Category: mbbshacker.blogspot.com

In the morning, it's not as cold as the first day, these days.
Anyhow I've returned Aquib's fest hoodie.
It was rotti in the morning. Attendance was maximum.
Sunday. It's feast for noon. After breakfast Uday and Manja were running around Mysore for things.

While I sat at the kitchen:
"sir, onion should be big otherwise can't peel, cut"
While they went market:
"sir, onion should be small, otherwise it collapses into uselessness"
In the fight between big onion and small onion indecision prevailed until the senior most sharath sir quips in like Gulliver in Lilliput to settle for status quo.

Then, gulab jamun arrived. But ice cream delivery number ceased to exist which was a blessing in double disguise. We bought costly small packets and that didn't last for everyone. But in the process we found a shop closer to hostel where we get cheaper ice cream too.

Chicken was in excess. But fruit salad was less even after we bought 150% of initial amount bananas on workers' advice.

Then, I saw ice age 3, matrix reloaded, titanic and rowdy rathore all in parts.

And was sleepy, slept for 3 hours after tea. Well that's because I slept late last night because of the porting issue. Sunday holiday, so the first recharge has still been not done.

Supper was just enough. Only hostel general secretary and a few of my friends had to go empty stomach.

And then, I went chat street, filled mine with a falooda. And here I'm.

Unlike yesterday, eventhough I was slightly aware at 5 o'clock, I woke up only when the alarm rang at 6.
Remembered that I had left the workers' attendance book in Fadnis room last night and woke him up early in the morning.
In the mess, milk and curd were just arriving.

Everything was bought from bandipalaya yesterday.
The cook comes in.
"Everything is here, I'll have no trouble today"
"saaaaaar, kodambari soup [or something that sounds like it] illa sir"

Thus uday had to go market.
But from today everything for tomorrow will be made ready today itself.

And me and manja bought some 40 coconuts from day market.

And since it was Saturday suhas managed the rest of the day by himself.

I went sbi, opened an account, ran to college, went blue lagoon, and came back and slept at 6.30.

When I opened my eyes it was 9.
And apparently the banana distribution was slow in mine and uday's absence.

Tea was done while I was watching Chelsea Madrid last minute draw.

And then my phone got ported from Docomo to Aircel.
So, this post might be a bit late.

Since I want to make it a habit to wake up early (one of the reasons I wanted to be prefect early on in the year) I will do the breakfast duty today. And as always I've woken up 40 minutes before when I should have. Thus this paragraph.

–

Ha, it's 10 in the night of what's been a long day.
Got cashed out in the morning. Bought all immediate things.

I don't remember 90% of the things that happened today, yet I have about 100 things to tell.

Suhas and manja went to cash the cheque. Stood in queue at sbi for half an hour then got to know it doesn't accept sbm cheques. Went sbm main branch since college extension was closed. Stood in queue. Understood that more than 20,000 can't be taken off another branch.
Finally they went sbm stood in queue and got the cash.
Booked the domestic gas cylinder straight away, to avoid gas trouble. And it got delivered in the evening. Somanna, me and manja were playing football with empty cylinders.
Then, vegetables for immediate relief. And the workers needed Sabina. We kept them waiting waiting waiting while the vegetables and chicken came. Finally they washed plates with wheat flour.
Afterwards, suhas, uday, naveen and manju went bandipalaya – the one stop solution for all kitchen worries while I watched the cooking of the chicken in the kitchen.
In between the poojari came to give his list of offerings to God which had to be ready by 6. And luckily the sweet swathi came to the rescue by offering her kind help in bringing them :*
Even though manjunath returned for the same by that time. The pooja was done without any problem.
Then, since workers were reluctant to come early morning tomorrows idli has no sambar.
And I'm very sleepy gotta wake up tomorrow too.

Despite the inclination towards staying out of hostel every moment possible, I took up mess prefect-ship this November of 2012, partly due to my mother tongue, partly because I desperately want to be organized.

Ever since Nilam hit the east coast yesterday it's raining like malarial fever. Yet I woke up without any alarm at 5 am.

Since it's the first day, all of us – suhas, uday, manjunath and me were at the adigemane by 6.30

And the grinder stone is stuck because the rope tying it has fastened its hold. Cut it out like a surgeon does to the intestine, and fix it again.

Thakkali bath.
And then we understood why items like bisi bele bath, even though despised by everyone to the same utmost extent, continue to be in the menu. The main cook has taken a leave for 3 days and among all others left, nobody knows how to cook anything better than tomato bath.

And breakfast was ready 20 minutes late.

Preparation of lunch started immediately. As decided, till the cheque is sanctioned, vegetables whatever is in stock will have to squeeze through till tomorrow.

Luckily or not, today happens to be a holiday owing to the anniversary of the creation of the state. "National" holiday like some of them say. But the infamous gas trouble has no holiday. Gas as in cooking gas. While the whole nation is curbing the number of cylinders one can have, our consumption keeps on increasing. So does the amount we have to pay for each cylinder. And our personal ATM accounts went plummeting down.

Sandwich sweet from Bombay tiffins and thus the lunch.

Dinner payasa was cancelled because there were worms in the raw material.

And some eggs had to be thrown out because of bad quality. So we were giving out them very miserly. But guess what happened, in the end there were a lot of excess and nobody wanted to eat at all.

Then, after witnessing previous prefects fighting with a worker about whether or not she was given one installment of her salary, I proceeded to making my favourite night tea. The old security who used to make it taught the new security how to make it and I watched over the process reassuring that if something goes wrong there are people around to help – the reassurance that makes a team of two better than two individuals.

I wanted to be a pilot once, because I thought it was the busiest multitasking job. Should thank my partial color blindness for distracting me from it because inside the Medical Officer inside the Out-Patient Department holds that record.

He was attending phone calls, sending commands, instructing PGs, attesting certificates, examining patients and in between all that teaching us third term students – how pain in abdomen is the most common case sent to surgery OPD, how Upper Urinary Tract Infection appears as radiating pain from loin to groin, how carcinoma breast is immediately admitted, how difficulty in defecation is mostly due to fistula in ano (and we saw per rectal examination on the first day), how his guess of Helicobacter pylori infection was right about a PA, how inguinal lymph nodes swell in lower UTI…

I texted my sister right after the class "excited like non-anesthetized nerves from a freshly cut limb"

And then Operation theatre on Wednesday after Gandhi Jayanthi.
Saw appendicectomy and hernioplasty. Skipped pharmacology class at 11 to see the latter through.
How sutures are made, how to cut with the tip of the scissors (like my dad always used to say "surgeon’s tip"), how to support the scissors with the other hand so that the cut can be precise, the ovary, the spermatic cord, the iliac artery that was spared from being pierced, the mesh used to contain hernia within, the sac of hernia, the appendix, the windows in the mesogastrium (or whatever that’s called), everything, spinal anesthesia, normal anesthesia, fistulectomy, and a complicated surgery on the other table.

So, we go to the lab in the morning at 8.30 without breakfast. And wait there till about 9. I went without a watch and there was no clock like in anatomy hall, so don’t know the exact timings.
The group is divided into 3. One group starts with hematology, one goes down for human experiments, while my group starts with clinical physiology.

I get the questions
"Palpate and auscultate axillary and posterior lung fields"
"Examine the sensory system of the subject"
The examiner conveniently lets me skip demonstrating 90% of tests.

Then, I go down to do the perimeter experiment. Easy viva: parts of the instrument, what is blindspot.

Running back to the hematology lab I have the most important segment of the  day in practical side.
Major experiment: Absolute eosinophil count
Minor experiment: Bleeding time, clotting time
Chart: Jugular venous pressure
Problem/case: Hemiplegia

Confronted with all of them simultaneously, I did a small dance 😀

Finished off the minor experiment while trying to focus the old worn out Neubar’s chamber. And that let me take the viva for that experiment (which included the charts and problems) along with the first set of people who’d been doing hematology from beginning.
Bleeding time method: I answered Duke’s method. (What I did was, putting 6 points of decreasing size :D)
Clotting time method: Ans: Slide and nail method 😛
What is that thread you’re pulling out? Fibrin!
Ok, what stabilizes fibrin? Clotting factors.
Which one? Von Willebrend.
No? No idea.
Factor 13? Stuart Power. ?
No? IDK.
Ok.

So, jugular venous pressure.
What is the normal right atrial pressure? (I said 14 mmHg, must be even lower)
When is it higher than that? (I said right ventricular hypertrophy and tricuspid valve stenosis)

And this case history, what does it suggest? lesion in the lower part of internal capsule (after crossing has occurred) [copied directly from memory :P]
{I’ve a vague idea that the facial nerve is also injured, and that the symptoms are that of Bell’s palsy}
So when she asks what if the lesion had occurred before crossing, I say partial closing and drooping of eyelids. She asks what happens to eyes, I say IDK 😀

Then, I’m left with just the eosinophil count. And I’m still unable to see any lines on the chamber. I wait for people of first set to leave and snatch a newer Neubar’s chamber. Should say this one was perfect! All the lines right on my face. Thus I begin the battle. Drains blood, loads the chamber, focuses. Nothing on the slide. New blood, again loading, same result. Finally I think of the number of eosinophil cells, and understand that it would be too diluted. And trade secret idea, I take more of blood, and less of dilution factor. Only to end up with 550 cells/cu mm which’s slightly high. But that’s not because there were so many cells, it was because I counted every black spot as a cell. Before submission I strike down the numbers to make it 275 cells. Still the examiner couldn’t find out any 😛
Anyhow, when is eosinophil more in number? eosinophilia: allergy, parasitic infection.
When is eosinopenia? depression of bone marrow
what stain does it take up? eosin.
color? pink. no ma’am blue. I mean pink. Basophils take up blue.
What are the granules? Histamine, serotonin. NO, they’re basophilic granules. Don’t know.
Fine or coarse granules? Gothilla.
Ok, fine.

Then! viva. after lunch break (but no lunch taken)
First examiner. CNS
Descending tracts? Cortico spinal…
Origin of it? Somatosensory cortex.
Where is it? Precentral gyrus.
Where is that? anterior to central gyrus. Brodmann’s area 4.
Ok, what is postcentral’s number? 3,1,2
8 is? conjugate movements of eye in frontal lobe
[some other number]? I don’t know.
Wernicke’s area importance? Ma’am, seat of intelligence, all language comprehension everything.
Aphasia? 3 types – wernicke’s, broca’s, global.
Ok.

Second examiner: endocrine.
Anterior pituitary hormones? FSH, LH, ACTH, TSH, Growth Hormone..
Ha! GH. Functions? Promotes growth.
Through? IGF.
Expansion? Insulin like growth factor
also called? somatomedin c
ok, why are african pigmies short? because of deficiency of somatomedins 😛
tell me cause of dwarfism. GH axis deficiency, Thyroid axis deficiency.
Then? [thinking…]
Insulin, right? Yeah ma’am.
Ok, is insulin anabolic or catabolic. catabolic. No, anabolic. protein sparing.
Fine, male sex hormones? testosterone….
Klinefelter’s, Turner’s? I answer.

Examiner 3.
This viva was over in 30 seconds, and I remember answering the respiratory centres, and what deglutition is. That’s all 😛 Ha, she asked nephron also

Examiner 4: CVS.
Normal pulse rate: 72/min
What maintains that? sympathetic, parasympathetic
autonomic. Then? Then what sir?…[thinking]…
Don’t know BP? Pressure exerted by flowing blood on the artery walls.
Maintenance?? short term, intermediate term, long term
long term? renal
renal what? renin angiotensin.
ha. what is sarcomere? Functional unit of muscle fibre.
Define it! the smallest unit, consisting of actin band, myosin
just define sarcomere. functional unit of muscle.
heard of z lines? ha sir, between 2 z-lines.
hmm. what is the difference between sarcomere in cardiac muscle and skeletal muscle?
Or tell me, anatomy of cardiac muscle. branching, anastomizing, central nucleus. intercalated discs.
what is syncitium? cells acting together.
hmm. fine.

And I leave to have food.