casualty

emo em rayadaniki teesukunnano idi

casualty night shifts aipoyay.


11 days up.
em saadhincha?

symptomatic ga treatment---ok parvaledu confindent ga ne pedutunna. But still, I need efficiency.

Prati roju ante, naa inefficiency kanipistundi naaku. Paaripovalanipistundi naa duties nundi. alaanti haanikaramaina aalochanalanundi freedom kosame nature nannu casualty lo tosesindi le :) busy aipoyi 'naaku radu' ani aalochinchadame amrchipotunna. ennenno nerchukuntunna. I'm not satisfied, completely, but still, I'm fine.

emo mari...

idi oka govt hosp. chest pain complain chesina vaallandariki ecg routine ga advise cheyadam oka sampradayam ikkada. adi avasaramaa leda analyze chesi decide cheyagaligedeppudu??


angina... angina equivalents, unstable angina... just ischemia valla st depressions
infarcts--- gross elevations and t wave inversions... artefacts --- hyperpolarisations, st take off.... anni chusa. chala chusa. prabhakar kuda gurtunnadu. almost moribund, vachinappudu. ecg kosam pampincha. dead body ni venakku techaru. pulse tagalanappudu auscultate chesundalsindemo. atanu vf lo lekapoyina atleast oxygen pettindalsindemo. atani death lo naa baadhyata entundo naakaite arthamkavadam ledu. cheppe vallu kuda evaru/. adigi telusukune teerika kuda ledu---anni op sheets chetilo. annii chest pain kosame... I dont know. adi jarigi inni rojulaindi. inka chadavaledu daani gurinchi. nijangane busy ga unnano leka unnananukuntunnano]



aa tarvata kuda chest pain cases chusa. aspirin, clopidogrel sorbitrate... Ide naa paridhi. aa tarvata physician ku pettestunna. before the onset of arrythmias. huh
Still not sure of triage. Ee uncertainity nachatledu. Nenu nerchukovali. but eppudu/ ekkada?

i'm happy, that i could anwswer all the sir's questions. ecg alaanaa ammay read chesedi, first rate? rhythm/ axis? p wave? pr? st? t waves? qrs complexes? annintiki answers cheppa. nenu cheppina findings nu analyze chesadaayana. baaganipinchindi. Naa side nundi aa matram effort lekapointe aayana analysis daaka vachevadu kaademo. and clinical application is what I need to learn here. it is what my books dont teach. huh.

scorpion sting
dog bite

oka daani rx theory telusu. inkoka daanni nene treat chesa.
Snake bite is the one left now. Which I still have to learn

seizure management, stilll not sure.
phenytoin loading dose 2 to 3 times petts. diazepam ela istaro kuda telsu. 2 to 3 times petts. kaani edi e set up lo istaro inka not sure.
theory and practhical veru ga kanipistunnay. i mean, pani chesetappudu nenu nerchukunnadi apply cheyaleka potunna. apply cheyadaniki try cheyadaniki pustakaalanu cheuse time teerika oopika undatledu. Nenu inka better ga cheyochu. cheyatledu.

dopamine drip petta. cpr chesetappudu atropine ivvadam chusa. half life takkuva, ns to push cheyamannaru evaro. adi adenosine and sodium nitroprusside ku sambandhinchi kada, I dont knwo. naaku raado ataniki raado. evarinadagaali ippudu nenu? sekhar sir? chuddam.

adrenaline cpr chesetappudu entistaru ela istaru/ iv ivvakudadu kada/ ivvocha?
acls ku dabbulu kattali

ge lu matram confident ga treat chestunna.kani inka rationale nu oppukoleka potunna. evari burra tinaloI'm happy first posting casualty padinanduku, surgery and med pade time ki konta base to vellagalanu kada. doubts anni ippude vachestay. I'll still have opportunity to learn.

Inka pain abdomen. rantac eppudistaro pantop ekkada prefer chestaro artham kadu. sekhar sir nu adagali. ok. preliminary treatment aite istunna, kani first examination to diagnosis pettalema? cyclopam laku rantac laku patient relief cheppaka pote ne emergency suspect cheyala? emergency ante symptomatic therpy ku respond avvanidanaa artham? how ridiculous. I need to learn everything about this. eppudo surgery posting appudu kadu. ippude nerchukunta. casualty aipoitylopu ateeast pain abdomen anna treat cheyagalagali kada.

rta's. ikna pattu raledu. injuries nu kuda confident ga describe cheyaleka potunna. pratidaaniki sekhar sir sekhar sir ani tiragadame. I must be able to work by myself. inni rojulaindi. inka iv line ventane secure cheyadam loni importance artham
kavatledu naaku. especially rta lu.

antaga concentraqte cheyatlledemo nenu. anduke nemo inta incompleteness. just pani complete chesukoni vellalani chustunnanemo. inka dhyasa petti panicheyali. naaku ee opportunity malli radu. sam, take care.


avnu nijamenemo. cath pettadamlo anta failure rate kuda andukenemo. huh. adi naaku vacho rado naaku ippatiki teleedu., I dont knwo

foley's ok. mistakes anni kiran sir kantlo ne padaali, aayane correct cheyaali nannu. aina aayana nanne enduku pilustaaro malli malli foleys pettadaniki. ok anukunnaremo.\
ennni pedutunnano lekka ledu naake. okkka bph ku aina pettali housie aipoye lopala.

ryle's kuda ok. first pettaledanna oka feeling undindi. but now its gone. taka taka
petteyagalanu confident ga.

kani poisionings complete ga manage cheyaledu. vachevanni rmlc's. atropine and pam ichese pampistaaru. doses gurinchi aalochinchadaaniki kuda teerika ledu. number of ampuoles to ne jeevitham gadichipotondi. okka ampuole ento naaku ippatiki teleedu.
poisonings meeda pattu kaavali inka naaku

last but not the least, sutures. sekhar sir to ippudu deal kudurchukunta. I have to learn it well. naaku vacheyali adi. vachu anna bhrama lo undakudadu. raadu anna feeling to bratakakudadu. suture raagane sir kosam wait cheyakunda nene velli veseyaali. I need that confidence. nas oppukodemo but still, i cant sacrifice my opportunities for her. I will not have a second chance. mundu nerchukunnake evarikaina nerpinchedi. lekapote nenu eppatiki assistant gane migilipotanemo.

sr okati chesa. tappu chesa first. kani nerchukunna. I'm happy.porapatuna suture material migilipote ela teeyaalo kuda chusukunna.

hope prem will be fine. adoka simple suture. sariga approximate kaaledemo ani naa feeling. feeling kadu nijamenemo. aa abbayi noppantunnadani baadhesi tondaraga kaanichesa. inkonchem slow ga chesundalsindi. its ok annadi akka. chuddam. chuddam.

Oh god! please please. nenu baaga nerchukovali. naakippudu 19 days matrame unnay. I have to learn well. i have to learn more.

inkaa janku vadalaledu naaku. eppudu vadulutundo adi. eppudu concentrate cheyadam nerchukuntano. I want it. I need it.


Try chestanu. Kau chestanu.
Cheyagalanu, naaku telusu. I know. i KNOW. :)


Tarun super. Atu gowtham itu fasi iddari tonu nenu tarun ku link ayyunnanani telisi shock ayya. rahim saresari. tarun kuda same loop lo unnadani teleedu nakippatidaka. Glad to know :)

And naseera... Tanaku nenu nachanani naaku enduko anipistu untundi, despite all evidences against it. Sam is ok, but not perfectly fit ani tana abhiprayamani naa observation.

Ravi chandra and lavanya. pani eppudu naaku appacheppinaa pedda feel ayyedanni kadu. but ninna kopamochindi. appatike 6 cases. vaatillo 4 mlc's. anni nene chusukuntunna. alaanti time lo anna cases teesukovaali kada. I'm irrtated. I'm damn irritated.

Nijame naseera cheppindi ninna. I need not be too 'generous' towards those. naa duty aipoyi half an hour ayyindi. inkaa naa cheta panulu cheyinchukuntunnaru vaalu darjaa ga kurchuni.adi realize avvakunda inka vaallu cheppindanta chestu kurchovadam--- huh, I'm a fool.

what else??


so ippatinundi dhyasa pettali
sutures nerchesukovali
chadavaali
inkaaaa better avvali. i have to become better. I ought to
and i will.