Anti-Arrythmics...they don't even make sense!

It has been told to us that Anti-Arrythmics is not very important. According to a very enthusiastic teacher of mine, “they don’t expect you to know it!” In college, it is such a blessing to hear things like that. I mean, it saves you a lot of time that you would have otherwise spent doing the theory and, in case of this chapter, wondering why things can get so difficult at times.

So, you can imagine how lovely life is, and then I get this crazy idea to check out last year’s University papers. A macho kind of a thing, you know-the desire to say, “I can totally answer the questions, and I’m well-prepared even now, months before the exam”.

And, I come straight crashing out from my lovely world, because hell, there is a long question on Anti-Arrythmics in that Pharmacology paper!!!! So, today, I decided to do the chapter and now, I am begging anybody who reads this post: if you have any idea that can make this chapter easier and more understandable, I’d love the help. Frankly, I’ve never liked Cardiovascular System in Pharmacology. Everything depends on the patient and ten thousand illnesses that he may have. But, I’ve been getting a hang of it, and I should at least be in a position to be able to decide the drugs to be given, in simple cases.

With Anti-Arrythmics, however, that is so not the case. If I get a question on it, yeah, I guess I am in a position to attempt it and get at least 3 out of  the 6 marks allotted to that question. It’s just the practicality of my knowledge that I’m not sure of. So any help would be willingly and happily accepted!!

And, we supposedly have the final combined signing tomorrow. Let’s hope the story is true and that we finish off with the official work after all!  

Time to waste: I'd have asked for it!!

It is a said thing, and definitely an understood one, that the week following the end of exams is supposed to be a 'chilled-out' week; one that involves no textbooks, no 2 a.m. mornings, no racing hearts and a free, escapade kind of a feeling. It is also understood that when the week follows the end of Prelims, we are not going to get any of the above mentioned gifts. Instead, we are going to be handed numerous other ways which will help us understand the meaning of "WASTE of time".
I wish these people could step into our shoes for a moment and experience what we experience when time just seems to vanish in front of our eyes, and we do nothing!
The most cruel Department in terms of time, is our dear, dear Forensic Medicine Department. I understand that they are short-staffed, and that there is a lot of work they have to do. But, if that is the case, then they might as well, complete the entire work and then call us to the Department, right? But, it seems like they are hell-bent on teaching us the true value of wastage. We were called, first at 10:30 am in the morning for paper-signing. I din't go, because it is my experience that things never really happen in the Department. As expected, they announced that papers would be corrected by 3 pm and that we should assemble at that time.
With an increasing feeling of reservation about the entire set-up, I decided I'd go any way. And we were made to sit there, in that Lecture hall, from 3 pm to 7:30pm, doing absolutely NOTHING! Each time, we made plans to go home, we were told that the signing would start in hr hour. It was so frustrating! They could easily have taken one person's cell phone number and then contacted him, when it was all done. It would have saved us a lot of agony and hatred towards that department.
My entire week has been like this. Only the Pharmacology Department has been a little time-savvy.
All I want to say is, if I really had wanted to waste time in this way, I'd have asked for it. But, now, here I am, with wasted time, and the regret that it wasn't even wasted well! I know Government institutions are mismanaged, but I guess the optimistic heart never fails to keep hoping!!...(sigh...)        

II/II Over!!

So exams are finally over. I sit here, pondering upon the last two weeks and thinking, I’ve done it!! Now, I only have to worry about studying after about two days. The past week and four days have been enlightening. Firstly, I know for sure that doing Pharmac just the one time, isn’t enough. My paper was no way better than last time, when  I hadn’t even completed my portion properly. And, today, the practical also sent across the same message. It isn’t just enough to have a chapter underlined and marked and coloured and full of charts. You need to know those charts by heart. My aim in the coming few months will be the same. We will, of course, have the entire portion now, for the prelims. If it has been tough the last two times, the prelims are going to be complete torture. ‘Coz there will also be two papers of each subject.

I have also learnt in the past week that my study method for Microbiology is pretty much what it should be. My paper was the best out of all my theory papers and the same can be said about the practical. This means I’m sure about a lot of stuff I have said and written. So, I love Microbiology and would love to make it my strong-point in the coming months.

Pathology still remains a kind of mystery. I loved it when we were doing General Pathology. And I hated it when we were doing Systemic Pathology. It is vast, and this time I haven’t read much of Robbin’s (a total change from last time, when most of the portion had been read from that thick little green book). I didn’t end up getting a lot of marks last time although my paper had been the best of all the three we wrote. I want to see whether reading Harsh Mohan makes a difference in the marks we get. I am going to finish reading up Robbin’s by the prelims, but I need to know whether it is going to be for the sake of reading it, or whether it is going to help me in getting the marks that I’m currently after.

PSM (Preventive and Social Medicine) has been labeled the disaster my third year, before the year even starts with the kind of crap it dished out to me in this term. According to the schedule of MUHS, students are tested on PSM in II/II. A 3-hr theory paper (with 3 compulsory 8 mark questions!!) and a 20 mark practical. That theory paper turned out to be the only paper I have EVER given without studying ANYTHING! The standard textbook is Park’s and it one hell of a boring book to read. I didn’t manage to do anything the whole evening before the exam. And then, the morning of the paper I came to know that there are notes available in PSM. I only managed to get the notes 2 hours before the paper, and I also had to have lunch. So, I went for the paper having read NOTHING. It turned out to be a disaster really. I haven’t written such crappy answers in such beautiful handwriting ever before! The practical was no better. The lecturer who took my viva, realized early into it that I did not know one small thing. I don‘t think I’m going to be passing in the subject this time.

FMT was pretty ok. The Department didn’t even know we had a paper! We started ah hour and a half late, because of all the confusion. They distributed éclairs as a penalty for forgetting that they had to conduct an examination J

Basically, I’m finally done with everything. Not everything, actually. My family-planning term-end is left, which will be held on Saturday. But I am free as such. I missed out on enjoying the Wimbledon and the Football World Cup, as much as I would have in another time span. But, luckily, Rafa and the Spanish Football team, have ensured that I have watched it all throughout. Congrats Rafa !! It was such a fulfilling moment to watch you lift that trophy! And I gotta say to Tomas Berdych ( I watched him beat Roger and Novak Djokovic), you are so totally all over the place!! It was great to see you play in the final, and I do want you to keep playing the brand and level of tennis that you are. Your serve…..simply sensational!

And that Football team! Switzerland seems in a different universe. I so want you to win the World Cup now!! You beat Germany! I am so proud of them all!! I hope to witness you guys raising that Cup as high as possible on Sunday :-)

I’ve actually had a great week. Guess, having exams did pay its dividends in some ways:-)    

The Vacation Approaching

The two term-ends did end up happening. I should say that Anaesthesia was much much better than Radiology. Firstly, because we got new questions and I knew quite a lot of them. And secondly, because an MCQ test doesn't end up making the Examiner tired of looking at Students' faces as they come in and go out. We even discussed the answers after the test was over. I got around 20 of them. So that means I am safe and will not get a re-term on the basis of my marks. Getting a re-term on the basis of attendance is another issue.
Radiology was long, tiring and, in the end, very boring. There was just one teacher taking the term-end for 50 students..And I wasn't even from the current batch. So I had to wait even longer to get it done with. Finally, when my turn came, the only question asked to me was "What abnormality do you see in the X-Ray in front of you?" I replied, "Cardiomegaly" "How do you assess cardiomegaly?" "By measuring the Cardio-Thorasic ratio (CTR)." She then explained how to measure the ratio. We then talked about Echocardiography and that's that. She gave me 25. That hurt a bit. I wish I could have gotten a chance to tell her more about what all I knew. I definitely deserved more than 25. But the fact is that I finished off with both my term-ends. The headache and continued nagging inside of me has been trampled upon, even if that means that the numbers aren't very heavy. 
We now have Ohpthalmology. Three of us went to the OT today, but it is shut for some maintenance till Wednesday. I really wanted to go have a look today. Very disappointing not to be able to do it. I don't think I am going to have any enthusiasm left till Wednesday, so I'm going to turn my attention to what I had planned to do in the pre-vacation. I have to finish big chunks of my Pathology and Pharmacology portion till Sunday. I am trying my level best to get that done.

OVER!!!

And so they are. No more formalities left, and no more last minute prayers. My exams have officially ended and I am taking the deepest sigh of relief I can manage.

Practicals turned out to be ok. When I look at each of them separately, of course, I can easily point out the best and the worst. Because, I did have them. So, since I do have time right now, I'd like to reveal my best and worst. Here goes,

12th January, 2010:

FMT- We went and waited for almost an hour and half before something actually happened. And that something was quite an event. One of the peons told us that we'd been called in groups of 10. I got up ( I am amongst the first ten in our batch from r.nos. 145-174). Making a quiet and steady line, we went to the cold room where they conduct all the post-mortems. God! The only thoughts wandering in my otherwise empty mind, were," Crap, please don't tell me you are going to take the Viva here!!! Surrounded by dead decaying partially open bodies!!! I'll faint before you manage to finish your first question!"

The HOD was there, with a fresh body beside him. A 'mama' (that's what we call the ward boys in coll) was standing next to him, fully loaded with knives and scalpels, already having finished half the job of removing the viscera. This was the body, our HOD told us, of a criminal, killed on the previous evening. He had received three bullets, and the bullets were being looked for, in the viscera.

Frankly, this is what I'd expected to find when I came into medicine. A dead body, as fresh as live.....raw, red blood oozing out on every cut.....the viscera all shiny red with sickening yellow mucous attached at places....the bones looking all glistening yellow.....

One entire year and I finally saw what I was looking for. It was quite a sight! The criminal definitely looked like a criminal. I could imagine him, and the scene around him, when he was alive. He looked frightful even in that state!!

The HOD showed us one bullet which they had managed to find, and the organs it had managed to pierce. The liver looked bright red, and very innocent!! (the second batch that went in, came out telling us that the second bullet was found in the liver. It didn't remain innocent any more!)

The only thing that grossed me out more than the dead body, was the smell. We're used to formalin now (although it never fails to bring tears into my eyes:-( ). But, the smell here was the one associated with the slaughter-house, the cutting up of raw meat....the smell of dead rats...the usual smell we all run away from.

Thankfully I did not faint, and came out pretty impressed. The viva took place after that and I had a good time. I had our HOD questioning me and I answered everything. It was a satisfactory viva, and I think he understood that I knew my subject. He looked particularly excited when I mentioned 'Panchanama' and descrobed what a warrant was. Day 1 was successful amd satisfactory.

13th January, 2010:

Pharmacology- The first thing to mention here is that I fell ill. Again. I got another round of cold and cough, and fever in the evening. I think it is Pharmac. Even before the theory paper, I was in a state. But, this time was worse. I decided that it did not matter, how the practical went.

The spots were a little tough. But, I think I got the drugs right in the table-work. I'd expected to totally be lost when that came along. So, I was more than just satisfied. The pharmacy viva was good and simple. My label turned out to all correct, and I answered all the questions correctly. There was a lot of participation from Dr. Momin (my examiner), with his gestures of agreement. So, I'm assuming that to be a good sign. The grand viva was plain horrible. I was reminded of what Anatomy used to be last year. The difference was that this was worse, because instead of a PG student, I had in front of me, a Professor, who got the impression that I was at the other end of the intelligence scale. It hurt. Illness not withstanding, I did not deserve such a bad viva. But, it was over, and thats all I cared about.

14th January, 2010:

Microbiology- The one started with tough spots. They were pretty out of the world. But, I realised later on that I had got the Spore Stain correct, and I couldn't feel more proud of myself. if I could get that, I could definitely get above 5 in the spots. The Viva on culture media and biochemical tests could have been better. I knew the stuff she was asking, but I needed her to prompt a bit. But, the 'her' in question was Dr. Suvarna Joshi ma'am, who was smiling all through. Its always nice to have a teacher in front of you, who can put you completely at ease, and calm you down. And Dr. Joshi's smile does exactly that. So, despite knowing that I did not do as well I could have done, I came back saying that it had gone pretty ok. The Gram stain and Zeihl-Neelson stain were a little messy. A lot of pink and purple on the fingers. Also, it is difficult to look for bacilli in the ZN stain. Luckily, I showed that slide to Manoj sir, and he said wat I thought was the bacillus, was actually a bacillus! Wow, that's new! I'd neevr gotten the hang of ZN staining. The Gram stain was easy, and I got Gram +ve rods, which the teacher said, were correct.

Dr. Dohe ma'am took my grand viva. It revolved around the two stains only. She only asked me about differences between Bacillus and Clostridia, because they were the differential diagnosis of my result in the Gram stain. I liked the viva a lot. I answered almost everything. There was some question, to which my answer was,"I don't know", but I don't even remember what it was. She asked me if I was a localite, where I stayed and said I could go! I felt happy and at ease.

15th January, 2010 (today):

Pathology- If there ever were an average practical, this would be it. The spots were good, the slides were easy. The first viva (on the two slides I had to identify) was ok. I could answer some, could answer a question on Typhoid. The slides in question were, that of Acute Ulcerative Appendicitis and Tuberculoid Leprosy.

The grand viva was ok. She didn't ask me much, I answered a fair amount. Nothing that led to "I have no idea ma'am", but nothing that had me jumping up and down with the answer. So, thats what it was.......quiet.

Note: Pathology might have gone better if I hadn't ended up with my worst stage of laryngitis today. Now, I have even given exams in this dreadful voice!!

So, thats the description. Its pretty easy to decide the order of practicals according to my performance. So, here goes.....

1. FMT

2. Micro

3. Patho

4. Pharmac

Thats my order of liking. And my marks should be accordingly. I'll come to know within in a few days...

Till then, it is going to be two days of complete rest and silence. I can't even bear to hear my voice. And I desperately need to eat, sleep and live like a loser who has nothing to do in life :-)

Ok, now eyes are tired and the HCl in the stomach is screaming out aloud for food to acidify. Hail, 2010 again!!! May the start be a good one!!

Year 2010.....Begins...

Happy New Year to one and all!!! We’re half way through our terminals, and I have already suffered through the horrors of having to stay up late into the night. It is my fault. I HAVE to do everything one day before the exam. To my luck, we had papers in the afternoon. So, I was able to do whatever I wanted to.

The papers have been good. Pathology was the best followed by Microbiology and then Pharmacology. I would partly blame my cough, cold and fever for the debacle that Pharmac was, but then, it would also be because I was never as well-prepared for Pharmac as I was for the other two. Forensic Medicine and Toxicology was good by its own standards. I’d spent more than half of the time I had for preparation, sleeping. So, considering all that I’d managed to study in the rest of the preparation, I had a decent paper. I wrote everything I knew, pushing it into one answer or the other. Over all, I had a much better terminal than the one last year. Of course, practicals are still left. They start on the 12^th and finish on the 15^th. But, I should say I’m quite satisfied with whatever I’ve written. The rest of my satisfaction can only be determined by the marks I manage to procure.

I’ve spent the past two days resting a bit. Not that the cold has reduced a lot, but at least I’m feeling much better than I was two days back. Now, just waiting for my practicals to get over so that I can breathe a breath of relief.

The New Year again this year, wasn’t very great. I was studying. And I haven’t made a lot of resolutions this year. I’d just like to be a little more regular than I have been in the first term. That’s all.

I definitely hope that 2010 brings, in terms of peace and brotherhood, a surge of hope for all of us. It hasn’t started all that well. What with the lastest news about a policeman being beaten to death by some criminals in front of the stopped cars of two Ministers. And, the Ruchika Girhotra case which evokes the dormant barbaric anger from the deepest corners of our hearts. 19 years on, and the sheer position of the accused is enough to help him get free with just a fine!! We talk about our country moving ahead, as new years come. But the examples we see seem to pointing in a completely different direction.

100/100

Every person strives to achieve that 100/100. In all spheres of life. 100/100 is perfection, it is the ultimate dream, and to some ( like in college), it is a dream that never bothers to come true. Here, in BJ, students attending a 100% are considered mad, insane, eccentric... whatever you may want to pick out. They are not considered 'Normal'.
And so, all these terms are being applied to me. Because, I have managed to garner a 100% attendance in both lectures and practicals in Pharmacology. It actually isn't a big deal. But, I am the ONLY person in a batch of 170 students having these credentials, so, yes, I have every right to feel proud of myself for it. This wasn't intentional. Its just that, I love 2nd year so much, its hard to stay at home, knowing that I have a lecture to attend. Add on the opportunity to drive the car whenever I have an 8 am lecture.....well, who said incentives don't work??
So the result is that I have a perfectly clean sheet, and now, I intentionally want to keep it so. I don't know how long I'll be able to do that, but its worth a try, right? So, keep trying guys...... :-)