Sunday, July 27, 2008

Are we insensitive to the terror attacks?

its about the discussion going to happen tonight on NDTV- "whether we have become insensitive to terror attacks"?
What do you want people to do to show their sensibility? Today morning i called my boss and started the discussion, he stopeed me in the middle- "the country is bound to go down. useless to discuss these things. just take care of your personal belongings . . . .by not going to the crowded places and keeping an eye on things around you". It effected me so much so that when my inlaws called me from a new number, i was to inform the police but good sense prevailed in time and i called my inlaws on known number and confirmed that it was their number!
In my opinion, Indian subcontinent have been ruled by inefficient, ignorant and irresponsible people immediately after downfall of ASHOKA. If human civilisation still exists there, its because of care which we take as an individual and we tolerate as a human being. People in Indian society do respond, in slow but decisive manner. they have toppled the rulers, governments even religions . . . . . .people are not insensitive, they are just waiting and weighing the options.
Dr. Manish

is scraping of POTA responsible for terror attacks?

i think more than the legislation, its commitment of the adminstrators and security personals, rulers (politicians) and at last but not the least, the juducuary, which is more important. i think adminstrators and security personnels in our country are ignorant and incapable, politicians are insensible and on top of all, we all are corrupt. only then the role of judiciary comes where a legislation comes to play a role. If police and intelligence people want, they can arrest any one on petty grounds. even by existing rules.

Saturday, July 19, 2008

Communication with a patient

Respected Dr. i m suffering from back pain since 4 months. Actually, the Disc below L5 has slipped out & causing mild compression of S1 root (from MRI Test). Neuro & orthopaedic surgeons are telling that surgery is only the solution. Kindly suggest some alternate.Thanks.
My Reply
Do u have leg pain as well? If its only back ache, surgery may not be helpful .. . .
Please send me the MRI pictures, I can tell you better .. . . . . If surgery is necessary, its the simplest thing we as a neurosurgeon can do. Please come over to Chennai I can see and advice you in detail . .. . I can finish the surgery (if at all necessary) for just may be 25, 000 Rs.
Well my brother in law is at aligarh . . . .if want any help.

communication with a patient's relative

Hi, My friends son aged about 2.5 years is suffering from Pilocytic Astrocytoma in the brain stem. The MRI scan report gives the following conclusion-1. Large expansile lesion in mescancephalon involving tectum with cystic and solid components extending to cerebral pedencle with patchy enhancement.2. The above features are consistent with tectal plate pilocytic astrocytoma.Doctor from Apollo Chennai has given time of 1 year or max 1.5 years. They said that it lies in very critical position where surgery is not possible. The kid is normal without showing any symptom of brain tumor, only the problem lies with the usage of left hand and leg. He uses very rare to hold articles and try to use only his right hand always.Please let me know any info/advice on this or is there any alternate treatment.
My Reply
I was trained at Apollo Hospitals, Chennai only, tell me the consultant who saw the baby.Yes if its Pilocytic astrocytoma . . . . . . even if the baby survives longer- the fact is, its not going to be longer than few years . . . . . in the best case may be maximum of 5 years- may be 6 . . . .if treated with all possible surgery/ medications (which will cost few lakhs and will leave the baby weak on one side which already is there). In our country most of us are not in a situation of investing like that for sure no return! Untill u have insurance (which most of us don't). Fact is that its not worth treating. Still, if you are ready to put few lakhs just like that- for your satisfaction . . . .if u r a millionarie- surgery . . . . radiation . . . . .may be even few medications . . . . . .may be tried. And yes, if u believe in magic, thats is also possible as TB is like our national disease . . . . after all said . . . after surgery the pathology report may through a surprise . . . . . and the doctor may say you grinning that it was an infection . . . . .. . Please keep the baby happy and wish no one else gets the disease.