Woke up to a dream today, like the last few days. Ran to surgery ward where we discussed deep vein thrombosis – Virchow’s triad and more. Try this question:
A very young girl (13 or 15 year old), comes to emergency room with acute abdomenal pain in the right iliac fossa. What do you do/ask/investigate?
After rounds, where we saw dramatic improvement in a thromboangiitis obliterans case after lumbar sympathetectomy – his left leg which was colder than the normal right limb has suddenly became warmer, Anie, who just landed in India last day, gave us chocolates and the best cake on Earth which her mother made.
Later had fruit salad with ice cream with Trees (who’s leaving for home today), Sweety, and Maggie, followed by butter fruit juice and heard about the amazing fight over closed toilet doors in LH. Speaking of going home, Hari is also going home after having handed over Terrorist to a mess worker two days back.
My order for rechargable batteries and there charger was delivered by Amazon/BlueDart in the evening. So, while that’s charging, I set up my standing desk again.
 |
| My standing desk. The zig-zag aluminium laptop stand was originally meant for using on the bed, but it is very versatile. The wireless keyboard and mouse you see on the table is not used while standing, but rather when it becomes sitting/sleeping desk. |
Just as I finished setting it up, I discovered this #100HappyDays challenge and decided I’d enroll. The standing desk and the fruit salad would be happy day #1.
BTW, for that young girl, if you take her to operating theatre, you might not find acute appendix like you wished for. You ask for last menstrual period and rule out Mittelschmerz – which occurs at the middle of the cycle and presents with pain. It’d be a good idea to rule out pregnancy too.
Subscribe to my Substack Newsletter
As you might have noticed, social media these days prioritize engagement and doesn’t really let people build relationship with an audience. One way to take back some control is to directly be connected to your favorite authors, artists, etc through e-mail. And that’s what subscribing to my newsletter is about, too. I’m intentionally staying away from substack (which is susceptible to enshittification), and self-hosting the newsletter. What that means is also that the mails could land in spam. So, please press “Not spam” if they do end up in spam. Thank you!
You can fill your details below
↓