Private wing (3rd Month)

Published April 1, 2017 by Murk Shaikh

So I m moving forward, third month is over in private wing internal medicine, I had a really good time there too, I still remember, on 28th Feb 2017 i was sitting in paeds on call room, saying good bye to all great people i worked with in pediatrics, when i got a page from my future senior resident, i replied to it, i was holding back my tears, it was really hard for me to leave paeds and move on to internal medicine, I really wasn’t liking that i wont come here again and will have to work in “Private wing”.

He (My senior resident) told me about the patients that we are going to have, he asked to come earlier, because we had to discharge patients, i asked him to guide me the way to private wing, as i didn’t know about it, stupid of me:P he told me but i didn’t understand what he guided me through:p. I really didn’t like his call at that time, because i didn’t want to leave paeds and move on to internal medicine, not knowing that i will be missing private wing too in coming days, Of course i m not missing it as much as i missed paeds, i cried for paeds, whereas i m not crying for wing:P

So when i went there on first day, everything looked so strange to me, no voice page in wing, things were totally different from floor, no work load as such, we had very few patients initially, not more that 2 to each one of us, whereas i was used to of having so many patients on the floor, people used to say you should be thankful that you dont have patients in wing whereas it was so boring for me.

I had few good events and some bad events too here, well the best thing that happened to me was, i had a patient who had metstatic disease with unknown primary, she went for liver biopsy, i went along with her, when she came back from biopsy, she was in so much pain, i entered her PARA, when she reached in room, i asked staff to give that to her in STAT, staff said, let it come from pharmacy, she was in pain, i ran to pharmacy and brought it for her, which was really a simple act, but she got it and her pain was relieved, so the family thanked me alot for that, although whatever i did was just something that i should be doing, our priority is patient comfort, i could not leave her in pain and wait for pharmacy to dispense it. So, next when we were on round, they specially appreciated me infront of my Senior resident and then while leaving they personally asked if they can be of any help to me, i have been telling them that it was all my responsibility but it was so nice of them.:)

I also had few bad experiences, people have been telling me that when you are working in wing, you just have to counsel patients because they are coming with protocols, so you have consider them all the time, and most of the time they call us uselessly, judge their doctors of how much they know, some people are rude enough to come and shout on the counter, shout out loud. So, sometimes i felt like there shouldn’t be anything like wing, we should treat people equally, why do we have to be so much status conscious all the time? We had a VVIP patient, who asked for paracetamol and it was delayed for sometime because it takes some time to come from pharmacy and processing, so they were so much angry at us, senior resident apologized personally which i really didn’t like, I think we should start treating everyone equally so that people with a very big list of references also learn to be patient, and consider themselves like other common people.

Anyways, I had a really good time at private wing too, specially i liked it when my senior resident said “Murk is my best Intern”, i dont know how much he meant it, but it really matters to me alot,I also liked it when he appreciated me in front of other people saying that she is very good in a way that whatever i say she doesn’t repeat her mistake , i tried my best to be honest with my work, and tried to do it on time.

I m hoping for the best for the month of April,  hope i m going to enjoy on the floor:)

SO yes i m back to floor but not of pediatrics, this time its adult medicine:)

Hypothyroid associated myopathy:P

Published February 11, 2017 by Murk Shaikh

Well Hypothyroid Associated myopathy is something that i will never forget in my life>>>>:P  I was given this topic to present in PCM that is conducted at the end of each week in pediatric department. I was very much tensed, confused, worried and what not.

It was a new platform for me, i have just joined this place 40 days back, i remember how i used to get confused in presenting CPC and Journal Club back in my Medical College. I used to eat my friends head until it was presented.

Anyways i started preparing for that, and my seniors helped me a lot in preparing this, We knew that this is a little challenging topic and we are to be questioned about it, anyways so the Friday came and i had my call on the same day, so i had double tension of presenting in PCM and having Call.

My presentation was the last one, i was very much confused in the beginning and as i went on i  did well, the best thing about this place, people are so nice here that they encourage alot and they really appreaciate you all the time at your efforts , and everything.

I think i presented it well, but they appreciated me alot even more than what i presented, some of the them personally came and appreciated. I also received an appreciation mail and some text messages.

Although i know i m a very bad presenter, I have stage fright and i m not so good at public speaking but they liked it and that is quite surprising for me, at Question answer part i really couldnt respond well, infact i really sucked at that, even then everybody appreciated and that was one of the best days of my internship at paediatric deparment:)

I am really lucky to have these kind of people to work with.

Love

Published February 11, 2017 by Murk Shaikh

“Well its totally a random pick, random thoughts and random feelings;P”

Love, what it is like to fall in love, We never know, we can never feel, until or unless we have been through this at some point. People say it is okay to have feelings for someone it is natural but how do we actually know that we are in real kind of love, not a timely attraction.?

This is the confusion that remains, there is no criteria to differentiate whether it s the actual one or not.I wish if there was something like that:P.I have seen people going crazy, crying and crying, immersed in emotions, i think it always hurts, it leaves you crippled, your mind freezes and you are no more a normal person.

My description of love is quite abnormal, but this is what i personally think, and it is even weird, when you fall in love with a person who is only being nice with you, who has a little sympathy for you, we take it as something else, knowing that we are wrong and fall for it, this is the worst feeling and it hurts a lot.

Well, when you are being nice, just be that nice that other person doesn’t misunderstand your feelings and fall for it.

Falling in love is one the stupid things…. Keep me saved plzzzz….

 

 

“NEW STARTING AS INTERN”

Published January 27, 2017 by Murk Shaikh

Well it seemed a little difficult to work in at a place that is completely new, only people around are bunch of strangers, and You have no idea about your work, so yes things were little in the beginning but as we spent time we got to know about it, and i started to like it gradually, the best thing about working as an intern is you always have a margin to try and make mistakes, because it is just the baby step towards your career,as we level up our responsibilities increase and our margin to make mistakes goes on decreasing.

I remember i was really nervous on my first call, as we didnt have any calls during our student life, we just had our evening clinics till 9 and thats it, so i was nervous and w anted to go home so much , and it was my first day at work, first call ever….:p it didnt start so good, i was supposed to go with a tiny baby for CT scan to radiology, just in case if anything happens or i dont know what, anyways i went there and when  they started to ask about baby,s allergies, weight and all, i had no clue if i m suppose to know this so i told them to check the file or ask parents:P WHICH IS SO STUPID OF ME, anyways and then the baby was not sedated she was moving and it was making them hard to perform CT,they were kind of being annoyed i guess, well it started off not so good, but it ended well, because everybody knew we are new so we got the advantage of being new to system, didnt had so much to do….

My first month as an intern has been one of the exciting months, i have made some silly mistakes, but this is how we learn right? And i have got really good seniors to work with, it could have been really difficult to get used to that, so many people quit it, i m sure it is very difficult to manage when you dont have any one to take care of things.

And I have also got really good friends , in the beginning i missed my old friends alot, i reallly didnt like to get separated from them, but this is how life is, we cant be with them always:( but then after sometime i got some really nice new firends and life became a little easier.

Bad thing about it is we dont get our “ME time”, there is just one long weeekend that we get in a month, so i have been kind of disconnected from family and things happening in the world, alothough i was not so much connected before during medical student life but now it is like totally disconnected….

It has been really good time and i m hoping to have some more exciting experience in future worth sharing:P

 

GLimpse of Final year

Published March 10, 2016 by Murk Shaikh

Well, I must say this was the best time that we had in our one week Anesthesia rotation  and its making me sad that it is over, it,s not like i want to opt it as a field in future but the fun that we had is completely unforgettable. The best moment was when i passed the the endo-tracheal tube for the first time in my life on a live patient, my hands were shaking at first and heart beating fast,(since i was doing it for the first time) but then i passed it in a go, and i was so much happy:)

I have always been allergic to operation theater, i must say i m extra sensitive to its smell, and it is nauseating sometimes, but i have become used to it now.

Teachers we had were very fond of teaching, and they were very friendly that we were always comfortable with them. I always had problem in calculating the dose of drug making me feel that i m losing it with maths.:P

One of the other best moment was the way they resuscitated a woman who was in cardiac arrest in labor, they brought in OT doing CPR and immediately did emergency C-section, baby was out but he had no cardiac activity they immediately passed endotracheal tube and O2 saturation was achieved to be 100, this was really amazing of them to resuscitate the baby as well as mother on time.

An old lady of around 90 years of age with Anaplastic Ca of thyroid came for the tracheostomy in OT with Lt vocal cord paralysis, this was also one of the interesting case. Overall the whole week was full of fun and interesting cases that we had, this is the fun about being posted in Anesthesia that you can keep on looking different things happening around.

I m really loving it, i like it to be in the clinic, initially i found final year to be boring, but now we enjoy every moment in the clinic with the patients, and it is the wonderful feeling that you have when you actually cure your patients.

I hope i m going to have some more fun in the future>>>

Eliza

Published December 21, 2015 by Murk Shaikh

I m going to write about the story of a girl Name Eliza, She was a girl with big dreams, she lived in a small town in Pakistan, belonged from a Middle class family.
When she was born her grandfather passed away, her uncle had  to suffer from some business crisis so she was considered to be the curse for the whole family, Nobody liked her, no one invited her to the weddings birthday parties because people thought that if she was to come to their place it will bring some bad luck also along with her.
She felt depressed all the time, and she started to live her life in Isolation, she was the lonely soul, most of her time she spent crying feeling upset, and she was unable to concentrate on her studies too, she only went to school to pass the exams.
Eliza,s mother was the only person in the world who had the faith in her, she never considered her daughter to be the curse for the family, because she knew that it is all foolish to think like that.
Eliza wanted to get rid of that environment so she started to apply abroad for scholarship, she sent multiple emails to different Universities but she didn’t get any positive response because her Academic record was not acceptable to provide her scholarship.
She tried harder and when she was rejected from everywhere, she wrote in her emails that “Today I know that I m really a bad luck to everything and nothing good can happen to me”
As a response to that email, Eliza got the reply in which The University of Manchester in UK sent her the acceptance letter telling her that she is selected and has to get ready to come aboard.
Eliza was sitting on stairs when she checked that email, she didn’t believed at first that this is happening to her, and she screamed in joy, everybody looked at her with surprise, her granny again looking at her with anger as she never liked Eliza, Eliza ran and told her mother, Her mother was overjoyed and finally Eliza,s life started to change and she started to do her shopping, those were the happiest days of her life.
Finally the day came when she got the flight and flew away to a strange world. When she reached there one of the girls came to pick her, she was the one who arranged scholarship for her, they collected funds for her to call her there, later she came to know that there were other deserving students on the list but she was selected because of that desperate email sent about her suicidal thoughts, so they collected funds from family and friends and called her there.
After landing there, her life took a turn and she was introduced to a new world, where she was no more considered a bad Omen and She lived her life concentrating on her studies, she also realized that unlike Pakistan people who live abroad don,t feel shame in doing small jobs like a waiter/waitress in restaurant or a dish cleaner or babysitter. She also had to do a job too along with studying and by her hard work things started to change, her life changed.
So, nothing can defeat you, unless you want to get defeated by something, difficulties always come in your ways and sometimes you feel so desperate that you want to end everything but then after sometime bad days are over. This is what life is combination of bad and good days. Never lose hope and pass through your bad days like a warrior so that you can enjoy your good days like a king:)

Medicine Ward (fourth year)

Published April 18, 2015 by Murk Shaikh

Field of Medicine is Love sometimes, and best thing about being in student life is You can make mistakes they are excused,If you don’t know every word and every single detail of diseas then that’s fine and acceptable after all you are in the stage of learning.

I am posted in Medicine ward and i m going to share couple of experiences that I had and

i m going to remember always:)

1. We were in the Medicine ward and one of the Teachers asked us to take the histories, and we were suppose to take them individually. So i went to a patient He was really old around 80 years He was suffering from CA Prostate. I started to ask questions regarding his illness starting from Bio data and presenting complaints. He told me about his details of his symptoms. When i Started to ask about the past history He told me that He had TURP. i was quite surprised as i heard that word for the first time. I asked him what is TURP?? he told me that TURP is Trans urethral resection of Prostate And its a surgical procedure in which you remove some tissue of the gland. I was quite surprised that few of the patients know alot even more than doctors regarding their diseases, they have searched so much about it Thanks to GOOGLE ofcourse that they become the perfect teacher for medical students. As it is said that patient is the best teacher, I totally agree with it.

2. Again in the Medicine ward we were taking the round when there was patient suffering from Increased uric acid level. On inquiry he said that there was a stone stucked in his Unirnary passage. There was an optical Urethrogram in his files, me and my friend were discussing that and looking at the constriction, when he said Can i explain this to you? we agreed and he told us that how the stone was stucked and when it was removed it caused damage to surrounding mucosa producing fibrous bands and those fibrous bands produced strictures blocking the passage of urine and how he got operated by removal of those fibrous bands by endoscopic knife.

3. A patient suffering from cervical sponylotic myelopathy, we were taking the ward round when he said Doctor Do u know there is a Treatment to my problem? and we said What is that? he said it is PRP (platelate rich plasma) all you need to do is to take the patient,s blood centrifuge it and inject it in the intervertebral spaces it is going to release certain cytokines that provide strength to your vertebra and it,s quite successful in United states.

Again this was surprising because many of the patients here are not well aware enough about their problems they dont know how and what to do to maintain their health, I was really happy to see that they know enough about their problems and they know how to deal with it. We always see on T.v and read in newspapers that the health condition of our country is not so good.Kids are dieing because they are not vaccinated properly, we are among those countries who have failed to eradicate POLIO yet, but looking at the positive side we also have people who along with being educated are well awared of themselves.

If we educate our people properly and provide them with proper treatment along with counselling and telling them about their disease, we can make them better. By education doesnt mean that we need to send our people to expensive schools, colleges and universities,our job will be fulfilled if we properly inform and give a little time to our patients and explain to them what is wrong with them and how they can prevent themselves.

I hope to see this change in every person around….:)