woke up at shravanths house.
saw post tracheostomy skin attached to trachea, thot as thyroglossal fistula.
saw infected seb cyst ind done, thot as abscess, back of thigh.
saw infected lipoma ind done, thot as seb cyst.
assisted fistulectomy in 60 yr lady n vulval biopsy.
assisted fna of submandibular ln with pus for realtime tb pcr.

chemoport lipoma pap ca cyst deroofing volvulus insurance appeal

saw chemoport insertion rt subclavian bar 8 fr groshon tip nagaraj
assisted lipoma over back prone excision index finger retraction vasantha.
assisted pap ca thyroid FZ poongudi
saw case of ovarian cyst deroofing and mucosal stripping.rashmi
fistula extending to root of scrotum, entire tract laid open. elangovan.
saw case of FBO colonoscopic suctioning done, advised neostigmine., suspected as sigmoid volvulus on X ray but no lead point was there.
Lipoma insurance denied as cosmetic procedure. Planning to appeal as size interfered with liyng down.
Going to Doctors nite.

Complex hernia day

Assisted case of recurrent right inguinal hernia Ravi Das and put skin subcuticular. 4 x 4 cm round defect.
Better to put skin incision longer than previous scar to reach eo aponeurosis.
Assisted scrotal abdomen hernia, small incision. sac reduced in toto because it was not adherent. therefore always try to reduce the sac, opening is very last option. Bhagiram
saw a turp and understood something.

22/7 things

morning assisted a case of open inguinal hernia under LA infiltration block
attended rounds.
did dressing for govindraju and harigopal
saw a fnac of lipoma
saw a case of multiple fistulae in ano excision in toto
assisted a lap paraumbilical port site hernia repair large defect.
evening attended rounds.
saw a case of hemorrhoids in opd
saw a case of post trauma contusion of foot with edema.
.
spoke to mum n the evening. am going to speak to mum n dad more to convince them.
decided going abroad is the thing to do after watching vh1 kissing... need the money of the houses for that instead of all it going to waste by bro...
shravanth advice... becoming more specific in the field is better than going to an unknown area n practising... like a endovascular neurosurgeon or skull base surgeon, then ppl will start referring to u...