spine 2012

13/09/2012


Spine conference 2012, chennai



The live workshop was held today at the Madras Medical college. It was a experience after 7 years. I meet colleagues whom I didnt remmember and yet they were glade to meet me. I was also happy to se the surgeries done by our colleague surgeon. Dr suresh Babu , Dr Parthiban were procedures done to make understanding easy. But dr Satish and dr Vivek Patkar appeared to make things difficult. I found that a lot of colleagues had never done the anterior cervical approach to the CV jtn and were amused by the procedure. I only wish Dr Patkar would have organised his instruments before starting the procedure. Criticisms appart , the experience was only suggestive of revival od confidence. Maybe one day I shall be able to do it my self at Ratnagiri. Hope to see more work tomorrow.

If at all we had protocols – how should it be?

At the end of the conference – Neuro-trauma 2012, I realised that we are having a diverse practice patterns throughout the country. To the best of my knowledge, every neurosurgeon [with the exception of a few] were adjusting and reinventing methods to deliver the very basic of care to the patients who come to them. Whether it be in the high end ICU of AIIMS and NIMHANS or be it in the remote centres like Ratnagiri the purpose is the same – if possible save the patient. Out of my own experience the facility of the internet, I have chosen a format which is practicable in my environment both economically and morally. Since neurosurgery is tech-intensive, one has to choose what is viable.  If we keep the same objective in mind, development of protocols should not be a problem. I therefore suggest 2 levels of protocol formation – Protocol 1 and Protocol 2. Protocol 1 should be the best as per the international standards where as the protocol 2 should be a scientifically logical and basic and economically rational option to be followed by all neurosurgeons through-out the country. In this respect we should take examples from the protocols developed by the Indian Association of Paediatrics [IAP].

Neuro-trauma

Aug 2012

After attending the conference at cochin [ which was nodoubt well organised] the most obvious thing was the complete chaos in the existing neuro-truma system in the country. There was a clear distinction between the institutional segment and the community based neuro-truma management segment. Then there was that obviuos difference between the teaching institutes where the trauma patients are left to the trainees and the corporate sector where the patients are carefully managed by the consultants. Some of the institutional presentation were disappointing when compared to the results delivered by qualified neurosurgeons operating from extremely low resource areas. Cost of treatment appeared to much lower on the peripheral units. Research presentations were poorly selected and hopefully in the future such presentations will not be allowed. Every body talked of a neuro-truma registry but none had any ideas about how to go about it. I am sure most of us will convienently forgeet the issue as soon as we reach home.

think oblique: IMA ratnagiri : shouldnt we reflect on our selves

Aug 2012

After attending the conference at cochin [ which was nodoubt well organised] the most obvious thing was the complete chaos in the existing neuro-truma system in the country. There was a clear distinction between the institutional segment and the community based neuro-truma management segment. Then there was that obviuos difference between the teaching institutes where the trauma patients are left to the trainees and the corporate sector where the patients are carefully managed by the consultants. Some of the institutional presentation were disappointing when compared to the results delivered by qualified neurosurgeons operating from extremely low resource areas. Cost of treatment appeared to much lower on the peripheral units. Research presentations were poorly selected and hopefully in the future such presentations will not be allowed. Every body talked of a neuro-truma registry but none had any ideas about how to go about it. I am sure most of us will convienently forgeet the issue as soon as we reach home.

IMA ratnagiri : shouldnt we reflect on our selves

I was amazed by the insensitivity of the colleagues during yesterdays IMA meeting which was held after one our colleages was questioned about the billing pattern and he was unable to respond ,or rather responded in a very immature manner toa smart and shrewed local politician. the question remains , wether the local politician was at fault at all. Actually he has  the right to ask - though the methods may differ - which by the way is poorly defined by our existing law.
the colleague in question is one of the worst in the medical feild with regard to concern for patient and the facilities he has made available. His NICU is noting next to a shit hole [actually europian toilets are better]. He wons multiple properties and a transport business. I wonder why he sticks to the profession of medicine if he is not able to do justice to it. Unfortunately ,I was a part of the assembly of doctors who did not speak out.
I chose to do my part as best asI could. I wonder wether we will be able tosustain it because almost the entire remaining assembly had complete sympathy for the apathetic attitude dispalayed by the doctor in concern.

Ratnagiri : related to event of 5/07/2012