I have been working in the Neurology wards these past couple of days. The service is full and there is a 2 week wait list for routine admissions. Our team consists of 2 junior faculty individuals who are called lecturers and 5 fellows who are called registrars. We have an attending who is also the chairman of the department who rounds occasionally.
Today, we had grand rounds which means that we walk as a team to see each patient and discuss them with our attending--the chairman of the department. Rounds here are very similar to rounds in the states except for the fact that there appears to be less autonomy given to the junior faculty. Our attending wanted to hear about every case and discuss them in detail. We rounded for ~ 6 hours today and we saw almost half of the patients. Our service has >50 patients which is almost 2x the size of similar teams in the states. These MD's are impressive--they seem tireless and very thorough.
Unfortunately for me, the physicians on my team speak with soft voices that I can not understand even when standing shoulder to shoulder. Even though I am only able to pick up bits and pieces of conversation, I can generally figure out what is going on. They are also very kind in answering my question which I appreciate very much. Our patients are very sick. I have seen more in these past few days than I would have expected. Here is a brief list of the patients I have seen:
Guillain-Barre syndrome
Fabry's Disease
Wilson's Disease
Plasmacytoma
TB Meningitis
Spinal Cerebellar Ataxia
Multiple Sclerosis
Duchenne Muscular Dystrophy
Transverse Venous Sinus Thrombosis
This morning my luggage arrived! I was so excited to see it as I was about to give up hope that it would be returned. Unfortunately, it appears that my toiletries were missing. I can't believe anybody would want my toothbrush or shaving cream. My stethoscope, which is more valuable, was not stolen--very strange.
If you are interested in learning more about the Christian Medical College and its founder Ida Scudder please paste the following address in your browser: http://www.cmch-vellore.edu/pages/?id=scudder. It is a great story about a women physician and her efforts to change lives in Vellore, India.
I am taking lots of photos, but unfortunately it has been difficult findig a computer that will accept my USB card. When I find one, I will provide some images.
Paul
Today, we had grand rounds which means that we walk as a team to see each patient and discuss them with our attending--the chairman of the department. Rounds here are very similar to rounds in the states except for the fact that there appears to be less autonomy given to the junior faculty. Our attending wanted to hear about every case and discuss them in detail. We rounded for ~ 6 hours today and we saw almost half of the patients. Our service has >50 patients which is almost 2x the size of similar teams in the states. These MD's are impressive--they seem tireless and very thorough.
Unfortunately for me, the physicians on my team speak with soft voices that I can not understand even when standing shoulder to shoulder. Even though I am only able to pick up bits and pieces of conversation, I can generally figure out what is going on. They are also very kind in answering my question which I appreciate very much. Our patients are very sick. I have seen more in these past few days than I would have expected. Here is a brief list of the patients I have seen:
Guillain-Barre syndrome
Fabry's Disease
Wilson's Disease
Plasmacytoma
TB Meningitis
Spinal Cerebellar Ataxia
Multiple Sclerosis
Duchenne Muscular Dystrophy
Transverse Venous Sinus Thrombosis
This morning my luggage arrived! I was so excited to see it as I was about to give up hope that it would be returned. Unfortunately, it appears that my toiletries were missing. I can't believe anybody would want my toothbrush or shaving cream. My stethoscope, which is more valuable, was not stolen--very strange.
If you are interested in learning more about the Christian Medical College and its founder Ida Scudder please paste the following address in your browser: http://www.cmch-vellore.edu/pages/?id=scudder. It is a great story about a women physician and her efforts to change lives in Vellore, India.
I am taking lots of photos, but unfortunately it has been difficult findig a computer that will accept my USB card. When I find one, I will provide some images.
Paul
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