Dancing in the Rain

I am voting for change

2008-10-27T05:50:00.002+02:00

Haven't written here for so long.Feel like ages.Anyway, i just wanted to say that i will vote for change because i believe serious changes are required in the health sector of the Maldives.

Changed

2007-06-01T15:41:00.000+03:00

Treatment guidelines are always changing and its a must to know them when they change so that we can treat patients more efficiently.
The most recent changes came to the guidelines of treatment of Acute Ischemic Stroke.Its a very common scenario, especially when working in a casualty department or an A& E to see patients who come in and eventually gets the above mentioned diagnosis to their condition. In the April 12th issue of Stroke ASAP, the authors have stressed upon using of recombinant tissue plasminogen activator with in 3 hours of onsent of stroke symptoms. I wonder whether this is available in Maldives.
The other changes that came in to practice guidelines was the changes that came to the Cadio-Pulmonray resuscition sequences. I wonder whether IGMH has a resus team who responds to all arrest cases like they have here or elsewhere in the world?! I believe its very important to to have themedical team trained and refreshed constantly about CPR so that all can work more efficiently in an emergency life threatening situation like cardiac arrest.

By the way, i have seen "Pirates 3". Wow!! It was one big adventurous ride.The highlight of the outting was me having a perfect classic cinabbon and a tropical blast at Cinnabon while watching shoppers walk by, parents being dragged by their kids and vice versa, kids falling while running after runaway balloons. ( take note that there's a lot of kids involved in this scene) *smiles

Feeling Lite

2007-05-28T13:03:00.000+03:00

Now that the one year of my internship is over, i feel very light and like i am flying. Then again i hit the ground with rapid acceleration when the idea that i will be responsible for lives hits me.That thought brings me down to earth alright.
I have been busy in Pediatrics and particularly in NICU the past two months and couldn't blog.All i do when i get home is get some food and sleep and sleep.Until its time to go back to hospital.Life all of a sudden seems to be very predictable for me. Isn't that boring??It's supposed to be,but i didn't get time to think about it until now.
Now that i have some free time, i did some normal girl stuff.Went to the mall,shopped a bit, watched "Disturbia". I say it's one cool movie. I like the kid in it.What's his name again?Hmm.. can't remember. Now i want to go and see "Pirates" third part. I love Johnny Depp and the piraty and unhygienic look everybody has in it.In how many years did the pirates took a shower those days? :-)
What am i blabbering about here today??!!! Here comes the substantial part of this post.
I recommend www.bmjlearning.com and especially the foundation programme for all the doctors in training and in their internships.I think going through their simulation center modules will help through some of the most clincal decision making one has to face in A&E.

AArrrrghhhhhhhhhhhhh!!!!!

2007-04-29T20:47:00.000+03:00

This is where the dogs congregate every night since the spring started and howl, bark and do whatever they do together until sunrise. This is a little nice park just in the back yard common to four apartment buildings and in one of them i live in.Now it seems like this is home for the midnight frolicking of the dog kingdom.I haven't being able to sleep well in the nights because of this barking and howling.It's only 8pm in the night and they have started their opera show!!!! Aaaarrrghhhh!!! I just want to scream at them and throw at them bags of water and kick their butts!!!!!

Last menstrual period

2007-03-23T00:54:00.000+02:00

It's been drummed into us during our clinical rotations of general surgery that "every female who's of the age of menarche is pregnant until proven otherwise". To ask them about their last menstrual period (LMP). But this concept clearly escapes doctors a lot and mistakes are being made everyday which can affect the outcome of pregnancies.I remember this particular incident which happened during my CAT days in IGMH. I was assisting an Indian doctor that day and so there came Mrs.X with her husband to us about a vague abdominal pain she was having since one week. She looked generally well and she doesnt seem to be in severe pain and she described it to be vague and occasional.The doctor asked a few questions,and asked me to give the patient a request form for an abdominal x-ray.After a few mins,Mr & Mrs.X came back with the x-ray and lo & behold what a sight greeted us!!
Through the x-ray staring at us ( more like screaming at us) was a single fetus of approximately of 18 weeks old with it's cute umbilical cord,eyes and fingers nearly visible. I was horrified. I doctor's face went blank. She made some stuttering apologies and blamed the patient for not telling her that she was pregnant. Mrs.X said that she had no idea that she could be pregnant. The doctor cunningly kept the x-ray with her and sent off the patient telling her that she has to follow up with an obstetrician. Since that day, this particular incident has occupied my thoughts during odd times. What was this doctor thinking? What was her preliminary diagnosis? Intestinal obstruction? Anyone who deserves to be called a doctor should know the signs and symptoms of intestinal obstruction and as i remember well,the patient was not presenting with any of it. She didn't even ask for the correct view of abdominal x-ray needed for such a case.

Meticulous history taking and a simple lab test will rule out any doubts of a pregnancy and will save doctors facing situations like this. This is the way we are taught in medical school and some how, most of us forget what's important during the course of time. I just wanted to share this with everyone who is in a medical school or is a doctor so that this experience will stay with them everyday as it does with me.

---------

2007-03-20T13:56:00.000+02:00

Oh,dear sweet God! Just take this immense pain in my heart & set me free.

Expression of Love

2007-03-17T15:02:00.000+02:00

Yesterday when i went down early in the morning to catch the bus to work,i found that some guy had expressed his love to his girl on the road with spray paint.I am guessing that these words "I love u so much" are painted on the road infront of the girl's apartment.I found it very sweet that the guy went into so much trouble to do it in the middle of the night so that his girl would see it when she comes down in the morning.Good to know that sweet soppy kind of love still exists in this world. *winks ;) u can see that the romantic side of me is thinking that there's really a girl and a guy involved with this incident. :-)

Achoooo!!!

2007-03-06T23:49:00.000+02:00

I am down with a cold.I have got these days patients who are hyperventilating,screaming and panting in my face everytime i get near them.These are patients who are in their 1st and 2nd stages of labor and are in a considerable bit of pain.All bacteriae and viruses have found their way in to my pharynx and have decided to stay there,multiply and mutilate it for a few days... *Ah ahchooo!!! SNiff!!!

Changing flats

2007-03-02T13:36:00.000+02:00

The past few days has been like crazy. I have moved in with some new girls and have begun u can say a "new life" now.It's a very relaxed atmosphere here in this flat and my new roomy is very cool and friendly.I am glad i made this decision and moved in with her.

Master card, with a sense of humor

2007-02-22T00:24:00.000+02:00

Check this out. I am bended all over myself laughing! :D

Book store trip

2007-02-20T18:10:00.000+02:00

Today i visited one of the University book stores and some books i saw brought back my childhood memories.Like "Adventures of Huckleberry Finn" and "Adventures of Tom Sawyer". Those were happy memories for me because with those books i was with Finn and Sawyer all the way through their adventures. I felt like i was right there with them and witnessing everything they did first hand with them.Those days i won't put a book down unless i have read it to the last page of it.That much a book worm i was then.My dad sometimes will order me to sleep around 11pm or so, but still i will switch on the reading lamp and will keep on reading. I wish i could have an adventure like Finn and Sawyer.*sigh :-)

P.S: there was this handsome American "librarian-bookstore keeper" too! *winks

Conversations with patients (2)

2007-02-16T13:11:00.000+02:00

Me: Ok,here's your prescription.An antibiotic for 10 days, Vaginal cream for 3 days and a vaginal wash.Wash at least 3 times a day.
Mrs V:Do i have to wash my whole body with the wash?
Me:*with a very straight face) No,It's a vaginal wash.You will wash your vagina & genital area with it.

Feeling blue...

2007-02-16T12:53:00.000+02:00

.. and old Ricky Martin cd cheered me up. Songs like "She Bangs" and "Shake your BOn Bon" will make you forget that you were even feeling down. *sigh!! haha.. :D

Graduation around the corner.

2007-02-11T21:23:00.000+02:00

The class of 2005 is going to have their graduation on the 28th of this month.That's us!yeah,we officially will finish our one year internships on that date and can start calling ourselves doctors from that day onwards.
We will be getting our degrees and the honourary stethoscopes on that day.Hmmm..Its not like we dont have steths already,but it is the tradition.
Hmmm..should run to the nearest mall to get a nice dress and all other girly stuff to get ready for the day..
I just cant help smiling thinking that the day is finally coming... :)

Health issues

2007-02-06T21:28:00.000+02:00

Now here is a pressing issue for me. The lack of articles on different dhivehi websites about current health issues in the Maldives. Articles or web links which provides the readers information about a certain disease that's spreading around and how to prevent and treat etc etc aren't practically non existent.I was surfing the other day and checking out various sites, which i thought might have links providing such information.I was specifically looking for anything related to Chikungunya Fever.But i didnt find any such links or articles.I checked out the haveeru website through which i couldn't find anything about it.Finally i tried to access the Ministry of Health website.The freaking web page was refreshing by itself every 2 seconds and i couldnt get to see anything on it. Their web master must be in a coma or something!What a shame on the health system!And to the goverment web network in general!!!!Shame on them!!
I believe that these websites should offer information relevant for the normal population about such epidemics.Concuring an epidemic through educating the mass population is vital.

Oh,i gotta run now.. I will continue ranting about this another time..

back again

2007-02-05T17:21:00.000+02:00

Have been away for so long that i almost lost my way here. ;)
My husband has gone back to UK and now i am back with the old gang at a new flat we rented recently.It looks like the national dumping ground and the only comfort zone that exists with in the four walls of it is our rooms.
Started my OB & GYN rotation this month and will be continuing till the end of march.Hmmm....Looks like that i am not going to like much this speciality of medicine.Maybe i dont enjoy looking at vaginas all day long. Oh,and i was in Orthopedics last month and had a fine time with them.I particularly enjoyed working in the trauma department.
Hmm..OK.that's it.. Will write again soon.. :)

The difference between Husband and Wife

2006-12-25T00:53:00.000+02:00

... is that Husband doesn't have to wake up early in the morning to make breakfast for his wife while she gets ready to go for the morning duty (this is during his holidays with her) and in contrast, wife has to get up while she is on holidays with him to make him breakfast and get everything ready for him so he can get to Office like a smooth breeze.
***what a world this is!!!! :-S

Michael Buble

2006-12-09T00:57:00.000+02:00

Michael Buble (pronounced as Boobley) is the new singing sensation i discovered recently.Not that he is a recent hit.He has being around for a while and the whole world has being adoring him but i discovered his great voice very recently ( I am a little slow at these things).I was watching "The wedding date" and i just couldn't help but notice the back ground score of his.Anyone who wants check him out,i recommend this song "Home" to listen to.It will just make you "wanna go home" for sure.To whereever or to whomever it is.

Long day

2006-12-04T23:02:00.000+02:00

I get so irritated when i have to measure blood pressure of patients wearing clothes with tight fitting sleeves which won't role up enough or if they manage to roll up, it will be so tight that a cuff won't be needed to occlude the brachial artery!!!!
To top things off the BP Apparatus of the respiratory medicine department gives abnormally high readings too!!!*aaarrghhhh!!!! I am so irritated.
It's been a very long day.

150 practice ecgs

2006-11-24T00:07:00.000+02:00

These days i am engrossed in this book.I want to become really good in interpreting ECGs by the time i finish my Internal Medicine rotation.I believe this book is one of the best i came across.
It's 150 Practice ECGs by George J Taylor.

Tom Cruise & Katy Holmes in my country??

2006-11-23T21:56:00.000+02:00

Nice!!! I say no better place to spend your honey moon than Maldives, whether the sun is shining or whether its raining buckets.*Smiles

Clothes up,pull off,remove....or whatever!

2006-11-21T19:23:00.001+02:00

The importance of having patients remove their street clothes and wear some sort of loose gown for physical examination is being ignored by most medical institutions in the third world countries.I can say about this country where i am in right now, that it is not something anyone ever heard of. Take your clothes off for your doctor? NO Sir! Or Ma'am!

But if you are a doctor, you will know how difficult it is for example, to auscultate (listen) to one's lungs & heart with tight fitting clothing on.Winter makes it worse because every patient comes with layers and layers of clothing on,and i will be asking several times to take up, pull off or something like that for each layer i encounter with.This becomes more or so a "struggle" on my part while i try to auscultate huge female patient's with pandulous breasts on a very narrow examining table.I guess examining tables were made with europeans size and built kept in mind.I usually end up fumbling and struggling to auscultate the apex of the heart with the constricting clothes half way up which won't go up just a few more inches so the patient's breast won't be blocking that exact spot i want to put my steth on.
I believe that IGMH and goverment hospitals in Maldives should start keeping gowns in the examining rooms, so doctors can provide patients with gowns when the need to be completely free of street clothes arise when the doctor and patient comes to an agreement to do so.

An unnecessary death

2006-11-16T18:45:00.000+02:00

I dont know how to write about this.Its too mind boggling right now.The death of a patient on my on call last night.She was suffering from chronic renal failure and finally she had her second dialysis yesterday with a blood transfusion after which she started to complain of severe breathing difficulty.Anyone who knows about chronic renal failure will know that so many factors can be involved in that kind of breathing difficulty.But after i examined her i came to the conclusion that she was having impending pulmonary edema and the residents needed to take action right away.
But no one budged.It was an untimely death.She died after a few mins on her way to MICU which wasnt even 100 foot away from her bed.Her son and daughter beated down the ICU door and ran after the doctors to beat them up and the hospital security had to come up and control the fight and screaming.It was a very heart breaking death for me because as i believe it, it was an unnecessary death.A death that could have been prevented if the residents didn't ignore the complaint and my report on her.
It is unacceptable for patients to die because of doctors ignoring them.Death due to mistake is better than that.Last night, the residents responsible for her practically hid from the patient's relatives who were looking for them for help.There are patients who come at the middle of the night with nonsensical complaints but it is our job as doctors to varify them and explain and make them understand the situation and give comforting advise.
I dont know how to deal with this.It saddens me very much and i am very depressed today.

on call

2006-11-11T00:22:00.000+02:00

Now,here's how my last 24hour on-call went on Medicine Floor.
-It began early morning with the congestive heart failure patient having severe breathing difficulties.*huff puff!!there i went prescribing nebulizers & ordering ABGs and running from my counter to his bedside every 5 mins.
-Afternoon visiting hours gave us a fist fight between two relatives who were visiting.Had to bring up hospital security for that and had to send down the injured to the ER.*arrghhhh!!! and i was busy seeing patients on the upper floor.
-The resident ordered a set of ABGs for so many patients and forced diuresis for that many and in the end no one collected the urine after the forced diuresis drips were over even after careful repeated instructions by me and the resident.*bangs my head in frustration!
-The resident realized that we have a patient who needs a change of dressing of her leg ulcer at 2am in the morning and wants to call the surgical department.*how inefficient!

Conversations with patients (1)

2006-11-06T22:46:00.000+02:00

Taking history from an old demented patient is always a struggle.Sometimes it feels like that the accompanying relatives becomes as much demented as the patient.A normal history taking goes on like this..
Me: What's ur complaint?Are you having any pain anywhere?
Very old patient(VOP):I am sick. (groans)
Me:Tell me about it.What's the cause of your sickness?Are you in pain?
VOP:Doctor,i am sick
Me to the young demented relative:What's his complaint?
Young demented relative(YDR):He is sick doctor.
Me:What made you think that he is sick?
YDR:I don't know.He is just sick.
Me:**wishes i was on the moon in a thick suit bouncing around

Pheww!!

2006-11-06T22:44:00.000+02:00

Phewww!!! I have been trying to sign in to my blog for the past few days and wasn't able to.Anyway,glad to be back again. :)

Fertility affected by

2006-10-24T09:11:00.000+02:00

Increased hours of usage of mobile phone by men has shown that their fertility level decreases.Men who use the mobile phones for more than four hours a day has shown to have 50 percent reduction of count,viability,motility and the morphology of their sperms.
Now....Think about that!!!!!

A husband, as a stress factor!!

2006-10-22T21:19:00.000+02:00

There she lies all alone,so frail."As white as a sheet" really describes her.She was admitted with diabetic keto acidosis, which is a state in which the patient's blood glucose goes sky high with acetones in urine.She also had DVT of both lower limbs which is resolving now.
The fact that there is no one at all to visit her in the ward and to take care of her always bothered me.Now i came to know that she has a husband, who comes once in a while and shouts and upsets her and leaves.If there are people like her husband in your lives, i tell you, you are better off all alone.Seriously!
We have shifted her to the Medicine ICU, cos her DKA has returned and the blood suger level just wouldn't come down below the 300's for the past two days. Yes, we are looking for any source of stress and infections, and they are as for now ,none.She is so young, just 27 years old.The only stress we can find is her no good god-damn him husband!!!! *scowls!!

Conversations with experts

2006-10-17T12:58:00.000+02:00

Anyone who's interested in improving his/her knowledge in cardiology, i recommend listening to the ACC's conversations with experts with Adolph Hutter,MD.
To get that cutting edge experience in cardiology, click on and start listening.
Also to improve your cardiac auscultation,listen to the Heart Songs brought to us by Michael J Barrett MD,F.A.C.C . You can download it to ur iPOD nano and listen to them as you go.

BIG romantic thing

2006-10-17T12:36:00.000+02:00

Me: say something romantic
My loving husband(H):I love u so much
H:(emoticon of a rose)
H:u captured my whole heart
Me:that's a lil romantic
Me:I want a BIG romantic thing
H:you r the white moon,only u lights me up
Me:hehe he he..I love u so much
H:Its true

Need MDs at studios

2006-10-16T16:55:00.000+02:00

Two days back i walked in to my room to see that my room mate has paused one of the episodes of the One Tree Hill series to a scene where it was showing a hospital examining room.What caught my eye was the x-ray that was mounted on the viewing box.It was mounted the wrong way.Left was to the right.I believe that x-rays are marked so that it will be known which side is right.But i also believe that these english series really need an MD to give some medical advise when they are propping up for these kind of scenes.

The series that tops the One Tree Hill episode is a Desperate Housewives second season episode.(Oh,yes i watch them and i am a loyal fan.)They had the x-ray upside down.There Gabby is, listening to the doc's advise while the x-ray is upside down at the back of the scene...*teeeheee!!! :):D

Lice Nightmare

2006-10-15T12:05:00.000+02:00

Patient: Doctor, i have got these enlarged lymph nodes in my neck.They are painful.
Me: Let me see,how long have u been having them?
***I went in to a detailed history.
Patient:oh,just a month or so...(and so she goes answering my questions)
Me:Let me examine your neck and axilla please.Please take off your head covering.
(I went on examining for lymph nodes and found enlarged tender right deep cervical lymph nodes.Axilla and supraclavicular area were free.
Just when i finished examining..
Patient:And doctor, i have these "things" in my scalp.I cant seem to get rid of these "places".
I went and examined a spot she indicated with her index finger.Tried to seperate hair strands from the tightly tied back hair.I saw flaky seborrhic dermatitis from the look of it.I was about to do some more looking at her scalp when i noticed them....Crawling liesurely along her hair.As if they belonged there.
I took a step back and placed my right hand at the rim of the wash sink near the examining table and the other on my hip.I looked nonchalant as i told her that she has got lice infestation.
I discharged her after prescribing the antibiotics for the lymph node inflammation with advises to follow up and with a referal to the dermatology clinic in her hand.
Point to ponder: I haven't seen lice infestation ever since i left primary school and it was a bit of a shock to see them,those bugs so close.Brought back the "lice nightmares" i had to endure during my childhood.The more my mom cleaned my head from them, the more i got them from school buddies.

Very seriously..

2006-10-05T00:08:00.000+02:00

As a surgical intern, i have come across many cases that has been complicated by Diabetes.
Among them is the Diabetic foot.Diabetic foot, in common terms occurs due to pus filled collections occuring in the leg or foot of a person who is diabetic.He/she becomes resistent to treatment (or neglects the condtion) and the infection starts spreading and eating the tissues of the leg.In order to stop the spreading of the infection,surgeons need to amputate the limb with strict controlling and monitoring of the patient's blood suger level.
The pain and grief the patients and their family goes through an amputation, i have witnessed and stood by their side through it as their doctor. I have seen how the morbidity affects them in so many ways.This is just one of the complications of the disease.
Then again,there are those complications that can occur and which is not readily infront of our eyes to be seen like the above mentioned diabetic foot.I would like to mention some of the complications such as kideny affection,deterioration of eye sight and peripheral vascular disease.
My intention is that anyone who reads this post to think about their relatives or friends who are diabetic and to always encourage them to check their blood suger levels to keep it always controlled,to always do regular check ups with their physicians and ask them about doing regular kidney function tests and fundal examinations.Another important thing is not to ignore any sort of pain in both legs.Get medical help and rule out any underlying treatable medical condition.And last but not the least, tell them to always take any infection very very seriously.
...very seriously.

Grand Rounds Vol 3, No 2

2006-10-04T14:52:00.000+02:00

...is at RDoctor Medical.This is the best of medical blogosphere for this week.Enjoy it,like i did.

..broken future

2006-10-03T00:36:00.000+02:00

I dont know why i think of this girl whom i met while i was in secondry school.Actually i met her at the National Library.Back then, the place that housed the National Library wasn't much spacious.I dont believe it is more spacious even now also, as it shares the building space with the British Council and some Art Gallery.Anyway, I happen to always run it to this specific memory of this young girl of age 12 or 13 at a very odd time.While i am making roshi!! Can u imagine that??

Anyway,i first met her there in the library,which was the exact time i became a book worm of some sort.I spent all my waking hours with books.She was a nice looking girl, but from her clothes i came to realize that there wasn't anyone seriously taking care of her.She was really interested in reading, although she didnt know much of english at that time and asked a lot about books i was selecting and showed me some of the books she liked.I then asked her which books were she going to borrow,and she said that she was not a member.Oh,and with that she ran off saying that her grandma will be looking for her now.I didnt think much of this at that time, but after a few weeks, i ran into her at a friend's house.This house is situated just a few blocks away from the library.This was the first i visited my friend and her family was renting the space at the back of the house.The little girl was happy to see me and showed me her living space which was very shabby.I found out that day from her that she is living with her grandmother, and doesn't have her mother or father taking care of her.Her parents are divorced and both of them are married to other people and living a life of their own.
This was the last time i met her.Well, actually face to face that is. After some few years, i started seeing her on TVM as an actress in some dhivehi songs.She became pretty famous in a very short period of time, and then disappeared from that scene too.
I keep wondering about her and what became of her future.The girl went from being really interested in books to become a cheap dhivehi songs star.Given the opportunity, i am sure she could have become more. She could have become an educated woman with a bright present and a much brighter future.I wonder how she is now.Whether she is taking care of some few toddlers of her own and coping in a world that came her way inspite of the dreams she had for a brighter future when she was young.I wonder if she's got a caring husband.Or if she is married at all for that matter.Or whether is she leading some dark life of her own.
I just keep wondering.....

Still around

2006-09-27T23:47:00.000+02:00

Oh, wait a minute! I haven't given up blogging! It's just that i have been busy in the hospital and Ramazaan is here.Actually i have to say this, that there isn't much difference between Ramazaan and any other month for me, cos i neally starve everyday while i am on duty.
Oh,and before i sign out,i have realized one very important thing during this month.I will never do my Masters degree in Surgery.I just couldn't fall in love with it.*sigh!!

Foreskin celebration!!

2006-09-04T21:28:00.000+03:00

I am a surgical intern for the next one and half months.Today i did circumcision of two 6 month old babies.Hmm... i noticed that the parents bring these boys wrapped in white cloth.All of them! One even had on a white gown.And i also noticed that the male nurse helping with the procedure took the foreskin that was cut off and put it in to a piece of gauze and placed it at the hem of the gown the baby is wearing and roll it up so it won't fall off while carrying off the baby from the minor OR.I guess the family will do some celebrations with the foreskin...hehe!!Maybe put it in to an oil burner or a coal burner and burn it around the house and the neighbours will come and chant around..Oh,my!what an imagination i have...

Fed up

2006-08-26T20:08:00.000+03:00

I'm just a bit too fed up today.That kind of days come frequently.Almost once a week.
Did you ever felt uncomfortable with your colleagues at anytime?Felt like you can't work in the same air they breath? *aarrghhh!!

In Agony

2006-08-22T20:48:00.000+03:00

He could have been having testicular torsion.An acute urological emergency.I wish i had insisted the ER surgical resident on seeing him instead of letting the patient be discharged as the resident advised me.Night duties are tough on everyone.But residents have a resposibility and they can't go up to their room and manage patients via the phone through their interns!!!It is unacceptable.Why did the resident let him go....why didnt i ask the internal medicine resident to see the patient eventhough they wont see a surgical case!!??*weeps !!

Interrogation

2006-08-20T10:31:00.000+03:00

Present day:today
Location: A small cluttered office occupied by some oversized lawyers each one yelling trying to be heard over the other.
Interrogated by:Unknown lawyer.
Guilty party: Intern with a black stethoscope hanging around her neck.

The lawyer smiles and takes some papers and starts to write.The intern tries to take a peek at what he's writing just so she could get an idea why she was called to the legal affirs department of the TwoMileAway University Hospital.It was an unsuccessful attempt and she gives up and tries to appear calm and cool and very doctor like among the tightly packed lawyers present there who bythe way, were going through munches of their morning sandwiches while yelling.Her mind tries to back track the past few months and tries to think of what could she have done wrong to be brought to this place.Did she kill a patient?? Nooo!! Broke anything? Of course not!!Did she umm share jokes with other interns about the hat the director wears? Ok,she did but who could have heard that??
As her mind was reeling with thoughts, the lawyer interrupts her and asks:Why did you leave on 27/7 without signing out??
The interns looks at the date written on the legal document very surprised and relieved that it wasn't about the director's hat and thinks back..What??27th?are u joking?That's almost a month back,and you expect me to remember??Ok, let me think.
The intern remembers and flashes a smile at the lawyer and says:Oh,yeah..i remember. i removed a tooth and was in so much pain.i had to leave early.I was granted permission by the resident who was in charge of me.
She was sure her excuse is legitimate because her dental braces are very visible.So, any person with a lawyer IQ level will know that teeth might be extracted for orthodontic reasons.
The lawyer happily writes it down.Dont they have any important legal affairs to deal with than asking about a tooth extracted,wonders the intern.
Ok!that will be all says the lawyers.The intern feels relieved and is surprised that she got to escape the place without getting a death scentence or jail for life scentence.

Dhivehi Songs

2006-07-31T23:56:00.000+03:00

I thought i will listen to some dhivehi songs today. So, there i went and dusted my old CD holder and got the dhivehi CD me and my flat mates compiled almost 2 years back.
Actually i did enjoy listening to these songs today cos i don't have the image of Sheela doing a very bad imitation of Sharmeela (old hindi movie star) or Youppe mimicking Shah Rukh Khan either in my mind because it had been so long since i saw any of those dhivehi songs.What a lot of bad actors we have!It's bad enough that the music industry produces songs sung to ripped hindi tunes one hundred percent,that is if such an industry exists in Maldives and to add to that there comes the bad actors causing premature degenration of our maculas!!!...Good Lord! *sighs!

A new code?

2006-07-29T23:12:00.000+03:00

Get this!! Scientists found a new code beyond genetics in DNA! Wow!! I guess the american minds will be churning with new ideas on how to improve their new Dolly Sheep generations in the future with this news breaking in the science world.
Check this out.

In so much pain

2006-07-29T22:39:00.000+03:00

*arrghhhh....OK, that expresses it.I am feeling ecstatic.My urology rotation is ending by the end of this month.
What an irritating lot of residents they have there!!!I am glad i am getting out of their range of scalpels and .... yellings!
And then i enter to the world of ER or as it is said here, A&E. Accidents and emergencies department.Well, i have being waiting for this rotation all this time.
Oh,by the way, that fat lady with the hypertrophied vocal cords doesn't yell at the patients as much as she used to.Maybe she sensed that this foreign doctor doesn't like her blaring voice. Tee hehe hehe!!!

Boring holiday

2006-07-23T15:29:00.000+03:00

Today is a public holiday here.Marking a day in which the people of this country took to the independece square from all walks of life wanting a reform.
Anyway, after so many years, this day turned out to be an excuse for a day to put our feet up and relax and maybe if someone gives a bother, listen to the boring presidential speech.

why oh! why!!

2006-07-23T01:20:00.000+03:00

Why do u have to scream at the patients? Don't you have a heart? They are sick and they are poor but that doesn't mean you can shout at the top of your hypertrophied vocal cords at them.
Its unhealthy for the doctors too in this environment you are creating.Get a grip and leave your vocal cords at home the next time you come to manage the clinic on the day of my duty.
Goodness gracious!! *arrghh!!

My first post

2006-07-21T12:06:00.000+03:00

It is just another friday.Thought i could do something interesting and here is what i did.
Oh,well, at least i thought this is interesting!
Lets see how this turns out.*smiles