Wednesday, September 20, 2023

Post mortem is a mandatory procedure?

Aster MIMS Emergency Division fights against Covid 19 Second wave : ACEP story

https://www.acep.org/intl/newsroom/aster-mims-calicut-a-southern-india-hospitals-investment-helps-turn-the-tide/ 



നൂറിന്റെ നിറവിൽ

നൂറ് വർഷം പിന്നിടുന്ന ഒരു വിദ്യാലയം, ലക്ഷങ്ങളായ വിദ്യാർത്ഥികൾക്ക് അക്ഷരങ്ങളുടെ തേനും വയമ്പും തേച്ച് തന്ന് രാവേത് പകലേത് എന്ന് കാണിച്ച് തന്ന് , കുണ്ടേത് കുന്നേത് എന്ന് കാണിച്ച് തന്ന് , വിദ്യാർത്ഥികളുടെ മുൻപിലും പിൻപിലും വിളക്കായി ,അറിവായി ആത്മാവായി കാലത്തിന് മുൻപേയും പിൻപേയും സഞ്ചരിക്കുന്ന ഒരു മഹാവിദ്യാലയം, ഞങ്ങൾക്ക് ഇത് ആത്മവിദ്യാലയം. കൊക്കിൽ ജീവനും ബോധമണ്ഡലത്തിൽ ഓർമ്മയുടെ ഒരുതരിയെങ്കിലും ശേഷിക്കും വരെയും ആത്മാഭിമാനത്തോടെയല്ലാതെ ഈ അക്ഷരകളരിയെ ഒരു പൂർച്ചവിദ്യാർത്ഥിയ്ക്കും ഓർക്കാൻ കഴിയില്ല. ലോകത്തിന്റെ ഏത് കോണിലിരിക്കുമ്പോഴും ബാല്യകാലത്തിന്റെ ഏതോരു ഓർമ്മ ശകലത്തിലും ഇന്നും മങ്ങാതെ മായാതെ നിൽക്കുന്നത് ഈ സ്കൂളും അവിടെ നിന്ന് തുടങ്ങുന്ന ഓർമ്മകളും.ഇവിടെ ആദ്യാക്ഷരം കുറിക്കപ്പെട്ടതിലെ അഭിമാനം. ഇനിയൊരു ജൻമമുണ്ടെങ്കിൽ ഇവിടെ തന്നെ ആദ്യാക്ഷരങ്ങൾ കുറിയ്ക്കപ്പെടേണേ എന്ന പ്രാർത്ഥനയും

Tuesday, September 19, 2023

A beautiful song ....fitted to a beautiful Quay


പുഴയുടെ തീരത്തൊരുത്രാടരാവിൽ .. Puzhayude theerath..Chithra arun s one of the best light music |


Padma Awardee Prof .MRR : "The Father of Palliative care medicine"

Indeed, the palliative care movement in India is inseparable from the contributions and pioneering efforts of Prof. MRR. His dedication and vision have been instrumental in shaping and advancing this crucial field of medicine in the country.

Palliative care medicine was introduced to India in 1993 when the visionary Prof. Mr. Rajgopal initiated its inception in Kerala. The journey began in a side room of the Anesthesia department at Calicut Medical College. Dr. Suresh Kumar, my friend and classmate, played a passionate role in shaping this novel concept in Kerala. He transitioned from anesthesiology to dedicating himself entirely to palliative care medicine.

Initially, palliative care started in a small room within the anesthesia department and was later relocated to a more suitable space near the pay wards. Subsequently, the Institute of Palliative Care was established within the medical college campus, pioneering a community-based palliative care concept, likely a first in the world and definitely the first in India. This revolutionary concept gradually spread across Kerala, with the people of Kerala wholeheartedly embracing it and playing a crucial role in supporting millions.

The Kerala Government also recognized the significance of palliative care and encouraged Panchayats to take up this initiative. The Kerala model of palliative care gained worldwide recognition, with the World Health Organization (WHO) endorsing the Institute of Palliative Medicine (IPM) in Calicut as a model palliative care center. Thousands of community volunteers were inspired by this concept and became integral to the palliative care system in the state of Kerala. Numerous training programs, both short-term and long-term, emerged, attracting many participants.

Prof. MR Rajagopal, known as the father of Palliative Care Medicine in India, was honored with the Padma Shri by the Indian Government. His podcasts, write-ups, and lectures are renowned worldwide, and his book "Walk with Weary" is truly exceptional.

The first two pictures depict the inception and dedication involved in establishing this new branch of medicine in Kerala. Prof. MRR brought WHO collaboration and empowered his students like Dr. Suresh to take the project forward, providing them with complete freedom to nurture this specialized field.







The Video by Mammotty

The video featuring Mammooty, the super megastar of Kerala, remembers how he became involved in the palliative care movement, perhaps the first in India, certainly as the founder and patron of the movement. It is surprising to note that he does not recall the name of Prof. MR Rajagopal, the father of Palliative Care in India and a Padma Awardee. The MRR award certainly does not belong to the so-called "Pranjiyettan" category.

I've written this blog to highlight this amnesia regarding my most respected actor's memory lapse about my most beloved mentor.

Video in YouTube 
My Personal note 

“The history of palliative care medicine in India is closely linked with Sir, who is regarded as the father of Palliative Care Services in the country. For reasons that remain unclear, he was sidelined at some point. Currently, he is at the helm of Pallium India in Trivandrum. To me, Prof. M.R.R. is more than just a teacher; he has been my mentor, my guide, and the person who has shaped both my life and career.”





Dr Shafi Ejaz wrote

Amazing Exeter

Monday, September 18, 2023

A small reunion at Waterloo

"It was an amazing get-together at Waterloo railway station with my batchmates, Dr. Abdul Rahman and Dr. Rauf, during our UK visit. Both of them had traveled a long distance to come to the railway station to meet us. We spent more than three hours talking about everything under the sun. Both Rahman and Rauf, who have been working as a pediatrician and a psychiatrist respectively for more than 30 years, transported us back to our good old medical school days during the time we spent together. They truly made our day."

Two gems … flying high as twinkling stars


"Two gems from the Aster EM alumni in the UK, Dr. Lajeesh Jabbar and Dr. Shafi Ejaz, have secured spots in UK EM training during a time when pathways to such opportunities were unclear to many. Both individuals are immensely passionate, committed, and dedicated to their profession, possessing a lucid understanding of the complex navigation involved in their career paths. During their master training in EM at Calicut, they showcased determination, successfully meeting a series of milestones and gaining the core competencies necessary to practice EM anywhere in the world. In 2014 (Ejaz) and 2016 (Jabbar), they arrived in the UK, where they entered the training pool and completed their training with an exceptional level of expertise. Dr. Jabbar is now relocating from London to assume a consultant post in the UAE, while Dr. Ejaz recently became an ER consultant in the UK. From the bottom of my heart, I congratulate them. It fills me with pride to have been their teacher at Aster, and they are like my own children. For me, this moment is one of pure ecstasy. I wish them all the best in their personal and professional journeys."

Smart bed to monitor Nipah infected patients

Health minister Veena George communicate with Nipah infected patients at Aster Mims Calicut through our AI enabled 5G smart bed communicating system. 

The coordinator's remarks on London get together


Nipah write up in Kaumudi

Sunday, September 17, 2023

An amazing day at London

Aster Alumni ER physicians are gathering in London today. There are 78 EPs in the UK who received their initial ER training from Aster DM Healthcare in India. They are currently working in various roles within the UK NHS. Four of them have become consultants, and the majority are in training posts under CCET at the Royal College. It's truly a proud moment to have been a part of their foundational training and to see all my students doing well and representing emergency medicine excellently.

It has been a long journey since 2007 when I began my EM training with the support of GWU, and it culminated in the fulfillment of this great journey where Aster played a crucial role in preparing young doctors to soar high towards their destinations.

Sunday, September 3, 2023

Water foundain at Jaipur

https://youtube.com/shorts/9umHFVukJTM?si=TlkLSHgey4Gd_dum
Amazing water foundain which enrich the beauty of central park at Jaipur . 

Domain reached back ....After a long time .

Thirumbi vanthach

I had been using the website domain "www.drvenu.net" for over a decade, with the subscription set to auto-debit from my account. At some point, Google and GoDaddy updated their dashboards, which disabled the auto-debit feature. I missed the notifications and forgot to update my payment methods, resulting in the loss of my domain. At that time, my site had received over 100,000 visits. I attempted to reclaim the domain, but unfortunately, a third party had already purchased it and put it up for auction at a price of 50,000 INR, whereas the usual annual cost is only 860 INR. So, I gave up on the idea of buying it back.

I lost interest in blogging, and then vlogging became popular. I held back from engaging in either activity but occasionally posted articles on my new domain, www.drvenu.co.in, which was connected to my WordPress blog.

Recently, while in a leisurely mood in Jaipur, I decided to revamp my original blog. To my surprise, I found that my old domain was available for purchase through Google for just 860 INR per year. Without a second thought, I bought it and reconnected it to my existing blog, www.drvenu.blogspot.com, which is now also accessible via www.drvenu.net.

Saturday, September 2, 2023

Two delicious food items tasted from Jaipur : Worth to try

Raj Kachori 
"Raj Kachori" is a popular North Indian dish, often considered a type of chaat. It consists of a large, hollow, crispy puri filled with various ingredients like boiled potatoes, sprouts, and chickpeas. It's usually topped with sweet and spicy chutneys, yogurt, and sev (small pieces of crunchy noodles made from chickpea flour). Raj Kachori is often garnished with pomegranate seeds, chopped coriander leaves, and sometimes even bits of beetroot for color.

It's a dish that offers a burst of flavors and textures, and is popularly enjoyed as a snack or appetizer. The term "Raj" implies "royal," and the dish is indeed a royal treat given its rich assortment of fillings and toppings.
Ghevar
Ghevar is a traditional North Indian dessert that is especially popular in the states of Rajasthan, Haryana, Delhi, Gujarat, and Uttar Pradesh. It is particularly associated with the Teej Festival and Raksha Bandhan. Made from all-purpose flour, ghee, and sugar syrup, Ghevar is a disc-shaped sweet that is fried until crispy and then soaked in sugar syrup.

The dessert has a unique honeycomb-like texture and is often garnished with silver leaf, saffron strands, and chopped nuts. There are also variations like Malai Ghevar and Mawa Ghevar that include a creamy topping made from reduced milk.

The preparation of Ghevar requires a special skill set, as the batter is poured into hot ghee in a specific way to form its characteristic shape and texture. Despite its complexity, it's a much-loved dessert that is eagerly awaited during festival seasons.

Animal Ambulance -a good concept

An animal ambulance is a specialized vehicle equipped to transport sick, injured, or stray animals to veterinary clinics, animal hospitals, or shelters for medical care. These vehicles are usually run by animal welfare organizations, municipalities, or private veterinary practices and are staffed by trained professionals who can administer basic first aid to animals in distress.

Animal ambulances play a crucial role in urban settings and rural areas alike, aiding in rescue operations and ensuring timely medical attention for animals in need. They may also be involved in larger-scale rescue operations during natural disasters to safely evacuate animals from danger zones.

The concept of an animal ambulance underlines the growing awareness of animal welfare and the need for specialized care for animals in emergency situations.
Another interesting observation
The presence of animal ambulances at polo matches in Central Park, Jaipur, highlights the importance given to the welfare of the horses involved in the sport. Horses are valuable athletes in their own right in polo, and their well-being is crucial for the integrity of the game.

It's somewhat surprising that there weren't any ambulances specifically for the human players, especially given that polo can be a dangerous sport with a risk of injury. This could potentially indicate a gap in the overall safety measures in place for the event. The ideal scenario would be to have medical facilities available for both animals and humans to ensure the well-being of all participants.

Ardhanareeswara sculpture in the walls of Pancha Ratha :Mahabalipuram

The Ardhanareeshwara sculpture is indeed present in the walls of the Pancha Rathas in Mahabalipuram, it would signify the inclusion of this important theological and philosophical concept in the diverse array of themes represented at the site. Ardhanareeshwara represents the synthesis of male and female divine energies, encapsulating both Shiva and Parvati in one form. Such a sculpture would typically aim to convey the idea of the unity and interdependence of the masculine and feminine aspects of the divine, which is a recurring theme in Hindu philosophy and art.

The presence of Ardhanareeshwara in the Pancha Rathas would add another layer of cultural and religious significance to this already historically rich site, known for its architectural innovation and artistic brilliance.

The other side of the story

Ambulances are parked on the Walkway. 

Cars are parked on the walkway, and pedestrians are walking on the road.

The reality 

Traveling imparts numerous invaluable lessons that often go unaddressed in textbooks and even in the realm of so-called "social media universities" like WhatsApp. It unveils the genuine truth and provides us with a firsthand look at ground realities, often differing from what's portrayed in travel guides. One such observation comes from my time in Jaipur.

The concern

Personally, I'm deeply invested in road safety and the responsible utilization of public properties, reflecting the ethos of a civilized citizen. Unfortunately, I found myself disheartened witnessing the prevailing attitude of the people.


What is noticed

The government has constructed excellent roads, complete with spacious 9-foot-wide walkways on either side. Such walkways are beyond imagination in Kerala. However, in Jaipur, these walkways are poorly utilized: they serve as parking bays, street markets, and even toilets. This reflects the local attitude towards infrastructure development.

How does it affect people?

Vehicles parked on pedestrian walkways force pedestrians to use the roads and roadsides for walking. This situation significantly escalates the risk of road accidents and collisions with pedestrians walking on the road. The documented data show that morbidity and mortality resulting from such incidents are substantially higher in pedestrian versus motor vehicle collisions.

Friday, September 1, 2023

"Swachh Bharat 1983": 40 years ago in Calicut.

This archived image captures a cherished memory from Calicut Medical College, 1983-1984. During this time, I was bestowed with a memento by Prof. Anna Mani, the Head of the Department of Social and Preventive Medicine, who also served as the NSS Program Officer at Calicut Medical College. I held the role of NSS secretary and played a pivotal role in organizing a 10-day NSS camp. As NSS volunteers, we conducted a survey through village home visits in Perumanna Panchayat. This survey revealed that hookworm infestations were a significant healthcare concern in the village, alongside inadequate sanitary facilities.With the dedication of the NSS camp, we constructed 15 latrines within the village to address the sanitation issue. Dr. Anvarudheen MN recognized my potential as the NSS secretary and directed me towards the 10-day camp. Evidently, this marked a groundbreaking occurrence, likely being the inaugural instance of a 10-day NSS camp in the history of the medical college.During our campaign, Prof. CK Jayarm Panicker, the Principal, graced us with his presence on one of the camp days in the village, providing us with inspiration and encouragement. The survey saw active participation from approximately 75 medical, dental, and nursing students. Thus, our "Swachh Perumanna" mission was launched four decades ago, etching a meaningful chapter in the history of our institution.












The world of creation ....An exciting experience

















I recently visited Mahabalipuram with my family and a few of our batchmates, and it turned out to be a fantastic trip overall. The main entrance to the sculpture city, Mamallapuram, is adorned with marvelous sculptures and statues. Mahabalipuram is renowned for sculpting nearly all the deity figures from the Indian pantheon. The streets are lined with stone artworks and skillfully crafted sculptures. During my morning walk, I strolled through a village where these captivating statues were in the process of creation. The experience was truly remarkable. Observing the depiction of various Gods and Goddesses taking shape before my eyes was truly exhilarating.

The sight of the colossal stones waiting along the streets to be transformed was awe-inspiring. Numerous statues caught my attention, with Ganapathy prominently displayed among them. The factory showcased various forms of Ganesha sculptures. Interestingly, there is a substantial ongoing debate about Ganesha in Kerala. Regardless, I seized the opportunity to take a selfie with the captivating "Myth or Truth."

Selfie with Ganapathy

Mahabalipuram is renowned for its monolithic sculptures, which stand as a testament to its artistic brilliance.

A Divine Meal at Seeta Rasoi Bhandara – Where Devotion Meets Simplicity

A Divine Meal at Seeta Rasoi Bhandara – Where Devotion Meets Simplicity On a spiritually charged visit to the sacred city of Ayodhya, we fou...