was entered and was operated by two surgeons, one was Orthopaedic and another one was Plastic surgeon as she also need skin dressing.

After that day, that female was a continuous visitor of the operation theatre as her skin part needs a regular cleaning and dressing as that was badly damaged during the accident.

And for the same thing, Aniket regularly visits her for her pre-anaesthesia check up before any OT.

During those check ups, once he found that the female patient was depressed and was on the verge of crying, and than the inner  “Inspirational Guru” of Aniket awakened (as he was a avid reader of motivational books) and he just tried to cheer her up, told about theories of the “Secret” documentary movie, about the “Law of Attraction” and about how our happy mind can heal us.

What he was doing that day, was normal for him, as his job was to cure patient physically and mentally, but he didn’t know that the motivation he was giving to that girl was a relief in distress, was a power in her loosing battle, was a ray of light amid darkness, and since that day that girl starts to laugh, always have smile on her face, and the main thing she was recovering, but with a smiling face.

Whenever she entered into the OT, she always enquires about Aniket, if he was not present in her OT.

Finally the day came when she doesn’t need the regular change of dressing and the plastic surgeon discharged her from the hospital after months of treatment, but she was not able to see Aniket on her last day.

One day when Aniket just returned from the hospital in the evening, he found that the bunch of beautiful flowers was carefully placed at the doorstep of his house with the letter on which mickey mouse was smiling in the top left corner of the letter and the words were written in a florescent ink :

Dear Smiling Doctor..

        Finally I am discharged from the hospital, with a good recovery, and the surgeon said that now I don’t need regular dressing, only once in a month I have to come hospital for regular check up.

      Doctor I just want to say that I am really thankful to you not only for the relief you have given me from pain during those painful dressings by your skillful use of anaesthesia, but mainly for the motivation you have given me during those check ups, which really helped me to cope up stress which originates from my physical condition.

    There are many doctors who treat well,but there are only few who alongwith treatment also gives happiness and courage to fight any thing.

   Thank You again… God Bless You..


Annoying Patient…

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Diabetes : The Silent Killer

Whenever I go towards to do Pre-Anaesthesia Check Up of the patients who are posted for next day surgery, than I routinely find two most common diseases in almost 99% of cases.

Those two are :

  • Diabetes 
  • Hypertension

And you know what, these two diseases are the ones, who are highly influenced by our daily lifestyles and diet, but still we do not give much emphasis on prevention of these diseases and rather focus on spending a huge amount of money and time after getting affected by these “Slow Poison” like diseases.

Today I am going to tell you about only diabetes, and mind this I am not writing this blog for the sake of writing, but I want you to modify your lifestyle so that you can be prevented by these preventable diseases.

What is Diabetes ?

It is group of metabolic diseases, in which there are high blood sugar levels over a prolonged period.

The main problem is that its symptoms are not that prominant when the disease is mild or moderate, and that’s why most of the cases present with severe symptoms.

Area Distribution of Disease :

Almost all of the India has this disease, and that’s why it is expected to be the “World Capital of Diabetes”, but fortunately China becomes 1st.

Some important distributing areas are :

Some Facts about Diabetes :

Risk Factors for Diabetes :

Symptoms :

Treatment :

  • Improve your diets, cut out unnecessary things. 
  • Do regular exercise, even if involves a simple walking.
  • And last option is Drugs and Insulin, if prevention methods does not works.

Complications if not treated :

Here I am going to use some pictures which shown dreadful complications of diabetes, if not treated.

( Warning : Following pictures may cause distress to your mind. My poupose of showing these photos only to show you the graveness of this disease.)

Conclusion :

I have described in a very simple terms, and with diagrams, so that these things can inbuilt in your mind.

Do focus on these things, because diabetes is really a very bad disease.

If you want to get two things back from this blog, than it should be this two :

  1. Regular exercise.
  2. Balanced Diet.

    Hope this small piece of writing may help to raise alarm into your mind about your eating and physical habits, that’s my only purpose.

    So tell me, do you workout ?? Or about your eating habits, are they healthy ??

    Dr. Anshul

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    Urinary Tract Infection : Simple way to understand it.

    One of the most prevalent illness in the society, can harm alot if untreated, yet taken very lightly by the society, and most of the population rely on the over the counter drugs for its treatment.
    It is very prevalent in females, and hence it is also very less told to others (one more taboo in our society).

    Recently my relative has been suffered from this, and because of shame she hasn’t told for long time, which leads to spread of this disease into her kidneys, had a severe deranged kidney function but fortunately she is all right now. This leads to compelled me to write this blog on this simple topic, so that at least I am able to create some kind of awareness.

    What Is Urinary Tract Infection (UTI) ?

    • It is the infection involving the urethra, bladder, ureters and the kidneys.

    Important Stats :

    • More common in adults than children.
    • If occurs, than it is more serious in children.
    • More common in girls and women, than in boys and men.
    • 40% of women and 12% of men have urinary tract infection at some time of their life.

    Causes of UTI :

    “E. Coli bacteria” most common cause. This bacteria resides into our intestines and around anus. It move from anus to opening of urethra, because of :

    1) Improper Wiping 

    2) Sexual Intercourse.

    Increased Risk Groups :

    1. Females sex and Post Menopausal Women.
    2. Immuno Suppressed People : HIV/AIDS, Diabetes, Cancer patients.
    3. Peoples having Kidney stones.
    4. Enlarged Prostate in men.
    5. Poor Hygiene

    Note : Females are more susceptible to infection than men, because of their anatomy (shorter urethra than man).

    Signs and Symptoms :

    What kind of Doctors treat UTI ?

    They may be Family physician, Internal Medicine, Gynecologists as well as Pediatrician for children.

    Home Remedies :

    • Use a hot water bottle to decrease pain.
    • Drink plenty of water
    • Avoid coffee, alcohol or spicy foods, as they further irritate the bladder.
    • Cranberry Juice.

    Treatment :

    Mainly the “antibiotics” prescribed by the physician.

    Prevention of UTI :

    • Women and girls, should wipe from “front to back” (not vice versa) after defecation. This helps to bacteria from the anus entering the urethra.
    • Drink plenty of fluids.
    • Empty the bladder regularly and completely after the sexual intercourse.

    Hope this information may be helpful for you to have some prevention from very prevelent illness of our society.

    Dr. Anshul

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    Do Man suppose to know about Mentrual Period, or Do female feels shame about their #PeriodPride ???

    Well the answer of both the above questions is YES.

    India is a very vast country, so many different cultures, different people, different way of living, but one thing is common in all of them is their MYTHS about Menstrual Period, and overtime these myths becomes their Beliefs.
    Common Myths :

    1. During menstruation, female’s body becomes impure, and that’s why she is not allowed to sit in common places, or on sofa. She will sit separately, or with mats over the beds.
    2. She is not suppose to use the same bed where his husband would sleep, or indirectly she is not suppose to have sex with the husband.
    3. She will not enter into the kitchen, or cook food, as she is impure.
    4. Not wash her hair for 4-5 days.
    5. She will not able to visit temples, or even can not remember god or recite God’s names.

    These are collection of so many myths which I have seen in my surroundings, and I am sure you have also experienced the same things.

    For breaking these myths, first of all, we have to understand the mechanism of menstrual cycle.

    What is Menstrual Cycle ?

    It is the regular natural change that occurs in a female reproductive system (specifically the uterus and ovaries) that makes pregnancy possible. (source : wikipedia)

    • It is normally 28 days duration, but may vary from 22 days to 35 days.
    • First 5 days : Menses / Bleeding Phase
    • Next 10-12 days : Prolifrative Phase, where female hormones start developing the inner lining of uterus.
    • Next 10-12 days : Secretory Phase, where again the females hormones developes further the inner lining of uterus, so that it becomes suitable to receive fertilized ovum. And when it does not receive that, than after approx 28 days, this thin membrane breaks, and all the blood and blood vessels in it breaks, and comes out of the female body, in the form of menstrual bleeding.

    See is there any bad thing or inferior thing associated, it just the normal physiology of females, but our society makes it as a Taboo

    So the Answer of the above Myths are :

    1. She is as pure as Male, she can sit anywhere, can eat with anyone, as long as she can maintain her personal hygiene.
    2. If the couple is comfortable doing intercoarse during menstruation, than they can, no problem in that medically.
    3. As I say above, she is not impure because of her periods. Even Men can become impure physically if they do not take bath for days (which most man do 😜).
    4. She can wash anytime as per her wish.
    5. She can, as Gods can’t discriminate on the basis of periods, but Man can discriminate.

      See how simply the myths can be broken, if we want to, as any cultural belief wants a strong desire to break itself.

      Now next question comes, 

      How Man can play his role in this ?

      At present Indian society is Male dominant society, and most of the rules made by him as well as forcely implemented by him.

      So he is the one, who can encourage the ones in his surroundings to break these myths and come out of it, as this not only helps for the females, but on a bigger perspective will help our society and our country to become more healthy and prosperous.

      Dr. Anshul

      #PeriodPride is a Initiative by Naari. I am participating in a compitition, which tends to raise awareness about the monthly periods of females. You can read more about this here.

      The Importance of “Exposure” for me

      Exposure to new possibilities, new learning, new ideas, great people is worth a million…

      Today i have attended the CME (continuing medical education) in my hospital, and the topic is related to Fetal Genetic Problem and the role of Gynecologist in that. We in our department (Dept. Of Anaesthesiology) were discussing that is it wise to go there as it might not be helpful for us, but I was in the opinion that we should attend that as we could not assess when it will be helpful for us as medicine as a whole is unpredictable branch, and even apart from the knowledge for which we were going there, we would be in company of big professors and able to hear their thoughts and experiance and even if we could not get that, atleast we could get how the minute of things are observed before doing anything, so because of all these thoughts we went there and most of my points were comes out to be true, atleast for me.