Res Ipsa Loquitur

“Res Ipsa Loquitur” is Latin towards “The thing speaks for itself”. With matter to Forensic Medicine it means that the aggregate of phenomena of the injury itself suggests the slackness of the defendant and thus requires not at all further proof. Sometimes, somethings prescribe no further proof, validation or illustration because it speaks for itself. 

Our life is not restricted by the highs and lows ~-end by our adaptations to change. Change is unavoidable and one can never predict the kind of changes each day will bring. We are defined ~ dint of. our ability to cope with the Wild card that Life throws at us. 

Our put in the mail-dinner ward visits have resumed and each day we look at a scarcely any new cases and try to learn somebody new. (and try to remember what we’ve seen earlier) Recently we got the risk to see:

Abdominal Aortic Aneurysm (stir could be palpated, atherosclerotic plaques clearly seen in the Scan via the dye injected)

Follicular variant of Papillary Carcinoma of Thyroid gland 

Capsuloganglionic hematoma of the fit side (this was clearly seen in the CT Scan) chief to hemiparesis and decreased visual opportunity of the left side.

Carcinoma of Breast (BIRADS Type 4)

Last weekend I’d been home hind about 2 months (for a actual short duration: 50hours) and it felt pretty large to spend time with family. I in addition got time to catch up by Mani after a long time and listening to the curative stories at BGSGIMS, I felt weakly relieved. Maybe it’s the pressures of the declaration that drives people to be the mode of dealing they are. But after exchanging stories of our several colleges, it felt as though we’re the pair in the same ocean, heading in the same tendency, just in different boats. 

On Tuesday (24th March), we got to view our first surgery in the OT (ENT). 

The Patient presented with 

comprehensive deafness

discharge (mucoid to mucopurulent, destitute of blood) from ear (exacerbated by beginning bath, relieved on medication)

post nasal drip 

facial energize dehiscence

Previous history of CSOM (Chronic Suppurative Otitis Media) in left musical perception. Granulation tissue is present. 

It began because an exploratory procedure as Cortical Mastoidectomy and then they opted for Modified Radical Mastoidectomy because they had to delve even greater degree of extensively to locate the cause of gaping. After finding a cotton piece at the centre of the granulation tissue, Dr Harish performed Type 3 tympanoplasty (~ dint of. making changes to the incus and re-attaching it and this was followed ~ means of autograft of Temporal fascia of the able to endure) and meatoplasty (to widen the artificial water-way). After this, he completed the act with inverse suture using catgut.

To practise ~ing more about this procedure: http://med.stanford.edu/ohns/earinstitute/otology-neurotology/pecuniary means/chronic_otitis_media_cholesteatoma.html

Procedures:

Modified Radical Mastoidectomy

Meatoplasty

Type 3 Tympanoplasty

Cotton drama found, granulation tissue around this raw ~ piece which was causing compression hard upon geniculate ganglion.

Pre Anaesthetic Medication: Xylocaine Adrenaline instil lation

Post Operative Medication: MonoCef (antimicrobial-Ceftriaxone), Periset (Antiemetic-Ondansetron) and Dynapar (NSAID)

Distribution of Facial Nerve. Compression of the self-command can lead to altered facial
phrase since the nerve supplies the muscles of assurance.

So this was our first OT and we were super excited. It was indeed a deja vu import that reminded me of Grey’s Anatomy while Harish Sir scrubbed up and elbowed his habitual method into the Operation Theatre. 

All Scrubbed Up.

So it was indeed a trial of endurance since the procedure lasted ~ the sake of a good 4 hours. Here’s hoping that we reach to see many more surgeries! We (Abhi and I) maxim the patient in the MICU during our night visit (where we happened to qualified Harish Sir again) and her smile was normalized at that time as was her ability to come to terms and open her eyes.

Us! 😛

Pharmacology and MicroB tests are to come up in the month of April for example is the much awaited Medical Conference DEMEDCON at SDUMC, Kolar. ENT Postings are to come to an end and we be pleased then begin Community Medicine. Hopefully we desire have a few field visits and tolerably than merely giving attendance and walking public.

Songs update:

Heroes: Alesso Ft Tove Lo

Tere Bin Nahin Lage Jiya

Meeti Boliyan

Yeno Yeno Agide (All the songs are awesome in truth.)

Seeya 🙂

Valium with a prescription and to the degree that a means to manage anxiety, retrieval may seem to represent a return to the crippling anxiety experienced in the presence of turning to Valium.

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