Monday, January 25, 2010

The quintessential Indian wedding feast

Guess what we do at wedding parties? We fill up ourselves to our hearts content. No dieting here in this part of the world. Yeah! We enjoy a steaming mutton rezala with our friends, we savor the uplifting taste of a kheerpuli (condensed milk sweetcake), and rub our tummies in satisfaction. Yeah, we guess we are still very neanderthal in these matters. But hey, don't complain until you get to taste one of those kheerpulis.
The dinner tables
The bride presented a ring by our president
A painting by the bride
The wedding crashers
Here is the bride groom
Yupppp...
Yeah!
All set for a tummy turmoil
Jaroori meeting mein hoo
Under the tuscan sun we feast
The two presidents at summit conference

Multitasking
Dual core multitasking
A rare connoisseur of betelnut

Monday, November 30, 2009

Images from a nature camp

Images from a camp held at Basudebpur, on 29/11/2009. Mostly spiders, insects and occassionally, people too.














Wednesday, January 21, 2009

Amass in transverse colon


This is what we dissected out from he transeverse colon of a middle aged lady. Entire ascending and transeverse colon was removed, to find only this little pedunculated mass with no features of local involvment or lymph nodes. Did we dissect out too much?
The middle and  ileocolic arteries have to be identified; middle colic artery has to be ligated; the ascending and most of the transverse colon are to be removed

Prepare the ileum for an ileotransverse anastomosis
The dissected specimen with the blackish lump (do you note the appendix poking out at the left?)
The mass within the colon, the walls of which are ...
... cut open
It has a stalk, and the base is surrounded by normal haustrous mucosa of colon
However, the surface is unlike any mucosa


Tuesday, January 20, 2009

An appendicectomy

This is the proverbial appendicectomy. For those who are not aquainted with the term, enjoy looking inside yourself.
Find the appendix (its that wormlike tube attached to the cecum)

Pull it out
Tie its base and supplying vessels
Cut it out
And there you go

Thursday, January 15, 2009

Call them the newborn

Have you delivered anybody out of his mothers womb? Chances are, most of the time they are just cute angels.

cute angelThey can make strange faces
They may be a little curved at wrong places

Sometimes, though, they are missing some limbs



rudimentary hand


rudimentary foot
Sometimes they are missing their skin

Or even their brain

Tuesday, November 18, 2008

The Obstetrics Departement

This is strange. Where do all these new people come from if, according to Hindu beliefs, people are only recycling through the heavens. You see them dropping from everywhere, little bundles of skin and napkin bumping out of the wombs. (Did you know 'gravitation' derives from a latin word which means 'pregnant'?) Today, my hospital officially surpassed the previous years record of 14 x 103, i.e. fourteen thousand deliveries a year. That is probably the population of Vanuatu (or even less). But this is Hindusthan meri jaan, and sex is our only leisure (frequent powercuts only make it better).
What intrigues me is that how Indian women bear with all the torments we doctors impinge upon them. A patient with bleeding per vagina in her last month will stand an hour in queue before her turn with the doctor comes. And then we will laugh at her being a P4+2 (i.e. four previous issues and two abortions), knowing fully well that it is her male counterpart whose rear should be stuffed. She will silently bear the pain of labor, the embarrassment of three vaginal exams (each time by a different person). She will lose about half a liter of blood, suffer the excruciating episiotomy (an incision over the genital skin to widen the introitus) and its messy repair. Then she will go feed her baby while sharing the floor of the post partum ward with a hundred others, with a raw wound left to heal by itself. And the very next day of her discharge, her sore womb will be implanted with yet another issue.
Our women are the only assets we have left.

Sunday, September 14, 2008

First night at the emergency room

Well there you have it. Just the moment I had thought that I have seen everything, a girl comes with some Vasmol hair dye in her stomach. Now was this deliberate, I mean was she trying to mock the years of our medical education (which failed to mention anything about Vasmol), or was it a prank she played on her sibling? Whatever the case may be, beginning from internists to medical officers, everyone was clueless on what to do with the hapless child, and so her mother was advised to go out and buy another sachet of Vasmol so that we could at least know what kind of molecules has she ingested. Believe it or not, within thirty minutes or so, she began to vomit and purge black, blacker than Sanjay Leela Banshali, and the episode, to everybody's relief, was over.
Or was it? Within fifteen minutes of the Vasmolovorous, comes another who has ingested some silica gel from the safety valve of her pressure cooker, and another, with a mosquito repellant ('All Out').  And before you are aware of it, the night is over. 

Next generation sequencing: Part 1

 Imagine solving a puzzle with 100 pieces, each piece a centimeter in size, something like this: The genome is considerably larger than this...