FIRST DAY OF SECOND YEAR MBBS

FIRST DAY OF SECOND YEAR MBBS

                                                                                                      -by Himalaya Goyal & Kunal Kumar


After having our 1st year MBBS exams, we were like free birds in the sky , wandering here and there , with no feeling of fear. We all went to our homes and enjoyed our vacations with family, friends and relatives. Coming back to home was like escaping the ruthless world (finally jaan bachi). As our vacation was on its last phase the fear of result stucked us and the heat of tension was increasing day by day. Finally the day arrived, when we all was on our death bed with  laptop besides us. Finally the result arrived and I PASSED (pappu pass ho gaya).
Guys , funny thing was that I just cleared my 1st year MBBS but my parents were creating chaos as if I have cleared my PG FINALS but even more funnier was that ,I was feeling as if I am the king of this world(dhoom machale dhoom machale dhoom). Everyone was cheering me for my success and my parents were very proud of me (papa kehte hai bara naam karega, beta hmara aisa kaam karega).
The day came when I had to leave home for the college(kal phir jaldi uthna padega). Next day I had to attend my first class of 2nd MBBS but the next level tension choked my mind when I heard of clinical postings(ab ek aur tension).
The next day came and I attended my first theory lecture of microbiology and I was feeling like that I can easily get through 2nd year( ye to ho hi jayega), but the hell was yet to come. NEXT CLASS “PATHOLOGY CLASS”, and after pathology class I realized that anatomy was much easier than this( gayi bhais pani me) .After crossing through the ring of fire(pathology), even though I was standing dumbstruck, I made myself calm and prepared myself for the clinical posting.

My first posting was in the surgery ward, When we entered the surgery ward. On seeing the view , current flowed through the back of our spine. And that day I realized “what life really is”(sach ka saamna part 2)
Keeping away these thoughts we met our seniors  present there and introduced ourselves(purane din yaad aa gaye). Though it was our first day seniors were asking us questions after questions , and we were completely helpless thinking “how I passed??????”(apni aukat pta chal gayi) . But after the harassment they guided us and showed us where we really lack.

 
After that we visited operation theatre, where we were surrounded by senior doctors.Even though we hadn’t recovered from the earlier firings, the new round of firing started but this was not the end(aasman se gire ,kajoor par atke). The firing of questions were hitting hard because these questions were asked at that time when we were seeing the operation for the first time in front of our eyes( aankhein phatti ki phatti reh gayi). At that moment we were completely BLANK and were trying hard to hide ourself from the sight of doctors(bhai aage se cover kar).

After going through these hardships, we had no strength left in us to face anymore surprises( aur naa ho payega), but with good hopes we went to attend our last class of that day and that was of pharmacology. As the class ended I was literally thinking to suicide(ye dunia, ye mehfil , mere kaam kin hi)
Lastly dil ke armaan aansuo me beh gaye but still mann me hai vishwass ,pura hai vishwass , hm hoge kamyaab EK DIN.

Surgery with da Vinci

                              da Vinci                             

Many of us have seen robotic arms in car production assembly line , and the precision with which all these robots work together is very impressive , but what if we can also use this technology in medical surgeries. Isn’t would it be wonderful?  da vinci is all about this very precised and impressive technology.

With the da Vinci Surgical System, surgeons operate through just a few small incisions. The da Vinci System features a magnified 3D high-definition vision system and tiny wristed instruments that bend and rotate far greater than the human hand. As a result, da Vinci enables your surgeon to operate with enhanced vision, precision and control. Additionally, the enlarged image allows for expanded visibility beyond that of the human eye alone. Therefore, the da Vinci® Robot System provides surgeons an opportunity to perform more intricate and complicated surgical procedures than other traditional minimally invasive methods.

Many surgeons today are consistently looking for new, technologically advanced ways to perform procedures in a manner that provides faster recovery and fewer complications than traditional surgical methods. Currently, the da Vinci® Robot System is that answer.

The da Vinci System represents the latest in surgical and robotics technologies. da Vinci technology translates your surgeon’s hand movements into smaller, precise movements of tiny instruments inside your body.

The da Vinci Surgical System  is a robotic surgical system made by the American company Intuitive Surgical. Approved by the Food and Drug Administration (FDA) in 2000, it is designed to facilitate complex surgery using a minimally invasive approach, and is controlled by a surgeon from a console. The system is commonly used for prostatectomies, and increasingly for cardiac valve repair and gynecologic surgical procedures. According to the manufacturer, the da Vinci System is called "da Vinci" in part because Leonardo da Vinci's "study of human anatomy eventually led to the design of the first known robot in history.

Doctors need to have special training before they can carry out this type of surgery. It involves two machines

• The patient unit
• The control unit

• The patient unit

You lie on the operating table and the patient unit is beside you. The unit has 4 arms. One arm holds the camera and the others hold the surgical instruments. Three of the arms are for tools that hold objects, and can also act as scalpels, scissors, bovies, or unipolar or hi. The surgeon makes 5 small cuts in your abdomen. The camera and instruments are put in through the cuts to do the surgery. The patient unit is controlled by the control unit.

• The control unit

The control unit is where the surgeon sits. It is in the operating theatre with you but is separate from the patient unit. The surgeon can see the operating area on a screen. This gives the surgeon a 3D view that they can magnify up to 10 to 12 times. 

Below the screen are the controls. The surgeon uses these master controls to move the instruments on the patient unit. This turns any movements the surgeon makes into much smaller movements of the machine. It also reduces any shaking, allowing the surgeon to make very tiny, accurate movements. Cutting and putting in stitches is easier with the robotic assistance.

The surgeon must also rely on a patient-side assistant to position the camera correctly. In contrast, the da Vinci System's design allows the surgeon to operate from a seated position at the console, with eyes and hands positioned in line with the instruments and using controls at the console to move the instruments and camera.

The da Vinci System has been designed to improve upon conventional laparoscopy, in which the surgeon operates while standing, using hand-held, long-shafted instruments, which have no wrists.

MEDICAL USES

The da Vinci System has been successfully used in the following procedures:

1.Radical prostatectomy, pyeloplasty, cystectomy, nephrectomy and ureteral reimplantation;

2.Hysterectomy, myomectomy and sacrocolpopexy;

3.Hiatal hernia repair;

4.Spleen-sparing distal pancreatectomy, cholecystectomy, Nissen fundoplication, Heller myotomy, gastric bypass, donor nephrectomy, adrenalectomy, splenectomy and bowel resection;

5.Internal mammary artery mobilization and cardiac tissue ablation;

6.Mitral valve repair and endoscopic atrial septal defect closure;

7.Mammary to left anterior descending coronary artery anastomosis for cardiac revascularization with adjunctive mediastinotomy;

8.Transoral resection of tumors of the upper aerodigestive tract (tonsil, tongue base, larynx) and transaxillary thyroidectomy

9.Resection of spindle cell tumors originating in the lung

da Vinci Surgical Systems operate in hospitals worldwide, with an estimated 200,000 surgeries conducted in 2012, most commonly for hysterectomies and prostate removals.As of June 30, 2014, there was an installed base of 3,102 units worldwide, up from 2,000 units at the same time the previous year. The location of these units are as follows: 2,153 in the United States, 499 in Europe, 183 in Japan, and 267 in the rest of the world. The "Si" version of the system costs on average slightly under US$2 million, in addition to several hundred thousand dollars of annual maintenance fees. The da Vinci system has been criticised for its cost and for a number of issues with its surgical performance.

ADVANTAGES

1. Less bleeding
2. Less scarring
3. A shorter stay in hospital
4. A quicker recovery and faster return to normal daily activities.
5.  Less pain
6.  Less need for blood transfusions
7. Higher patient satisfaction

CRITICISM

Robotic surgery involves risk, some of which may be similar to those of conventional open surgery, such as a small risk of infection and other complications.

From a social analysis, a disadvantage is the potential for this technology to dissolve the creative freedoms of the surgeon, once hailed by scholar Timothy Lenoir as one of the most professional individual autonomous occupations to exist. Lenoir claims that in the "heroic age of medicine," the surgeon was hailed as a hero for his intuitive knowledge of human anatomy and his well-crafted techniques in repairing vital body systems. Lenoir argues that the da Vinci's 3D console and robotic arms create a mediating form of action called medialization, in which internal knowledge of images and routes within the body become external knowledge mapped into simplistic computer coding.

FUTURE

The possibility of long-distance operations depends on the patient having access to a da Vinci System, but technically the system could allow a doctor to perform telesurgery on a patient in another country. In 2001, Dr. Marescaux and a team from IRCAD used a combination of high-speed fiber-optic connection with an average delay of 155 ms with advanced asynchronous transfer mode (ATM) and a Zeus telemanipulator to successfully perform the first transatlantic surgical procedure, covering the distance between New York and Strasbourg. The event was considered a milestone of global telesurgery, and was dubbed "Operation Lindbergh".

7 Offerings for Medical PG Aspirants

Union Budget 2017: 7 Offerings for Medical PG Aspirants

Union Budget for the financial year 2017-2018 was presented by Finance Minister Sh. Arun Jaitley on February 1st 2017.

The Budget has positive offerings for the Healthcare sector and Medical PG Aspirants.

A massive Rs. 48,853 Crore has been allocated to the Healthcare sector this year as opposed to Rs. 38, 206 Crore last year.

This reflects a raise of Rs. 10, 647 crore which corresponds to 27.86% jump over 2016-17.

This blog will familiarize you with what all the Union Budget has in store for Medical PG aspirants.

7 ANNOUNCEMENTS:

1. Creation of 5,000 Additional PG Medical Seats

In order to deal with the problem of acute shortage of Doctors in the nation and to ensure adequate availability of Specialist Doctors to strengthen Secondary and Tertiary levels of Health Care, the Government has announced the creation of 5,000 additional PG medical seats in the nation.

Medical PG Seat Strength in the nation is currently 18,000 in Clinical Subjects which are not sufficient to match its teaching and research requirements.

2. Upgrade ‘District Hospitals’ as ‘Medical Colleges’

The Massive increased allocation has gone to a scheme which has the intention to upgrade 58 Government District Hospitals as Medical Colleges. 5 District colleges have been upgraded so far. The Budget seeks to target the rest with an allocation of Rs. 4,000 Crore this year.

3. Strengthening PG Teaching

Centre plans to strengthen PG Teaching in select ESI and Municipal Corporation Hospitals.

4. Rolling Out’ DNB Courses

Centre is planning to take steps to roll out DNB courses in Big District Hospitals.

5.  New AIIMS to be Set Up

Budget has announced that 2 New AIIMS will be established in the states of Gujarat and Jharkhand.

6. Steps to Encourage Hospitals to start ‘Diplomate of National Board’ Courses 

Budget has announced that steps will be taken to encourage Reputed Private Hospitals to start DNB Courses

7. Permission to "For Profit Companies" to Establish Medical Colleges

The budget has also granted permission to profit companies to establish Medical colleges after satisfying minimum statutory norms of the MCI.

This provision will facilitate any registered company such as Reliance or Fortis or Wipro to set up Medical colleges.

IMA AND MEDICAL STUDENT PROTEST AGAINST EXIT EXAM ALL OVER INDIA

IMA AND MEDICAL STUDENT PROTEST AGAINST EXIT EXAM ALL OVER INDIA

The Union Health Ministry on December 29^th 2016 unveiled the draft Indian Medical Council (Amendment) Bill 2016 according to which MBBS students will now be required to qualify the National Exit Test (NEXT).The draft makes provision for an exit test (National Exit Test or NEXT) for MBBS graduates to qualify for medical practice. This provision aimed at providing a level-playing field to both government and private college students. A Central Government Official stated that National Exit Test (NEXT) will help enhance the quality of medical education in the nation and help benchmark students.

The Quota

The bill suggests that 50% seats in all government medical colleges should be reserved for Government/UT medical officers.

Only the medical officers who have served in remote and difficult areas will be eligible for the quota.

And after getting a PG degree through this quota, the candidate will be required to serve in difficult and/or remote area for 3 more years.

NEXT will substitute 3 tests

1. NEET for PG admissions

2. Foreign Graduate Medical Examination

3. Recruitment for Central Health Services.

NEXT : An outcome-based test

The results of how candidates from individual colleges have performed in NEXT will be made public. In case a college has more than 90% of candidates qualifying NEXT, it will automatically serve as an indicator that the college provides quality education and candidates will then be able to make an informed choice while selecting colleges.

Dr P Shingare, Head of State Department of Medical Education & Research stated that NEXT is a good move. He added that Students from different universities cannot be equated in terms of their medical competence and NEXT will bring about standardization in this direction.

A professor stated that an inspection by authorities can merely rate the infrastructure of a college and the outcome of NEXT will serve as a tangible parameter to ascertain the quality of that college.

 

Such a move will belittle the scope of the MBBS exam. Why have another exam when students anyway write the final-year MBBS exam? Does it mean the degree is invalid?

India already is facing a shortage of 4 lakh doctors and 10 lakh nurses. Any such rule will demotivate students as it will degrade MBBS as a degree

 

1.   This exam will further reduce the number of MBBS graduates in India and  distort the     doctor patient ratio more.
2.    Doing MBBS from India and abroad will not make any difference anymore,    since the     student will have to take the licensing exam in both the cases. So      more students will     chose to graduate abroad.
3.    MBBS graduates who have not cleared NEXT will be left unemployed or they      might     be exploited by private hospitals at very low salaries.

During the last week Medical students all over the India including both from government college and private college boycotted classes and hold protest and rallies outside their colleges. The protest is being conducted under the aegis of the All Indian Medical Association (IMA).

Earlier an online survey was conducted according to which:

A total of 1.68 lakh people sent their opinion to MOHFW out Of which 96,000 were sent against the bill and 72,000 were sent in favor of the bill.

Opinions:

 President of IMA Belagavi Chapter Prakash Rao said that NEXT would lead to discrimination against Indian graduates. It was also matter of concern that if a student failed to clear NEXT, he/she would be compelled to study one more year. Such a situation would further widen the doctor-patient ratio.

IMA general secretary Anil Patil said students of MBBS and doctors were opposed to NEXT and therefore, the government should reconsider its proposal and withdraw it immediately

Dr RS Kapoor, president of IMA (Agra ), said, "It is mere harassment of medical students and would create a lot of trouble for them."

Dr DD Choudhury, honorary secretary general, (IMA-Uttarakhand), said, "A medical student goes through a series examinations in all subjects - theory, clinical and viva - with the bar being already set high at 50% marks. Subjecting the budding doctors to another exit exam is nothing but harassment. The same bill also plans to exempt foreign graduates from qualifying the exam to allow practice in India and this is absolutely bizarre."

FROM HIGH SCHOOL TO MEDICAL COLLEGE

FROM HIGH SCHOOL TO  MEDICAL COLLEGE

"The doctor is not a profession, but a way of life. It requires purity of soul and thoughts. A veritable doctor is not the one who knows and deeply studies medicine, but the one who understands his duty to the people."

The journey of  a doctor begins from high school where we have to study biology along with the crazy physics and hardly understandable chemistry.  After 2 years of high school we have to tackle the board exam along with the pre-medical test.

Every year about 8 lakh aspirants apply for the entrance exam out of which only few thousand achieve their goal(jinke paas LLP hota hai-luck, labour aur paisa. paisa for private college). During that period most of them who achieve a medical college are very happy but at the same time there are also some people who desire for more(mujhe to AIIMS hi jana hai). Those who failed, prepare for the next year. They keep on trying year after years until they achieve their goal but most of them lose their patience and get diverted.

After the successful entry to the medical profession we were very happy but the real life problem starts from here(aur ye yaad karne lage ki maine mbbs karne ki kyu sochi). It’s a college where we understands the importance of 0.5 marks(warna school me to 90% laya karte the) , importance of 75% attendance and various other issues which were of less importance to us earlier in schools.

Day 1 morning begins with the B.D Chaurasia( jab sabne BDC kharidi hogi to sabne sabse pahele cadaver wali poem padhi hogi) and the stinky dead body(sochta tha ki kab sir bahar jaaye aur main cadaver se dur jau), but inspite of it’s foul smell most of us were super excited and the only thought was to just cut it down(aaj to bas kaat dalna hai). As the day progresses we attend anatomy, physiology and biochemistry lectures which was hardly understandable to us( bhai ,sir ne aaj kis topic ke bare me btaya?????). Every day we used to attend classes with the hope that may be today I am going to learn something new in classes(shayad aaj sir ki baat samagh aa jayegi). But I hope ,that hope is still a dream for many of us(sapna sapna hi reh gaya). But even after losing our hope there was an attracting force which motivate us to go to the classes, and that force is known as ATTENDANCE FORCE , but sometimes even this force of attraction was not enough to overcome the force of repulsion which includes our sweet dreams(aaj class chor dete hai , bahut neend aa rhi. attendance gaya bhad me) and self confidence that I can study more at hostel and then waking up at 12 PM .

Sometimes the conflict between these two forces leads to a situation which is known as MASS BUNK, whose consequences we have to face during exams especially viva exam when teacher says that “beta tmko kabhi class me dekhe nhi. class kabhi kiye ho?”

Surviving through all these issues and passing through all these conflicts, here comes the time when we are just a week away from our examination. During this period we try to figure out the syllabus( bhai kaun kaun sa chapter aa rha?????). After finding that it’s too vast to be finished within a week, we regret (for few minutes only) and promise ourselves that  I will study sincerely and regularly from the next time, and bribe God for atleast passing the exam(Bhagwan iss baar bacha lijiye agli baar se mann lga kar padhuga). And finally we conclude that we will study only IMPORTANT TOPICS(important topic to bahut kam hai , 3 din me aaram se ho jayega to 3 din baad se start karege warna exam me bhul jayege) and again start to enjoy till we have only 2-3 days left for the exam. Those 2-3 days are the period when we study seriously (raat aur din sirf padhai).

During the exam we just write the whole thing we studied last few days taking into consideration that not even a single word we read was wasted(pages bhar dete hai aur kahani likh aate hai)

After the exams we feel very relaxed(bahut padhai karli ab kuch din sirf aaram) without caring about what’s going to be happen in future on the result day. And with all these and without even remembering  the promise we made few days back  we finally come back to our original form(kuch cheeze kabhi nhi badalti).