Wednesday, December 27, 2023

Graduation Ceremony at Anjarakandi - Kannur Medical College



“On 23rd December 2023, the grand graduation ceremony for the 2017 MBBS batch was splendidly held at Kannur Medical College, Anjarakandi. I had the honor of being the chief guest at this well-organized and executed event. It was impressive to see that 85 percent of the graduating doctors were highly talented females. The program evoked nostalgia, taking us back to our old days. Special thanks to Dr. Jithin GR for the video courtesy ”


Dignitaries on the dais off the dias ,

 The completion of five years of medical graduation marks a significant journey that shapes not only your professional life but also your thoughts, attitudes, and aptitude to a great extent. This period serves as the foundation for your future endeavors. Whether your choice of entering the medical profession was intentional, incidental, or by persuasion, your successful completion of this rigorous training and learning journey deserves celebration. 

As you stand on the cusp of your medical career, the opportunities and challenges ahead are vast. Some among you may embark on the path of post-graduation, possibly preparing for exams like NEET. Others may have plans for international jobs and higher education. The world is expansive, yet everything is at your fingertips, waiting to be explored according to your choices. However, the current system of post-graduation in India, particularly the NEET process, can sometimes feel similar to an arranged marriage. Your passion for a particular specialty may not align with the one you are allocated. This situation forces students into specialties they didn't choose willingly, potentially leading to burdensome scenarios. The mismatch between interest and allocation can result in catastrophic consequences, including depression, poor outcomes, errors, and miserable life scenarios.

In contrast, if you look at the Western world, where residents have the freedom to choose their specialty and subsequently undergo a series of exams to specialize in that field, it provides a more personalized and fulfilling approach. I hope that India, too, may consider modifying its examination and post-graduate training systems in the future to allow aspiring doctors to navigate their careers in areas they are passionate about. Wishing all the graduates a successful and fulfilling journey ahead. Congratulations on your achievements, and may you find joy and satisfaction in your chosen paths.

In my perspective, choosing the profession of a doctor is a remarkable privilege. Unlike other professions such as IAS or IPS, where individuals may become non-IAS or non-IPS after retirement, as a doctor, you retain your status until your last breath. It's a profession that allows you to continue treating and saving lives as long as your consciousness allows, offering a unique absence of retirement in your professional life. I find this aspect truly amazing. In my personal journey, becoming a doctor was incidental or by chance. In my childhood, I aspired to become a teacher, inspired by the role models who were our teachers. I belong to the 1982 MBBS batch at Calicut Medical College, the first entrance batch in India. The dream of securing an MBBS seat was never part of my initial aspirations. Incidentally, I applied for MBBS selection, and although I initially received the selection, the list was later canceled. The honorable High Court declared an entrance exam for the first time in India. Subsequently, we all went through the entrance process, and I became a medical student at Calicut Medical College.

My MBBS batch was extraordinary, consisting mainly of students from the villages of Kerala. We, as a batch, led two medical strikes against privatization in the medical field. This experience shaped our journey, and it remains a testament to the collective strength and commitment of our batch.

In retrospect, the unpredictability of how I entered the medical profession has made my journey all the more unique and fulfilling. My advice to not solely pursue money and to focus on maintaining ethical and decent practices in the noble profession of medicine is valuable. Emphasizing the importance of personal growth rather than comparing oneself to others is a sound approach for a fulfilling and stress-free career. The notion of comparing oneself with yesterday, rather than with others, is a profound perspective. Reflecting on personal growth and striving for improvement each day contributes significantly to professional and personal development.

My personal journey from an anesthesiologist to an emergency medicine practitioner is a testament to the positive impact of such introspection. Choosing to venture into Emergency Medicine in 2007, despite the unconventional nature of the decision, has proven to be the right path for me. Transforming the chaotic environment of the Casualty into a scientifically organized Emergency Room, with the support of an international university, reflects my commitment to bringing positive change. The subsequent recognition of Emergency Medicine as a basic specialty in India by the MCI in 2009, the initiation of MD Emergency Medicine in 2013, and DNB EM in 2014 underline the success and relevance of my humble efforts.

My story serves as an inspiration for those in the medical profession to follow their passion, make bold decisions, and contribute meaningfully to the advancement of healthcare. It's a testament to the positive impact one individual can have when driven by a commitment to improvement and innovation in the field. Significant changes cannot be achieved without public awareness and support. A prime example is the palliative care movement in Kerala, which gained widespread popularity due to community involvement.

"I contributed to making emergency medical care more accessible through ANGELS - Active Network Group of Emergency Life Savers. ANGELS played a crucial role in extending emergency medicine concepts from the confines of hospitals to the broader community. We conducted a series of public awareness programs, including Basic Life Support (BLS) and Trauma Care training. We trained over ten lakh members of the general public and carried out more than 2000 mock drills. This included two major drills at Calicut Airport and a Guinness World Record-breaking CPR training event in Kochi in 2019, where we taught hands-only CPR to 28,564 students in eight hours."

I may be here not because of my HOD post in the Aster EM department but because of my unconditioned contributions to making EM more community-based.

Thank you Srinath Menon for the opportunities


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.”





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