Drenched out after the clinic and finally at home.Had pulmonology clinic today.During clinic as I stared out the window, I could see the elegant Rangoonwala building.On its right is Home economics college.Behind it is a mountain,which has been craved to accommodate houses.There is a skyline of palm trees.Their grace is unmatched.On the road traffic continues,the same city witnessed killings of 38 people . . . As the clock ticks four I reconfirm the tea arrival time from the nurse.I go for a check in the staff lounge, there is no tea though.On my return the nurse tells me that in room three, three patients await.Oh well!I enter, they are from Afghanistan,and do not understand urdu.Ask I introduce myself one of the patient says in fine English,"please speak in English".And that's the only fine English he knows, these are followed by phrases, and then words.Fifteen minutes elapse and I m only done with two.I feel like banging my head.The third one again has nonspecific s...
Once upon a time, there were five beautiful girls, and one handsome boy.Their names were Hajra, Nosheen, Ayesha, Zaina, Zarka and Anwar.They were all wonderful doctors,nicely trained, kind hearted people.Fate bought them all together in the month of October, in Pulmonology rotation. . . . . Their first week was with Dr Ali Zubairi.One of the most fun weeks.Few patients, plenty of doctors.Dr Ali Zubairi read their follow ups and corrected them with his black pen if required,and wrote “”good’” if the follow ups excited him. One of the patients had tuberculous effusion, chest tube in,she was 16,small for her age, but with a very sharp brain.She passed a vibrant smile, whenever they meet her. Then their was this asthmatic lady whose wheeze continued despite optimization.Dr Ali Zubairi asked her if there was any family history positive for asthma.She went blank.Two days later when she was a little better, she told Dr Ali Zubairi” the other day you were asking me whether anyon...
Calendar says its 8th of November,2010. My heart says its call two today in oncology. Its Sunday , while the rest of the family starts for the lazy morning, I hurriedly rush for the hospital. Its the usual day in hospital, plenty of patients ,only this little doctor to sort out the mess. As usual all the stable patients turn unstable, and together… . . . . I love oncology’s craziness! ”Do you take drugs Aunty” I ask the patient, with a smile. On the back of my mind lingers on the thought that I’ve to give intrathecal chemotherapy.Done with clarking three patients, I proceed for the chemotherapy.Every thing set, LP needle, GP pack,pyodine, midazolam, consent. I call the staff for assistance in positioning the patient. Patient’s room stinks…she has passed stool. “Clean it up”, I tell the staff. Ten minutes pass.Meanwhile I clark the fourth patient. I peek into the earlier patient’s room.Everything nicely cleaned up!”Lets start” I signal the staff.Two and a half ml of midazolam, no r...