A twisted poem from a twisted mind, and some twisted ideas which resulted from a sleepless night and straight 48hrs on the Go..i think i must rename my Twisthesis!

Na hadse zyyada khushi
Na had se zyada gham
Duniya ko chale jeetne hum
Na goli barood na koi bumm
Humare G main hai itna dum
Jab tak hai jaan
chalega yehi sitam
Kabhi thanda kabhi garam
Dekho sapne par kabhi ho nA bhramm
Ruke rakaye na thame hum
Bheegi aankhen hui namm
Man me lagan
Dimaag main aggan
Hosla pakka na zyaada na kam
ROK sake na koi ravan ho ya Yam
Saath mili hai mujhe ek sundar humdum
Haath main uske hath ho apna kya khushi kya ghamm.

On the edge...

On the edge. That thin line. That fine line. At one moment you could feel like being on top of the world, next moment you could be on your way to the bottom, you feel humbled by the enormity and the megalomania of nature,n realise that we live in our own human cocoons. Cocoons of the society. If you get out of it you could feel the beauty of what lies beneath. N that sums up the purpose of human existence. Explore, invent, think, feel it, sense it, adapt to it all, let go, relax and enjoy. Being afraid is a protective mechanism, it shouldn't stop you from what you are here for

Articles On Konkani / Konkani Dictionary / (Amchigele): GAUDD SÀRASWAT BRÀHMINS IN GOA - DR. S M Tadkodkar

Articles On Konkani / Konkani Dictionary / (Amchigele): GAUDD SÀRASWAT BRÀHMINS IN GOA - DR. S M Tadkodkar
An awesome article. It helps you to understand your roots and what the community is all about. It also explains many other things which as you read on, will realise.
This is a must read if thou art a GSB.

ECHO-an interesting case of VHD with LA CLOT

30/F presented with SOB GR IV NYHA
PALPITATIONS

CVS : apex L 5ics inside MCL tapping character DIASTOLIC THRILL at MA
MA : LOUD S1
GR IV MDM at MA low pitched best heard with BELL with
TA : gr III murmur HIGH pitched best heard with diaphragm at end inspiration.
AA : MUFFLED S2 ESM GR4 WITH THRILL best heard at end expiration in sitting position slightly leaning forwards radiating to carotids
EDM at NAA GR III
ECHO :
CALCIFICATIONS IN MV AND AV
SEV CRITICAL MS (MVA 0.59 cm2 BY PHT
0.8 cm2 by MV planimetry
SEV AS WIT AR
AvVmax >4m/s
SEV TR WITH SEV PAH the TR JET is biphasic with one central and one eccentric towards IAS
PASP >100MMHG
Large LA Clot

ECHO INDORE 2013@ SAIMS INDORE

The stage was all set. It was an awesome conference right since the moment it began. Dr.Navin Nanda, distinguished professor and regarded as the 'Father of Echocardiography' delivered some excellent lectures on the basics of echo cardiography.The lectures were well organized by Dr.Siddhant Jain sir and Dr.Tilkar sir. There were many interesting live case demonstrations by some of the stalwarts of Echo cardiography like Dr.Navin Nanda sir himself and other eminent cardiologists like Dr.Rakesh Gupta and Dr.Vidyut Jain. The live workshops were simply too good and it was great to see all the greats at one place trying to instill in our minds how important an imaging modality could be, how it could aid in not only the diagnosis but even management of the patients. The conference was successful because of not just the lectures but even the 2way interactive sessions. It felt good to interact and have your doubts cleared from the best people in the business. The conference was light hearted at many intervals and that really set the mood for the interest. there were even interesting cases by our own Dr.Vijay Garg sir and in the end there was a very important lecture by Dr.Nitin Modi sir on ECHO IN ICU There were quizzes with awards.I happened to win the second one and was the only PG student to have done so. There was also a last question which would give the answering person the title of 'Master of the Quiz' and I won that too. Time just flew and there was still a big crowd even after 12 hrs of grilling. The ambience at Laser was very pleasant and even the food was too good (that's what some people had come for). The conference was followed by a happening party at the Fortune Landmarks Earthen oven garden with some great food, the much needed drinks (especially after such an intense day) and some good performances by singers and a good Saxophone artist (who were PG students themselves!) The party finally ended with a DJ and dance where everyone just loosened up and let off all their steam.I must congratulate Dr.Siddhant Jain &Dr.Tilkar for organizing a very superb conference. Looking forward to the coming week for the ECHO course which would be accredited. To sum it up in 3 words, IT WAS AWESOME!

DEXTROCARDIA ? Or wrong ECG?

An interesting case of dextrocardia.
How to distinguish it from a wrong lead placement or CAD
Check the negativity of aVR, positivity of p wave and progression of R wave in chest leads.I think the person while taking an inverse ECG inverted the avR too.

My first 'printed' ECHOCARDIOGRAPHY REPORT

Enough of handwritten reports... We have become professional now.!

38 ECHOCARDIOGRAPHIES PERFORMED IN A SINGLE DAY!

Goliyon ki rasleela,Ramleela .A movie review

Last night I went for this movie with my dear wife, I didn't know anything about the story and sometimes it's a treat to watch such a movie about which you don't know anything ,really!
The sets were flamboyant typical Sanjay Leela Bhansali, the music was also good although as my wife said it was very Devdasesque and Hum diL De chukesque..I must congratulate all actors for pulling off a splendid performance. Ranveer m deepika did justice to  the characters and potrayed the characters really well.There was this perfect description of Melancholy, Chaos and Unrequited love. Overall from the second half u could almost guess the story and the climax ( remember Ishaqzaade? Rings a bell?)Overall the movie was a bit 'overdone' and the details were too intricate . However, this movie will be a definite candidate for the Indian entry to Oscars and Cannes. My review?  ✴✴✴✴⚪.

An interesting ecg of a 2yr old

If you look carefully there's right Axis deviation, and RVH. but if you still look closer at the long lead II, there's a distinct pattern. There are p waves superimposed on the T waves. This is called p on t phenomenon. If you look into more details there's a 1:2 block. This is 2nd degree mobitz type 2 block as the qrs duration is normal : <120ms. The differentiating factor from Mobitz type 1is the qrs duration. Mobitz type 2 is infrahisian (originating below bundle of His).Infra hisian blocks arise below the bundle of His and are usually more dangerous than suprahisian as they indicate some damage to the LV conduction system.The T inversions in V1 ,V2 ,V3 are a normal variation in kids up till 5yrs of age.If this persists beyond this age its called persistent Juvenile pattern.
The ECHO of this kid revealed an ostium secondum defect of 11 mm.RA/RV ENLARGEMENT,MILD PULMONARY STENOSIS AND MILD AORTIC STENOSIS ,mod TR.ECHO A4C confirms the ASD by demonstrating turbulence and a gradient across the septal defect as seen in the picture.

A case of DCMP with LV APICAL ANEURYSM with Aneurysmal clot

60/M presented to the ECHO ROOM referred from Opd with c/o SOB CHEST PAIN, palpitations.
When I got the PLAX view I could see an aneurysm. Interestingly this aneurysm also had a clot which was attached at one end and other end was floating. There was also spontaneous ECHO contrast which indicated blood stasis.A4C gives a better view of the aneurysm and the clot. He also had severe MR & TR.LVEF by Simpsons was just 12%

A few interesting ECHOCARDIOGRAMS i enjoyed performing.. PLEASE FEEL free to leave your comments and discuss