Welcome to my personal website. Thanks for your visit. Read around & express your views.
Simply scribbled down a short diagram to summarise macular function tests for easy remembrance:
Macular Function Tests in short
Basically, tests for macular function are:
Macula is a yellow spot in the retina of eye.
This diagram is based on Indu Khurana’s textbook of ophthalmology
Sil, sila… silsilaa… ha…. have u ever watched the best rated malayalam album recently released. Its worth watching, for you will lay flat for next few hours! I dont understand from where the crew behind this drastic piece work gets courage from! A shoot-at-site should be ordered for such directors… Ensure you dont have any other job after watching this video.. okay? here is it:
Hurray.. my work is awarded!! My website is awarded!!
I am awarded for the website i built for James Parkinson’s Movement Disorder Research Centre. Today in the function called by James Parkinson’s Movement Disorder Research Centre at Kannur Medical College i was awarded by the District Medical Officer of Kannur (DMO). The website was also officially inaugurated by the DMO. I am grateful to Dr. Sujith, the Director of James Parkinson’s Movement Disorder Research Centre.
Visit http://jamesparkinson.in to visit the home site!
For the upcoming International Movement Disorder Conference website, i made in the same domain, visit http://jamesparkinson.in/summit2010
Yesterday was an eventful day! Oh, i forgot to tell you that we are now posted in Ophthalmology department. (Ophthal dep of KMC is one of the academically very strict departments of Kannur Medical College. We dont usually stand with a ease in the department OP always. Coz, dont know when will the sharp arrows by the teachers will strike us! Ophthal professors always ask questions, but i must say that it is very good for us, for we learn from then and there itself. But there is one exception, i dont often like the way the senior most of the dep asks questions. If questions are asked and if we dont know, they must teach us; thats why we are there, or otherways we would sit in hostel and read the text book on our own. I dont like just simply being questioned without teaching back if we dont know what they ask. {This is my space, pls read my Disclaimer)
Ok, so yesterday, we dont know how, but was a very interesting day in ophthal department. Very interesting cases were coming to the OP (Out Patient Depratment, for those who dont know 
)
Most of the cases, we could diagnose. Most of the questions asked, we answered! We felt the day interesting. Many new knowledges we got that day!
There came a 17 year old boy with head ache to the department accompanied by his parents. He was medium complexed, with neatly combed hair and with a guise of anxiety on his face. He did never bother to spread his lips apart for he felt something wrong with his being!
He didnot have any problems except head ache. He gives a history of morning head ache since weeks sometimes associated with vomiting. He had shown to some ENT doctor and was referred to Vasan Eye Care for ophtalmic problems. He had slight difficulty in vision in right eye. But it was not significant. From Vasan Eye Care (the most renowned eye care corporate) the case was diagnosed as papillitis (Wiki). He had a severe bilateral papilloedema too. So, he was advised treatment with high dose Methyl Prednisolone ( A Steroid) inj from Vasan. The injection costs 1000 Rs. per vial and such 3 injections were done. But his symptoms did not recede.
They at last came to our Ophthal department this day. Dr. Lalith approached Ranjini mam because of this abnormal findings. The case gathered interests of all the faculty of the department. A group discussion about the case was put up, which is not always common in the department; though one or two doctors talk each other of the cases. Professors provisionally diagnosed of something that is increasing the pressure within the skull cavity (Intra Cranial Space Occupying Lesion). Papilloedema is always associated with raised intra cranial tension.
He was referred to Dr, Sujith, the cheif neurologist of the college as an emergency case. Our ophthal professors asked us to accompany the patient. We went with the patient to the department and entered the neuro OP least bothering about the long queue; because we smelled something serious with this case. He was examined by Dr. Sujith and after a discussion with the ophthal department through phone call, an emergency CT scan of head was ordered. We could make out that they were not financially strong. But doctor ordered it as an emergency.
I noted Dr. Sujith scribing ” ? ICSOL ” in the OP card of the patient. After about an hour, report of the CT came as a tomour in the the fourth ventricle 
!!
Though i felt so sorry of his CT report, the very next moment i recollected my old thought, ‘never be emotional to your patient’. Thats simple for me now. A 17 year old boy is having a brain tumour to put it straight. What else to say? We have taken up a field where we are destined to face the unexpected! Lets pray to God for that poor boy.
Its all worldcup talks in the campus! Hostel, lecture back seats, labs, clinics, everywhere… setup a huge live projection screen in the boys hostel.. i am sure this time cup is with Argentina!!!!
Some times, i feel like the knowledge of computers is a curse to me. It draggs me to some situations from which i cant escape in any ways. Those require my services would be sometimes my close friends or sometimes even more important than them like those who impart me knowledge. How can i say no to them when they request for a help? For, i am just a student in the college. Its not that i dont feel like helping them, but at that very moment i may not be in a situation in which i can help them. I cant forget that though, i feel so at times, its not always. Most often i am privileged. But that isnt enough. I miss some important moments of my life because of this mixed knowledge. I just dont want to tell more about those moments. Sigh…
Friends, you know that i am a medico, and being a medico, we meet lots of patients each day. I had a very bitter experience recently being very close to my patients.
He was admitted for left sided weakness following a recurrent stroke (occlusion of a blood vessel in the brain) in the medical ward, around 60 yrs old. Near to him was another patient admitted for paraplegia (paralysis of both legs) due to a fall from which he sustained a spinal cord transection. I was very friendly with both these patients. Used to go in the evening to the ward and used to spend time with them very often. The guy with spinal cord transection was Mr. Santhosh. One who has talked with Mr. Santhosh only could understand his mind set. Though he cant use both of his lower limbs, his mind is unaffected by this. He was a bold and sound patient. He is a personality to be felt! His mother was even kind, and wouldnt leave me without giving something to eat.
The other patient with the stoke was also friendly, though not as Mr. Santhosh. Whenever we go near him, he asks “I will be alright soon yah?”. Without doubt and even without passing a second we use to answer him “why not?” for we were very sure he is gonna be alright very soon. Stroke in the brain though is danegrous, if proper medications and physiotherapy is administered would recover effectively. Days passed.
By my professor, i was the one fortunate to take the medical case, history and examination of this very stroke patient. Taking a case isnt so easy. When we take and prsent a case, we should ask and write down systematically the History and examination. It takes for students like us around 30 minutes to complete this. So here in the midst of taking the case, call came from the physiotherapy department for him. My case taking was stopped in the middle and he was taken to the physiotherapy dept. When informed of this to our professor, he asked us to continue taking the case fromthe physiotherapy dept. We had to go to the dept; physiotherapy is one of the most busy depts of our college. We had to trouble our patient for sometime to comlete the case taking. I remember him saying, he feel like fainting for which we almost dragged him to the bed and gave him rest. So like this we completed the case taking.
Meanwhile i got very friendly with his son. His son was the only caregiver at that time to him. When in the evenings i happened to talk more to him, the son, Mr. Reji, i discovered that he was a computer worker by profession. I was happy to talk with him. We shared our knowledge of computers each other. i had some doubts to clarify in Adobe PhotoShop. So i told i would come to him in the evening with laptop, so that i could learn something from him. I went to him in the evening and he clarified my doubts. I could learn some new tricks i did nto knwo in PhotoShop.
By all these means i happened to be very close with their family, both of the patients. But it didnt last longer. The stroke patient’s condition unexpectedly worsened. He was shifted to the ICU. An unforeseen harthal was declared in the district following murder of 2 in Mahe. Our professor couldnt directly attend the patient. His condition was worsening. He was shifted to another hospital in Kannur Town.
We didnt know what was his condition then. Later after some days, from Mr. Santhosh, I heard that the stroke patient was no more. I never expected to hear it. Was disturbed the whole day of it. What happened to him? Why did his condition worsen all on a sudden. Leave all those questions, there might be satisfactory answers for them. But, what had to happen happened.
I left for loneliness out to a mini park near a canal, where we used to go with friends. Closed my eyes and laid in the green grasses for hours… gazed into the blue sky and asked for myself, “Will I withstand these moments in future?”
