Posts

Memory of my dreadful experience in a train journey

Image
Memory of my dreadful experience in a train journey That was probably in 1954, when my cousin took me back home at Cochin (then), Kerala, India by train. I was then six years old, and my cousin was over ten years older than me who took me to Irinjalakuda, 40 miles away from Cochin. The dreadful  incident happened on our way back travelling by train. My cousin was very fond of celebrating colourful  Irinjalakuda church festival. I showed my enthusiasm in going with my cousin to Irinjalakuda church festival. My cousin persuaded  my parents to allow me to go with him, as it was a unique opportunity to meet other cousins, see the fireworks and church illumination. Those days I was more interested in travelling, especially by train than enjoying church festival. They agreed, and my father gave strict instructions on looking after me. I stayed a couple of days in my maternal grandparents house in the centre of Irinjalakuda. My cousin took me to the church on Saturday evening and Sunday afte…

An appraisal of Covid-19 pandemic on an international perspective.

Image
 An appraisal of Covid-19 pandemic on an international perspective.
As on the 07th August 2020,in the whole world 19.6 million people were infected by the corona virus and 715,000 people have died. Country wise, the US lost the maximum at 160000 people but their per million mortality rate is only 488.53. Considering per million mortality rate,Belgium ranks the first at 863.33 per million.This is closely followed by the United Kingdom where the per million rate is 698.06, then Peru at 638.46 and followed by Spain at 609.97 as per today’s statistics. One of the countries claimed to be having no mortality or infection is North Korea bearing in mind that the regime suppress all unfavourable data. Pacific Islands are said to be without corona virus infection. Although an autocratic state, the reports from Vietnam is more credible than North Korea, where the total mortality is only10, and the per million rate is only 0.1!. If true, it is a good record, bearing in mind the country is densely …

Corona virus attacks not just the lungs!

Image
Corona virus attacks not just the lungs!Now we are increasingly hearing that post convalescent patients experience bizarre symptoms like inability to smell, ringing sensations in the ear, burning sensation, diarrhoea,cardiac irregularities, deep vein thrombosis, stroke,disorientation and so on. Normally, after a severe viral infection, one can get post viral fatigue syndrome causing excessive sleep and weakness of the body. In fact this RNA virus is more virulent and inflicts more tissue damage. Corona virus with its spike protein, attaches to specific receptor known as ACE2 ( Angiotensin Converting Enzyme 2) on the surface of the cell. This helps the virus to pass through into the cell. The virus turns the cell into a factory producing millions of viruses. This can be breathed out causing infection to others. One unique disastrous feature of the corona virus infection is that it does not evoke a distress response in the cell to produce antibody immediately. ACE2 receptors are not onl…

Dr.H.Adenwalla, the smile maker doctor

Image
Dr.H.Adenwalla, the smile maker through yearsI knew Dr.Adenwalla personally, when I worked in Jubilee mission Hospital, Trichur (then), Kerala, India through my working in general Surgery, in 1974-1975 period. He joined JMH, in 1958 as a young doctor who was then all in all, doing casualty work, setting fractures, and doing general surgical and ENT work in a restricted space and limited technical resources set up. Since then, the growth of JMH was phenomenal, and now it is a teaching hospital with many blocks of multi storey buildings. When I worked there were other two surgeons, both of them also from Bombay, and two junior doctors. Everyday he starts early at 8 am dressed in his white shots, T shirt, and with his Integral round lens spectacles. After the out patient clinics, he goes for a ward round, which is very elaborate, time consuming and one should have a lot of patience to follow him. So is the case in assisting abdominal surgical operations, and plastic surgical operations l…

How does 90 minutes Covid-19 test work?

Image
One of the readers of my blog would like to know more about the 90 minute rapid test for Corona virus test to be rolled out by the U.K. government.Kits are to be made by London-based DNANudge, and will be launched next month. It analyses DNA in nose swabs but saves time as the results do not need to be sent to a laboratory. I do not know how it works as the coronavirus is a RNA VIRUS with URACIL nucleobase.I understand it works by DNA polymerase.In Coronavirus RNA virus mapping Uracil (U) is one of four chemical bases that are part of RNA. The other three bases are adenine (A), cytosine (C), and guanine (G). In DNA, the base is thymine (T). The advocates of this 90 minutes test claim that unlike Polymerase Chain Reaction test (PCR) false positive and negative are fewer. Like quarantine, social distancing, washing hands, wearing masks, testing is also very important tool to track down the contacts, and isolate them. Therefore testing is the most significant ammunition to tackle the spr…

My life since retirement

Image
I received a lot of response from my contacts, when I sent them messages to promote my blog website. I have not heard from most of them for a while. One thing they are all asking is about my activities in Covid-19 period. Let me explain everything in perspective. I retired from my professional life in the end of September 2019. Although there is an option to retain the General Medical Council registration, I preferred to relinquish my registration, as world explorers burn their boats when they discover a new island or a continent, so that they would not have the the means to go back. Together with the registration, I cancelled the medical malpractice insurance and the Care Quality Commission registration. As the pandemic was raging, the government thought of bringing back doctors who have retired up to two years back, anticipating there would be more need for healthcare staff. I received a formal letter from the GMC on 27th March 2020, that I have been conferred the registration as pa…

A Brief encounter with Princess Diana

Image
It was on a Wednesday morning on the 30th September 1992, then HRH Princess of Wales visited Royal Cornwall Hospital, Truro. I was then working in Accident and Emergency. On my way to the canteen through the basement, I noticed strange, people in  uniform checking bins, clinical waste and sewers.Since it was unusual, I asked one of them what was going on and I was told that Princess Diana was visiting the hospital and they are just doing the security checking. I have never been a fan of monarchy and naturally I forgot all about the conversation. I started to work, but I could nod avoid noticing well dressed female staff. In Royal Cornwall Hospital, the well designed A&E area has four  cubicles on either side with a wide middle area. In between the first and second cubicle on the left, there is a passage into the resuscitation room. Usually patients are seen again, in the cubicles after the necessary investigations. I noticed that my male patient with injury to the left foot was …

A forward about my upcoming blogs.

Image
Watch the space!This blog is about my experience as a doctor working in various countries in different clinical set up. This experience spans through 45 years, in which I acquired a lot of favourable contacts and unfavourable encounters. I shall dig deep into them and make it interesting to the readers. Unlike others in the profession, I worked as a community medical officer in a remote areas, prison medical officer, benefit service medical officer, in cardiac surgery in prestigious institutions and as a private doctor. I was managing my own businesses, and real estate in three  continents. I hope the information I impart will be valuable to the like minded readers

Living with the pandemic

Image
It has been over six months since the whole world has been under the threat of corona virus. The covid-19 started in China and gradually it spread to most of the countries. So far 17 million people have contracted the disease and 670000 people died due to the disease. Mortality is more in elderly, ethnic minorities, male sex and immune compromised people. The pandemic has severely affected everyday life,earning capacity of people and economy of all countries affected. Although there is progress in developing a vaccine, it is not yet in the market. The virus is capable of replicating in adverse conditions, and expected to mutate and can come back in a second wave. Evaluating all aspects of the nature of the virus and pandemic, it is going to be with the mankind for an unforeseeable period. Tried and tested measures like quarantine, social distancing, washing hands, and now mandatory face masking are to be accepted as part of everyday life. People have to mould their life according to u…