The Varicose Vein Operation

Non Medicos version

For Non-Medicos: The veins of leg may become dilated, enlarged and torturous when they are known as varicose veins. In the traditional operation, the entire length of the vein, from the thigh to the ankle is avulsed after tying both the ends, which is known as stripping of the veins. 

Many surgeons have abandoned this traditional operation of the stripping of varicose veins due to various reasons. They just make a small nick over the skin where the veins are most dilated,   tease out and remove the limited diseased part of the vein after tying both the ends. This operation is known as multiple avulsion and ligation of varicose veins. 

Dr. Anupam Sharma (Fictional Name) was one of the earliest surgeons to adopt this new operation over the old operation in AIIMS, New Delhi  

 A patient with varicose veins was posted for surgery in Dr. Anupam Sharma’s operation theater. 

The lady anesthetist, Dr. Betty (Fictional Name), asked, “Doctor Saab, what operation are you going to perform on this patient?” 

Dr. Anupam replied, “Only multiple avulsion and ligation of the varicose veins.” 

A surprised Dr. Betty enquired, “Why, are you not going to do stripping?”

Dr. Anupam replied, “No. Gentlemen do not ‘strip’ in front of ladies.”

(Strip can also mean removing your clothes)

(Based on an allegedly true incident)

— ND

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DISCLAIMER: This article is intended only for fun purposes. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use the information herein is at your one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

DISCLAIMER: This article is intended only for fun purposes. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use the information herein is at your one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norms. 

The Burglars and the Doctor

Wife:           Wake up. There are burglars in the house.

Doctor:       Don’t worry. They will leave shortly when they discover that they are in a non-practicing doctor’s house.

 (Amusing Fiction or Bitter Truth?)

— ND

© Author. All rights reserved. 

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DISCLAIMER: This article is intended only for fun purposes. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use the information herein is at your one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

DISCLAIMER: This article is intended only for fun purposes. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use the information herein is at your one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norms. 

The Feeding Jejunostomy Lesson

Non Medicos version

Dr. Tarun Kumar Chaturji (Fictional Name) had joined as a junior resident doctor in the Dept. of Surgery, AIIMS, New Delhi. A patient suffering from cancer of the food pipe (esophagus) was admitted in his unit. Due to the cancer tumor blocking her food pipe she was not able to take liquids or even drink water. The patient and her relatives had delayed in seeking proper medical attention. At the time of admission, the patient was sick and in a moribund condition. 

Dr. Chaturji discussed with his senior resident about the feasibility of making a feeding jejunostomy. 

For Non-Medicos: In feeding jejunostomy, the abdomen is opened and a small tube is inserted in the small intestine (bowel). The patient can be given liquids diet through this tube directly into the small intestine. This improves the patient’s nutritional status and allows the patient to be kept and managed even at home.

Since the general condition of the patient was very poor, the anesthetist, refused to give general anesthesia to the patient. 

For Non-Medicos: Anaesthetist is a doctor specializing in putting patients to sleep at the time of operation and keep the patient unconscious and pain-free. In general anesthesia, drugs and inhaling gases are administered to the patient, so that they remain unconscious and pain-free at the time of operation. 

Since Dr. Chaturji did not want the opportunity to operate on the patient to be missed, he along with another fellow junior resident, took up the patient for surgery under local anesthesia. 

For Non-Medicos: In local anesthesia, certain drugs are injected around the area where the doctor is operating to make only that area of the body insensible to pain. 

In the Operation Theater, they injected the local anesthetic drug and started to operate on the patient. Initially, the patient made some sounds to show here discomfort. Since some amount of discomfort is inevitable while operating under local anesthesia, they did not pay much attention to it and got busy in finishing the operation as soon as possible. 

Near the end of the operation, they noticed that the patient has stopped making sounds of discomfort. They assumed that their local has worked well, congratulated themselves on giving such good local anesthesia and continued their operation. 

When they finished their operation and removed the clothes covering the patient, they found the patient was not breathing. She did not have a pulse and her heart was not beating. She was dead. 

Since the patient was already very sick and in a moribund condition, the patient’s relatives accepted the news of her death without blaming the doctors. The head of the unit did not take this so coolly and Dr. Chaturji received some heavy verbal reprimand from the unit head.

Do not operate on sick patients without adequate monitoring and back up facilities. For example, it is now standard medical protocol to have a dedicated doctor monitoring the patient’s condition, such as pulse rate, blood pressure, respiration, even when operating under local anesthesia.

The same holds true in a variety of situations in life. 

Perhaps you have joined an organization and you have not been given any major or important project or duty to handle. You may be tempted to take up something which others may be avoiding. If you carry out it well, you may get recognition. If you fail, it may be a disaster for someone just starting his career. So before going in for a do or die situations, take care to adequately cover yourself. 

When you are engrossed in an activity, you may not able to see the complete picture. You may miss the forest for the trees. In such a situation it is invaluable to have someone to monitor the complete picture and place your efforts in the right perspectives. 

 (Based on an allegedly true incident)

— ND

© Author. All rights reserved. 

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DISCLAIMER: This article is intended only for fun purposes. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use the information herein is at your one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

DISCLAIMER: This article is intended only for fun purposes. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use the information herein is at your one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norms.